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Hyperuricemia
Severe pain on left foot 🦶 about one year ago same thing happened doctor advised to take febuxostate 80mg, deflazacort 12 mg, and ultracet 🆘, I repeated now the same suggestion but not getting relief please help
Answers (18)
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You need to evaluate properly first, you need to change the drug and also required some further testing for evaluation. Please consult me on practo for further management and evaluation .
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Go for blood investigation if Uric acid Increased than take Allopurinol 100mg per day for 3 weeks if Uric acid still elevated we will increase the dose
Deflazacort 6mg TDS for 5 days then tapper down and take Ultracet 🆘
Next Steps
do investigation Uric acid
Health Tips
Avoid alcohol if u are alcoholic
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If you want to discuss your problem in more detail, feel free to message me on WhatsApp at nine one one nine two five five six nine nine for a detailed free discussion
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kindly consult
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Do the following,
1. Blood tests: CBP, KFT, Uric acid
2. Avoid alcohol and high purine food items
3. Medications:
i) Continue Febuxostat
ii) Colchicine 0.5mg tablets twice a day for 3 days
iii) Hold off steroids including Deflazacort (this can be used only in specific situations like - you have gouty tophi, you have frequent flare ups of gout, your kidney tests have been affected by gout)
iv) Ultracet for pain relief is fine
All the best.
J G S R clinic
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This looks like a gout flare. Febuxostat should not be started or increased during acute pain, which may be why relief is poor. Please consult urgently for proper pain control and dose adjustment.
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Consult me for further evaluation
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Allopurinol two times a day after food for 3 weeks.
Deflazacort24 mg one per day 3 weeks.
Nefodom two times after food for 3 weeks.
Hot fomentation dip the leg in hot water.two times.
Use of rice Daal curd rice, poha Upma only no red meat, legumes.
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I totally understand your concern. Before suggesting treatment, I would like to ask a few questions to ensure the correct management can be provided.
Contact me on Practo or WhatsApp chat.
92469306sevenfour
Dr. Harichandana,
MBBS, MD (General medicine)
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Your severe left foot pain recurring after one year, with history of similar episode treated as gout/acute arthritis (febuxostat + deflazacort + Ultracet), strongly suggests recurrent acute gouty arthritis or gout flare in the left foot (most commonly big toe, but can affect midfoot/ankle).
The fact that the same medicines were advised again but no relief this time is concerning — possible reasons:
• Higher uric acid load / resistant flare
• Infection or cellulitis superimposed on gout
• Wrong diagnosis (pseudo-gout, septic arthritis, fracture/stress injury, or peripheral vascular issue)
• Inadequate dose/duration of anti-inflammatory (deflazacort 12 mg is moderate, may need higher/short burst)
• Febuxostat 80 mg is urate-lowering, but it can paradoxically worsen acute flares if started without cover — it should be continued only after flare settles
At this severity (assuming you can’t walk/bear weight), this is not a simple flare anymore — needs urgent re-evaluation to rule out infection or other mimic.
Next Steps
1. Go to doctor/hospital TODAY (do not wait 2–3 days) — preferably rheumatologist or orthopedic doctor who treats gout. If pain is unbearable or foot is red/hot/swollen → go to emergency / orthopedic OPD.
• Take previous prescription + any uric acid reports
• Ask for:
• Serum uric acid (current level)
• X-ray left foot (rule out fracture, erosions, chondrocalcinosis)
• Joint aspiration (if swelling present) — fluid analysis for crystals (urate vs CPPD) + culture (rule out septic arthritis)
• CBC, CRP, ESR (infection/inflammation markers)
2. Do NOT continue same medicines blindly — especially if no relief after 2–3 days.
• Febuxostat should be continued long-term (once flare controlled), but acute flare needs strong anti-inflammatory cover first.
Health Tips
• Pain relief right now (safe till doctor visit):
• Indomethacin 50 mg three times a day (after food) — very effective for acute gout (better than Ultracet)
• Or Naproxen 500 mg twice daily (strong NSAID)
• Colchicine 0.5 mg twice daily (if no diarrhea) — specific for gout flare
• Ice pack wrapped in cloth 10–15 min every 2–3 hours
• Elevate left leg above heart level when sitting/lying
• Absolute rest — no weight-bearing on left foot (use crutches/stick if needed)
• Avoid
• Alcohol, red meat, shellfish, mushrooms, spinach (high purine)
• Dehydration — drink 3–4 liters water/day
• Self-increasing deflazacort — can cause side effects
• Long-term (after acute control):
• Continue febuxostat 80 mg daily (target uric acid
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Need few more details for proper understanding of your issue.
You can consult with me online on Practo or whatsapp on eight three one eight four six nine eight eight six for proper diagnosis, conclusion and management
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What about ur uric acid level.. Need some more details of ur symptoms.. Please consult mee through practo or wattsap nine zero seven two twozero seven zero nine three
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Kindly consult for proper evaluation and treatment.
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Dr. Chaithra H
General Physician
5 yrs exp
Bangalore
Gout
Pls have physical examination with nearby doctor
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Dr. Sajid Ali
General Practitioner
4 yrs exp
Kanpur
Check Uric Acid level
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Dr. Anuj Mothsra
General Physician
6 yrs exp
Jhunjhunu
Can help you, kindly consult and provide detailed history for proper diagnosis and further management
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Dr. Suraj Sharma
General Practitioner
4 yrs exp
Jaipur
Need some more details kindly consult
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Dr. Vetsa Sri Krishna Chaitanya
General Physician
7 yrs exp
Rajahmundry
Need a few more details please consult for further evaluation and treatment
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