10 doctors weighed in:

My 24 year old m friend was diagnosed with gout after spraining his ankle from snowboarding. He was given ibuprofen but it doesn't seem to be helping?

10 doctors weighed in
Dr. Pierre Moeser
Internal Medicine - Rheumatology
6 doctors agree

In brief: Not typical gout

His age is very young for a diagnosis of gout.
It sounds too coincidental. Xrays would rule out fractures but sprains can get worsen as the swelling progresses. I would call and see if a sport medicine physician could see him urgently.

In brief: Not typical gout

His age is very young for a diagnosis of gout.
It sounds too coincidental. Xrays would rule out fractures but sprains can get worsen as the swelling progresses. I would call and see if a sport medicine physician could see him urgently.
Dr. Pierre Moeser
Dr. Pierre Moeser
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Dr. Colin Kerr
Family Medicine
5 doctors agree

In brief: Gout

It seems a very odd coincidence to diagnose gout right after a snowboard accident, especially at age 24.
I would question the diagnosis. The treatment for gout, if Ibuprofen is not working, is Indocin (indomethacin) 50 mg 3 times a day, Colchicine 0.5 mg repeat every hour x 3, or cortisone (pills). In this situation i would be concerned that there may be more significant injury to the ankle than just a sprain.

In brief: Gout

It seems a very odd coincidence to diagnose gout right after a snowboard accident, especially at age 24.
I would question the diagnosis. The treatment for gout, if Ibuprofen is not working, is Indocin (indomethacin) 50 mg 3 times a day, Colchicine 0.5 mg repeat every hour x 3, or cortisone (pills). In this situation i would be concerned that there may be more significant injury to the ankle than just a sprain.
Dr. Colin Kerr
Dr. Colin Kerr
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In brief: Needs

Gout medication.
Needs blood test to confirm gout.

In brief: Needs

Gout medication.
Needs blood test to confirm gout.
Dr. Alan Ettinger
Dr. Alan Ettinger
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1 comment
Dr. Ronald Krauser
Blood tests do not confirm gout. 8% of gout patients have a normal uric acid at the time of the attack. Finding the presence of urate crystals in the joint is the only way to absolutely confirm the diagnosis.
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