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Suggest Treatment For Gout In A Diabetic Patient

Posted on Tue, 16 Sep 2014

Question: hi sir..my mother was suffering with severe gout. she is a diabetic and obese..she was using lipoglyn,rosuvas 20 and febut..but still no cure, and lot of pain and inflamation

Answered by Dr. Dr. Naveen Kumar Sharma (24 minutes later)

Brief Answer:
She needs anti inflammatory drugs

Detailed Answer:
Hello,
I have studied your mother's case in detail and I think she is not taking anti inflammatory drug and this is the reason that she is having so much pain. Fabuxostat is a medicine to keep uric acid level in normal limit, and it has no effect in pain.
I would suggest you following.
1. Tablet Piroxicam or Etoricoxib. (Discuss with your doctor)
2. Avoid read meat and drinking, sudden intake of high protien
3. If pain is not controlled then colchicine can be used, as it is Drug of choice in acute GOUT.
I hope this answer will be helpful for you. Let me know if there is any other followup query.
Thanks

Above answer was peer-reviewed by : Dr. Raju A.T

Follow up: Dr. Dr. Naveen Kumar Sharma (5 hours later)

Thanks a lot sir.
And i forgot to tell you , even she is using DYTOR PLUS 10 MG, TELMA for B.P. and using insulin 35 in mor 25 in eve from past 12 years. And our Doctor was saying that decrease insulin to 30 and 20 and take GLYCIPHAGE tab. coz even insulin causes increase in wait....

Answered by Dr. Dr. Naveen Kumar Sharma (1 hour later)

Brief Answer:
I think you should follow such advise

Detailed Answer:
Hello,
It is better that you do not use insulin in higher doses. And avoid high doses of protein as I told you.
Thanks

Above answer was peer-reviewed by : Dr. Bhagyalaxmi Nalaparaju

Follow up: Dr. Dr. Naveen Kumar Sharma (48 hours later)

Sir, you have said to take the PIROXICAM , but wat is da dosage?
and wat is the diet to maintain . plz give me ur advises and suggestion..

thank you,

Answered by Dr. Dr. Naveen Kumar Sharma (22 minutes later)

Brief Answer:
Piroxicam one tablet daily

Detailed Answer:
Hello,
Piroxicam is a fixed dose tablet and can be taken once daily. If pain is more severe then dose can be repeated also. I would suggest you to discuss this with your doctor before taking it.
In XXXXXXX you can show her to orthopaedic department, Nizam institute of medical science , it is the biggest hospital in XXXXXXX
Let me know if there is any other followup query.
Thanks.

Note: For further queries, consult a joint and bone specialist, an Orthopaedic surgeon. Book a Call now.

Above answer was peer-reviewed by : Dr. Shanthi.E