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Dr. Phil, MD
Dr. Phil, MD, Board Certified Physician
Category: Medical
Satisfied Customers: 56551
Experience:  GP in the United States
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The bone under my big toe is giving me severe pain and the

Resolved Question:

The bone under my big toe is giving me severe pain and the top of my foot is red and swollen I have R.A.
Submitted: 3 years ago.
Category: Medical
Expert:  Dr. Phil, MD replied 3 years ago.

Dr. Phil, MD :

Hello. I'm Dr. Phil, licensed and practicing internist. Excellent service is my goal.

Dr. Phil, MD :

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Dr. Phil, MD :

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Expert:  Dr. Phil, MD replied 3 years ago.
HI there.

I noticed you couldn't enter chat mode

This is likely related to gout

These are classic symptoms.

gout is a high uric acid level in the body and then it deposits in a joint and causes severe pain and inflammation.

It is treated with anti inflammatories like ibuprofen, steroids and a drug called colchicine.

Customer: replied 3 years ago.

I am just back from my podiatrist where she informed me that I have a very bad infection under a corn on my big toe .She has sent me for x-rays ,blood tests and arranged for me to start antibiotics she sounded quite concerned due to me being diabetic and having R.A.and having bypass on arteries to my legs.She removed a lot of green puss before dressing it and telling me to rest up and put no weight on it .Is she right to be concerned
Expert:  Dr. Phil, MD replied 3 years ago.
absolutely

This sounds like a very serious infection

I totally agree with this plan and think it is appropriate
Customer: replied 3 years ago.
Why is it serious what is the worst possible
Scenario ?
Expert:  Dr. Phil, MD replied 3 years ago.

It is serious because these infections are hard to treat in diabetics

 

Worst case scenario is bone infection and need to amputate

Customer: replied 3 years ago.

Will the x-Ray show infection if there is one ?
Expert:  Dr. Phil, MD replied 3 years ago.
possibly

sometimes an xray will show it

if not a bone scan or MRI needs to be done
Dr. Phil, MD and 4 other Medical Specialists are ready to help you
Customer: replied 3 years ago.

Thank you very much you have been a great help
Expert:  Dr. Phil, MD replied 3 years ago.
you're welcome.

please don't forget a positive rating. I appreciate it