Is joint pain a symptom of gout?

Hi,

Welcome to icliniq.com.

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 at you. 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 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 the uric acid value low in your body.

General recommendations are

1. Reduce intake of alcohol, red meat, rice, and other purine-rich sources in your diet.
2. In order to excrete more uric acid from your body, increase your water intake.
3. To reduce the uric acid value in the body, eat fresh fruits, citrus fruits, and cherries as well.
4. Maintaining normal body weight will also help you with this issue.

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 preferably done on an empty stomach. Kindly start with an anti-inflammatory medication that 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 a 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?

Thank you.

Hi,

Welcome back to icliniq.com.

I have gone through the test reports (attachment removed to protect patient identity) but these are not enough. As I have written, I will further need ESR, CRP, thyroid profile, KFT including serum electrolytes. Also kindly send me the detailed answers to my questions and also the relevant clinical pictures. I have to rule out infection here although the total blood counts are fine. I have also gone through the medications. They are fine but few appear to be unnecessary like Osteocerin, in my opinion, is not required at this age. There is no anti-inflammatory medication here which I should be able to tell you if her KFTs are fine. Also kindly mention the date on which these tests have been done as I am not able to see the exact date of these investigations.

Thank you.

Hi,

Welcome back to icliniq.com.

I have gone through your entire spectrum of records, including images and blood tests (attachment removed to protect patient identity). As I have told you, ESR is slightly raised, which is a marker of inflammation. I have also asked you to get CRP, thyroid profile, and KFT. So, I will need reports of them as well. You have also mentioned a fever for one week continuously.

So, kindly get a Mantoux test done. Also, you are taking Chymoral Plus (a combination of Diclofenac potassium and Trypsin) which is a decent medication with ice packs. You have sent me snaps of feet, but you have also written that she has knee pain for which no clinical pictures are available. Can you also tell me, does she feel any morning stiffness? What is the range of fever? Have you recorded that on a daily basis? How severe is her pain on a scale of 1 to 10?

Thank you.