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Took Etofree and Febutaz for gout disease. Not cured. What to do? - Online Doctor Chats

Date : 03-Jun-2013
User rating for this question
Very Good Posted in: Bones, Muscles and Joints
Answered by

General & Family Physician
Practicing since : 2003
Answered : 1526 Questions
Doctor:How can I help you?
User:I am 32 male from XXXXXXX .. I am suffering from Gout since last one year
User:I have been told to take Febutaz 40 for life time.... and in the initial days I was told to take Etofree 600 for getting relief from pain
User:i got some relief from pain in initial days, but it has again incresed... and doctor told me to again take the same tablet for 10 days once a day...
User:but the pain has not reduced
User:also ther was no problem with my knee xray...
User:so i dont understand why my pain is not reducing and wt shud I do now as even my doctor fails to understand the root cause of the knee pain
User:forgot to told u that I hav pain in my left knee...
User:and its troubling me since last one year
User:can u help me
Doctor:When you said you were diagnosed to have gout, may i know which joint was painful?
Doctor:Was it the big toe?
User:left knee
User:sometimes i also apply Voveren gel on the knee, but it is of no use
Doctor:So all your symptoms started with left knee?
Doctor:And are there any other joints affected with pain?
Doctor:May I know your current height and weight?
User:5.11 and weight is 96
Doctor:Has any X-ray / MRI scan done?
Doctor:Are you there?
Doctor:Are you there?
Doctor:Are you there?
Doctor:I have to close the window as you are not responding.
Doctor:Please chat with us 24/7 if you have a medical query.
User:i had gone for an emergency meeting
Doctor:Welcome again
User:can we chat now
User:I had taken a X-ray for my left knee... and doctor said tht there is no problem with the knee
User:so i need to know why i am still having the knee pain..
User:is the medicine not working
Doctor:Let me explain.
Doctor:Gout less commonly affect knee joint and the primary joint affected being the toes.
Doctor:I understand you would have had high uric acid levels in association with the knee joint which prompted the diagnosis of gout.
Doctor:However we cannot rule out the possibility that high uric acid may have been incidental finding with the knee pain.
Doctor:Hence other cause of knee pain such as early arthritis,
Doctor:weight induced degeneration of knee joints, etc., would need to be ruled out.
User:but wont this pain reduce with the medicine that I am taking ?
Doctor:Besides that, the damaged cartilage, ligaments and menisci could also be the cause of pain.
Doctor:The pain medicine most often reduced the pain, but in some cases the usual medication can become less useful.
Doctor:You may need stronger pain killers, steroids and others to treat them.
Doctor:Siting at one end of the computer without a way to examine your knee, it is highly inappropriate for me to decide the type of treatment you will require.
Doctor:Hence in my opinion, I suggest that you see an orthopedic/rheumatologist for a second opinion.
Doctor:He/she can evaluate you and reconsider the laboratory test and decide the right type of medication you will need.
Doctor:In addition to the above, I also see you are above the normal weight requirement.
User:i am already visintng and Orthopedic surgen... but he now says tht I need not worry
Doctor:It is very essential to reduce weight for proper pain relief.
Doctor:If you are still in immense pain, I think we need to treat that.
User:yes, he has told me to reuce pain...but are u saying that i shud now go to another doctor
Doctor:If the pain persists despite your current medication, then there is no harm in taking a second opinion from another rheumatologist.
Doctor:*Rheumatologist would be the right specialist to treat gouty arthritis.
Doctor:Have you followed?
User:oh ok
Doctor:Do you have any other query?
User:shud I need to take Febutaz 40 for life time ? although the uric acid levels has come down
Doctor:If it is indeed gout, then you will need febutaz for a very long time along with strict dietary changes.
User:oh ok
Doctor:I would put it that way...
Doctor:Do you have any other query?
User:no thks doctor
Doctor:Thanks for consulting me.
Doctor:Bye for now.
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