Conversation: The conversation between human and AI assistant.
[|Human|] possibly I have a gout sympthoms - I have aces in the metatrasalphalangeal joint - did not get any hit there - and it is hurting for last 3 days so I can not stand on it. Started to take ibuprofem (500mg *3 a day) . Seems like it is getting better - what should be next step? Thanks.
[|AI|]  Hi, Joints which are pathogenic for gout is first metatarsophalangeal joint (base joint of great toe). Metatarsophalangeal joints can be affected in any arthritis. Gout is characterized by swollen inflamed red and warm joints, with periods of exacerbation. Pain in gouty joints increase with cold. You need to get serum uric acid estimation along with ESR, CRP, RA factor, anti CCP and CBC done to confirm the diagnosis and start of proper treatment. Take care. Hope I have answered your question. Let me know if I can assist you further.