Well, judging from what I have read thus far, it seems to be leaning towards an acute gout attack. The fact that you used ibuprofen and it seemed to ease the pain for a while is indicative of some sort of imflammation. Also the fact that its when pressure is applied the pain tends to get worse, meaning its deep within the tissue also supportive of gout attacks.
What is alarming though is the fact that you sit all day, 33 and already being treated for hypertension. This could have vascular implications which will result in a dull pain however this seems extremely unlikely since there is no swelling in the region, again supportive of an accute gout attack.
Your previous history with the kidney situation also is supportive of gout.
However, if you are being treated for insulin resistance (i assume metformin), this with hypertension medication can cause peripheral neuropathy (basically results in pain usually apparent in the lower limbs - dont google it for your own good). Are you on cardioprotective asprin atm? (usually a daily dose of 50mg), and is the drug therapy fairly new when did you start ? I would assume its fairly recent since you 33.
Now If you want you can pm me your medication you using and I will check for you if an adverse reaction is a possibility and needs to brought to your doctors attention. HOWEVER I would say its NOT LIKELY, though a possibility that must not be left unchecked. If you want me to check your drug usuage please do it via a PM otherwise you going to get 400 links to side-effects that arent relevant and how your doctor is stupid, then you will panic yourself to death, trust me. Use the drug name not the brand name would make my life much easier as there are so many brands its difficult to keep up with it off hand and that most hypertension medications today are combined drug dosing for convenience. Also send the frequency your take them and the dose.
Since you posting here I would also assume this is the first time this has happened to you, so I suggest that you go to your pharmacy and buy a drug called Indomethicin, the 25mg capsule. Since you have taken ibuprofen you need not worry about allergies towards it. If the pain persists you take 25mg to 50mg indomethicin, as its the drug of choice for accute gout attacks (its also not too expensive, couple of bucks you only need a few). You can take it three times a day and it does not require a doctor's prescription though take it with food (you dont have gastric ulcers by any chance?). Also what concerns me is the fact that it started in the night as a slight pain, what this means is that its possible that you pulled a tendon inside your foot while in a deep sleep that was already strained causing a light pain to a heavy pain, indomethicin will help you in this regard as well. Do not take ibuprofen and indomethicin together, you can however boost either drug with paracetamol ( up to a 1000mg) and if you still need to boost further then you can take both tablets (paracetamol + indomethicin) with coffee instead of water (black coffee no milk and sugar and not a mad scientist amount of coffee just an average cup). Basically you making your own myprodol like this, I find its better to do this than buy the combinations (which is why clicks hate me because I dont push their OTC sales LOL bloody greedy schits) as it lacks codiene which at that dose is useless and will only cause a slight constipation.
My verdict still leans strongly on accute gout. Though there is no need to rush to the doctor unless it persists for more than a few days so say tuesday/wednesday if you still in pain you should go (or if its unbarable then go ASAP so you can gain access to stronger painkillers). Also in the future keep a record of the area and if the pain comes again, then you most likely will require chronic prophylaxis if it is gout, if not just keep some indomethicin capsules handy at home for when the need arises and inform your GP on your next visit. Just keep an eye on the foot, should your skin discolour or you lose sensation of touch seek immediate medical attention.
Lol its kind of hard when you dont have the patient in front of you
oh if you do not wish to buy the indomethicin you can stay with ibuprofen but use 400mg of it, it just wont work as well
hope this helps
and remember its free to talk to a pharmacist dont be shy going to yours
