Tagged: Last Chance To See
January 10, 2015 at 9:25 pm #19294January 10, 2015 at 9:50 pm #19322
I can see from your profile that you are taking oral steroids for the gout pain.
This normally resolves a gout attack in a week or so, but yours is going longer.
You need to go back to the doctor for further examination. Either another gout attack has happened before first one has cleared, or there is some other medical problem alongside your gout. When you are there, arrange for uric acid blood tests. When you get the results, be sure to get the exact numbers, then post them here.January 11, 2015 at 9:00 am #19325
After 5 days of INDOMETHACINE I went back then they gave me prednisone, my fault for not breaking it down from start. But they did take blood test and it came back 4.0. I do have an appointment with doctor coming up and will get another test.Thanks for a great site and your dedication helping people with this disease.January 13, 2015 at 12:15 am #19379
Scott, are you sure your result is 4.0mg/dL? Unless you are on uric acid lowering meds, that is too low for gout.January 13, 2015 at 1:03 pm #19385
Yes,after going back 5 days later they did a test but said it may not be accurate because of crystallization.Tomorrow I have an appointment with a podiatrist and hopefully get a true diagnosis.January 14, 2015 at 12:21 am #19389
I hope your podiatrist is better than those I’ve seen on YouTube. Butchers that allow uric acid to build up for years because they think 7 to 8 mg/dL is acceptable, then charge a fortune to cut the tophi out. I’ve never seen a podiatrist website with any useful information about gout, either.
Maybe yours is one of the unrecognized heroes of gout. If so, please share the details here.
It’s not a specialism we see much of in the UK. I guess the nearest is chiropodist, but they tend mostly to deal with pedicures for the infirm, ingrowing toe-nails, bunions and the like.
What exactly is a podiatrist supposed to do, and who governs them?January 14, 2015 at 7:25 pm #19398
All I know is they are a foot specialist and governed by a state board maybe. I went today and he gave me cortisone shots in the foot and new med which is VIMOVO 500/200 mg. Feel better and he sent me for blood work,will post it when I get results.January 15, 2015 at 3:24 am #19420
Vimovo is interesting. The active ingredient is naproxen, a Non-Steroidal Anti-inflammatory Drug (NSAID). Of all NSAIDs, naproxen is the one that most people have recommended here for gout pain. However, many people suffer stomach reactions to NSAIDs. Vimovo has a second ingredient: a proton pump inhibitor called esomeprazole. That decreases the amount of acid produced by the stomach, thus reducing the risk of gastric side-effects.
It’s good that you feel better with this, Scott. I’ve often felt that one of the curses of gout, besides agonizing pain, and joint damage, is the way it drags you down. Knowing you can control the pain effectively lets you focus on the important task: getting uric acid safe. It’ll be interesting to see the results of your new blood tests.January 21, 2015 at 8:26 am #19620
Went back to the podiatrist today with about 20% inflammation left in foot.The acid test now is 4.9 but he seems to be concerned with the ESR number which is 23 and the report says high. Foot does feel better but toe is still sore. He also wrote prescription for the samples he gave me VIMOVO.January 21, 2015 at 2:09 pm #19623
I think ESR at 23 is unremarkable if you have inflammation left in your foot.
You don’t say what you’ve arranged to do next. In your situation, I would wait for inflammation to go, then arrange new blood tests after two weeks being inflammation-free. That should give more accurate results on which to base a diagnosis.
The temptation, of course, is to forget all about it, once the pain and discomfort goes. That might delay a proper diagnosis. I hope you get retested, and come back to share your results.October 3, 2016 at 3:56 am #22584