What Causes Intermittent Sharp Pain In The Knuckles?
Thu, 22 Mar 2018
Answered on
Tue, 18 Jul 2023
Last reviewed on
Possible Gouty arthritis
Detailed Answer:
Hello,
As per your symptoms, the possibility of Rheumatoid arthritis is unlikely.
The worsening of symptoms with alcohol intake may point towards underlying Gouty arthritis.
Gouty arthritis episode is usually sudden in onset and associated with the involvement of big toe.
To confirm the diagnosis, it's advisable to consider the estimation of serum Uric acid levels and 24 Urinary Uric acid levels.
Further management if any is largely based on test results.
Meanwhile, pain-killers (eg. Acetaminophen/Tylenol) during the course of pain episodes will be very handy.
Please check with your physician if s/he shares my view and suggests these tests.
Hope I have answered your query.
Take care
Regards,
Dr Suresh Heijebu, General & Family Physician
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