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Suggest Remedies For Swollen, Red And Painful Right Foot

Posted on Wed, 13 Jul 2016

Question: Right foot is swollen, red and painful. Tried icing and compression, reduced pain after icing, but no long term results, it's been about 10 days. Have been to the clinic, the doctor said "I don't know", but did rule out any heart-related issues.

Answered by Dr. Dr. Naveen Kumar Sharma (39 minutes later)

Brief Answer:
It can be Gout

Detailed Answer:
Hello, I have studied your case. I think you are having Gout. In this condition there is accumulation of uric acid in joint. I would suggest you following.
1.get your serum uric acid level. If there is uric acid level above 6 then you need to take tablet xyloric to reduce level uric acid.
2. Take Brufen for pain relief.
3. Avoid high protein dietdiet, do not take red meat or alcohol or pulses.
I hope these steps will be help ful for you. Let me know if there is any other follow up questions. Thanks

Above answer was peer-reviewed by : Dr. Prasad

Follow up: Dr. Dr. Naveen Kumar Sharma (4 hours later)

Hello, Doctor, thank you for your answer. Unfortunately, gout has also been ruled out. Uric acid levels are normal. Since the patient has had gout in the past, he knows gout symptoms caused by uric acid crystal formations in the joints. This is something different. It it most definitely built-up fluid. But only in one foot, and does not respond to any treatment tried so far. Icing temporarily reduces redness and swelling, but the pain is pretty constant, and he has difficulty walking because of it. I will offer him Iboprofen, but I read online that the use of NSAIDs may be worse for his symptoms.
What else could it be?

Answered by Dr. Dr. Naveen Kumar Sharma (8 hours later)

Brief Answer:
This looks classically gout

Detailed Answer:
Hello,
His symptoms are very typical of gout. Normal uric acid does not mean that you can not have gout. Gout needs fluctuation in uric acid so even if patient with normal uric acid level have sudden increase for short time due to high protein intake, fever, stress or physical activity then this attack can start.
Other possibility is of bursitis. So I would suggest you to give him Brufen. If still pain continues then steroid injection in toe can be given at most tender site. it should be given by trained orthopaedic doctor.
thanks

Note: For further queries, consult a joint and bone specialist, an Orthopaedic surgeon. Book a Call now.

Above answer was peer-reviewed by : Dr. Veerisetty Shyamkumar