First severe gout flare.

Stopping Gout Together Forums Help My Gout! The Gout Forum First severe gout flare.

This topic contains 5 replies, has 5 voices, and was last updated by  Fred Deer 2 months, 4 weeks ago.

  • Author
    Posts
  • #5935

    Smith
    Participant
    Ŧallars: Ŧ -0.47
    GoutPal Carer Badge Rank: Carer


    Should have wrote an outline for this… TL;DR at bottom if this is too much to read.

    Gout became severe about 5-6 days after I quit drinking. Never really drank much beer, but was a very heavy drinker. I fear it was a fasting and feasting flare because I couldn’t eat much while drinking that much and when I started eating again it was literally pounds of roast, brisket, lunch meats. The flare was terrible, got better briefly with the first medicine, but has come back. Kind of feels like it is headed to the other big toe, but no swelling and much stiffness yet. I have also had terrible flatulence… MORE INFORMATION:

    I weigh around 300lbs but am right at about 200lb of muscle mass based on DEXA scan and electric analyzer at complete nutrition. So ~33-34% bf is high. I generally lift weights 4-6 times a week when I am not doing my manual labor job.

    I have taken almost all high purine foods out of my diet but the damn information online is so conflicting. Eggs and whey protein are my main source of protein right now. I had probably 6-8oz of salmon last night. Rice, spinach, banana peppers go with those meals. Whey protein goes into a blueberry, raspberry, blackberry, and today added dark sweet cherries to the smooth of approximately 1.5-2 cups of fruit.

    Podiatrist put me Indomethacin which gave me terrible acid reflux. I can keep it under control with a large meal. I was using these for a while and haven’t got through the whole bottle but the side effects are not so great. So, he also gave me methylprednisolone which I’m feeling much better with both of these. Not sure if the Indomethacin or gout has given terrible gas but it is pretty constant.

    HOWEVER, I fear these medicines are masking symptoms and not doing anything for treatment which is not going to be okay because I work in steel toe boots, running, jumping, and lifting all day. I haven’t been to work in over 2 weeks now because of this hell.

    Sorry for the long post.
    ——
    TL;DR: Quit drinking, fast/feast potential reaction, overweight, changed diet completely, on short-term fixes from meds so I can get back to work, but want this to never come back – need to know what to do… What are my best courses of actions to make sure this flare stops quick, I keep it at bay for at least 6 weeks, and lifestyle changes necessary to never see this hell again.

  • #5936

    Keith Taylor
    Keymaster
    Ŧallars: Ŧ 1142.19
    GoutPal Scholar Badge Rank: Scholar

    Whenever gout is linked to food, it’s all about what you ate last year. Not last week. (For the experts I know that’s a simplification. But I’m starting with the obvious until we have more relevant information. )

    So the most likely explanation is your parent’s combined genes make you susceptible to gout. Then bodybuilding amplifies the problem. Think of it like driving very fast cars when your parents gave you short sight. Because you could stop driving. But you would still risk other hazards. So the sensible option is specs. Or other eye correction.

    The sensible option with gout is allopurinol. Or other uric acid control.


    Windy Indomethacin for Gout

    Windocin (!) for Gout?

  • #5943

    nobody
    Participant
    Ŧallars: Ŧ 471.15
    GoutPal Scholar Badge Rank: Scholar

    Yes, “these medicines are masking symptoms”.

    Unfortunately allopurinol is not a quick fix. It’s quicker and more effective than lifestyle modifications so that’s not an argument against allpurinol.
    I only bring up the bad news because I’m seeing red flags in Smith’s post:
    -podiatrist
    -“terrible acid reflux”
    -“he also gave me methylprednisolone”
    -no mention of a PPI
    The side effects of these drugs sometimes get worse over time… much, much worse. And chances are this isn’t the last time Smith will need to take anti-inflammatories.
    I obviously can’t know what’s going on in Smith’s stomach (doctors need to push a camera down your throat in order to assess that) but prolonged use of that drug combination is known to involve a risk of stomach damage which a drug class called PPI can at least delay if not completely prevent. And once stomach damage becomes obvious, it’s too late to prevent it.
    If you think gout on anti-inflammatories is hell, try gout when you can’t take anti-inflammatories anymore because of stomach damage!
    So I would recommend seeing a doctor who understands GI side effects better than the average podiatrist. Maybe that podiatrist is awesome and understands well things outside of their specialty. But if not…

  • #7131

    Donnavan


    I have been suffering from Gout for the past 5 years now. I have recently managed to get the gout attacks under control as my doctor has prescribed that I take one puricos tablet a day.
    Since then I have been very active in the gym and started weightlifting and bodybuilding.

    As I understand the effects of puricose, is that it removes excess uric acid from the blood and therefore minimizes the probability of a gout attack. My question is – will the puricos negate my bodybuilding targets due to reduced intake of protein. Protein is necessary for muscle growth. if this is the situation, then is there an acceptable protein supplement that can be recommended that will not aggravate gout?

    Thanks.

  • #7133

    nobody
    Participant
    Ŧallars: Ŧ 471.15
    GoutPal Scholar Badge Rank: Scholar

    So far as I know, the tablet doesn’t affect protein intake.
    Eggs for instance contain plenty of proteins. Whether it would be a good idea for you to eat lots of eggs depends on other aspects of your health. Provided your puricos dose is sufficient, you could eat meat as well. Regular foods are safer than processed supplements but you can always get your blood tested to see what the supplements you take are doing to your body.
    You should probably get tested anyway if you’ve recently beeen exercising or bodybuilding a lot more than you used to. Depending on your test results, changing your puricos dose might be prudent.

  • #7220

    Fred Deer
    Participant
    Ŧallars: Ŧ 6.28
    GoutPal Detective Badge Rank: Detective

    Have you tried Diclofenac? It worked for me. After 3 months of agony my first gout attack in my ankle cleared in 48 hrs. It was never diagnosed as gout as I never had a toe attack first so they told me it was a sprain. A wise nurse prescribed it to me.

    I then did have a toe attack but all other attacks were in my knee and ankles so it took about 5 attacks till I recognised it felt the same and then ablood test confirmed it.

    I only need take a pill when I feel a gout attack coming. It then subsides in a few hours but at most 24hrs. Sometime I need to take one or 2 follow up pills a few hours apart.

    Before Diclofenac my gout attack would last a week or 2. I ended up walking on crutches diagnosed with arthritis.

    My sign of an attack coming is waking up with a join pain somewhere in my ankle/Knee/toe that appears for no reason. That’s when i reach for it.

    Changing my diet and stopping drinking had no effect.

You should log in to GoutPal to reply to this topic.


If you do not want to log in, you can post a reply via the orange Gout Help button, or raise a new GoutPal helpdesk ticket.