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Pain and swelling over the toe - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Very Good Posted in: Arthritis
Answered by

General & Family Physician
Practicing since : 2004
Answered : 1722 Questions
Doctor :   Hi
Doctor :   How can I help you?
User :   Helloo Doctor
User :   I need a consultation
Doctor :   Please proceed with your query.
User :   I was having severe pain my toe
Doctor :   Ok
User :   and swelling
User :   that portion skin has gone red
Doctor :   Ok
User :   but there was no externa injury
User :   *external
Doctor :   Since when are you having these symptoms.
User :   6-7 days
Doctor :   Do you notice any discharge from the swelling?
User :   no no
Doctor :   Do you have fever?
User :   no
Doctor :   May I know the appropriate size of the swelling?
Doctor :   Is the swelling present over the joint?
User :   there was pain in neck & back
Doctor :   May I know your age and gender?
User :   50
User :   male
Doctor :   May I know the appropriate size of the swelling?
User :   there is lt of weakness also
Doctor :   Ok
Doctor :   How big is the swelling?
User :   swelling size is not big
User :   but pain is there
Doctor :   And where exactly is the swelling/pain located - is it on the joint?
User :   toe near thumb joint
Doctor :   I would need these details to understand the nature of the problem.
User :   yes yes
Doctor :   Do you have any problem while moving the toe joint?
User :   yes also during walking
Doctor :   Ok
User :   cannot walk straight
Doctor :   Have you had similar symptoms in the past?
User :   no
User :   never like this
Doctor :   Is the problem noticed on both the toes or is it over only one toe?
User :   only one
Doctor :   May I know since when are you having the neck and back pains?
Doctor :   Do you feel the pain radiating down to your legs too?
User :   same time
User :   no
User :   only in that region near thumb
Doctor :   Do you have any problem while passing urine?
User :   no
Doctor :   Since you feel there is some weakness of the limbs, do you drag your leg while walking?
User :   also pain doesnt happen in entire back only on specific points
User :   yes
Doctor :   Ok
Doctor :   Do you have any other medical illness such as diabetes/hypertension/heart problems/gout?
User :   and the pain is severe
User :   no only high BP
Doctor :   Have you seen a doctor?
User :   yes
User :   but he has not prescribed any test
Doctor :   Ok
User :   only told there is excess of uric acid
User :   only by seeing symptoms
Doctor :   Are you on any medication?
Doctor :   I mean for the present problem?
User :   we have not started
Doctor :   Ok.
Doctor :   Let me brief you.
User :   wanted to be very sure
Doctor :   Excess uric acid in the body can get collected in specific joints such as the toe joints and can cause swelling and pain of those joints.
User :   ok
Doctor :   This condition is referred to as hyperuricaemia or Gout.
User :   ok
Doctor :   This is however a chronic condition, meaning that it must have occurred over a period of time.
User :   do u think i shld confirm it with test
User :   is it severe
Doctor :   Your symptoms of swelling and pain of the toes match that of hyperuricemia, which has to be confirmed by blood tests of uric acid levels.
User :   is it curable
User :   ok
User :   will get it done
Doctor :   If you are in severe pain, I suggest you the following measures
Doctor :   1. Use pain killers such as ibuprofen 400 mg twice a day after food for a few days.
Doctor :   2. Use hot water fomentations.
User :   any thing to be avoided in food
User :   ok
User :   any other medicine
Doctor :   3. You need to avoid high protein diets.
Doctor :   I shall give you a link that can help you.
Doctor :   WWW.WWWW.WW
Doctor :   This link has few diets that may have to be restricted.
User :   ok
Doctor :   4. I shall also suggest you that you get a physical examination by an Rheumatologist.
Doctor :   You will need few more tests apart from the uric acid levels which can be better advised after a physical examination.
User :   ok
User :   will meet the doctor here and take suggestion
Doctor :   Finally, apart for this hyperuricemia, your symptoms of back ache may have been due to osteoarthritic changes secondary to age.
User :   thanks for ur advise
Doctor :   This would require good bed rest.
Doctor :   It seems that you have logged out. Please login again if you have any other queries. Thank you.
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