September 5, 2017 at 11:35 am #5603
d qParticipantŦallars: Ŧ 340.34Rank: Scholar
Over the last 3 years / 3 gout attacks I have noticed two have come in the Summer and one has come after starting Allopurinol. Putting the Allopurinol attack to one side for obvious reasons I was wondering when you statistically experienced your attacks more often. I have tried to forcefully believe that colder temperatures are generally a recipe for an attack but from my experience it seems as if this is definitely not the case. This has got me thinking “Why are my attacks always in summer”. I came up with the following possible findings and was wondering if you believe they merit further investigation / study?
My Experience Approach:
The heat in the foot causes expansion which result in either;
a) crystals being pressured into breaking free causing an attack.
b) the general build up of temperature inside the foot liquefies or scales down crystals dislodging themselves or others nearby (think polar ice caps).
c) frequent perspiration causes dehydration which increases UA concentration.
d) longer days which results in more exertion on joints
Possible Scientific Approach:
a) The heat in the summer causes additional perspiration all over the body including the feet. The perspiration causes a drop of magnesium which helps control heart rate and blood pressure. Now as a result this keeps the blood moving smoothly around the circulatory system until the body can expel uric acid. A little more information can be found here.
b) Cherries and Tomatoes* are more abundant and people consume more of them during these months causing a potential down shit in Uric Acid levels which would naturally dissolve fragile crystals in the joints.
Now these are just my findings during my experiences. As it stands I am beginning to believe winter is actually a better time for me however I am in total agreement that UA should be constantly monitored and controlled.
I’d also like to hear what the general website visitors experiences are.
*Some say these increase Uric Acid levels however.
September 5, 2017 at 7:50 pm #5605
nobodyParticipantŦallars: Ŧ 470.84Rank: Scholar
I assume there are several effects at work and that one of them is as you mention that the blood can hold more UA when the temperature is higher, resulting in a effect similar to mild ULT. For what it’s worth, my longest attacks have started in the spring.
Temperature might affect UA excretion outside of dehydration. But I’ve noted weight loss before some summer attacks. So dehydratation might well play a role.
I’ve had attacks after being out in the cold too.
I guess if you mostly stay inside and dress warmly in the winter, you’ll exeprience less temperature variations than you do in the summer.
September 14, 2017 at 4:33 pm #5713
PatrickParticipantŦallars: Ŧ 106.86Rank: Scholar
Hey dq, buddy. Sorry I haven’t been around much. Summer in Los Angeles is a bear, and with wildfires burning all over the state, our Fire Department has been bouncing around all over. At one point, didn’t see the wife and kids for 11 days!!!
Anyway, back to the quetion. I have had major flare ups in both summer and winter. It didn’t matter. 2 of my biggest flare ups were in Summer, and 1 major one was in the dead of winter. I’m not really sure what the scientific correlation is, but I have some theories, at least as it pertains to me personally.
In summer, hydration is key. I find myself drinking tons of water, especially during fire season. BUT…I found when I didn’t stay hydrated, I would get an attack. In LA, it can easily top 100 degrees for weeks. It is imperitive to stay hydrated. That is one aspect. Another….summer is a time for more outdoor activities, which leads to bad eating and drinking habits. Again, me personally, not you per se.
But I also have a winter home in the mountains. I love to snowboard and have been in temps well below freezing and I never found a link between cold extremities and Gout, even though Keith has mentioned this before. I do know that your bodies metabolism slows when the weather is colder, but I haven’t really read up on the link between cold and Gout. I used to sleep with socks on in the winter to prevent my feet from being cold and hopefully preventing attacks. Not sure if it actually helped though.
All I know is before I controlled my Uric Acid with Allopurinol, I was so hyperconcerned about preventing attacks that it didn’t matter where I was, or when it was. I just was really prepared for it. Hope all is well.
September 15, 2017 at 10:42 pm #5716
d qParticipantŦallars: Ŧ 340.34Rank: Scholar
@nobody – exactly. Your spring temperatures may very well be our summer temperatures which further leads me to believe that the heat plays a vital (yet negative) role in when attacks occur.
@Patrick – Yea I’ve heard about those catastrophic wild fires. I’m sorry to hear your going through a tough time mate. It must be even tougher being away from your family for such long periods of time 🙁
I admire people like you honestly. It’s people like you that save lives and families daily. After reading your experiences above (2 major attacks in summer compared to 1) it further cements my theory that summer temperatures can have more of a negative impact then colder temperatures in attack occurrence (well with me anyway).
@keith – I’d be interested to hear your experiences mate?
September 25, 2017 at 9:46 am #5748
Keith TaylorKeymasterŦallars: Ŧ 1138.53Rank: Scholar
I’ve summarised my thoughts in Seasonal Gout. But one statistic I forgot to mention is the split between highest and lowest seasons was something like 27% & 23%. So given that and the fact that there is statistical differences between which season has most gout, I’d say this is a non-issue.
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