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Severe pain with edema in the foot. Diagnosed with gout. Had mesentery thrombosis in the past. Family history of strokes. Advice?

I am a 54 year old woman with a history of blood clots. I had a mesentery thrombosis at age 30 that resulted in losing 12 feet of intestines. Recently I have been suffering with extreme foot pain of the right foot. It is only on the top of the foot and the toes and has pitted edema , and today I noticed the pain extends up the leg along red painful streaks. Brief history, both maternal grandparents and mother all died of strokes. I have been diagnosed with gout and there is a an extense history of RA in the family. Mallorie
Asked On : Tue, 16 Oct 2012
Answers:  1 Views:  459
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Pathologist and Microbiologist 's  Response
Hello and welcome to HCM
Since, you have a history of mesenteric thrombosis and family history of stroke, you are at high risk of stroke and heart attack.
You need to get your lipid profile done-Cholesterol, LDL, HDL, Triglycerides, homocyteine and lipoprotein (a).
If there are derangement then you need to start medications.
Regarding gout, medications have to be started (you must be taking them) and low protein diet.

Thanks and take care
Dr Shailja P Wahal
Answered: Thu, 18 Oct 2012
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