Thank you for your reply.
Basically this is likely to be due to gout in view of his history and gout can cause pain in the large joint of the big toe and can also occur in the feet and ankles. To relieve the pain, in addition to Ibuprofen he may take colchicine which will relieve the gout pain.
In addition to this acute treatment to relive the pain, his doctor can prescribe medications if these pain attacks are frequent so that these medication will prevent gout complications and future gout attacks and pain. He needs to take the medication daily to prevent a gout attack from occurring.
So at present ask him to discuss regarding colchicine medication with his doctor and also to discuss whether he requires preventive medications.
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