What Causes Obesity In An Elderly Person While On Advil?

Posted on Thu, 27 Apr 2017

Question: I am a 64-year old male that is morbidly obese. Other than sleep apnea, I have no other co-morbidity conditions that I am aware of. Four weeks ago I fell down some cement stairs and banged up my left leg and foot. X-rays proved that nothing was broken; however, my left big toe was in excruciating pain and still up to today throbs and is very painful. Any suggestions as to possible reasons why it still hurts so much and how I might be able to handle this pain other than taking Advil or some other pain medication?

Thanks, XXXXXXX

Answered by Dr. Mahaveer Patil (41 minutes later)

Brief Answer:
may be an underlying crack fracture or an infection

Detailed Answer:
Hi XXXXXXX

Thank you for posting the question.
I have gone through your medical history in detail.

From the symptoms,there seem to be 2 possibilities.

Either an underlying hairline crack fracture of the toe might have gone unnoticed (might happen if the Xrays are not properly taken) or there may be a soft tissue infection in the underlying soft tissues.

A fracture,if it was present,should heal up by 6 weeks after the trauma.

Infection needs to be tackeld by taking antibiotics along with other anti-inflammatory tablets.

Is the painful part warm?
Is it tender to touch?
Do you experience on/off fever?

I would be in a better position to help you if you could post the Xray and a photograph of the big toe.

I hope the answer was useful.

Feel free to ask me any follow up queries that you may have.

Thank you.
Kind regards.

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

Above answer was peer-reviewed by : Dr. Nagamani Ng