Is Alkaline Water Effective for Gout Relief After Exercise?
Is drinking alkaline water effective for gout? Hello Dr. Chou, I would like to ask: I have not had a gout attack for five or six years, but recently, I am not sure if it's due to increased physical activity or excessive fluid loss, my foot has started to hurt again. After ex...
Dr. Zhou Lizhi Reply:
After exercise, there is a significant loss of fluids, which can lead to the retention of uric acid. The solution is to replenish fluids, and there is no need to specifically supplement with other beverages.[Read More] Is Alkaline Water Effective for Gout Relief After Exercise?
Pain in the Top of Foot When Lifting Big Toe: Causes and Solutions
When lifting the left big toe, there is pain on the dorsum of the foot? Hello Doctor: I am a graphic designer who has been sitting in an office for a long time. I usually wear flat shoes, sneakers, and casual shoes, and to keep my feet comfortable, I intentionally choose shoes th...
Dr. Shi Guozheng Reply:
There are many causes of pain in the big toe. Since you did not describe any redness, swelling, or warmth, gout cannot be ruled out. Additionally, if there is hallux valgus, the toe may bend outward and deform. Inflammation of the periosteum or tendons can also cause pain. It is ...[Read More] Pain in the Top of Foot When Lifting Big Toe: Causes and Solutions
Understanding Ankle Swelling and Pain: Causes and Treatment Options
Ankle swelling and pain? Hello, Doctor. I would like to inquire about an issue regarding the ankle. My father has some swelling around his ankle, and he experiences pain when walking, as well as pain when standing and putting pressure on his heel. However, he mentioned that he ha...
Dr. Zhang Shengben Reply:
Hello, A-Gua: 1. There are many causes of ankle joint swelling, which may include injury, gout, or degenerative arthritis, all of which can lead to swelling and pain. Heel pain may not necessarily be related to the same issue. It could also be due to plantar fasciitis or heel s...[Read More] Understanding Ankle Swelling and Pain: Causes and Treatment Options
Understanding Knee Pain: When to Seek Medical Advice for Relief
Knee joint pain Hello Doctor: My knee joints sometimes feel sore and painful, which I believe has been happening since high school. It's more of a dull ache, and since I'm not familiar with gout, I don't know the specifics of the situation. Being young, I haven...
Dr. Hong Ximing Reply:
Knee pain in young individuals is often related to the knee cartilage. Proper understanding of daily activities and exercise is essential for self-protection and injury prevention. As for gout, it is characterized by redness, swelling, heat, and pain, along with elevated uric aci...[Read More] Understanding Knee Pain: When to Seek Medical Advice for Relief
Can You Take Hot Baths After a Leg Fracture Surgery?
Is it safe to take a hot bath after a fracture surgery? Hello Dr. Lee, I was in a car accident on March 14, which resulted in three closed fractures of the tibia and fibula in my left lower leg. The doctor performed surgery, inserting an intramedullary nail through an incision a...
Dr. Li Wenlin Reply:
Hello: In response to your question, based on your description, there should be no issues, and there will not be any sequelae such as rheumatism. I recommend that you elevate your foot and perform more exercises for your foot arch and toes. If the swelling subsides, that's f...[Read More] Can You Take Hot Baths After a Leg Fracture Surgery?
Understanding Foot Swelling: Causes, Symptoms, and Treatment Options
Foot edema Hello Dr. Lee, I have some questions I would like to ask. About two months ago, I went to a martial arts center to adjust my ankle. Initially, the discomfort in my ankle improved; at that time, my ankle was not injured, just a little uncomfortable. After a few sessio...
Dr. Li Wenlin Reply:
Hello: In response to your question. Based on your description, since I cannot thoroughly review your blood test results, X-rays, or see the affected area online or perform any physical examinations, any conclusions drawn would merely be speculation, which is not ideal. I wonder ...[Read More] Understanding Foot Swelling: Causes, Symptoms, and Treatment Options
Understanding Gouty Tophi: Diagnosis Without Surgery
Gout stone issues? Dear Deputy Director: Due to my personal circumstances, I have not yet served in the military. However, after suffering from gout for several decades, I have developed a hard lump on my right big toe. I have visited other hospitals, and the doctors have sugge...
Dr. Shi Qiming Reply:
In response to the military service examination, a biopsy result or joint fluid extraction for polarized light microscopy examination is required. However, our hospital does not offer this examination. It is recommended to go to a medical center for further diagnosis.[Read More] Understanding Gouty Tophi: Diagnosis Without Surgery
Unexplained Joint Pain: Seeking Answers for Persistent Discomfort
No identifiable cause? Hello, my finger joints, the joints in the soles of my feet, and the joints near my knees, as well as the joints connecting my thighs to my hips, often experience pain in the bones and muscles around these areas. I have undergone X-ray examinations at the h...
Dr. Zhou Lizhi Reply:
In cases of multiple joint ligament pain, systemic diseases should first be considered, such as gout, rheumatoid arthritis, and ankylosing spondylitis. Among these, it is important to inquire about any history of gout. Rheumatoid arthritis is most commonly seen in young women, wh...[Read More] Unexplained Joint Pain: Seeking Answers for Persistent Discomfort
Is It Gouty Arthritis? Understanding Knee Pain and Swelling Solutions
Could it be gouty arthritis? Hello Dr. Chou, for the past couple of months, I've been experiencing unexplained pain in my left knee upon waking up in the morning, despite not having any injuries. Sometimes the pain is so severe that I can't fully extend my knee, and I w...
Dr. Zhou Lizhi Reply:
Dear readers: In cases of joint effusion arthritis, it is indeed important to consider gouty arthritis. At this time, in addition to aspiration, serum uric acid levels will be tested to determine if it is gout. Joint effusion often causes pain and limited mobility. If you frequen...[Read More] Is It Gouty Arthritis? Understanding Knee Pain and Swelling Solutions
Understanding Colchicine: Is It Necessary for Chronic Gout Management?
Gout I have gout and went to the hospital for treatment. However, my condition is not severe at the moment; I am just continuously taking medication for chronic gout. I noticed that the doctor prescribed colchicine, which is typically used for acute gout attacks. I would like to ...
Dr. Zhou Lizhi Reply:
Gout is treated differently based on its severity (uric acid levels), with various approaches including dietary changes or medications. Colchicine acts as an anti-inflammatory medication and is typically used during acute episodes (characterized by redness, swelling, heat, and pa...[Read More] Understanding Colchicine: Is It Necessary for Chronic Gout Management?
Understanding Mysterious Toe Pain: Causes and Solutions
Toe pain Hello, doctor. I would like to ask why I have been experiencing unexplained pain at the tips of my toes upon waking up (within the last two months). It often occurs in my big toe, but today it has shifted to my ring toe. What could this symptom be? I would appreciate you...
Dr. Zhou Lizhi Reply:
Swelling and pain in the big toe is most commonly associated with gout, characterized by swelling and pain in the joint of the big toe that does not randomly shift. Therefore, considering the user's question, it may be related to tendon or nerve issues, which are often assoc...[Read More] Understanding Mysterious Toe Pain: Causes and Solutions
Understanding Toe Pain: Causes, Diagnosis, and Treatment Options
Recently, I've started experiencing pain in my toes? Hello, doctor. My question is as follows: for nearly a week now, I have been experiencing a painful sensation in the toes of both feet. The pain is localized only to the toes and does not affect my ability to walk normally...
Dr. Shi Qiming Reply:
Regarding unexplained toe pain, one should consider whether it is due to high uric acid levels leading to gout, particularly in relation to dietary factors, as excessive consumption of legumes and organ meats can result in elevated uric acid. It may be advisable to consult an ort...[Read More] Understanding Toe Pain: Causes, Diagnosis, and Treatment Options
Understanding Toe Pain: Is It Gout or Something Else?
Toe pain—could it be gout? A few days ago, I suddenly woke up in the middle of the night due to severe pain in the middle and ring toes of my right foot. Initially, I thought it was because my toenails needed trimming, so I quickly cut them. However, to my surprise, the pain pers...
Dr. Zhou Lizhi Reply:
Based on your description, the following conditions should be considered (more likely 2 or 3): 1. Gout: Typically has warning signs, but most commonly presents with swelling and pain in the first metatarsophalangeal joint, followed by the ankle joint, and potentially the knee an...[Read More] Understanding Toe Pain: Is It Gout or Something Else?
Swollen Right Hand Finger: Possible Gout or Arthritis?
The fingers on the right hand are swollen? My right hand fingers have been swollen for the past week. The joints hurt when I bend them, but it's not extremely painful; it's only my right hand, as my left hand is fine. The swelling in my right hand fingers is noticeable ...
Dr. Shi Qiming Reply:
We recommend that you first visit the orthopedic outpatient clinic.[Read More] Swollen Right Hand Finger: Possible Gout or Arthritis?
Understanding Mysterious Finger Pain: Gout or Rheumatism?
Is it rheumatism or gout? Hello, doctor. My index finger is experiencing unexplained pain (there was no injury, and I suddenly noticed the pain). I have seen a neurologist and a rheumatologist, and I have undergone most of the necessary tests, but the cause remains undetermined. ...
Dr. Chen Weiming Reply:
Hello: This symptom should raise the suspicion of a glomus tumor. If the neurologist finds no issues, you may consider consulting a surgeon or a rehabilitation physician. X-rays and soft tissue ultrasounds can assist in the diagnosis, but to confirm the diagnosis, magnetic resona...[Read More] Understanding Mysterious Finger Pain: Gout or Rheumatism?
Managing Chronic Gout: Effective Pain Relief and Treatment Options
Chronic gout Years ago, due to financial difficulties, I did not seek medical treatment. Now, after 12 years, my gout has progressed to the point where I can no longer walk. I don't know what to do. Besides dietary changes, what medications should I take to alleviate the pai...
Dr. Shi Qiming Reply:
Hello: The symptoms of gout generally require dietary control, and if uric acid levels are significantly elevated, long-term medication to lower uric acid is necessary (this involves both accelerating the excretion of uric acid from the blood and inhibiting its production in the ...[Read More] Managing Chronic Gout: Effective Pain Relief and Treatment Options
Understanding Nerve Pain: Diagnosis and Treatment for Lower Back Issues
Examination of Lumbar Nerves Dear Dr. Wang, I frequently used the computer for long hours about six months ago. Before the Lunar New Year, I noticed abnormal pain in the joints of my big toes; afterward, it felt like my feet were being shocked while walking. Whenever I experienc...
Dr. Wang Shouji Reply:
Mr. Zhang: Based on your symptoms and medical history, it does not appear to be typical sciatica. Gout should also improve and not persist continuously. As for the possibility of muscle compression in the buttocks affecting the nerve, that is less likely. I'm not sure how yo...[Read More] Understanding Nerve Pain: Diagnosis and Treatment for Lower Back Issues
Understanding Gout: Symptoms, Causes, and Treatment Options
Gout? Hello Dr. Wang! I apologize for the interruption! I would like to ask you about something. Three months ago, I started experiencing tingling in the right side of the front of my left foot. It has been over 2-3 months, and recently the tingling has decreased, but there is st...
Dr. Wang Shouji Reply:
Xiao Qiang: There is no correlation between marijuana and gout. Pain in the ankle without a clear history of injury does not rule out gout. It is recommended to visit the orthopedic or rheumatology clinic at the hospital for further evaluation as soon as possible. Wishing you a s...[Read More] Understanding Gout: Symptoms, Causes, and Treatment Options
Understanding Knee Pain After Sitting: Causes and Remedies
Sitting for prolonged periods can cause knee pain? It has been over a year since giving birth, and I have been experiencing this symptom for about six months. When sitting with my knees flat for approximately 20 minutes, both knees become very sore and painful, and I have to keep...
Dr. Ye Qingnian Reply:
Hello, Miss: Thank you for your inquiry. I would like to respond to your question and provide the following advice: At the age of 25, it is unlikely to have conditions such as joint degeneration or osteoporosis, as this age is considered too young for these diseases. It would be ...[Read More] Understanding Knee Pain After Sitting: Causes and Remedies
When to Reduce or Stop Uric Acid Medications: Key Considerations
When should the dosage of uric acid-lowering medications be considered for reduction or discontinuation? When should urate-lowering medications be considered for dose reduction or discontinuation? Is lifelong treatment necessary? If a patient has been off medication for a period ...
Dr. Lin Xiaoyi Reply:
Hello: 1. Generally speaking, gout patients need to take urate-lowering medications if they experience more than three attacks a year, or if they have tumor lysis syndrome. After careful evaluation, if the physician confirms the need for urate-lowering therapy, it must be taken...[Read More] When to Reduce or Stop Uric Acid Medications: Key Considerations