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I have lost feeling in the toes on both feet... and I ...


Sent to Health Experts June 06, 2006 2:55 a.m.

I have lost feeling in the toes on both feet... and I have really bad gout...I need so advice.

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Male , Age: 37

Already Tried:
nothing but moving them around
Customer (name blocked for privacy)
Status: Closed   Value: $15   
Answer
June 06, 2006 4:01 a.m. (1 hour and 5 minutes later)
REPLIED Check Mark

If you drink alcohol and/or smoke, you should do so in moderation or not at all because these can cause circulatory compromise leading to peripheral neuropathy (numbness in your lower extremities particularly the toes). If you quit drinking and smoking and follow an appropriate exercise and dietary regime, there is a chance you will have complete recovery of your circulation to your toes. If you are overweight, it is important to lose weight and then maintain a healthy weight. Massage your feet during the day. I recommend that you remove your shoes and socks and place your feet in a stimulating but not too warm whirlpool bath which can be purchased at Walmart. http://www.walmart.com/catalog/product.do?product_id=4100505

You could be diabetic. I recommend you have a complete physical. Diabetes is a systemic condition that affects many organs and systems in the body. One of the first places where the effects of diabetes are seen is in the feet.

Gout is caused by an inflammation in your joints resulting from an accumulation of urate crystals. Uric acid is a waste product formed from the breakdown of purines found naturally in your body as well as in certain foods, especially organ meats e.g. liver, brains, kidneys, and sweetbreads, and in anchovies, herring, asparagus, and mushrooms.

Your body either produces too much uric acid or excretes too little and it builds up, forming urate in a joint or surrounding tissue that causes your extreme pain, inflammation, and swelling.

Excess consumption of alcohol (more than 2 glasses a day) is a lifestyle factor that increases the risk of gout. Gaining 30 pounds or more than your ideal weight during adulthood also increases your risk. Untreated hypertension and chronic conditions, such as diabetes, high levels of fat and cholesterol in the blood (hyperlipidemia), and arteriosclerosis make it more likely that a person will develop gout.

Thiazide diuretics used to treat hypertension, low-dose aspirin, and anti-rejection drugs prescribed for people who have undergone a transplant can increase uric acid levels.
Some people with gout also develop kidney stones.

Motrin or Advil (taken with a glass of milk and/or food to prevent gastric irritation) may provide relief from the pain of gout. A doctor may prescribe prednisone and/or inject cortisone into the affected joint.

Allopurinol (Zyloprim, Aloprim) and probenecid daily slow the rate at which uric acid is produced and speed its elimination from your body.

Fluids help dilute uric acid in your blood and urine, so be sure you get enough water and other fluids every day.

Limit or avoid alcohol. Consuming too much alcohol can inhibit the excretion of uric acid, which in turn can lead to gout.




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PictureDr. Hanson  -- Doctor (MD) -- 99% Positive Feedback on 819 Health Accepts
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Reply to Dr. Hanson
Sent June 06, 2006 4:36 a.m. (34 minutes and 59 seconds later)

I have FSGS which is a kidney disease as well and the uric acids are very high in my blood test. I suffer from gout in my toes, ankles and lower leg are effected as well. My worry tonight is should I go to the ER over loosing feeling in my toes and up to the last joints of my feet... It's freaking me out Doc. Thanks for you help it comfortes me that I can get answers without call the ER who would tell me to come in if I have a bug bite. Hurting but I still have my humor...thanks again
DJ
Customer (name blocked for privacy)
Answer
June 06, 2006 5:37 a.m. (1 hour and 1 minute later)
ACCEPTED Check Mark

I recommend you take a nonsteroidal anti-inflammatory drug (e.g. Motrin or Advil) to relieve the inflammatory pain due to your gout. Inflammation causes pressure on vessels and nerves in your lower extremities which causes them to feel numb. This should bring some circulation into your toes. The NSAID will also reduce proteinuria which is causing your focal segmental glomerulosclerosis. As I said before, you should stimulate your circulation by placing your feet in lukewarm water and massage them. During an acute attack, contrast hydrotherapy (alternating three-minute hot compresses with 30-second cold compresses) can help dissolve the crystals and resolve the pain faster.
Dry your feet gently but stimulate them as you dry them off. Keep your feet warm but be careful with any heating pad on your numb feet as this could burn the skin and you won't feel it.

If your circulation doesn't improve, then you should see your nephrologist who can order Trental (pentoxifylline) 1 tablet (400mg) 2 or 3 times per day with meals to improve blood flow in your feet. It works by decreasing the thickness (viscosity) of blood. This change allows your blood to flow more easily, especially in the small blood vessels of the feet.


Edited by DrHanson on June 6 2006 at 5:57am


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Please click the green "ACCEPT" button.     A "BONUS" and "POSITIVE FEEDBACK" are appreciated!
PictureDr. Hanson  -- Doctor (MD) -- 99% Positive Feedback on 819 Health Accepts
Diplomate, American Board of Quality Assurance & Utilization Review Physicians

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