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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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How Can Painful Swelling And Fluid Retention On The Feet Be Treated?

M husband has an attack of gout in both feet and his knee is swollen, painful and had fluid on it. The fluid was drained at ER this morning. His blood test on Thursday showed normal levels of uric acid were normal but he has been treated for gout many times in past years and this feels the same to him. He can t walk at this point
Thu, 4 Apr 2019
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General & Family Physician,  's  Response
Hello,

Firstly, as he is suffering and treated many times, I suggest having a clean and clear report, again, from a good reputed diagnostic facility.
The tests that should be done are:
1. Complete Blood Count
2. Uric Acid level
3. ESR
4. Kidney Function Test
5. X-ray of the feet

Meanwhile I strongly recommend these:
1. No meat
2. No alcohol
3. Limit fructose intake
4. Increase intake of dairy products, vitamin C, coffee, and cherries, etc
5. Maintaining weight. Maintain Basal Metabolic Index (BMI within 20-22.9)

Now, do the test first then start medicine.

Allopurinol can be taken. After 1 month, uric acid level to be checked again.

Post another question with the test results, any doc can follow you up. Do not worry. He's under treatment. After the test, we can follow an aggressive treatment.

Hope I have answered your query. Let me know if I can assist you further.

Regards,
Dr. Dipan Samanta, General & Family Physician
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How Can Painful Swelling And Fluid Retention On The Feet Be Treated?

Hello, Firstly, as he is suffering and treated many times, I suggest having a clean and clear report, again, from a good reputed diagnostic facility. The tests that should be done are: 1. Complete Blood Count 2. Uric Acid level 3. ESR 4. Kidney Function Test 5. X-ray of the feet Meanwhile I strongly recommend these: 1. No meat 2. No alcohol 3. Limit fructose intake 4. Increase intake of dairy products, vitamin C, coffee, and cherries, etc 5. Maintaining weight. Maintain Basal Metabolic Index (BMI within 20-22.9) Now, do the test first then start medicine. Allopurinol can be taken. After 1 month, uric acid level to be checked again. Post another question with the test results, any doc can follow you up. Do not worry. He s under treatment. After the test, we can follow an aggressive treatment. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Dipan Samanta, General & Family Physician