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Medicines and precautionary measures for gout - Online Doctor Chats

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

General & Family Physician
Practicing since : 2009
Answered : 681 Questions
User :   i am having pain in my knee( Right) for last two months. one doctor has given feedback that i am suffering from gout & my current uric acid is 6.8 What should I do & which are the medicines that I should take
Doctor :   Hi
Doctor :   Dr XXX here
User :   sir need advice on above
Doctor :   Ok
Doctor :   Your values are just mildly elevtaed from normal
Doctor :   Sorry its normal
Doctor :   Male - 3.5 - 7.7 mg/dL is the normal range
User :   but i am having pain in knees on regular basis
Doctor :   Is there any other joint invovlment
User :   yes but it seems that pain from joint but persistent but same is mild
Doctor :   Gout is a disease that results from an overload of uric acid in the body. But your values are norma;
Doctor :   Was an Xray taken
User :   no
Doctor :   Your age?
Doctor :   The causes for joint pain are
Doctor :   1. arthritis
Doctor :   2. gout
Doctor :   3.trauma
User :   34 & is overweight 93 kg
Doctor :   4 tendon injury
Doctor :   Improper work postions ( excess load )
Doctor :   In your case you more fall into trauma or excess load rather than arthritis or gout
Doctor :   What other blood tests were done
User :   no
User :   pl suggest some
Doctor :   Did you try some medications
Doctor :   These drugs should help 1.acetaminophen (Tylenol) 2, nonsteroidal anti-inflammatory drugs (NSAIDS)
Doctor :   They bring down the infalmation and give you releif from pain and stiffness
User :   one doctor gave me some bicasule/calcium tablets but with no results
Doctor :   But i would suggest you to consult a Rheumatologist and confirm the diagnosis
Doctor :   Those are just mineral supplements
Doctor :   You would require apin killers and antiinflamatory drugs
User :   do i need to go for Xray also
Doctor :   Allopurinol is the drug of choice for Gout
Doctor :   But your still not confirmed for Gout
Doctor :   Yes i would suggest you to go for it And also get tested for Arthritis profile
User :   do i need to make some changes in diets
Doctor :   Yes considering precsautions for gout
Doctor :   Decrease meat intake
Doctor :   weight reduction helps in early cure
User :   Sir should i try the medicine suggested by you fo some time
Doctor :   Total alcohol intake was strongly associated with increased attacks
Doctor :   Yes the painkillers and antiinflamtory drugs
Doctor :   Tyleneol and NSIADS
User :   ok I take alcohal occasional may be once in fortnight 60 ml. Do not eat non veg but fond of cheese products mainly fried sugar intake is normal
Doctor :   Ok that will do but restrict to alcohol until diagnosis is confirmed
Doctor :   You can also opt for a Steroid Shot in the joint for immdiete releif
Doctor :   But should consult an orthopedician for the same
Doctor :   Corticosteroids such as prednisone is a powerful anti-inflammatory agent for treating acute gout. They can be injected directly into the inflamed joint.
Doctor :   Home remedies for gout attcks are resting and elevating the inflamed joint. Applying ice-pack applications can be helpful to reduce pain and decrease inflammation
User :   Sir confirm again once in detail for treatment you suggest like your view on my problem is it really gout or else / what test you sugges & what are the medicine you suggest & for how much period.
Doctor :   Ok
Doctor :   Considering yoiur history and previous consulatation with doctor i suggested treatment and precautions for Gout
Doctor :   Actually you will need to confirm your diagnosis
Doctor :   Xray, Arthritis profile, orthopedic and rheumatologist consultation will be required to confirm your findings
Doctor :   As i will not be able to guide you based on online queries as i am not examining you
Doctor :   I can just suggest you possibilities and probable diagnosis
Doctor :   I can rather help with queries then diagnosis
User :   OK Sir please suggest some exercises/Walk time for reducing weight. I am with Banking sector with very less labour Further is it advisable to take daily medicines like Revita/?superActive
Doctor :   Yes but will be of less help
Doctor :   Rather increase your outdoor activity
Doctor :   Indulge in brisk morning walk , thrice a week work out ( cardio)
Doctor :   Regular food habits
Doctor :   Refrain from smoking and alcohol ifso
Doctor :   And Sports atleast three days a week ( outdoor)
Doctor :   Have plenty of fluids, fruits . vegtables
Doctor :   Reduce red meat
User :   thanks sir please advise on sugar Intake also I generally take 3-4 Tea cups with normal Sugar & no other extra sugar product is it ok or I need to reduce
Doctor :   Its ok until the sugar levels are fine
Doctor :   But rather shift toi green tea which is healthier compared to normal one
User :   thanks Sir
Doctor :   Sugar can be normal unless you are diabetic
Doctor :   Thanks for consulting me'
Doctor :   Bye for now
User :   Before leaving Can i save this chat for future reference
Doctor :   Wsihing you speedy recovery
Doctor :   Yes
Doctor :   Bye for now
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