I had an MRI scan recently and I was informed I need surgery to remove a little cyst and shaving of a bit of the bone on the my left big toe. how ever I had a sharp pain with an increase in swelling of the left big toe and on going to hospital I was told my uric acid was level 660 and likely to be gout prescribed diclofenac sodium. I am just confused and do not understand different diagnosis.i did tell the second doctor I had drank beer earlir and taken beer prior to coming to the hospital in pain but he ignored it/