Left big toe pain and swelling.

This treatment is being suggested on bases of the information provided. However I would like to examine & investigate you  in detail. Control  Hypertension, Diabetes or any other metabolic disorder, if there is  any. Any way it may be tried, --. Dolokind Plus (Mankind) [Aceclofenac100 mg +Paracetamol 350 mg] 1 tab. OD & SOS. X 5 days. --. Caldikind plus  (Mankind) 1 tab OD x 10 days. (You may need help of your local doctor to get these medicines.) --. Fomentation with warm water. Let the part not be exposed to cold. --. Sleep on a hard bed with soft bedding. --. Use a pillow under the foot and ankle . --. Avoid painful acts & activities. -- .Do mild exercises for  foot and ankle. --.(Take help of a  physiotherapist). --Do not ignore, let it not become beginning of a major problem. --Do ask for a detailed treatment plan. Kindly make sure, there is no allergy to any of these medicines. --For emergency treatment visit nearest hospital. --Wish you a quick recovery & good health. --I hope, I have solved your problem to your satisfaction.  Dr N C Gupta MS (ortho)

Speak to an orthopaedic guy or a rheumatologist they will guide you

The only easy way to find out is to do a serum uric acid level.

See an orthopaedic surgeon for clinical examination and further treatment.