Gout Forum : tophi swollen, red, painful, leaking white fluid
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My husband is only in his 30s and has had chronic gout for about 6 or 7 years. His attacks have increased. He gets them almost bi-weekly. We have changed his diet to try to reduce his uric acid level. He has been taking allpurinol and colchicine. His regular doctor currently prescibed prednisone. After all this time we have finally gotten the regular doctor to refer him to a rheumatologist. However, his appointment is not until December. During the course of about a year or two he developed a large nodule on his big toe. About seven months ago, he poked a hole in it with a needle. Why he did this, I have no clue. This sore has never healed. From the hole came a whitish, thick fluid. His doctor told him to “not do that again.” The hole formed a scab over it. However, two days ago the scab burst open. The nodule or tophi (I saw it called that on your site) has begun to bleed and leak the white fluid again. It is seriously swollen and causing my husband much pain. Yesterday, he soaked it most of the day in either peroxide or alcohol. Should my husband see a doctor about this? We feel like the regular doctor is no help. He has visited the emergency room so many times with flare ups that they know him by name. However, the tophi has never been bleeding and oozing like it is now. We are unsure about what course of action we need to take, but do not know who to seek medical help from. No one around here takes his gout seriously enough to help.
Your husband should seek emergency treatment for the tophi - there is a serious risk of infection.
I hope the rheumatologist can finally get your husband on treatment that works. Perhaps you could write to him to ask if there is anything that can be done before December.
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