I have had a pain in the toe of my right foot for over a year. At my request, the home doctor ordered gout (my mother suffers from it), but the result was normal. The doctor suggested that I put my foot wrong. I also suspected shoes, but I wore sandals, winter boots, and slippers, and my toe hurt like it hurt. Now the big toe in my left foot is starting to ache. I would like to add that I do not wear high-heeled shoes, I only have leather shoes with wide toes. What to do?
Hello, Gout (formerly known as gout) is a condition that can have various symptoms. Different symptoms can be present (or absent) at different times. Gout usually causes elevated levels of uric acid, but this is not the rule that applies to 100% of patients. In the initial phase, elevated levels of uric acid appear, then after variously long periods (even 20-30 years), some patients develop acute arthritis. The big toe joints are the most affected. The first attack usually occurs between the ages of 40 and 60. Then there are the so-called periods between seizures, and over the years, the disease turns into chronic arthritis. The seizure usually begins suddenly - it may be preceded by a slight trauma to the toe area, consumption of alcohol or a heavy meal containing spicy spices, prolonged stress, fatigue. The first symptom is severe pain in the affected joint, gradually increasing. The skin in the area of the affected joint is red, painful, and may be swollen and restricted in mobility. The attack of gout may be accompanied by general symptoms - such as fever, chills, general breakdown, and a feeling of rapid heartbeat. The duration of the first attack is usually a few days. If gout is left untreated, attacks recur and the periods between attacks become shorter and shorter. In people who are not treated, the disease turns into a chronic phase. Many joints are deformed as a result of the accumulation of urate deposits. In addition, the kidneys can be damaged in the course of gout. Due to these symptoms, careful treatment of gout is necessary. In your case, it is difficult to say whether it is gout or another condition - a family history may suggest that the symptoms in the big toe are related to gout, but the normaluric acid levels do not rule out the diagnosis of gout. It is certainly worth following your diet - exclude any spicy foods, alcohol - any form and amount, strong coffee and tea, chocolate. I suggest that you ask your doctor for a uric acid check-up or seek advice from a rheumatologist or orthopedist. Regards, MD Krystyna Knypl
Remember that our expert's answer is informative and will not replace a visit to the doctor.
Krystyna KnyplInternist, hypertensiologist, editor-in-chief of "Gazeta dla Lekarzy".
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