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Suggest Treatment For Painful Swelling In Foot And Ankle

Posted on Mon, 16 Nov 2015

Question: History of Lyme disease.. moderate swelling in foot and ankle. pain moved from arch to heel to side. also history of gout. ice last night.. not as bad today. took ibuprofen yesterday. mild relief.
some slight fever to touch as compared to other foot. female 77 otherwise good health no history of HBP
this is husband inquiring

Answered by Dr. Ivo Ditah (14 minutes later)

Brief Answer:
This is probably a gout crisis!

Detailed Answer:
Hi and thank you so much for this query.

I am so sorry to hear about this pain that you have reported. I have reviewed your information and this is suggestive of gout. I will recommend that you replace Ibuprofen with indomethacin as this is the most effective drug against gout. However, Ibuprofen is also a good option for gout.

In addition to drugs, I will like that you limit as much as possible the consumption of meat products especially red meat. Also, frequent exercise and increased fruits, vegetables and fluids intake will be of added advantage.

If the crises are often, it will be necessary to take allopurinol for prophylaxis.

I hope this helps. I wish you well. Thanks for using our services and feel free to ask for more information and clarifications if need be.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Ivo Ditah (8 minutes later)

I find your answer very much in line with the symptoms. I will care for my lady as indicated. Thank you. XXXX

Answered by Dr. Ivo Ditah (3 minutes later)

Brief Answer:
Keep me updated!

Detailed Answer:
Hi,

Thanks for getting back to me. Do well to keep me updated. I wish you well, too!

I wish her a speedy recovery!

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Ivo Ditah (22 minutes later)

can you provide scrip for indomethacin by calling our pharmacy? That is an antibiotic is it not? patient XXXXXXX XXXX Pharmacy XXXXXXX and XXXX..main Street XXXX

Answered by Dr. Ivo Ditah (3 minutes later)

Brief Answer:
Please, I can't call the pharmacy. It is not allowed!

Detailed Answer:
Hi,

It is not an antibiotic. Unfortunately, it is not also available over the counter. You will need to talk to your doctor. Unfortunately, our policies and regulation doesn't permit us to place pharmacy prescriptions.

I wish you well and let me know what you decide to do.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Ivo Ditah (2 minutes later)

XXXXXXX that. I understand. I am a former trained medic so have limited knowledge and will treat as you indicated. I will try and find source. XXXX

Answered by Dr. Ivo Ditah (1 minute later)

Brief Answer:
You are welcome!

Detailed Answer:
Hi,

Thanks for your understanding and do keep me updated.

I wish you well.

Note: For more detailed guidance, please consult an Internal Medicine Specialist, with your latest reports. Click here..

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar