Go for blood investigation if Uric acid Increased than take Allopurinol 100mg per day for 3 weeks if Uric acid still elevated we will increase the dose Deflazacort 6mg TDS for 5 days then tapper down and take Ultracet 🆘

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kindly consult

Do the following, 1. Blood tests: CBP, KFT, Uric acid 2. Avoid alcohol and high purine food items 3. Medications: i) Continue Febuxostat ii) Colchicine 0.5mg tablets twice a day for 3 days iii) Hold off steroids including Deflazacort (this can be used only in specific situations like - you have gouty tophi, you have frequent flare ups of gout, your kidney tests have been affected by gout) iv) Ultracet for pain relief is fine All the best. J G S R clinic

This looks like a gout flare. Febuxostat should not be started or increased during acute pain, which may be why relief is poor. Please consult urgently for proper pain control and dose adjustment.

Consult me for further evaluation

Allopurinol two times a day after food for 3 weeks. Deflazacort24 mg one per day  3 weeks. Nefodom two times after food for 3 weeks. Hot fomentation dip the leg in hot water.two times. Use of rice Daal curd rice, poha Upma only  no red meat, legumes.

I totally understand your concern. Before suggesting treatment, I would like to ask a few questions to ensure the correct management can be provided.  Contact me on Practo or WhatsApp chat. 92469306sevenfour Dr. Harichandana,  MBBS, MD (General medicine)

Your severe left foot pain recurring after one year, with history of similar episode treated as gout/acute arthritis (febuxostat + deflazacort + Ultracet), strongly suggests recurrent acute gouty arthritis or gout flare in the left foot (most commonly big toe, but can affect midfoot/ankle). The fact that the same medicines were advised again but no relief this time is concerning — possible reasons: • Higher uric acid load / resistant flare • Infection or cellulitis superimposed on gout • Wrong diagnosis (pseudo-gout, septic arthritis, fracture/stress injury, or peripheral vascular issue) • Inadequate dose/duration of anti-inflammatory (deflazacort 12 mg is moderate, may need higher/short burst) • Febuxostat 80 mg is urate-lowering, but it can paradoxically worsen acute flares if started without cover — it should be continued only after flare settles At this severity (assuming you can’t walk/bear weight), this is not a simple flare anymore — needs urgent re-evaluation to rule out infection or other mimic.

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What about ur uric acid level.. Need some more details of ur symptoms.. Please consult mee through practo or wattsap nine zero seven two twozero seven zero nine three

Kindly consult for proper evaluation and treatment.

You need to evaluate properly first, you need to change the drug and also required some further testing for evaluation. Please consult me on practo for further management and evaluation .

Gout Pls have physical examination with nearby doctor

Check Uric Acid level

Can help you, kindly consult and provide detailed history for proper diagnosis and further management

Need some more details kindly consult

Need a few more details please consult for further evaluation and treatment