It is easier for me to see the front and tops of the feet and ankles when they are standing to try and tell if it is gout or MS. The 2 pics in the thread in post 8 are very different—one showing swollen ankles (MS) and the other showing swollen lumpy-looking toes and feet/ankles (gout.) If the toes look normal, but the ankles are swollen, then I would look at MS or another infectious arthritis as a possibility. MS is very hard to treat with antibiotics, and is a chronic disease.