December 8, 2016 at 7:51 am #3438
GoutPal ArthritisMemberŦallars: Ŧ -3.58Rank: Carer
For about 3 weeks now I have had swelling pain and have not been able to weight on my knee and leg. I have had pain in my big toe off and on and it has been worse today. My blood work came back with a 6.6 for uric acid and doctor said it was normal. Could I still have gout and is the reading high
December 8, 2016 at 7:51 am #2336
GoutPal VictimParticipantŦallars: Ŧ 1.74Rank: Carer
Original post from Regina:
Do I have Gout in my Big Toe?
I was going to contact my doctor regarding swelling and pain on my big toe base. I saw this forum and was wondering if it is Gout. I am not sure as the way it started.
Two nights ago, I slightly woke up and my big toe on my right foot felt like it was jammed. So I cracked it by extending (I think) I felt a snap and pain for a moment. I went back to sleep and about an hour later it started to have more pain.
I saw what I thought was a bruise around the base of the big toe on the top, along with slight swelling. I went to work and the foot started to swell in my shoe. Last night I took pictures and took more Tylenol. The Tylenol helps at least during that time. I went to bed and pretty much slept through the whole night. Yes with a blanket on me.
This morning I woke up and the swelling was worse, along with the pain. Tylenol is not helping much. The outside of the foot/big toe at the joint is more swollen along with shiny redness. Went to work and could barely walk in my shoes. If I walked on the outside of the foot I can limp along.
Came home and put ice on the foot/big toe and it seemed to make the pain worse. In the shower, I can use the shower head close to my foot with warm/hot water and there is a lot of relief. The so-called bruising that I saw earlier is gone, can’t see it now. Also, if I elevate my foot for a while most of the pain goes away.
Took a Vicodin and the pain is pretty much gone. I am now three nights into this and have two sets of pictures, including my left foot next to it. Any ideas? Gout hasn’t been a part of the history of our family.
The true question is, do to the circumstances – popping/cracking my big toe joint, is this maybe the build up of the uric acid and even though I had relief at the moment, that it was Gout after all?
Appreciating any suggestions, help. thank you, ~Regina
December 10, 2016 at 12:44 am #2337
PatrickParticipantŦallars: Ŧ 107.36Rank: Scholar
The only way to properly diagnose if you have Gout is to get a blood test and have your Uric Acid measured. It sure sounds like a Gout Flare, but without the data of your Uric Acid results, one would only be guessing.
Once you get your blood drawn, schedule an appointment with a Rhuemotologist (a General Practiconeer might be hesitant to diagnose Gout) and have the Rhuemotologist go over the results with you.
This is truly the only way to tell if you have Gout. And the reality is, that if you DO have Gout, and this is your first attack, it will probably NOT be your last. Do yourself a favor, if only for piece of mind, get your blood checked.
December 13, 2016 at 10:27 pm #2347
“I was going to contact my doctor regarding swelling and pain on my big toe base”
Regina, have you seen your doctor about this yet? Did you get the uric acid test that Patrick recommended? If so, please post the results. We need the exact number, together with the scale (usually mg/dL in the States, and mmol/L in most other countries).
December 14, 2016 at 1:56 am #2349
GoutPal VictimParticipantŦallars: Ŧ 1.74Rank: Carer
I did get my UA back:
2.0 – 8.0 mg/dL
I talked with my Dr. today and had a prescription of for allopurinol 200 mg. I chose to take a different blood pressure medication – instead ofamiloride hydrochlorothiazide 5/50. She said we will have the blood test again in two weeks, including the CBC and WBC, for liver and kidney functions.
I only took the predinsone 20mg x 2 a day, for three days and found out that umm… no – need to take the dose for the whole 10 days as a recurrence is very high.
To night I rarely ever have a drink, eat red meat once in a while. I am 59, overweight and have been loosing weight slowly over the last 6 months. During the weight loss I eat about 3 to 5 mandarin oranges and 1/2 lb of apples a day.
December 14, 2016 at 10:59 am #2350
Thanks Regina, for your uric acid blood test results. They answer your headline question – yes, you do have gout. More than that, your blood pressure medication (amiloride hydrochlorothiazide 5/50) is probably the cause. Or, at least a major factor. It’s a pity your doctor is showing such ignorance of gout. But, maybe we can train her.
I’m hoping you’re experiencing no side effects with allopurinol. Professional recommendations are to start with 50 or 100mg per day. Then, increase inline with blood test results. I’m pleased to see you are getting another blood test after two weeks. That’s the perfect interval for allopurinol dose adjustment.
Hopefully, your uric acid will be safely below 5mg/dL soon. And, in the meantime, it’s good that you seem to have effective gout pain control. Once uric acid is safely below 5mg/dL, gout attacks will stop after a few weeks or months. Every gout patient has a different gout recovery time. But, the good news is that you are on the road to recovery.
Gout diet isn’t really an issue. But, if you are concerned, I can give you more feedback. It’s all about balancing your total diet in a healthy, gout-friendly way. Individual foods are only important once we’ve analyzed total diet.
What I’ve written here might raise other questions for you, Regina. Please don’t hesitate to ask for clarification of anything I write. And, please continue to post updates about your uric acid test results, and gout symptoms. I think you are well on the road to recovery. It will make me very happy when you can confirm that you are fully recovered from gout.
Incidentally, you don’t say what your replacement blood pressure medication is. Less of an issue if allopurinol is effective. I’m just nosy!
January 28, 2017 at 5:37 pm #2550
I had stage two colon cancer.on December 4th of 2016 operation on my colon and took tuomr out. Now I have colostomy. Also during operation they made a whole in my bladder it is one month I am on Catherrte.
Four days ago I got gout attack on my left foot.swollen very bad and painfully
I took COLCHICiNE 6 mg for 3 days.
i am on 5 mg warfarrine for last two month.
April 29, 2017 at 12:06 pm #3442
nobodyParticipantŦallars: Ŧ 454.37Rank: Scholar
6.6 is not very high but definitely high enough that gout can not be ruled out. Normal or abnormal doesn’t matter. A single borderline test isn’t definite anyway: if you were tested again, results might be a bit higher or a bit lower.
Gout can not be diagnosed based on a forum post, sorry.
In case your pain and swelling go away, consider getting tested again. In addition to uric acid monitoring, there are other blood tests such as ferritin which might give extra clues.
May 2, 2017 at 1:04 pm #3485
Whenever you have gout-like symptoms, but no clear gout diagnosis, you should consult a rheumatologist. Because, as well as further blood tests, joint fluid analysis is vital to rule out other potentially dangerous diseases.
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