Hi doctor, Over the last few weeks, my wife is suffering from joint pain in foot and right knee. When I search for this problem online, I found it as a symptom of gout. Can you please explain me about gout?
Hi.I have gone through your query and also looked at the pictures (attachment removed to protect patient identity). Initially, I would like to throw some information about gout. It is a condition of altered purine metabolism in the body in which crystals of monosodium urate deposit in the joints leading to inflammation comprising of severe pain, redness, local warmth, etc. In the foot, the great toe is usually affected although conventional gout does not easily involve the knees. There are ways to keep uric acid value low in your body. General recommendations are: Nowadays there is a medication by the name of Febuxostat which helps in lowering uric acid levels in the body. But, kindly check out that it suits your body. Although I have provided information about gout in detail, it may not be necessary that she is suffering from gout as the whole foot appears to be swollen. Anyway, kindly get some blood tests done immediately from a good pathology laboratory and send reports across to me. Tests are preferable to be done in an empty stomach. Kindly start with an anti-inflammatory medication which suits her body. Give intensive ice packs and keep the limb elevated at night while sleeping to manage gout. Also, can you kindly tell me whether she is having any systemic symptoms like fever? Can you send me a picture pointing to the exact site of pain in the foot and also the knee? Does she normally take medications for any other pathology? What has been her past medical history? Does she suffer from any significant allergic history? Metabolic causes. Infection. 1. CBC (complete blood count). 2. ESR (erythrocyte sedimentation rate). 3. CRP (C-reactive protein). 4. Serum uric acid. 5. KFT (kidney function test). 6. Thyroid profile. 7. RBS (random blood sugar). 1 .Gout. 2. Cellulitis foot.