UA dissolving crystals/pain identification when happening

Stopping Gout Together Forums Help My Gout! The Gout Forum UA dissolving crystals/pain identification when happening

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    • #9840
      peirre doyle
      Participant


      I have been taking 200 mg of Allopurinal for 18 months now, and with my recent 5.5 Uric acid reading, feel like things are pretty good. Within the last 2 days, after walking,exercising my big toe intermittently started to ache a bit. My question is if what I am feeling is the breakdown of the UA crystals? The toe was greatly swollen from my initial gout attack and has never full gone down to normal size. I do have an appointment next week with a podiatrist, not a rheumatologist as has been suggested here, but do feel confident in him. If anyone has any knowledge of what happens when the crystals break down it would be appreciated. Cheers

    • #9842
      nobody
      Participant

      Without expensive medical tests, I don’t think anybody can tell you what’s going on. You’re probably the best-qualified person to make a guess, based on your experience and how you feel exactly. After 18 months on allopurinol, surely you know how gout feels like, if only from the time before you were taking allopurinol (crystals can also dissolve when you’re not taking a drug).
      If you never had very high uric acid, perhaps the biggest difference you should notice between gout symptoms before and during treatment might be their duration. Of course any drugs such as ibuprofen you take to suppress these symptoms would mess with your ability to notice such differences.

      Certainly it’s possible you are still burdened by a few crystals.
      But you also have to be careful when making such assumptions because it could also be an infection (do you have a small wound in the area, were you bitten by a tick or something?) or something else that requires treatment. So it’s good that you’ll be seeing a doctor!

    • #9843
      peirre doyle
      Participant

      Thanks for the reply. I was guessing on what was happening, it seems the crystals may be breaking down. I never did get a wound or tick bite, so that is out as far as possibilities. Also, rarely if ever, taking any ibuprofen or similar pain meds, for gout, I can accurately say this discomfort is recent. In the back of my mind I do wonder if this may be another form of arthritis. But does it really even matter? Will discuss these developments with my doctor soon and for the benefit of those here, will post his response.

    • #9844
      nobody
      Participant

      As long as it’s a minor problem, it doesn’t matter much. That said, you can get another form of arthritis which gets worse over time as a complication from past gout.
      If it’s gout proper, this recent problem should go away on its own before long. It’s not very surprising to get occasional symptoms 18 months into the treatment. But if you had recurrent symptoms which kept occurring for 18 more months, it might be a sign your dosage is too low. Uric acid targets aren’t all that precise (and I’m not sure about the tests themselves). It looks like there’s a medical consensus around the notion that 5.5 could be too high for some patients.

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