Thanks Keith and other poster for such detailed replies,
I have asked the doctor for a referral to a Nephrologist on 2 occasions but been told they only deal with CKD stage 4 or 5. Mine is stage 3B but I think I am falling foul of NHS spending cuts. I have attended a Urologist clinic once since my op, I only saw the nurse not the consultant. Only advice I received about gout was not to eat game! I have been told that a urologist consultant is probably not the best to advise about gout anyway, so I am on the verge of paying to privately see a Nephrologist if my gout continues to cause me problems, from what you have said he should fill in the gaps that I have in my gout medication plan.
I will ring my medical centre to see if I can get a historic UA record. I remember a while ago the doctor saying that my blood test did not show gout but that it did not mean I have not got gout.
Thanks again for your advice
Thank you for visiting GoutPal's Gout Network
Did you find the personal help you need with your gout?
I will help you understand and manage your gout.
If you did not find the personal gout help that you need, please tell me:
Information on GoutPal is provided by a gout patient to help you understand gout and related issues. Gout information is provided by a layman, with no medical training or qualifications. It should not be used for diagnosing or treating any health problem or disease. The information is given to help you understand your doctor's advice and know what questions to ask. It is not a substitute for professional care. If you have an actual or suspected health problem, you should consult your doctor.