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Dr. Natasha
Dr. Natasha, Doctor
Category: Medical
Satisfied Customers: 12910
Experience:  American Board Certified in Emergency Medicine, Ivy League trained
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Hellow doctors, My dad is suffering from unknown disease,

Customer Question

Hellow doctors,

My dad is suffering from unknown disease, with the following symptoms.
- Tendon pain on left leg as if the tendon is cut
-Right leg: Foot swell from ancle to the toes with burning pain on the lower surface part of
foot.

Some doctors say he has gout and he was given the following medication.Unfortunately
no significant improvement:
1. Alloprinal 300mg for 3 months
2.Neural Vet Four for 3 months
3. DicloDenk 100mg for 3months.

Could you please assist. What should I do next

Thanks in Advance
Deus
Submitted: 4 years ago.
Category: Medical
Expert:  Dr. Natasha replied 4 years ago.

Doctor Cameron :

hello

Doctor Cameron :

welcome to the chat

Doctor Cameron :

please type and hit reply

Doctor Cameron :

are you there?

Doctor Cameron :

has your dad ever taken a medication like ciprofloxacin

Doctor Cameron :

hello?

Doctor Cameron :

how old is your dad?

Doctor Cameron :

Any other symptoms or medical problems?

Doctor Cameron :

are you still there

Doctor Cameron :

I need you to answer my questions so I can help you

Expert:  Dr. Natasha replied 4 years ago.
Hi
The chat is not working-
Any other symptoms?
What medication is your dad taking?
Has he ever taken anything like ciprofloxacin?
Any other joints involved?
How old is your dad?
Customer: replied 4 years ago.

Thanks doctor,


 


Other systoms are swell in the right foot and tendon of the left leg.


Also pains are acute especially when the whether is cold.


 


His age is 50 years. He has never taken ciprofloxacin.


 


Other joints are OK


 


Thanks


Deus

Expert:  Dr. Natasha replied 4 years ago.
Thanks
Has he had an xray ?
Customer: replied 4 years ago.


Yes, no fracture was identified

Expert:  Dr. Natasha replied 4 years ago.
Thanks
well, there are a couple of reasons for this
1. he could have an occult fracture- meaning that a fracture was not identified on the initial Xray. In this particular case, they do a MRI of the foot or another xray, but the MRI is preferred.
2. he may have hypothyroidism. This can cause swelling and burning and tendon pain- this needs to be checked- thyroid hormone levels in the blood
3. tarsal tunnel syndrome- compression of this nerve in the right foot can cause pain
4. vitamin deficiency- can cause the burning and swelling and even the tendon pain
5. Diabetes

At this point, I would get thyroid hormones checked and vitamin b12 levels.
Then I would take him to see a podiatrist- if they feel he needs a MRI of the foot they can order it.

The two may or may not be linked, but there are a couple of things which do link the two- the thyroid hormones and vitamin deficiency and diabetes.

I hope this helped!
please leave positive feedback if it did :-)
Customer: replied 4 years ago.


Thank you Dr.


 


What type of expert should he consult? Physician?


What tests should he undertake to check thyroid hormones


and Vitamin B12 levels?


 


Thank you a lot

Expert:  Dr. Natasha replied 4 years ago.
He should see a general practitioner for the labs- the thyroid and vitamin b12.
And then a podiatrist :-)


I hope this helped!
please leave positive feedback if it did :-)
Expert:  Dr. Natasha replied 4 years ago.
Hi
Was there something else you wanted to ask about this or did I provide you with excellent service? :-)?