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Thanks. I agree, internet is not a doctor, but it is nice to put things out there on a virtual “round table” for discussion.
I made another appointment with my podiatrist for this week and I am going to discuss an MRI or other imaging.
I suppose what I was thinking was that if it was true gout, and it’s been over 3 weeks, and after the initial consult at Urgent Care suggesting it was gout, I have been very particular with my diet, including no alcohol, no red meat, and watching typical consumption triggers. And, I don’t indulge in sweets. It seemed like I was already following the gout prevention diet, which is frustrating because that means I have no other options aside from taking the medicine should it come down to it.
I still have some pain along the top of my foot. We are going on 3 weeks now with this pain, so I am not convinced it is a true gout, or at least not the underlying cause. I still have some swelling. I do not feel “heat” from the joints, but there is some bruising/redness. There is a little pain when pointing the toes downward, but it is still painful when flexing the big toe so it points upwards.
The pain starts at the tip of my big toe, along the inside of my foot (when looking at right foot, along the left side of my big toe) and runs down along the inside of my foot, past the toe joint, back towards my arch and stops around there.
I am still wearing a boot because of the fracture in the sesamoid causing pain when putting weight down, and have taken some ibuprofen here are there.
Is it possible this could be some type of ligament or tendon sprain/strain going on instead?
Fair enough! Thanks for your opinion. I’ll continue healing for now, and once I’m comfortable on my own two feet again, I’ll look into seeing if there’s a specific trend. I don’t necessarily need to take multivitamins, it was one of those things saying, oh crap, global pandemic, let me take something in case I’m deficient. The only thing I’ve positively been found to be deficient in was D3, and I’ve been taking a pill a day for about 3 years and the number has come up to a point where the doc is happy and now I continue as maintenance.
I’ll leave out all the added supplemental crap and see if that has anything to do with it.
Thanks for your response. I tracked down one of my drinks I throw in my locker for when I’m in a pinch. It’s been helpful when one of my coworkers decides it’s time for a Chick-fil-A run, so I have one of those and be on my way.
I have been drinking them pretty regularly. I haven’t been as aggressive with them since my symptoms started.
Quickly typing the ingredients: water, pea protein, alkalized cocoa, high oleic sunflower oil, sunflower lecithin, trisodium phosphate, tripotassium citrate, gellan gum, monk fruit extract, apple fiber, acai, beet, kale, raspberry, spinach, tomato, banana, blueberry, carrot, and sea salt.
I didn’t consider vitamins & these protein drinks to be a factor, but I will exclude them and see what happens. Again, I’m not vegetarian or vegan, but I do consciously avoid red meats aside from special occasions. Baked chicken or chicken cutlet (breaded) and sauteed in olive oil are my usual go-tos. I avoid vegetable oil and refined flour products. I eat whole grain breads/brown rice or quinoa. I eat a salad every day, dressed with EVOO & red wine vinegar (nothing from a bottle)
Fair point about proteins. I do like eggs, but my total cholesterol numbers were higher than my PCP would prefer, so instead of having 1 egg almost every day I’ve now tuned it down to 2-3 eggs over the course of a week.
I’ll continue to drink at least 8 ounces of low fat or skim milk daily and I’m going to skip the daily multivitamins for now. I started that habit back when Covid lockdowns hit and was concerned over boosting my immune system. I will continue to take the vitamin c 500 mg and I will also continue taking the D3 as my PCP’s instructions are to take the over the counter D3 daily.
Can gout symptoms (swelling) cause the pressure/stress to fracture the sesamoid, or is it possible for the fractured sesamoid to present as gout symptoms?
I do have bruising along the base of the big toe and around the joint above that on the big toe. I can point my toes downward without pain but cannot/won’t flex them so they point upwards, as this caused a tremendous amount of discomfort/pain before I saw the podiatrist.
I’ve seen some other posts on this board and if it happens that I am prescribed allopurinol, I will try to keep the dose as low as possible to avoid side effects. Fingers crossed this is some type of weird reaction to the vitamins and plant protein that I don’t need. I would love to have a nice quality beer in a month for Thanksgiving & Christmas…
Thanks for your reply.
I can’t figure out how to upload the label itself, but you can search for the Orgain Plant Protein, Creamy Chocolate, 11 oz. That’s been what I’ve been having. And I don’t know what the heck I did but my replies have been deleted.
Sorry, I forgot to mention above, I have no family history of any type of inflammatory arthritic condition including gout. I generally ate healthy before this episode and didn’t eat a lot of red meat, most of my protein was seafood (fish and shellfish) as well as chicken, with occasional pork. Steaks/beef are usually a special occasion for me. It’s been years since I had any type of “fast food” and I would estimate that around 90% of my meals are prepared at home. I avoid sugary treats and desserts and bagged snacks/shelf stable snacks.
Diet wise, I also supplement/have been consuming “Orgain” brand Plant Protein drinks for when I’m in a pinch for work to avoid fast food restaurants. I also unknowingly excluded cow milk dairy products from my diet but didn’t do this on purpose – I drink coffee black and didn’t consume yogurt/ice cream. I read something about B3 possibly elevating your UA levels, so I will check on the ingredients list to find out if it is pushing it a little too high in combination with my multivitamins.