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Suggest Treatment For Severe Pain In The Toes Caused By Gout
Question: I have been having a gout flare up in my feet for about 2 weeks now. Went to family dr. Gave me prednisone two pills a day for 5 days. Pain left in 2 days. Finished my med on Fri. & by Sat afternoon pain started again in my big toe. Of course it's weekend & no dr. Called hospital to dr on call. He gave me 5 more prednisone pills. Took last one Mon morn. Pain was gone till following Sat eve. Put up with severe pain Sat & Sun. Absolutely cannot stand another day of pain!!! Made an app't with family dr for this afternoon but worried. What is the prednisone doing to me? And what about when next dose is gone? Isn't there anything else that can be done - like NOW? I really can't stand the pain anymore. It's getting to my mind & nerves! Feels like a knife twisting in there!
Brief Answer:
Gout management
Detailed Answer:
Good evening
thank you for writing on health care magic
Well, It seems your gout attacks are recurring again and again. Prednisolone only helps stop the inflammation for time being, but since it is short acting it is not able to suppress the inflammation long enough...Secondly starting allopurinol during the attack is bound to give you further attacks as it mobilizes all the uric acid from the body and most of them gets deposited in the joints giving another flare.
As of further management, I would suggest:
1. Start on tab zycolchicine 0.5 mg twice daily
2. Continue prednisolone on tapering dose for 5-7 days
3. Take Pain killers if the attack comes back
4. Hold Allopurinol
5. Drink lots of fluids
Hope the information was useful
DO let me know for more queries
Regards
Dr Naval
Gout management
Detailed Answer:
Good evening
thank you for writing on health care magic
Well, It seems your gout attacks are recurring again and again. Prednisolone only helps stop the inflammation for time being, but since it is short acting it is not able to suppress the inflammation long enough...Secondly starting allopurinol during the attack is bound to give you further attacks as it mobilizes all the uric acid from the body and most of them gets deposited in the joints giving another flare.
As of further management, I would suggest:
1. Start on tab zycolchicine 0.5 mg twice daily
2. Continue prednisolone on tapering dose for 5-7 days
3. Take Pain killers if the attack comes back
4. Hold Allopurinol
5. Drink lots of fluids
Hope the information was useful
DO let me know for more queries
Regards
Dr Naval
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Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Answered by
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