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Suggest Treatment For Broken Toe Tophi With Fluid Discharge

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Posted on Mon, 3 Nov 2014
Question: what can I do for my father at home who has a toe tophi that has broken and is now discharging fluid that leaves a chalky residue. Can't be seen until Monday by a doctor
doctor
Answered by Dr. Mukesh Chugh (28 minutes later)
Brief Answer:
what medicines is he on?

Detailed Answer:
Hello
Thanks for posting
I have gone through your query and understand your concern.You may clean the part with water after boiling it and once the water becomes normal to touch.Give compression bandage after application of antibiotic cream like betadine. Keep the limb elevated and give himibuprofen for pain.
To help you further please tell me -
1.Any chronic disease associated?
2.What medicine is he on ?
Looking forward to your reply to help further.
Take care
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Mukesh Chugh (16 minutes later)
Not sure what other medications he is on - but do know he takes Coumadin. He has had gout in the past as well as one kidney removed. States he is now having pain in the kidney area. Also having bladder problems. Took him to see a physician at the local clinic on Monday for sinus problem. Was given a medicated nasal spray and Amoxil to prevent any further sinus/cold symptoms from developing further. He did not mention anything to the doctor about his toe at this time of course. That evening he had an episode of confusion - very uncooperative - but did not remember any of this the next day. Is it possible there could be some connection here with kidney problem? His sinus/cold symptoms seem to be clearing up but now he is complaining about the toe. I am at my wits end as I am the care give to both him and my 90 year old mother.
doctor
Answered by Dr. Mukesh Chugh (2 hours later)
Brief Answer:
Blood tests are highly recommended

Detailed Answer:
Hello
It’s good to see you
I have gone through your reply carefully and really happy the way you are looking after your parents.
My suggestion for him would be getting blood test done for serum uric acid, serum creatinine and blood urea. This will help us in finding his gout and single kidney status.
Meanwhile ask him to drink plenty of fluids along with tramadol as pain killer which is safe on long term use.
Hope this helps.
Take care

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Mukesh Chugh (2 hours later)
Thank you for your assistance. I will make sure the blood tests are ordered when I take him to see the heart specialist on Monday to have his pace maker checked. He uses extra strength Tylenol as a pain killer now but I will ask the physician to order the other medication you recommended if needed. This has been very helpful to me. Again, many thanks. XXXX
doctor
Answered by Dr. Mukesh Chugh (5 hours later)
Brief Answer:
As follows

Detailed Answer:
Hi
You are welcome.
Wishing you good health and happiness.
Take care
If you ever require any help,please do not hesitate and may log in at-
http://bit.ly/drmchugh
Note: Hope the answers resolves your concerns, however for further guidance of skin related queries consult our Dermatologist.Click here to book a consultation

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
Answered by
Dr.
Dr. Mukesh Chugh

Orthopaedic Surgeon, Joint Replacement

Practicing since :1997

Answered : 1619 Questions

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Suggest Treatment For Broken Toe Tophi With Fluid Discharge

Brief Answer: what medicines is he on? Detailed Answer: Hello Thanks for posting I have gone through your query and understand your concern.You may clean the part with water after boiling it and once the water becomes normal to touch.Give compression bandage after application of antibiotic cream like betadine. Keep the limb elevated and give himibuprofen for pain. To help you further please tell me - 1.Any chronic disease associated? 2.What medicine is he on ? Looking forward to your reply to help further. Take care