Hello, Gman:
Regret antibiotics, unless they are combined with NSD and specific to Klebsiella pneumoniae, can make things much worse.
I don't know if allopurinol can have any effect against AS, but Your symptoms are more similar to AS than gout. In the process of making sausage digits sometimes the inflammation in toes becomes severe enough to notice.
I have (had) both AS and gout; the latter due to kidney issues mostly associated with prolonged use of NSAIDs.
Diet is key in AS and it is all about the starch--Ketogenic and Paleo diets can help quite a bit and there is a lot more great information about these, but the best information is in Carol Sinclair's book "The IBS Low-Starch Diet."
I won't predict Your uric acid levels, but this is definitive for gout.
HEALTH,
John
