MBBS, CCEBDM, Diploma in Diabetology, Diploma in Clinical Nutrition & Dietetics, Cetificate Course In Thyroid Disorders Management (CCMTD)
Endocrinologist, Dharwad
Mr Mahesh Kumar, Thanks for the query.
With uric acid at 7.9 mg/100 ml and having swollen great toe, means you have gout. In that situation along with anti-inflammatory and analgesic drugs you need a drug to reduce uric acid. So you may start it. Also please avoid purine containing foods like red meat, organ meat and sea foods. Plus refrain from alcohol, sweetened aerated drinks (colas) and smoking. Thanks.
Drink plenty of water
Avoid spicy fatty oily food
Daily do running for 30 minutes
There are two strategies in this management.
* Changing diet and losing weight - Changing adverse life-style factors is an important part of treatment. Losing weight and reducing consumption of alcoholic drinks (particularly beer) and purine-rich foods (such as red meat, offal and dark fish, spinach, methi, fermented food) can all help to reduce uric acid levels. A small amount of research evidence
supports the consumption of dairy products such as low-fat yogurts and skimmed milk, or cherries to specifically reduce uric acid levels.
* Drug treatment - Long-term drug treatment of gout aims to lower uric acid in order to prevent new crystals from forming and dissolve existing crystals.
Take statin group of drugs to reduce cholesterol
MBBS, M.D Pulmonary Medicine, DNB - Respiratory Medicine, Fellow in Pulmonary Critical Care
Pulmonologist, Mumbai
If you are clinically improving and there is just 1 episode of bleeding in cough, you do not worry much.
1) do check for drug resistant tb with help of gene expert, repeat chest xray pa view.
2) do routine blood test of cbc, pt inr, blood group. However if quantity of bleeding is more, you need to consult doctor immediately.
MBBS, M.D Pulmonary Medicine, DNB - Respiratory Medicine, Fellow in Pulmonary Critical Care
Pulmonologist, Mumbai
1) you can continue same dose of antituberculous treatment but if joint pain is severe you can take tab ibuprofen 200 mg sos (if you do not have any history of side effects to nsaids).
2) if still its not relived, taper dose of tab pyrazinamide.
Nop. Do not increase the dose before 14 days of treatment (4 days more). After that recheck blood uric acid level. If it is still high, then you can increase to 40 mg two times a day! thanks.
You should do--
watch your weight. Eat fresh fruit, vegetables, whole wheat products and some pulses (high in purine) every day.
Enjoy low-fat milk and dairy products daily.
Drink plenty of fluids. Avoid alcoholelevate your affected foot
if you smoke, then stop it.
Add more fiber to your diet. Eat more fruits, vegetables and whole grains, which provide complex carbohydrates. Avoid foods and beverages with high-fructose corn syrup, and limit consumption of naturally sweet fruit juices.
Good sources of low-purine nuts and seeds include walnuts, almonds, flaxseeds and cashew nuts.
U can take one handful of these nuts (mixed) everyday
curd is very good for u. Homeopathic treatment has very encouraging results. Consult online for details.