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Dr. Chip
Dr. Chip, Board Certified Physician
Category: Medical
Satisfied Customers: 31196
Experience:  20 yrs. in practice, includinge surgery, general medicine, addiction medicine and pain.
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My son has a painful foot (left foot side of big toe near ball

Resolved Question:

My son has a painful foot (left foot side of big toe near ball of foot) has had an X-ray and it shows nothing. The nurse has told him it is not broken and there is nothing on the X-ray to show that anything else wrong. She said it's not gout as the pain is in the wrong place. So why is he in so much pain?
Submitted: 1 year ago.
Category: Medical
Expert:  Dr. Chip replied 1 year ago.
Hi. Was any trauma involved?
Any swelling, bruising, or redness in the area?
Customer: replied 1 year ago.
Slightly swollen and red and no trauma
Expert:  Dr. Chip replied 1 year ago.
How old is your son?

Did he have blood work that included a uric acid level?
Customer: replied 1 year ago.
No
Customer: replied 1 year ago.
He is 31
Expert:  Dr. Chip replied 1 year ago.
OK.

I disagree with the nurse who said this can't be gout since it sounds exactly like it is gout.

He needs a check of his uric acid level which I think must be elevated.

This is treated acutely with colchicine and an anti-inflammatory like indomethacin and the uric acid level is brought down with allopurinol.

He needs to have his GP get the blood work and start the medications

Let me know if you need more information please
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