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Is there a change in the color of the skin?
Is it swollen as well?
Has she had similar pains in the past? or is this the first time?
There is no change in skin colour but it is slightly swollen. It feels tight and the skin is painful to touch. He says he might have had trouble with it about a year ago but he can't remember it in his big toe. He has had pains in his other toes during the winter if he wears certain work boots. He is on his feet a lot and works outside.
There are two possibilities here:
The first one is chilblains and this can affect one or more toes, and this seems the most likely possibility considering the weather.
Chilblains usually clear up after one to three weeks. In the meantime, you can take steps to ease your symptoms, including:
Avoiding cold exposure whenever possibleKeeping your affected skin warm, but away from sources of heatUsing lotions to alleviate itching and swellingMaking sure the affected skin is cleaned with an antiseptic and bandaged to prevent infectionAvoiding scratching
Corticosteroid creams. Topical corticosteroids (hydrocortisone cream is over-the-counter) can help relieve itching and swelling.Prescription medication. A blood pressure lowering drug called nifedipine (Adalat CC, Procardia) is sometimes used to treat the cause of chilblains, since it can help open up blood vessels. Another medication that helps improve blood flow that may be prescribed for chilblains is pentoxifylline (Trental).Infection prevention. If your skin has broken, treatment also includes cleaning and protecting your wounds to prevent infection.
The second less likely possibility is that of gout.
For that she would have to have her uric acid levels checked by testing her blood.
Are you following me?
Yes thank you. So do you recommend that he treats it as chilblains and if it doesn't clear up within a couple of weeks then consult his GP?
Sorry about the typing error, wanted to say 'he' rather than 'she'
I think that he should treat it as chilblains and if it persists then consult GP.
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