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Gout flare up
During Bakrid, I ate meat for several consecutive days and developed knee pain and stiffness. A local doctor suspected gout and prescribed painkillers and joint supplements. My uric acid level test was done and it was 6.8 mg/dL, and had right leg knee xray as well, and the pain resolved after 7 days of treatment. About a month later, I've developed knee pain again for the past two days, making it difficult to walk. After taking painkillers, the pain improved, but I now have mild pain in one of my toe joints. Could this still be gout, and what should I do next?
Answers (2)
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Yes this is almost certainly gout. Two flares within a month with toe joint involvement (a classic gout site) confirms it. Uric acid of 6.8 with recurring attacks means you need urate-lowering treatment â painkillers only treat each flare but do nothing to prevent the next one.
Next Steps
During the flare take colchicine 0.5mg twice daily or diclofenac for pain. Once the flare settles, start allopurinol 100mg daily (gradually increased) under a doctor's guidance. Strictly avoid red meat, organ meats, alcohol and seafood. Drink 3 litres of water daily. Consult me on Practo for a proper gout management plan.
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Dr. Anirudh Maslekar
Rheumatologist
11 yrs exp
Bangalore
Gout is still a possibility, as uric acid can be normal during an acute attack. However, other causes of knee pain should also be considered. If the knee is swollen, joint fluid analysis is the best test to confirm the diagnosis. A USG of the knee can also be done to look for changes of gout and assess for synovitis . Please consult a rheumatologist for evaluation.
Next Steps
meet a rheumatologist
Health Tips
avoid self medication
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Disclaimer : The content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding your medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this website.