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I'm sorry to hear about this, when did these bumps start to appear?
about 2 months ago. They were slightly painful and you could almost feel them growing. When I press on something that would bend my finger up it would hurt. I'd never had that before and found it alarming. The first finger on my left hand got to the size of 1/8 to 3/16 of an inch high in the middle by almost 1/2 an inch diameter now. The others are a little smaller. They are not changing much lately but the first finger of my left hand is a little achy most of the time.
Have you had any x rays or tests since this started?
No, other than that uric acid blood test.
Okay, you need to have this x rayed again, any redness and pain in the swollen areas?
A little of both, but not like I'd get with gout in my toe or elbow.
I will go back and ask for it to be x-rayed.
Okay, you may need a joint fluid analysis as well
Are you there?
Ok. He gave me that Rx for Allopurinol. Should I start on that? I haven't yet. I've been told by 2 alternative therapy practitioners that my kidney energy is low and I have a kidney stone in my right kidney. Who knows if that's true?? But just to know for sure I told the MD about this and he called up an ultrasound of my kidneys to see and to find out for sure. I haven't started the Allopurinol because I haven't been able to fit the ultrasound into their's and my schedule yet. Should I start or hold off on the Allopurinol until I get the ultrasound done and get the x-ray and fluid analysis done? I asked for the Allopurinol because before these bumps came on, I felt like I was on the edge of getting gout for a while. Then these bumps came out two weeks before I saw him. Since gout is a type of arthritis I thought they might be related. I'm a dentist and he's a patient and we are friends. So I'm concerned about this affecting my ability to work.
I would start the allopurinol if your doctor has prescribed it already, you likely need it to prevent these bumps from forming
I don't want to go on another long term medication if I don't have to but with my feeling of being on the edge of gout frequently I wondered if it wouldn't be best. My previous MD tried me on Probenicid 10 years ago but I didn't like the way I felt on it.
You may not have to be on it long term, but if you don't take allopurinol, the bumps may get worse
So I'll start the Allopurinol now, get an x-ray and a joint fluid analysis. Will that tell us if it is arthritis or gout?
Yes, it will tell you if it is arthritis or gout
Great. Once I get those things done I'll get back to you with the results. I'm glad to hear we'll be able to know which it is. If it's arthritis is there anything I can do?
Yes, there are drugs that might help, but it depends on the type of arthritis
Ok, thanks for all your help. Have a good evening. Ken.