My Husband Was Taking Paracetamolx2 Plus Codeine Phosphate Following Hip

My husband was taking paracetamolx2 plus codeine phosphate following hip surgery., these caused really bad constipation, so started taking paracetamol x2 with 1 tramadol tablet? This has since caused a painful swollen foot and ankle ? Gout ? Also taking allopurinol 5mg. And having Tinzaparin injections daily to prevent DVT. Big toe is painful. Worried as this is the same leg as hip surgery. Should I call doctor in. Have stopped Tramadol. Sugery was on 28th Dec.