instruction: hello doctor my foot is swollen right now and I am sure that my uric acid went up again it happens in the past and I need some medication for the pain and the inflammation my height is 6 it and my weight is 95kg
output: hello firstly the photo uploaded is not informative as the extent of redness or inflammation is not well demarcated secondly do you have any past history of gout if yes how many acute flares did you have in the past how severe only foot single joint or multiple joints any triggers like boozing food intake rich in rate any history oh physical exertion well management of gout includes three steps acute flare management acute flare prevention to clearthe uric acid stores and ti decrease deposition in joints for now management of pain is crucial naproxen 750 my stat and then naproxen 250 my thrice for 7 days with meals panto 40 my in the morning before breakfast rest avoid urine rich diet no to alcohol beverages get the uric acid levels checked revert to me with uric acid levels good photograph with proper focus on the affected area along with normal leg for reference detailed past history diet and drug history that includes both medicines and else as well very important is to follow proper diet veto diet no00 loose weight finally the urge to treat without a proven diagnosis is always resisted hence diagnosis is mandatory for best management as we practice evidence based medicine get well soon regards do geeta