The diagnosis of inflammatory bowel disease
has to be confirmed by biopsy
. Once that is done you need to start medication for the same in order to push the disease into remission.
With respect to your toe swelling you need to get uric acid levels in the blood done to see the level of control in order to regulate the dosage of uricosuric medications.
Anti inflammatory drugs are to be continued upto the normalisation of your big toe.