Low red blood cells/ low Haemoglobin

Stopping Gout Together Forums Help My Gout! The Gout Forum Low red blood cells/ low Haemoglobin

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    • #10482
      GC Gopro

      I wrote on this forum a while back and have found this site very useful. To recap my case, after years of a high purine diet mixed with regular beer consumption I had my first gout attack in January 2019.

      Following this, I changed my diet drastically with trappist monk discipline, refusing the allopurinol and a year later my UA level had moved from 6.8 to 6.7, 0.1 was my reward. In April 2020 I started 100mg allopurinol after a second attack of swollen toe following a long walk. I had the usual burning joints and pain associated with dissolving crystals. In August 2020 we upped the Al to 200mg and my UA went to 5.4 the lowest value to date. Later I went back to 100mg and have been there since. My UA is around 6.0.

      My animal protein intake has consisted of a small piece of salmon midweek and a chicken leg on Sunday with plenty of dairy, grains, vegetables, nuts, eggs, etc.

      Just recently, I suffered a bout of being totally exhausted and blood test revealed low haemoglobin and low red blood cells, but not anemia. I upped my meat intake and felt a lot better for it and will have more blood test two weeks after the first test to review values.

      Now the question remains was the allopurinol affecting the production of red blood cells in the bone marrow (a documented side effect) or was my iron consumption too low and also being blocked by the consumption of regular dairy foods. Apparently, rhubarb blocks consumption of iron and my wife cooked some and I consumed it the week before! Before gout I always had high iron on a blood test.

      I am considering stopping the allopurinol for a period to see what happens to my UA score as low red cell production possibilities do not appeal.

      Anyone else had this problem whilst taking allopurinol or had low blood scores like me? Thanks!

    • #10483


      I’ve sent an email to someone who also had (if I recall correctly) a problem with haemoglobin. Perhaps they’ll be able to help you.
      In any case, you can stop allo for a while and see what that does to your blood. If it turns out allopurinol was the issue, there are alternatives, some of which might or might not have the same effect (you might have to experiment on yourself to find out).
      But if your doctor think your haemoglobin problem isn’t too serious and might be explained by iron deficiency, perhaps try to fix that before stopping allopurinol.

      If you’re going to stop taking allopurinol, consider taking heme iron (or whatever that’s called) supplements instead of eating meat. But you might as well eat meat if you’d be eating fish or chicken otherwise! It sounds like you were using the wrong information about diet, in which case discipline won’t help…
      If you eat enough iron in the first place, dairy would normally not be an issue but of course everyone is different. If you have lactose intolerance for instance, you might want to try switching to dairy products containing very little lactose.

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