Yes, it is possible. And, expected.
No, you’re not crazy.
If you truly want to understand why, it’s all about uric acid levels. And, what happens during recovery from 20 years of avoiding uric acid control. So, post your uric acid test result numbers, if you want a complete explanation.
Also, it’s avoidable, if you:
1. Take your prophylactic colchicine at night.
2. Take time in the morning to think about your body. If you have any gout pain symptoms, take a second colchicine plus anti-inflammatory.
3. After 2 hours, if you still have symptoms, take a pain-blocker.
4. After another 2 hours, if you still have symptoms, take another anti-inflammatory dose.
5. Repeat 3 and 4 as necessary until you reach the maximum dose.
A) 2 hours is a guide. 3 hours might work better for some people.
B) Anti-inflammatory should be at maximum dose, as prescribed by your doctor. Ibuprofen, naproxen, and indomethacin are the common options. But many others are available.
C) Acetaminophen (Paracetamol) is the popular pain-blocker choice. Again, your doctor should prescribe one that is compatible with other meds, and at a dose that is effective for gout.
The best part, Mauri, is this will soon stop. Once the burden of years of uric acid crystals has dissolved, you’ll be gout-free. Isn’t that something wonderful to look forward to?