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Suggest Treatment For Toe Pain As Per Attached Reports

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Posted on Mon, 16 Oct 2017
Question: Dear Sir, I am 43 yrs old and I m suffering from toe pain since from last 3 month, I m consult with ortho doctors & take the prescribed medicines, but when as per advice of Dr I left the medicines I m repeat same problem. I wants permanent solutions.
So pls advice me what I will do.
Some reports are attached below which is done by self :

Hi XXXXXXX XXXXXXX Your Report with Lab No. 0000 & 2017/09/22 -
Urea: 28.60 mg/dL
Creatinine: 1.06 mg/dL
Uric Acid: 5.90 mg/dL
Cholesterol Total: 225.00 mg/dL
Triglycerides: 134.00 mg/dL
AST (SGOT): 27 U/L
ALT (SGPT): 20 U/L
GGTP: 24 U/L
Alkaline Phosphatase (ALP): 165 U/L
Calcium Total: 9.40 mg/dL
Phosphorus: 4.21 mg/dL
Sodium: 140.00 mEq/L
Potassium: 4.56 mEq/L
Chloride: 102.20 mEq/L
HDL Cholesterol: 40.00 mg/dL
T3 Total: 1.08 ng/mL
T4 Total: 10.90 ug/dL
TSH: 1.76 uIU/mL
Bilirubin Indirect: 0.50 mg/dL
Bilirubin Direct: 0.11 mg/dL
Bilirubin Total: 0.61 mg/dL
Total Protein: 8.17 g/dL
A : G Ratio: 1.28
Albumin: 4.58 g/dL
LDL(CALCULATED): 158.20 mg/dL
VLDL CholesterolCalculated: 26.80 mg/dL
HbA1c: 5.4 %
Monocytes: 0.24 thou/mm3
Lymphocytes: 2.90 thou/mm3
Eosinophils: 2.90 %
Packed Cell Volume (PCV): 43.30 %
Basophils: 0.03 thou/mm3
Basophils: 0.30 %
RBC Count: 6.23 mill/mm3
Eosinophils: 0.25 thou/mm3
Total Leukocyte Count (TLC): 8.74 thou/mm3
Red Cell Distribution Width (RDW): 19.60 %
MCH: 18.60 pg
Hemoglobin: 11.60 g/dL
MCV: 69.50 fL
Platelet Count: 167.0 thou/mm3
Neutrophils: 5.32 thou/mm3
Monocytes: 2.70 %
Segmented Neutrophils: 60.90 %
Lymphocytes: 33.20 %
Team, Dr Lal PathLabs
doctor
Answered by Dr. Dr. Praveen Tayal (1 hour later)
Brief Answer:
Can be due to gouty arthritis.

Detailed Answer:
Hello,
Thanks for posting your query.
I have gone through the query and the attached reports. The symptoms that you have are likely to be due to gouty arthritis.
Gout happens when there are increased uric acid levels in the blood and the uric acid crystals start depositing in the joint capsules causing the joint inflammation.
It can happen due to decreased excretion of urates by kidney, dietary changes or due to genetic predisposition.
It is associated with consumption of alcohol, seafood and meat.
Taking a diet rich in vitamin C, dairy products and coffee is likely to help in improvement of symptoms.
Drink plenty of water daily to help the kidneys clear the uric acid.
Reducing meat intake will also help. If it is causing you symptoms, you can seek medical help and ask your doctor to prescribe you some analgesics and specific medicines which increase the uric acid excretion from the kidneys. The problem can recur in case you increase the protein intake.
I hope this answers your query.
In case you have additional questions or doubts, you can forward them to me, and I shall be glad to help you out.
Wishing you good health.
Regards.
Dr. Praveen Tayal.
For future query, you can directly approach me through my profile URL http://bit.ly/Dr-Praveen-Tayal
Note: For further queries, consult a joint and bone specialist, an Orthopaedic surgeon. Book a Call now.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
Answered by
Dr.
Dr. Dr. Praveen Tayal

Orthopaedic Surgeon

Practicing since :1994

Answered : 12315 Questions

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Suggest Treatment For Toe Pain As Per Attached Reports

Brief Answer: Can be due to gouty arthritis. Detailed Answer: Hello, Thanks for posting your query. I have gone through the query and the attached reports. The symptoms that you have are likely to be due to gouty arthritis. Gout happens when there are increased uric acid levels in the blood and the uric acid crystals start depositing in the joint capsules causing the joint inflammation. It can happen due to decreased excretion of urates by kidney, dietary changes or due to genetic predisposition. It is associated with consumption of alcohol, seafood and meat. Taking a diet rich in vitamin C, dairy products and coffee is likely to help in improvement of symptoms. Drink plenty of water daily to help the kidneys clear the uric acid. Reducing meat intake will also help. If it is causing you symptoms, you can seek medical help and ask your doctor to prescribe you some analgesics and specific medicines which increase the uric acid excretion from the kidneys. The problem can recur in case you increase the protein intake. I hope this answers your query. In case you have additional questions or doubts, you can forward them to me, and I shall be glad to help you out. Wishing you good health. Regards. Dr. Praveen Tayal. For future query, you can directly approach me through my profile URL http://bit.ly/Dr-Praveen-Tayal