Question 1

Hello Doctor, my mother is 54 years old. For the past few days, her left ankle has been swelling whenever she walks or does basic physical activity like climbing stairs. She had a whole body checkup 6 months ago, which was normal. Two months back, she also had basic blood tests (CBC, renal function, liver function, sugar tests), and her sugar and uric acid were borderline. Her current uric acid level is 5.80. Could the ankle swelling be due to uric acid, or might there be another cause? I have attached the reports for your review.

Question 2

I previously had intense pain in my legs and joints. After consulting a doctor, I was diagnosed with high uric acid (7). I took medicines regularly for a month and repeated the test today, the result is 6.1, but I understand it should be below 6. Could you please suggest what medicines may be needed and what foods should be included or avoided to help maintain uric acid levels? The patient is also taking medicines for diabetes.

Question 3

Sometimes while walking, my knee gets blocked, and while sleeping, I am unable to fully bend my knee. When I try to bend it, I hear a clicking sound, which is quite painful. I also feel inflammation in the fingers of my leg, making it difficult to sleep at night. I have been taking 1 tablet of Feburic 20 daily for the past month. I am attaching my blood test report and would appreciate your advice on treatment or medications to relieve my knee and finger problems.

High ESR and uric acid suggest inflammation or arthritis. Rheumatologist consult recommended. Pain meds and hydration may help.

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