could a swollen big toe be anything but Gout?

Posted , 5 users are following.

Hi. I had sciatic messed up for weeks. Shooting pain down leg into arch. Started to demenish except at nite then foot with continued arch pain swells slightly on top. Then boom! My big toe swells up three x size in one day!Could it be anything other than the dreaded Gout?  No injury.  And the toe doesn’t hurt.  Any thots before I see my doc would be appreciated!

0 likes, 21 replies

Report / Delete

21 Replies

Next
  • Posted

    mmmmm.... not sure but any gout that I ever had was very very tender on my big toe ... very very tender!

    So perhaps you do not have gout at all!

    Report / Delete Reply
  • Posted

    Could be gout.

    But you need to have a blood test at least one month AFTER the toe has gone down.

    Go and let your doc have a look now though. 

    Technically it’s not considered to be gout till you’ve had two such attacks in under 12 months.

    Report / Delete Reply
  • Posted

    Hi shep, does not sound like gout because you say you have no pain. Gout is very painful to the point where i cannot have the duvet touch the area. Has for your sciatica, i am puzzled because i had sciatica for 12 years and then boom, my disc popped out and i was left with a bulgig disc, and ihave never had those symptoms of a swelling through sciatica.You defo need your doctor to refer you. Only ever had numbness, pins and needles and a pain from my arse all the way down my leg to the end of my little toe.
    Report / Delete Reply
    • Posted

      I dont know anybody thats had a flair up of  gout without knowing it especially when shep has had that much swelling around his toe. Like you keep saying only a blood test will determine. Gout is hereditory, my grandad had it, my dad had it, my brother have it, and they were all crippled with it through pain. Early attacks as i am aware of do not show anything up and you can have high uric acid in bloodstream for a decade before showing any flair ups and with sheps swelling i would say thats not a early flair up. Thats my opinion and i think every symptom does not refer to gout.
      Report / Delete Reply
    • Posted

      I didn’t say that patients can have a gout flare without pain. What I said was that not all gout flares are so painful that you cannot put a sheet on it. Most gout flares are not agony.

      It is true that gout is hereditary, although that doesn’t mean that all members of a family will get it - especially in a family with lots of women, or where the men died young. 

      What else can cause a sudden swelling of the big toe? As they teach them in med school : “the commonest things are the commonest.” In the case of a man in middle age - the commonest thing by far would be gout (or recent injury). If thry’d had the foot stamped on in a rugby match at the w/e they would have mentioned it. Other things which cause it are obvious - bunion or ingrowing toe-nail for example. 

      Report / Delete Reply
    • Posted

      You are correct.. If there is no unbearable pain,,,,it's Not Gout. Uric acid in the blood is the cause 

      Prescription drugs are the norm, but I prefer the alternatives, which will clear the damned thing in a few days. As a newbie , Years ago... I was woken in the night with  a hot very painful .swollen big toe. 2-30 am I thought I had broken my toe I phoned for a taxi, Hobbled big time to the A&E ,,taxi driver actually found a wheelchair , and took me in. a nurse took one look, and said "It's Gout, " Gave me a pair of crutches, told me to take Paracetamol/ and off I hobbled  .Searched for a cure ,and found that 

      Bromelain, and Cherry Effect was the natural way to go, and it is ,so I am never without these two health products, and take at the first twinge. Google was a great help when I had my first ,never to be forgotten attack Catching it at the first twinge is important,   

      Report / Delete Reply
    • Posted

      Jaqualine

      While some people have terrible pain with gout, that is not always the case. I do not regard myself as stoic and only twice did I have attacks which were agony.

      As for not taking prescription drugs, that’s great, but you are not addressing the underlying disease  - the high blood urate. Stopping gout pain is important, but long term (especially for men), is the aim is avoiding the artieral damage which leads to heart attacks etc. To do that blood urate must be pushed down to relatively low levels (below3 recommendation of NICE). 

      A woman can probably afford to be more relaxed about blood urate therapy as they have been given heart protection until menopause, a luxury men don’t have. 

      Report / Delete Reply
    • Posted

      Gout is not the name of big toe trauma. Podagra is the name of the swollen big  toe joint. Gout is a form of arthritis which can effect any of the smaller joints.

      Gout is mainly a male disease (from memory 8:1 difference), and women rarely get gout before menopause. The following quote sums it up:

      <<It is believed that estrogen may help the kidneys remove uric acid, so after menopause, a woman's blood uric acid levels begin to increase. For most menopausal women, gout symptoms usually begin in the large toe and then affect the ankles, knees and wrists.>>

       Furthermore the normal maximum level of blood urate is 14% higher in women than men all through their lives. 

      As for the reason for the sex difference - genetics. 

      Report / Delete Reply
    • Posted

      I have osteoarthris and have swelling om my joints, fingers, toes etc, which is not gout. . Similar to gout but not gout, another form of arthrits. So the commonest things are not always gout. I am a middle aged man ?.  Not taught in med school and dont pretend to be, just basic facts from my own experiences. 
      Report / Delete Reply
    • Posted

      Read what I said. Dont setup straw man arguments.

      I did not say that all forms of joint problems are gout.

      I said that podagra - specifically *swollen big toe* is the classic gout symptom.  There are other causes, but the first thing to check for would be gout (excluding injury). 

      Report / Delete Reply
    • Posted

      Quite aware what you said. I said it does not sound like gout because he had no pain. You said not all pain is so painful, no pain he said, not a little pain. straw man. 
      Report / Delete Reply
    • Posted

      ”Your (sic) quite obviously obsessed with gout.”

      I have wondered at the low level of educational attainment one must have achieved to make grammatical mistakes usually corrected by the age of 7. 

      Report / Delete Reply

Join this discussion or start a new one?

New discussion Reply

Report or request deletion

Thanks for your help!

We want the forums to be a useful resource for our users but it is important to remember that the forums are not moderated or reviewed by doctors and so you should not rely on opinions or advice given by other users in respect of any healthcare matters. Always speak to your doctor before acting and in cases of emergency seek appropriate medical assistance immediately. Use of the forums is subject to our Terms of Use and Privacy Policy and steps will be taken to remove posts identified as being in breach of those terms.

newnav-down newnav-up