December 18, 2017 at 12:53 pm #6183
I was an ambitious/sensitive/hardworking/anxiety prone/perfection seeking individual. All these lead to chronic health issues high blood pressure and diabetes by 30 (10 years back). on medications for few years also ended up having cholesterol and thyroid problems. so decided to go for naturopathy instead of standard medicines.
I first had my gout attack in 2007. Until last year(June 2016), I used to have occasional gout attacks 1/2 or max 3 times a year. Till date, maximum reading of uric acid is 7.3(Over 50+ tests in 10 years). Due to some stresses, attacks became frequent, once a month kind of from June 2016 until April/May 2017. I could not tolerate and went to my doctor and he suggested allopurinol/febuxostat. I was somehow not keen on using the medicine as I already had enough.
Started with Naturopathy treatment from September 2017… sprouts+fruits as breakfast and low cal veg food with 0 salt, 0 oil. All my problems were vanishing and I am not on medication for bp, diabetes, and cholesterol. Then the twist happened. I ate chicken (roughly 100 gm with very less oil/salt). Exactly a week later, had an attack. 2 weeks later, ate some river fish (probably 250 gm cooked in very less oil/salt and the one not associated with high uric acid) and a week later had another attack. Then I stopped eating Non-vegetarian totally.
Things seemed fine for some time and then had an attack. After some research found cowpeas sprouts could be the culprit. So I stopped sprouts.
After a week or so I had an attack after eating onion paste gravy.
As I also have a general inflammation, decided to try strawberries. A week back had 100 gm of strawberries for a couple of days. Second night had a very mild attack. Then, a few days back tried strawberries again for 2 days and second night had a mild attack. I am still confused if it is a cold weather inflammation or gout as I am eating properly now.
I have a bad habit of rubbing the slightly painful bone to confirm the type of pain if it is gout or not. After doing that, pain becomes more.
Not sure if the strawberry is helping me or hurting me. Will have to go to a doctor to confirm.
My naturopathic doctor tells me to drink more water. Already I drink 4 litres each day. I feel a bit stuck as my medical doctor may get angry as I started another path with no medicines.
From last 1.5 years, I am maintaining an attack diary. From last month, started daily food intake(what I am eating and how much) dairy to see where it is all heading.
Any comments/suggestions would greatly help
December 18, 2017 at 3:54 pm #6185
In my opinion, you’re being obsessive about food.
To the extent that gout is caused by what you ate, it can easily be due to what you ate three years ago rather than what you ate yesterday. So you shouldn’t be too quick to blame particular foods for your pain.
Sticking to a vegetarian diet is reasonable because it works and it’s an easy rule to follow, especially if you happen to tolerate milk or yogurt well (these are generally recommended for gout by the way).
But I’d say worrying about a few strawberries is taking dieting way too far. If for whatever reason your body doesn’t like strawberries, fine: don’t eat any. But you should be comfortable eating a wide variety of plants, including fruits.
It doesn’t matter if you’re taking drugs or not as long as your tests are good.
But if your joint problems are indeed due to gout, 7.3 is too high. What’s your average?
If you need uric acid control and you don’t want to take drugs, you’ll have to treat your naturopathy as if it was a drug: you need a large enough dose, you need to be regular about it and you need to watch for side effects. There are plants which are known to lower uric acid but taking a small amount from time to time won’t work, and neither will wishful thinking.
December 19, 2017 at 3:35 am #6189
Thank you very much for your response. My Average uric acid level for past couple of years was close to 6.7/6.8 and occationally see a 7/7.1 (maximum being 7.3 once). I am visiting a doctor today. Yes I am getting a bit obsessed with Gout lately. For the last 2 occations, joint pains were too mild (barely noticable). The thought that it could be gout and then subsequent rubbing of the bone to see if the pain indeed is originating from a bone and nothing else is making it worse and the pain continues for few days. With a gallstone found recently and existing ailments, slightly concerned. Thanks again for your post.
December 19, 2017 at 5:46 pm #6198
Jean ClyneParticipantŦallars: Ŧ 39.66
I am similar to you in that certain foods trigger symptoms. I have what is considered normal uric acid levels but family history and poor circulation in hands and feet have contributed to it. I tried allopurinol for 6 mos but the side effects for me were way worse than the gout. I control with celebrex, an anti inflammatory, cox2 inhibitor and lots of black cherry, sour cherry juice . A little wasn’t working but taking between 300 and 400 mls per day is helping a lot. Without it, a meal with beans lentils or chickpeas , all high in vegetable purines was triggering mild symptoms. I was just about ready to go on uloric (febuxostat) when I tried upping the juice. No booze no meat for 2 yrs now has helped. Sugar is my other trigger so stay away from that as much as possible. Things that are very high in histamines such as strawberries, tomatoes to name a couple also seem to be problematic. Some of your food issues may be with high histamine foods, try go ogling that. I keep a rigorous food diary and if I stay away from the triggers it seems to be working. It sounds like you are on the right track.
December 20, 2017 at 5:19 am #6204
Keith TaylorKeymasterŦallars: Ŧ 1170.38
In my opinion, you’re being obsessive about food.
Actually, it was probably worth quoting the whole reply. But that’s the highlight.
Food is what we eat to stay alive and we are lucky to live in a time where healthy eating is easy. Obsessing about one or a few food items to the detriment of a balanced diet is bad for health in general. By which I mean you raise your risk of many diseases as well as gout.
Failing to put uric acid control first when you suffer from gout can only make that situation worse. Because gout attacks will get worse if you do not control uric acid irrespective of food obsessions.
December 20, 2017 at 9:00 am #6233
Thank you Jean and Keith for your responses. I met the Doctor yesterday and as expected he suggested Alluprinoal for 3 weeks. He says, once UA comes below 6, I can stop. I do not think I believe him. When I started my diabetic medicine almost 7 years ago, doctor suggested something similar. I did the same for a month and then I stopped. Later I saw my sugars going even higher as the body got used to. Currently taking some anti inflammatory meds, suggested for 4 days. Will start on Alluprinoal after I go for another check in couple of weeks. Thanks again.
December 20, 2017 at 9:32 am #6234
Uric acid can indeed rise higher after stopping allopurinol than it was before you started taking it. There is a difference with glucose and such however: it’s not the uric acid in the blood which is damaging your body. The main point of taking allopurinol is to get rid of the solidified uric acid that can build up in your body. Lowering the amount of uric acid mixed in with the blood is the way to do that. But once the solidified uric acid is gone, having a moderately high amount of uric acid in the blood for a while isn’t an issue.
The flipside of that it: it will likely take more than a few weeks to complete the cleanup.
December 21, 2017 at 4:59 am #6251
Jean ClyneParticipantŦallars: Ŧ 39.66
Good luck with the allopurinol, as suggested on many places on this site, start with a low dose and gradually increase it to your full recommended dose. It may be helpful to split dose to twice a day, hope you are being given good guidance on this. The interesting thing I found with foods that were reactive for me was that they tended to be things that have high histamine levels. Strawberries, tomatoes, mushrooms, spinach are a few that others on here have commented on as being reactive, are ones with high histamine levels. I wonder if there is a connection between gout and high histamine levels, or it might just be that many of these are high in purines as well? I try to eat a well balanced vegetarian diet, with many of the recommended gout friendly foods and now certainly feel 100% better than before. It is hard to change a lifetime of eating habits.
December 21, 2017 at 1:19 pm #6257
I have no idea what’s going on in your body but theoretically, histamines make more sense to me than purines as a cause to your reactions. It may also be something else that is often found alongside histamines in foods. Anything that gets the immune system in high gear could potentially end up triggering gout symptoms.
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