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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Woke Up With Pain In Big Toes, Tender To Touch. What Could It Be ?

My 6 year old son woke up this morning with pain in his big toes. Tender to the touch and not when there isn t pressure on them it is on his toe pad and the side of his big toes. It isn t where an ingrown toenail would be. More pain in his right toe than his left. What could it be. Could it be a bloodstream infection? He was in to see the doctor for severe lower left stomach pain last week that eventually went away. But no blood tests were done.
Tue, 1 Oct 2013
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General & Family Physician,  's  Response
Hello,
Thanks for the query to H.C.M.Forum.
Since pain and tenderness present both toes so some systemic disease may be as,
1 Gout , get in blood for uric acid level , usually this is the most common site of gout .
2 Rheumatoid arthritis , get in blood for rheumatoid factor for confirmation as E S R also elevated in this disease .
3 Osteoarthritis , however usually large joint involves , but small joints also involves.
In my opinion consult an orthopedic surgeon and get his opinion and treatment as physical examination is very important .
Good luck. Dr. HET
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Woke Up With Pain In Big Toes, Tender To Touch. What Could It Be ?

Hello, Thanks for the query to H.C.M.Forum. Since pain and tenderness present both toes so some systemic disease may be as, 1 Gout , get in blood for uric acid level , usually this is the most common site of gout . 2 Rheumatoid arthritis , get in blood for rheumatoid factor for confirmation as E S R also elevated in this disease . 3 Osteoarthritis , however usually large joint involves , but small joints also involves. In my opinion consult an orthopedic surgeon and get his opinion and treatment as physical examination is very important . Good luck. Dr. HET