
Suggest Treatment For Pain Caused By Swelling In The Foot



Gouty Big toe / Under Evaluation of home treament
Detailed Answer:
Hi Dear !! Thanks for your query to HCM.
I reviewed facts of your query in context to your health issues and feel concerned about them.
My Opinion-
In My opinion, in the given situation you seem to suffer from-mostly due to Gout,as its common site to be affected.
Other causes of it need to be ruled out,after getting more details from you.
Do's Suggested-
In the given economic condition you are in-I would suggest as follows-
a-Get a hot and cold water bath with Epsom salt 3/4 cup in basin -its alternate use would reduce swelling and pain.Instead of ice alone, you can use ice packs and hot sponges alternate for 15-20 mts each.
Diet-
b-Avoid red meat and sea food,alcohol,ready food,beverages/chocolates,which would increase gouty attacks.
c-instead be on high carbohydrate/ low protein diet
d-Add chicken/Cherries/vegeis / whole grains in diet.
e-1-2 tsf of Soda bicarb in kitchen with lemon in water x 3-4 times
f-Apple Cider Vinegar-1 tsf in glass of water and
taking plenty of water would help in reducing pains and swelling of the foot.
g-Take rest and don't walk till its recovered.
h-Garlic -2 to e crushed units 2 times a day
Medicines-
You can Continue Advil
You can try 1/ or 2 remedies of the above along with the painkiller medicines,with rest to part.
Don't walk on it when swollen and
Better avoid food which precipitates attacks.
Next appointment-
After 2 weeks to review treatment for existing left colitis with Gastric problem .
If you update more information/ details upon these suggestions, I would give further suggestions on medicines to correct your health issues.
If need be, update any health issue 24 x 7 by a direct question to ME, at following HCM link-http://doctor.healthcaremagic.com/Funnel?page=askDoctorDirectly&docId=70229
Dear, if you don't have any further query in this regard, Do close this query with YOUR pleasing and feedback comments to rate this reply and service, to boost the morale of incoming Emergency patients like YOU, at HCM services.
If you want to update more details and ask more update queries ,
You are most Welcome herewith !!
Good Day!!
Wishing Good Healthy Life in time to come!!
Dr.Savaskar M.N. XXXXXXX Surgical Specialist
M.S.Genl-CVTS


Gouty Big toe / Under Evaluation of home treatment
Detailed Answer:
Gouty Big toe / Under Evaluation of home treatment
Hi Dear !! Thanks for your query to HCM.
I reviewed facts of your query in context to your health issues and feel concerned about them. Sorry for the belated reply, due to heavy work schedules today.
My Opinion-
In My opinion, in the given situation you seem to suffer from-acute attack of Gout, as you got fast increase in swelling of great toe- as told in last updates.
ALERT-
I would suggest you to get -Blood tests for Uric Acid levels-and confirm the kidney/liver function defects in your body, before starting these medicines.
-Replies to your specific queries-
Q-1-What kind of medicines would you recommend for this?
Ans-1-Tab Febuxostat -40 mg 1 per day x to reduce uric acid production
2-Tab -Allopurinol-100 mg x 3 times a day -
3-NSAIDS-pain and swelling controlling -Tab-Ibuprofen 400 mg x 3 times
But Dear, these medicines being special medicine would need prescription script and cover from your family doctor
Q-2-Is this normal?
Ans-2-The condition you have is not normal and would need more investigations with your doctor,under whose guidance you should execute these suggestions.
Q-3- How long do I soak it?
Ans-3-Please take 20-30 minutes foot bath with Epsom salt -water is suggested.
.
Next appointment-
After 2 weeks to review treatment for problem .
If you update more information/ details upon these suggestions, I would give further suggestions on medicines to correct your health issues.
If need be, do update any health issue 24 x 7 by a direct question to ME, at following HCM link-http://doctor.healthcaremagic.com/Funnel?page=askDoctorDirectly&docId=70229
Dear, if you don't have any further query in this regard, Do close this query with YOUR pleasing and feedback comments to rate this reply and service, to boost the morale of incoming Emergency patients like YOU, at HCM services.
If you want to update more details and ask more update queries ,
You are most Welcome herewith !!
Good Day!!
Wishing Good Healthy Life in time to come!!
Dr.Savaskar M.N. XXXXXXX Surgical Specialist
M.S.Genl-CVTS


Podagra with Gouty Arthritis of Great Toe / Under Evaluation
Detailed Answer:
Podagra with Gouty Arthritis of Great Toe / Under Evaluation
Hi Dear !! Thanks for your query to HCM.
I reviewed facts of your updates on the basic query in context to your health issues and feel concerned about them. Sorry for the belated reply.
Comments on updates- to help you out- Please don't get scared, but act if need be with whatever means you..
Dear, all this interaction is to guide you on the health issues you have.
As your puffiness increased after walking, I need to Alert on the probabilities of this puffiness.
All this interaction is to help you to resolve your health issues, with in the economical limits given from You. Besides this all this interaction has limitations being Virtual Clinic, where I don't have access to your physical and clinical data.
Dear, So don't take it as a scary thing, but take it as a transparent attempt to help you ONLY.
My Opinion-
In My opinion, in the given situation you seem to suffer from-
acute attack of Gout with Podagra-
which is due to uric acid crystal deposition causing acute arthritis and is the commonest affected site in patients..
Other causes need to be ruled out if you keep me updated on the progress of your health problem in time to come.
Specific replies to your updated queries-
Q-1-it will go away won't it? And is putting your foot up good for reducing the puffiness?
Ans-1-With the rest and remedies suggested it would go definitely.
So put your foot with 2 pillows underneath and take bed rest, which would help reducing puffiness in your case.
Q-2-Should I be not walking and rest my foot?
Ans-The puffing of your great toe under foot is due to damage from walking,as its the most weight bearing part of one's body.
Advice-
So avoid walking and give rest to part and treat it with remedies,as suggested in last reply.
Dear, Keep Me updated if you need more help, by more updates. and Don't get scared, I am here to remove your scare and to resolve your health issues.
Next appointment-
After 2 weeks to review treatment for problem .
If you update more information/ details upon these suggestions, I would give further suggestions on medicines to correct your health issues.
If need be, do update any health issue 24 x 7 by a direct question to ME, at following HCM link-http://doctor.healthcaremagic.com/Funnel?page=askDoctorDirectly&docId=70229
Dear, if you don't have any further query in this regard, Do close this query with YOUR pleasing and feedback comments to rate this reply and service, to boost the morale of incoming Emergency patients like YOU, at HCM services.
If you want to update more details and ask more update queries ,
You are most Welcome herewith !!
Good Day!!
Wishing Good Healthy Life in time to come!!
Dr.Savaskar M.N. XXXXXXX Surgical Specialist
M.S.Genl-CVTS


Thank you
Podagra with Gouty Arthritis of Great Toe / Under Evaluation
Detailed answer":
Hi Dear !! Thanks for your update query to HCM.
Specific Replies to your update queries are as follows-
Q-1-How long does gout last?
Ans-1-Dear, in normal course attack subsides in 3-10 days time.
Q-2-And when will this puffiness of my foot go down.
Ans-2-The puffiness of the foot would go down in a weeks time, but you need to take rest and medicines for that,as suggested in last reply.
Q-3-Does gout take a long time to heal ?
Ans-3-IF you take suggested medicines and take proper diet, it would get resolved soon.
Dear, Keep Me updated if you need more help, by more updates. and Don't get scared, I am here to remove your scare and to resolve your health issues.
Next appointment-
After 2 weeks to review treatment for problem .
If you update more information/ details upon these suggestions, I would give further suggestions on medicines to correct your health issues.
If need be, do update any health issue 24 x 7 by a direct question to ME, at following HCM link-http://doctor.healthcaremagic.com/Funnel?page=askDoctorDirectly&docId=70229
Dear, if you don't have any further query in this regard, Do close this query with YOUR pleasing and excellent feedback comments to rate this reply and service, to boost the morale of incoming Emergency patients like YOU, at HCM services.
If you want to update more details and ask more update queries ,
You are most Welcome herewith !!
Good Day!!
Wishing Good Healthy Life in time to come!!
Dr.Savaskar M.N. XXXXXXX Surgical Specialist
M.S.Genl-CVTS


Thank you
Podagra with Gouty Arthritis of Great Toe / Under Evaluation
Detailed Answer:
Brief Ans-Podagra with Gouty Arthritis of Great Toe / Under Evaluation
Hi Dear !! Thanks for your update query to HCM.
Replies to your specific query-
Q-1-Is it to Long to see the doctor after 4 days?4 days isn't to long is it?
Ans-1-Dear,You need to act fast in a weeks time, and with in 4
days is Ok, but you need to follow all medicines and diet.
Dear, Keep Me updated if you need more help, by more updates and Don't get scared, I am here to remove your scare and to resolve your health issues.
Next appointment-
After 2 weeks to review treatment for problem .
If you update more information/ details upon these suggestions, I would give further suggestions on medicines to correct your health issues.
If need be, do update any health issue 24 x 7 by a direct question to ME, at following HCM link-http://doctor.healthcaremagic.com/Funnel?page=askDoctorDirectly&docId=70229
Dear, if you don't have any further query in this regard, Do close this query with YOUR pleasing and excellent feedback comments to rate this reply and service, to boost the morale of incoming Emergency patients like YOU, at HCM services.
If you want to update more details and ask more update queries ,
You are most Welcome herewith !!
Good Day!!
Wishing Good Healthy Life in time to come!!
Dr.Savaskar M.N. XXXXXXX Surgical Specialist
M.S.Genl-CVTS


Thank,you
I got the results of my blood tests...
your value Standard Value
URIC ACID - 3.5 mg/dL 2.3-6.3 mg/dL
Only thing that was a little high was my calcium. it was 10.5 but its been that almost every time i get a blood test. They say standard value is 10.2.
Thank you
Left Great toe Arthritis ?Gout?CPPD? / Under Evaluation
Detailed Answer:
Brief Ans-Arthritis ?Gout?Chondrocalcinosis? / Under Evaluation
Hi Dear !! Thanks for your updates and query in that context to Me.
Dear, in the given background reports,history of hctz with lisinopril and High Calcium,your case is having interesting deadlock which needs to resolved in stages.
Solution to resolve your complex presentation-
Get X-ray of left Foot with great toe-joint affected.
After getting its report please report Me,to review on the other causes in your case.
My Expert Opinion-
In the given situation and presentation-CPPD(Calcium Pyro-phosphate Disease) needs to be ruled out by X-ray food in your case.High calcium since long in your case,makes this work up needful in your case.
Normal Uric acid levels is observed in 30-50 % cases of Gout.
So before starting any further treatment,these possibility needs to be ruled out in your case.
Dear, Keep Me updated if you need more help, by more updates and Don't get scared, I am here to remove your scare and to resolve your health issues.
Next appointment-
After 2 weeks to review treatment for existing problem .
If you update more information/ details upon these suggestions, I would give further suggestions on medicines to correct your health issues.
If need be, do update any health issue 24 x 7 by a direct question to ME, at following HCM link-http://doctor.healthcaremagic.com/Funnel?page=askDoctorDirectly&docId=70229
Dear, if you don't have any further query in this regard, Do close this query with YOUR pleasing and excellent feedback comments to rate this reply and service, to boost the morale of incoming Emergency patients like YOU, at HCM services.
If you want to update more details and ask more update queries ,
You are most Welcome herewith !!
Good Day!!
Wishing Good Healthy Life in time to come!!
Dr.Savaskar M.N. XXXXXXX Surgical Specialist
M.S.Genl-CVTS

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