Hello
Thank you for writing on HCM.
As you said your son was already diagnosed with
Gout, knuckle inflammation is synonymous with it and perfectly
fits the diagnosis.
Probably his treatment was not complete. He may have developed what is called a tophi.
In our OPD setups we first do a Sr Uric Acid test to confirm diagnosis, and then use Tab Orthocox 1-0-0 x 30 days, Tab Beepan D 1-0-0 x 30 days, Tab
Prednisolone 20mg 1-0-1 x 7 days.
Avoid eating
liver,
kidney, sweetbreads, brain, sardines, meat extracts,lobster. No Alcohol. Consult a physician before taking any diuretics or Salicylates. Use less amount of meat, poultry, fish, peas, beans and lentils, asparagus, chiku, custard apple, mushrooms, pulses and whole grain cereals.
I understand that the disease is debilitating, but if proper treatment is taken along with precautions, symptoms can be overridden.
Wish your son a very good luck
Thanks