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Dr. Chip
Dr. Chip, Board Certified Physician
Category: Medical
Satisfied Customers: 32801
Experience:  20 yrs. in practice, includinge surgery, general medicine, addiction medicine and pain.
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My husband who has never had a day off sick in the last 20

Resolved Question:

My husband who has never had a day off sick in the last 20 years can't see a Dr until Tuesday and he is in agony. He woke up 2 days ago with a really painful upper right knee. Now it is really swollen and he is in agony. He is a security officer and says standing was less painful...stairs are particularly bad...now he can't walk. He is normally healthy 5ft 10in and approx 13 stone. He doesn't smoke and drinks occasionally. He eats healthily and is Greek. Please can you advise us what it might be. His colleagues at work thought it might be gout...he doesn't really over indulge or eat a rich diet. He is on lent so is eating no meat at the moment. He eats a lot of yoghurt and nuts and fruit. Some mornings he has a muscle and size gainer milkshake...sold by Holland and Barrett. He has a much lesser version of this several years ago but it went quickly. Thanks so much, Sonya Galouzis
Submitted: 2 years ago.
Category: Medical
Expert:  Dr. Chip replied 2 years ago.

Hi--important question first--no trauma at all involved? Is the knee red and warm? Is it only the knee that's involved and no more of his leg?

Customer: replied 2 years ago.

There has been no trauma to his leg. Right knee very swollen but not hot or red and only in the knee area.

Expert:  Dr. Chip replied 2 years ago.
OK Sonya--and we can continue after this if you'd like. There are two possibilities here. The most likely one is that this is gout even considering his diet. The other less likely one would be a sudden flare up of rheumatoid arthiritis. He needs blood work for uric acid and an autoimmune screening as well as x-rays of the knee. For now he can take ibuprofen, apply heat to the knee, take a tablespoon of apple cider vinegar in a glass of water twice a day, and he needs to avoid all alcohol and caffeine
Customer: replied 2 years ago.

Thanks..Is there any issue with it being the right knee? He has had pains in his big toe previously so we thought gout. Should he keep his leg elevated? And lastly are there any particular foods like tomatoes that could exacerbate it?

Expert:  Dr. Chip replied 2 years ago.
Nothing specific about it's being one knee other than with RA usually more than just one joint is involved. The elevation is fine. As for foods to avoid--shellfish, animal proteins for the most part, fatty and fried foods. As much water as he can drink will also help
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