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Hi! Yesterday i woke up i feel pain on my left...
Hi! Yesterday i woke up i feel pain on my left side foot. I have work and wear my shoes after 2 hours later we eat salmon sushi and after few hours my foot are swollen red burning and painful. Until now i have a difficulty to walk. I Soak my foot with a hot water last night but it become more painful. Today morning i tried cold compressed and a little bit okay now but still swollen a little only redness and painful.
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What
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Oh my
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الأسئلة المجابة 4293 | نسبة الرضا 98%
Symptomes and management of gouty arthritis
Gout is one of the common causes of arthritis and joint pain as deposition of uric acid in the joint space cause active inflammatory process that manifist as joint swelling and pain with overlying erythema. the acute attack is best treated using Diclofen 50 mg tab twice a day in addition to Colchicin .6 mg tab tow tablets at first then once tablet one hour later and maintain on .6 mg tab twice a day till the resolution of acute symptomes, agents like Sodium bicarbonate succits could be used to increase excretion of uric acid through urine. After resolution of symtomes Allpurinol 150 mg tab once daily should be used to eliminate excess of uric acid . You should consult an internest for follow up
Investigations
After proper physical exam you should do cbc to detect any sign of infection, do Kidney function tests Urea, Cr to detect any kidney disturabance, Uric acid level should be done, In addition to Rheumatological assay RF,ESR,ANA. Do kidney US to detect kidney stones, joint aspiration and analysis is wise for differntial of other diagnoses
Causes
Gouty Arthitis
Pseudogout
Septic arthritis
Rheumatological Arthritis
Our advice
You are adviced to have a diet rich in minerals and vitamins from its natural sources, drink plenty of water. avoid protein containing food including red , white and fish meat , avoid smoking and perform regular exercise
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Gout is one of the common causes of arthritis and joint pain as deposition of uric acid in the joint space cause active inflammatory process that manifist as joint swelling and pain with overlying erythema. the acute attack is best treated using Diclofen 50 mg tab twice a day in addition to Colchicin .6 mg tab tow tablets at first then once tablet one hour later and maintain on .6 mg tab twice a day till the resolution of acute symptomes, agents like Sodium bicarbonate succits could be used to increase excretion of uric acid through urine. After resolution of symtomes Allpurinol 150 mg tab once daily should be used to eliminate excess of uric acid . You should consult an internest for follow up
Investigations
After proper physical exam you should do cbc to detect any sign of infection, do Kidney function tests Urea, Cr to detect any kidney disturabance, Uric acid level should be done, In addition to Rheumatological assay RF,ESR,ANA. Do kidney US to detect kidney stones, joint aspiration and analysis is wise for differntial of other diagnoses
Causes
Gouty Arthitis
Pseudogout
Septic arthritis
Rheumatological Arthritis
Our advice
You are adviced to have a diet rich in minerals and vitamins from its natural sources, drink plenty of water. avoid protein containing food including red , white and fish meat , avoid smoking and perform regular exercise
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