Category Archives: Most Interesting Gout Discussions Index

Most Interesting Gout Discussions Index is a list of Gout Forum discussions that attract the most interest.

Obviously, they might not cover the topics that you need. Because these hot gout topics are based on averages from all gout sufferers. But, if you are interested in gout, you should be interested in the discussions listed below.Interesting Gout Reading photo Which gout topics are you most interested in?

You should also read Favorite Gout Info for Best Gout Support.

Why do you buy a Uric Acid Meter?

Gout with normal uric acid levels?

I’m new to this forum.

I was diagnosed with gout in 2014 by a podiatrist after getting an x-ray during what appeared to be an acute gout attack. The pain in my big toe was so intense I was unable to walk without crutches for a couple of weeks even on painkillers. I started taking whey protein several months before the attack and noticed I could not stand for long periods of time without my hips and feet getting sore. I put off going to the doctor until I had that attack.

Now other joints seem to be affected, my right thumb, and right hip. My hands sometimes get real stiff in the morning. I decided to get a uric acid monitor to see just how much uric acid I’m dealing with. I’m pretty sure I’m pricking myself correctly but the uric acid was at or below 3 mg/dl the two times I tested so far.

Is it possible to have gout without the hyperuricemia? Or are the crystals going straight to my joints for whatever reason?

Strawberries, Gout, and Histamines

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.

continue reading Naturopathy and Gout. Will vegetarian diet help?

Purine-free Beer for Gout

Allopurinol and beer

Hello,

I just went through my worst gout attack ever. My knee got so inflamed that I actually had to go to the emergency room to get 60 cc of joint fluid drained. The doctor had me on Prednisone for a few weeks, and now I’ve been on Colchicine for a week and he just filled a 100mg prescription of Allopurinol that I’m going to start tonight.
During this time I haven’t had any alcohol, coffee or sugary drinks and I’ve done my best to avoid any sugary sweets (candy).
Its been over a month, and I would really like to have a beer. My doctor recommended sticking with wine, which is fine, but with the warm weather coming, I’d like to be able to enjoy an ice cold beer or two. My question is, with Allopurinol, is this safe and if I refrain from the other items I mentioned, would it be ok/wise to have to go back to drinking beer? If not, is there any other option other than wine?


As well as allopurinol and beer, this topic also discusses Does CBD help gout?

Uric acid crystal dispersment - where can they go?

Gout pain finally gone, but swelling persists

This popular topic answers some individual questions about persistent gout pain. So I urge you to read BigAl’s question and replies below. Because they give a good insight into different aspects of lingering gout pain control. But first, you should read some relevant gout facts. Then you can add to this discussion with your own questions, experiences, and opinions.

Gout swelling won’t go away.
See Heat Or Ice For Gout Relief. Because this compares two ways to reduce gout swelling.
Gout pain gone but still swollen.
See 3 Unusual Signs Of Gout. Because this looks at unusual aspects of swollen joints.
How long for gout swelling to go down?
How long does gout flare up last? Because this explains the factors that affect how long for gout swelling to go down.

Original question follows…


Hi, all.

I’m 37 and had my first attack 7! Years ago and when to a&e thinking I’d broke my toe as and whacked it running up the steps the night before. Was told it was gout and given a course of colchicine.

Three years after that I had another attack after a stag weekend (I knew the trigger).

Both these in my left toe.

Now a further 3-4 years on I have my 3rd after another stag do (I should really give these stag parties a miss)

Anyway, I went to the docs who tested my blood and I was .401 which she said I was just over the normal range. Before placing me on allopurinol she wanted me to lose 2stn (I’m just into the obese category with a BMI of 31) and increase my water intake as I’m usually just tea and coffee.

Anyway, that’s my history. My first attacks in my left foot went after a week or two and that foot is I would say 100% normal. This 3rd attack which is the 1st in my right foot has gone pain wise… it took about a month but some gout swelling and redness persists which is holding me back in terms of exercise.

Does it normally take so long to go? What can I do to assist it along?

I’m also drinking black cherry juice to help with my levels of uric acid.

Thanks


Uric acid crystal dispersment - where can they go?

Gouty swelling in left toe even after gout pain has gone

Gout Pain Relief Patches

Pain relieving patches for Gout

I’m a 63-year-old male who’s had gout for 15 years.

In my case, Predisone or MethylPREDNIsolone gets rid of the pain and swelling in 6-8 hours depending on when You catch it. Long-term predisone I know is not the answer.

I’ve become a vegetarian and drink beer. My outbreaks are not severe anymore. I steam veggies then add tomato sauce on them.

On most recent flare up which of course happens during the night I applied a pain relieving patch on my big toe joint and 2 hours later I could walk pain free. Before I would use Acetaminophen for pain but it can cause damage to your liver if you overuse it. So now I use the patches. It says for minor aches and pain relief. The patches are used primarily for the shoulders, upper and lower back. But I cut mine down to fit my toe.

There’s no pain but the uric acid crystals are still in the joint and depending on what activities you do there could be some swelling throughout the day. The patches last for 8 hours and is basically a pain relieving ointment on a breathable cloth. People on blood thinners like myself cannot by certain patches because one of the ingredients is a NSAID But there are other brands without that ingredient so read the drug facts!!


Gout Pain Relief Patches

Which are the best patches for relieving your gout pain?

New Sufferer saying hello to Gout

Hi there

My name is Gavin, I turned 40 in Jan this year and been suffering with flare ups since then 🙁

No family history but my diet has always been varied and fairly healthy although I am no doubt overweight and as a CAMRA member in the UK I do like to put a few ales down! Well, those have been on the back burner now for nearly 3 weeks since my worst attack to date which has now been going on and off for 3 weeks with a major flare up each week.

I recently invested in a Benecheck uric acid tester and I’m testing myself daily. When I started I was up at .44 mmol/l I’m now down to .37 and hopefully continuing in that direction. It’s been tough though I have to say but I am determined to hang in there and get into the safe zone before I then start to look at how normal I’m going to be able to get my diet back to although I don’t see it ever being the same as before.

I’ve been prescribed naproxen for the pain with limited results. No allopurinol but j can see that it may be the only way forward, at least to help to at least get my weight down. ( I was playing football weekly before Xmas but after playing for the first time this year last week I have now had 2 separate flare ups ).

Anyway hello to all, any tips/advice that anyone has for a newcomer would be greatly appreciated!


Feburic-20-40-80 photo

Feburic, gout and protein powder questions

This is going to be a long post. So please bear with me.

I am a 29 year old male from India. I have recently been diagnosed with elevated uric acid levels in my body.

I am an eggitarian(eat about 2 eggs per week) and I take protein supplement everyday(1 serving of Protinex – about 9g of protein per day) and it is SoyProtein. I doubled my protein intake for 3 months last year(about 24g of protein per day) because I felt weak and I had protein deficiency previously. In early January 2017 I noticed pain in my toes during the night when I tried to sleep. I noticed that everytime I had an omlett afterwards the pain seemed to return. And it started happening more frequently later on. On the pain scale I would say a pain of about 6 for 10 mins. Usually it went away on it’s own after sometime. But since the frequency increased I knew that my excessive Protein intake might be a culprit and I visited a doctor on Feb 20th, 2017 and the Uric acid blood test showed 7 mg/dl. I was told that my Uric acid levels are higher than normal and I have to take medication for that. I was put on feburic 40 mg for 6 weeks. I asked my doctor if I can continue taking Protein supplement and he said that it could be taken without any issues. Now I reduced my dosage 6-7g of Protein per day. And on April 1st,2017 I had my second Uric Acid test and the result showed 4.0 mg/dl. I was happy with the Uric Acid level reduced to an extent but my doctor said that I have to continue for another 2 months and he was anticipating my Uric Acid to be less than 2.0 mg/dl with the dosage prescribed. However I had a lot of issues when I was taking the feburic 40 mg medication – suffered from sleeplessness throughout my dosage and initially for the first week I suffered shortness of breath as well. Because of these effects I wasn’t able to concentrate on work and had to stay home for 3 weeks. I have a few questions on the Uric Acid level.

continue reading Feburic, gout and protein powder questions

Joint stiffness with Allopurinol

Hi everyone,

My doctor switched me from Febuxostat to Allopurinol since I started experiencing insomnia when I took febuxostat for 1 month. I started Allopurinol just yesterday and I had very stiff left shoulder and elbow joints on my left side when I woke up today. I just ignored it and took the dose today but as the day progressed my right shoulder and elbow joints also got quite stiff and it seems that my stiffness is affecting my spine also now. from what I read many people take allopurinol for long term without any serious side effects but I am having achy joints on the second day itself. Would it go away gradually or should I revert back to febuxostat and search for solutions for my insomnia. ALso which medicine has adverse side effects when taken in long term. I am just 29 now and I am already struggling with terrible left knee after 3 surgeries on that one and now this gout diagnosis is preventing me from attending my office regularly. Please suggest how do I deal with this.


Monitor your Gout Pain

Mild gout attack? What are mild gout symptoms?

Hello all, about a year and a half ago I had my first gout attack and since then I have had a further two attacks. All three were within 6 months of one another, in my ankles, and were excruciatingly painful. I haven’t had an attack in 12 months.

Yesterday I noticed a dull ache in my left ankle and today it has become more painful, I would describe it as being similar to the second or third day of an acute attack after the most severe pain has subsided.

Though this feels like gout it is different from my previous attacks, specifically in that I have not had the usual mind-blowing pain. So I am curious, is this likely gout? Can you have a ‘mild’ attack that doesn’t deliver the usual ‘glass in the joint’ pain that we all know?

It might seem a pointless question but any feedback would be appreciated.
Chris


Are Gall Bladder Removal and Gout linked?

Are Gall Bladder Removal and Gout Related?

Gall Bladder Removal and Gout

I had my gall bladder removed a few years ago and since then I have noticed the gout creeping in.
Is there any significance with that? Because of the digestion changing (no gall bladder).

That message from a lapsed GoutPal member started a long discussion about gout and gallbladder. Keith concluded:
Is there a link between gall bladder removal & gout? You need to look at all the circumstances. Is it just surgery that is the problem, or is there a gout link?

Several gout sufferers joined the discussion to say they had gout after gall bladder removal (cholecystectomy). But, nobody supplied any useful, relevant facts. We rarely got the time difference between surgery and gout symptoms starting. We never got any uric acid blood test results.

One member introduced the related topic of gallstones. Lea and son both had a history of gallstones. And both developed gout. They wondered if they had done something to start their gout problems. Brian, a GoutPal regular back in 2008, responded:
“The tendency to have gout runs in families so it is very possible that you didn’t have to do anything. There is no gout gene but there seems to be genes that predispose people to develop hyperuricemia, too much uric acid in the blood. For many gout sufferers, the hyperuricemia precedes the gout often by as much as twenty years. You and your son might have these genes.

Though younger men do develop gout, it is far more common in men over forty. Bile is produced in the liver and stored in the gall bladder. There it becomes more concentrated. The bile does several things including carrying substances (including uric acid) from the liver into the intestines where the uric acid is eliminated. About ninety percent of the hyperuricemics are termed “under secretors” because they do not secrete enough uric acid from their bodies. This lets the uric acid build up in the blood and contribute to gout attacks. About thirty percent of the uric acid is secreted through the intestines in the feces. The body guards the bile very jealously. When the bile has finished transporting the uric acid and other substances, the body reabsorbs the bile through the intestinal lining into the blood. The bile is extracted by the liver and then restored in the gall bladder. Any substance that the body guards jealously is important to the body.”

Keith’s conclusion is:
There is little evidence to suggest a link between gall bladder removal, and gout. Without detailed case histories, including uric acid blood test results, it is impossible to say. The significant points are:

  • “Cholecystectomy does not significantly increase the risk of fatty liver disease” has significant information, though it is not a gout study. Over 34,000 subjects were analyzed. People who had gall bladder removed showed no significant change in uric acid levels.
  • There are several reports of surgery increasing uric acid level, but this is short term, and not conclusive.
  • Where gallstones are present, they should be analyzed for uric acid content.
  • There are “between the lines” suggestions that some people who are susceptible to gall bladder problems, might also be susceptible to gout, through poor eating habits.
  • Uric acid deposits in the gall bladder might cause damage that necessitates surgery.

As with all aspects of gout, gall bladder involvement has to be investigated on an individual basis. I’ve included this in the Secondary Gout Group, as there is a suggestion that gall bladder removal might cause gout. However, all the evidence suggests that a connection is unlikely. Therefore, gout sufferers who suspect gall bladder problems need to discuss their situation with their doctors. If problems that led to gall bladder removal have been resolved, but uric acid is still high, then they must decide which form of uric acid control is best.

What is your experience with gall bladder removal and gout?

Are Gall Bladder Removal and Gout linked?

Are Gall Bladder Removal and Gout linked?