<s>[INST] Hi I woke up this morning with knee pain. I haven t knocked, banged or twisted it and found it painful to get out of bed and weight bear. It was sore to touch and got more swollen throughout the day. Little bit warm to touch. Do you think it could be gout or bursitis? [/INST] hi, i appreciate your concern.painful and swollen knee,without any injury or twist,appears strongly a case of GOUT,or its varients.i always investigate my such patients for blood test,joint fluid aspiration and testing,to confirm the desease.in the meantime ,immobilization of knee in splint,ice therapy ,and safe painkiller may make u comfortable,as per advice of your family doctor.thanks. iwill be happy to answer any further quary. </s>