Brief Answer:
Please give details and post actual photographs and reports if possible.

Detailed Answer:
Hi.
Thanks for your query.

To recapitulate: Male/54 - swollen, light reddish color - feel hard - below knee - 6-8 months - feet becoming very painful - hard to stay on them at work for very long - Furemide/furosemide for about a week...

Please provide me some additional information:

- Are the toes involved, swollen, discolored or normal?
- Is the edema pitting meaning leaves a depression on pressure with finger?
- Any other medical problems like diabetes or medication?
- Any investigations done so far? Please upload the results in the reports section, reports and actual, clear photographs of the legs and foot including the toes.

My thoughts and advise from the history you have provided:

- Since the history is of 6-8 months the cause is a chronic one and can be due to:
- Varicose veins with incompetent valves
- Lymphedema if the toes are spared.
- General causes like hypoproteinemia, hypothyroidism, anemia
- Medications like that for hypertension, nimesulide

I would advise you the following:

Clinical evaluation and examination, preferably by a General Surgeon.
High Resolution Ultrasonography with color doppler examination.
Tests of blood, urine and stool as per the causes we have discussed, as per the clinical evaluation and to correlate with each other and the clinical findings.

The treatment will obviously be dependent on the final diagnosis.
Furosemide is just a water pill to remove excess water and not the definite treatment.

I hope this answer helps you towards getting the correct diagnosis so that it helps to plan a proper treatment. Please provide the feedback, photographs and feel free to ask for further relevant queries if you feel that there is a gap of communication.

Regards

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Brief Answer:
Please give details and post actual photographs if possible.

Detailed Answer:
Thanks for your partial feedback.
Stopping gout medicines may not cause such a problem in usual circumstances .

Please provide me some additional information:
- What is your height to decide the BMI.
- Are the toes involved, swollen, discolored or normal?
- Is the edema pitting meaning leaves a depression on pressure with finger?
- Any other medical problems like diabetes or medication?
- Any investigations done so far? Please upload the results in the reports section, reports and actual, clear photographs of the legs and foot including the toes.

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