How JustAnswer Works:

  • Ask an Expert
    Experts are full of valuable knowledge and are ready to help with any question. Credentials confirmed by a Fortune 500 verification firm.
  • Get a Professional Answer
    Via email, text message, or notification as you wait on our site.
    Ask follow up questions if you need to.
  • 100% Satisfaction Guarantee
    Rate the answer you receive.

Ask Julia Kizhner Your Own Question

Julia Kizhner
Julia Kizhner, Physician Assistant
Category: Health
Satisfied Customers: 1126
Experience:  7 years experience working in Primary Care as well as Gastroenterology, Sleep Medicine & Weight Loss
23717712
Type Your Health Question Here...
Julia Kizhner is online now
A new question is answered every 9 seconds

The middle finger of my right hand is swollen, achey and I

Resolved Question:

The middle finger of my right hand is swollen, achey and I can't straighten it out. I didn't hit it on anything, and Tylenol is not stopping the pain.

Last week the index finger and middle finger of my left hand hurt. This problem has been going on, off and on for about 2 months, but the pain yesterday and today is really terrible. Please advise.
Submitted: 4 years ago.
Category: Health
Expert:  Julia Kizhner replied 4 years ago.

Hello and thank you for your question.

 

Could you please tell me if you have any associated redness on your middle finger? Does it feel warm? Did you wake up with this pain or did it start in the mid-day?

 

Thanks,

Julia

Customer: replied 4 years ago.
It is not red and it doesn't feel any warmer than my other fingers. I did wake up with the pain and it persisted all day and night. Tonight is the second night with the pain in this finger.
Expert:  Julia Kizhner replied 4 years ago.

Thank you for your reply.

 

There are a couple of possibilities for your symptoms. One of the possibilities is that you have gout attacks. Gout is a type of arthritis which affects individual joints. Gout is known to affect a joint on a big toe but in reality, it can affect any joint. Usually, pain is severe with swelling and sometimes redness.

Treatment for gout is actually anti-inflammatories, such as Aleve or Advil, rather then Tylenol. Also ice would help.

 

Another possibility is rheumatoid arthritis which often presents itself with pain and swelling in different joints. This is less likely.

 

I would suggest that you take Advil or Aleve today but follow-up with your doctor for further evaluation and testing. You can have uric acid levels checked to look for gout and rheumatoid markers checked to rule out rheumatoid arthritis. I would also suggest that you get an x-ray of your fingers/hand.

 

 

I hope you find this information helpful. Please feel free to follow-up with any other questions you might have.

If I have answered your question, please click the green "Accept" button. Otherwise your deposit stays with JustAnswer and I do not get credit for my work.

 

Best wishes,

Julia

Expert:  Julia Kizhner replied 4 years ago.

Do you have any other questions I can answer for you? Anything I can clarify?

 

Julia

Customer: replied 4 years ago.
Is there a way to reduce uric acid levels immediately? How long should I expect to be in pain?
Expert:  Julia Kizhner replied 4 years ago.

Uric acid cannot be lowered immediately. There is a prescription medication which needs to be taken daily to lower uric acid levels (it is called Allopurinol). However, reducing uric acid levels is not necessary to treat an acute gout attack. The goal in treating acute gout attack is decreasing inflammation and swelling. For that, Ibuprofen (Advil) works great - each Advil pill 200 mg. You need to take 3 of them at a time, three times per day (always with food). Pain usually subsides within 24 hours. Tylenol is not an anti-inflammatory medication so it is not recommended in treating gout or any other acute arthritic conditions. Your doctor should check your uric acid levels (blood test) prior to giving you anything to reduce those levels.

 

Hope this helps more. Please feel free to ask any other questions you might have.

If you are satisfied with the answer, please click the green 'Accept' button.

 

Julia

 

Customer: replied 4 years ago.
I take lisinopril and I was under the impression that I was not supposed to take Ibuprofen which is what I thought Advil and Aleve are.
Expert:  Julia Kizhner replied 4 years ago.

Lisinopril and Ibuprofen have no interactions and can safely be taken together.

Ibuprofen should be avoided if you have history of ulcers in your stomach but otherwise it is completely safe to use for 1-2 days. You do need to take it with food though (to avoid stomach irritation).

Julia Kizhner, Physician Assistant
Category: Health
Satisfied Customers: 1126
Experience: 7 years experience working in Primary Care as well as Gastroenterology, Sleep Medicine & Weight Loss
Julia Kizhner and 2 other Health Specialists are ready to help you

JustAnswer in the News:

 
 
 
Ask-a-doc Web sites: If you've got a quick question, you can try to get an answer from sites that say they have various specialists on hand to give quick answers... Justanswer.com.
JustAnswer.com...has seen a spike since October in legal questions from readers about layoffs, unemployment and severance.
Web sites like justanswer.com/legal
...leave nothing to chance.
Traffic on JustAnswer rose 14 percent...and had nearly 400,000 page views in 30 days...inquiries related to stress, high blood pressure, drinking and heart pain jumped 33 percent.
Tory Johnson, GMA Workplace Contributor, discusses work-from-home jobs, such as JustAnswer in which verified Experts answer people’s questions.
I will tell you that...the things you have to go through to be an Expert are quite rigorous.
 
 
 

What Customers are Saying:

 
 
 
  • I can go as far as to say it could have resulted in saving my sons life and our entire family now knows what bipolar is and how to assist and understand my most wonderful son, brother and friend to all who loves him dearly. Thank you very much Corrie Moll Pretoria, South Africa
< Last | Next >
  • I can go as far as to say it could have resulted in saving my sons life and our entire family now knows what bipolar is and how to assist and understand my most wonderful son, brother and friend to all who loves him dearly. Thank you very much Corrie Moll Pretoria, South Africa
  • I thank-you so much! It really helped to have this information and confirmation. We will watch her carefully and get her in for the examination and US right away if things do not improve. God bless you as well! Claudia Albuquerque, NM
  • Outstanding response time less than 6 minutes. Answered the question professionally and with a great deal of compassion. Kevin Beaverton, OR
  • Suggested diagnosis was what I hoped and will take this info to my doctor's appointment next week.
    I feel better already! Thank you.
    Elanor Tracy, CA
  • Thank you to the Physician who answered my question today. The answer was far more informative than what I got from the Physicians I saw in person for my problem. Julie Lockesburg, AR
  • You have been more help than you know. I seriously don't know what my sisters situation would be today if you had not gone above and beyond just answering my questions. John and Stefanie Tucson, AZ
  • I have been dealing with an extremely serious health crisis for over three years, and one your physicians asked me more questions, gave me more answers and encouragement than a dozen different doctors who have been treating me!! Janet V Phoenix, AZ
 
 
 

Meet The Experts:

 
 
 
  • Nurse Milli, RN

    Nurse (RN)

    Satisfied Customers:

    4043
    20 years experience in many areas of Nursing. Both Hospital and Private Practice experience.
< Last | Next >
  • http://ww2.justanswer.com/uploads/NU/nursescare4u/2013-3-31_03429_JApic.64x64.jpg Nurse Milli, RN's Avatar

    Nurse Milli, RN

    Nurse (RN)

    Satisfied Customers:

    4043
    20 years experience in many areas of Nursing. Both Hospital and Private Practice experience.
  • http://ww2.justanswer.com/uploads/agketch/2008-7-14_184046_drketchresized.jpg Dr. Ketch's Avatar

    Dr. Ketch

    Doctor

    Satisfied Customers:

    102
    Medical Degree, Former Assistant Professor at School of Medicine at Yale University
  • http://ww2.justanswer.com/uploads/FA/FamilyPhysician/2013-8-31_191624_JA550x500Photo.64x64.jpg Family Physician's Avatar

    Family Physician

    Doctor (MD)

    Satisfied Customers:

    5622
    Emergency Medicine and Family Practice for over 26 years
  • http://ww2.justanswer.com/uploads/drphophalia/2007-08-23_095626_dr._arun_phophalia.jpg Dr. Arun Phophalia's Avatar

    Dr. Arun Phophalia

    Doctor (MD)

    Satisfied Customers:

    17025
    MBBS, MS (General Surgery), Fellowship in Sports Medicine
  • http://ww2.justanswer.com/uploads/VA/VANP/2012-6-6_235535_Skye2.64x64.jpg A. Schuyler, NP's Avatar

    A. Schuyler, NP

    Nurse Practitioner

    Satisfied Customers:

    12170
    Board Certified NP, MS, RN. Private practice & hospitalist
  • http://ww2.justanswer.com/uploads/TA/tazechip/2012-6-7_135230_drpic.64x64.png Dr. Chip's Avatar

    Dr. Chip

    Doctor (MD)

    Satisfied Customers:

    10029
    Over 20 yrs of Family Practice
  • http://ww2.justanswer.com/uploads/neurosurg/2009-10-06_120923_profile.jpg Dr. Mark's Avatar

    Dr. Mark

    Doctor (MD)

    Satisfied Customers:

    6234
    U.S. Physician/Surgeon in Neurosurgery