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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Is Swelling Of Ankle And Foot A Symptom Of GOUT?

Hi This started with my ONE ankle swelling and over a period of a few days also my foot. Movement was restricted. Saw doctor who diagnosed an insect bite. Did not improve so went to see another doctor who diagnosed gout and prescribed anti-flamatory drugs (diclofenac). Has improved maginally after two weeks and believe if it was gout it should have cleared up after a few days. No red but warm to touch with pain and swelling. Answers please.
Thu, 29 May 2014
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Orthopaedic Surgeon,  's  Response
Hi,
First of all ---did u have any twist of the ankle prior to start of pain ? If yes, it may be an indetected ankle sprain for which u can use an ankle binder for about 3 weeks.

If NO, then it may be arthritis of the ankle and small joints of foot.Such multiple joint affliction can happen in many conditions but most commonly due to hyperuricemia (gout).

Please get the following investigations: CBC,ESR,RBS,S.uric acid

Redness,warmth,swelling r features of acute inflammation.Till acute inflammation subsides , just cold pack ,NSAIDs, rest is the treatment (maybe for about a week).
After it subsides, If the s.uric acid levels are elevated, start T.Xyloric 100 mg 1-0-1 for about 15 days & review in OPD with your orthopaedician.
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Is Swelling Of Ankle And Foot A Symptom Of GOUT?

Hi, First of all ---did u have any twist of the ankle prior to start of pain ? If yes, it may be an indetected ankle sprain for which u can use an ankle binder for about 3 weeks. If NO, then it may be arthritis of the ankle and small joints of foot.Such multiple joint affliction can happen in many conditions but most commonly due to hyperuricemia (gout). Please get the following investigations: CBC,ESR,RBS,S.uric acid Redness,warmth,swelling r features of acute inflammation.Till acute inflammation subsides , just cold pack ,NSAIDs, rest is the treatment (maybe for about a week). After it subsides, If the s.uric acid levels are elevated, start T.Xyloric 100 mg 1-0-1 for about 15 days & review in OPD with your orthopaedician.