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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Is The Treatment Of Gout On Foot ?

I have over 10 years of Gout with pain predominantly on my foot, but 4 years ago after a long haul flight (over 8 hours), I my calf was swollen and stiff, when pressed on the stiffness, it felt like a sponge...... Dr suspected DVT, but luckily that was negative... Eventually after 2 weeks of diagnosis, a medic prescription for gout was given and resolved the swollen calf...... However, the swell situation become more often, and eventually the swell developed on both knee joints last October, after one week in hospital, the Dr gave an injection of steroids on my knee and ankle joints on one leg, the swell have subsided within hours....... After that steroids treatment, there were occasion pain and swell on leg that had not received steroids injection........but last week, thunder strikes, after stopped the Gout control medicine because I have a bad fever which the Dr have prescribed 10 days of antibiotic medicine, after that both knee joints started to swell..... Question ..... Since last October, after the steroids dose, I have been very sensible on prescribed medicine to control the Uric acid level.....after 6 months (blood test in April), it was shown I m on the high side of the normal range, so I have to continue with Feburic 80mg, + Colchicine..........I am also very sensible on food intake and no alcohol, but only thing is I m a late sleeper , in bed around 02:00 and get up around 08:00 for work...... Q......Why my steroid treated leg started to swell and is more painful than the one that did not have steroid treatment ?
Mon, 27 Jun 2016
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Orthopaedic Surgeon 's  Response
Hello 

I have studied your case,


For gout you may need medicine accordingly and diet restriction.

For gout you may need medicine like febuxostat you need to continue according to blood uric acid level consulting his treating doctor.

Acute flare can lead to leg swelling.

Ideal time for sleep should be from 10 pm to 4 am for good rest for your organs.

Food to be avoided in diet includes
Alcohol
Alcohol reduces the ability of your body to excrete uric acid via the kidneys and urine. If your gout is severe or you are having an attack, avoid alcohol completely. Increase your daily intake of water. As the water is turned into urine, it carries uric acid out of your body. Institute of Medicine recommends that adult men drink 3 litres of water daily; women should drink 2 litres.

Processed Carbohydrates
Processed carbohydrates and sugars take the place of healthy carbohydrates, such as fruits and vegetables, in your diet. Although no direct link has been established between sugar intake and gout severity, high sugar intake can contribute to obesity, a risk factor for gout. The fibre in fruits, vegetables and whole grains may also help carry excess uric acid out of your body.

Hope this answers your query. If you have additional questions or follow up queries then please do not hesitate in writing to us. I will be happy to answer your queries. 

Wishing you good health.

Take care.
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What Is The Treatment Of Gout On Foot ?

Hello  I have studied your case, For gout you may need medicine accordingly and diet restriction. For gout you may need medicine like febuxostat you need to continue according to blood uric acid level consulting his treating doctor. Acute flare can lead to leg swelling. Ideal time for sleep should be from 10 pm to 4 am for good rest for your organs. Food to be avoided in diet includes Alcohol Alcohol reduces the ability of your body to excrete uric acid via the kidneys and urine. If your gout is severe or you are having an attack, avoid alcohol completely. Increase your daily intake of water. As the water is turned into urine, it carries uric acid out of your body. Institute of Medicine recommends that adult men drink 3 litres of water daily; women should drink 2 litres. Processed Carbohydrates Processed carbohydrates and sugars take the place of healthy carbohydrates, such as fruits and vegetables, in your diet. Although no direct link has been established between sugar intake and gout severity, high sugar intake can contribute to obesity, a risk factor for gout. The fibre in fruits, vegetables and whole grains may also help carry excess uric acid out of your body. Hope this answers your query. If you have additional questions or follow up queries then please do not hesitate in writing to us. I will be happy to answer your queries.  Wishing you good health. Take care.