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Skin around toe nail red, swollen,warm and painful. Pain more when on feet. White spots on nails, bit rough. Have clotting problems, Family history. How to get rid of them?

I m having a problem with my big toe on my right foot . The skin around the base of my nail, as well as the left side of my nail, is dark red, swollen and warm. It is also painful. The discoloration and pain is much worse when i am on my feet, better if I am off of them with my feet proped up. This pain and discoloration lasts for a couple of days, then subsides (during this time I am taking aspirin a few times a day). This has happened several times over the last few months. My nail also has corresponding white spots, as well as feels a bit rough at the base and left side. I am 44 years old and have problems with clotting. My father also has problems with clotting and gout , my daughter has juvenile arthritis . Any suggestions on how I can et this to go away for good?
Asked On : Tue, 5 Jun 2012
Answers:  1 Views:  824
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Orthopaedic Surgeon 's  Response

Thanks for writing in.

Seems you are suffering from gouty arthritis. Since you have a family history of arthritis and ?coagulation disorder, it is better you consult your doctor and get examined. Your doctor after examining you might ask you to undergo few blood tests including s.uric acid, RA factor, coagulation profile +/- hemoglobin electrophoresis / xray of foot.

Till the time, whenever you develop such symptoms, you can take NSAID's / Aspirin. Diet control with restricting high protein diets / alcohol / pulses will help you to keep your blood uric acid levels under control and might prevent recurrent episodes.

There are better drugs for Gouty arthritis to keep it under control & prevent further damage to your joints. Discuss with your doctor.

Get well soon,
Answered: Tue, 5 Jun 2012
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