Conversation: The conversation between human and AI assistant.
[|Human|] sir my wife iage is 40 years and 80kgs. She is having frequent swelling below the knee at various places and vercosa like nerves becomes black with severe pain. Uric acid (gout) treatment given. pain reduced but swelling remains. After medication course completion problem repeats. Test shows no RA. ERP and Uric acid elevates some time and it makes further acute pain. She is under treatment for more than 3 years. No permanent solution. Please suggest me which consultant/specialist i have to approch for this. We are now continuing the treatment with Rheumatologist, and treatment is prolonging without full cure. Regards R.Govindarajan
[|AI|]  Hello, I read carefully your query and understand your concern. The symptoms seem to be related to gout. I suggest using anti-inflammatory medications such as Acetaminophen to relieve the inflammation. I also suggest using a specific treatment to lower the uric acid such as Allopurinol. If the symptoms continue, I suggest consulting a rheumatologist Hope my answer was helpful. If you have further queries feel free to contact me again. Kind regards!  Chat Doctor.