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Don't eat rhubarb, either.


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yeah, per the docs instructions, I am actually off of the Allopurinal for right now. It could have had something to do with it, but it usually happens sooner than a month (most of the time, sorta crazy according to the specialist). What we think set it off was a couple nights prior, the wife and went out to dinner, and I had a big prime rib with a lot of wine that night.

* * * * *

Interesting to hear about the rhubarb.... another thing I love. frown

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I have gout on my right hand between the knuckles of my index and middle finger. Can't make a fist. Went to a orthopedic specialist and he wanted me to eat pills for the rest of my life.
I said nah and changed my diet and hit the gym. Stayed away from rich and fatty foods. Lost 27 pounds, still can't make a fist, no Big Pharma hands in my pocket, can squeeze a trigger, and there is no pain.


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100% pure cherry juice everyday will cure gout and make it go away...remember it has to be 100%pure,good luck!


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Beer,and organ meat is no good,plus red meat it has to be cooked thou,no rare steak,tomato's anything with acid,I had it since early 80s,flarups are no fun I've been doing good for 15 or so years,I don't want it to come back,worst pain I ever had.


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I have it, dad has it, he can't eat cabbage. I have about 1-2 flare ups in my big toe a year. Some years none. It do suck.


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I work with a Indian fellow in his 40's . He has been suffering from Gout for years and when he has the attacks it is real bad. He is a strict vegetarian and never eats any sort of Fish,Chicken or Beef . He is thin and is not carrying any extra weight. He never has the attacks when he is back in India visiting only when he is here.

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I have had arthritis since I was 18 and gout since about 30. I am currently 78+ and rarely have a gout attack (it is a type of arthritis caused by excess uric acid production). I have taken allopurinol for over 40 years and it works perfectly for me. I have actually never had a single Dr caution me about eating anything which is probably unusual but true. Mine actually affects only my left foot and ankle when it ever does flare up. But one allopurinol a day has seemed to keep it at bay for these many years.

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All I know is the frickin pain is unbearable. I thought many times that it would have felt better to just cut the damn toe off.



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Originally Posted by mack5511
All I know is the frickin pain is unbearable. I thought many times that it would have felt better to just cut the damn toe off.


that seems to be a common thought crazy my dad swears the pressure of a fan blowing across his foot hurt like hell during a flare up


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I stopped the doses of ColBenemid (probenecid and colchicine) before spinal cord surgery in 2007 because one of the interactions listed was with general anesthetics, it can intensify and prolong the effect. My big toe became so sore that I couldn't walk, so the physician injected it with cortisone. I also had stopped taking Naprosyn because it thins the blood, sort of a double whammy. During recovery the hospital doc saw my swollen foot and leg causing him to freak, embolism or something was his concern. I explained about the gout meds, he immediately ordered ColBenemid and Naprosyn, being that I wouldn't bleed after surgery and the anesthetic had worn off. I felt better right away.

I was diagnosed with gout as a teenager, apparently it's hereditary.

A few years ago it inflamed my entire right foot (my symptoms usually involve the lumbar spine), it happened that I was seeing an acupuncturist, so I scheduled an appointment. I could barely hobble into her office. Worse pain I ever had, worse than when a horse spooked and jumped on my foot with both hooves! When I stood up after a forty minute treatment, half the pain was gone. Two more treatments and there was no pain whatever, and it never returned. Sure my toe bothers me now and then, but that excruciating pain involving the entire foot was gone. What relief.

My wife keeps telling me to eat a half cup of blueberries every morning, she mixes them in with oatmeal, but they are supposed to reduce uric acid naturally. They are tasty, and preferable to the brain fog I am feeling from a 10 mg dose of hydrocordone I took two hours ago for arthritis pain in my neck where they took apart the vertebrae to remove the tumor. Pain that is keeping me awake, but drugs are faster than blueberries. Maybe I can get some sleep now. Good luck guys, and don't suffer with chronic pain, see a pain specialist.


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Originally Posted by Crow hunter
Originally Posted by UncleJake
Mack,
I actually started taking Allopurinal about a month ago, as my kidney specialist noticed that my Uric Acid levels were running high (10.6). I just wasn't even thinking about gout on Monday when it hit. Once the flare up is gone, I will be doubling my dosage (per the doc's instructions).


I almost hesitate to mention it, but your recently going on allopurinol is likely what caused your gout attack. Allopurinol works by breaking down the coating on uric acid crystals. By the time you have a gout attack you've likely had elevated uric acid levels for years. It's in your muscle tissue all over your body, but the only place it really affects is your joints. When you start on allopurinol it breaks down the protein coating on the uric acid and your tissue starts releasing it into your bloodstream where it gets filtered out by your kidneys. For the first month or so on allopurinol you actually have elevated uric acid levels in your blood as your body purges it and because of that some ends up in your joints and causes a gout flare up. That's the reason they start you out on a low dosage, if they started you out on the full dose you'd get a bunch more uric acid in your bloodstream and REALLY have a bad case of it.

Don't stop taking the allopurinol, just realize what's happening and that it will get better when your body finally gets rid of the stored uric acid. It took about a month on allopurinol for me before it evened out. Hang in there and drink as much water as you can.
Every time you piss you're getting rid of more uric acid and you're that much closer to getting it under control.


Great explanation, thanks!

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Had several flareups a few years back. Biggest issue with me is hydration. Drink lots of water and watch the rich foods (all that are high in purines).

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Originally Posted by rattler
for those that get these symptoms keep in mind that there is such a thing as pseudogout.....feels the same, acts the same but its a different crystal causing the pain so you need different meds as regular gout meds dont work....my dad went through hell till they figured out he had pseudogout and not the normal gout...


Yep, that's what I will get around my left ankle. In the midst of a flareup I had lab work done, and two different tests both came back negative for excess uric acid. They gave me the Indomethacin anyway, and it fixed it. After I moved back here I had another bout, and hobbled into a doc and asked for Indo. He gave me the script, but then told me about pseudogout.

Mine seems to be triggered by stress on the joint, like say I step off the bed of my pickup, and drop to the ground. I don't do dat no mo. frown


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Resurrecting an old thread here with some new info. So after switching to Miller beer and other lower end stuff, had no issues with gout for years. Recently developed a taste for Ranger IPA. Now laid up with gout attack in right big toe.

Googled IPA and sure enough, significantly more purines than normal beer. Gotta let this attack get over and going back to my cheap stuff. If you are a gout sufferer, I'd avoid the IPA types of brews. No where near as bad as kidney stones but this kind of pain would make a hunt about impossible right now.

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Sitting here on the couch reading this with my left foot up on a cushion. I hate this crap. Need to seriously change my lifestyle. Two nights ago big, juicy ribeye and we went thru two bottles of Pinot noir. Today GOUT

Flipping hate it

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I didn't read this whole thread, so if it's already been mentioned, I apologize.

There are more foods ON the list than not!
You have to figure out what triggers your flare ups.
Beer...is usually a biggie.
For me...it was iced tea. Which is a HUGE drag cuz I love iced tea!
I still drink a glass occasionally, and I can always feel it in my feet.

If you drink tea...give it a rest and see what happens.
Something else that will flare it up is extreme weight loss.
If I get on a hot job in the summer where I'll sweat off 5 or 10 pounds rather quickly, I'll get a flare up.
But...in the end, you have to find your trigger.
(but try the no tea thing)

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Red wines and seafood like shrimp trigger gout for me, and mushrooms............ luckily, I haven't had a bout in about five years, due to 400 mg. of allupurinol every day. I'd rather do without my BP pill than the allupurinol........


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Originally Posted by UncleJake
Anyone else here suffer from gout?

I just had my first gout attack this week. Monday night, I got home from work and noticed my right big toe was hurting like a banshee. I figured I must have broken it at work (I have broken both of my big toes in the past), but I couldn't recall how. Went back to work on Tuesday, and it got worse. By Wednesday, it was even still worse. Thursday morning, my whole foot was inflamed, and I left work after just an hour, barely able to hobble.

Our family doc got me in right away, and after a blood draw and a couple of x-rays, it was confirmed as gout.

So I am looking at diet in conjunction with meds and exercise. I was wondering if anyone else here has experience with gout, and if they have found any particular foods that tend to exacerbate it.

This is the list I am operating off of:
http://www.gout.com/causes-triggers...iQ#/treating-gout-pain/healthy-lifestyle

Some of the foods that are high in purine are beef and lamb, beer, spinach, oatmeal, and certain fish like trout. My question is (and my doc couldn't answer this), caribou is a red meat, and we have been eating a lot it after I just recently shot two out on Adak Island. Is it high in purine? or other wild game for that matter? And salmon, while a "red meat" fish, is a relative of trout, which is on the list. Does smoked salmon (I have it 2x a day, at least 5 days a week) have high purine levels also?

And are there other foods not on the list that people have found to cause flare ups?

I don't have a family history of gout, and so this is all very new to me. I appreciate any help that you guys would be able to offer.

Thanks,

Jake


I had it chronic for about a year, then changed my diet and it went away completely. No more problems at all and no more meds. I had been eating sardines and grapefruit for breakfast every single morning. Once I stopped those two foods, no more problems.


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Gout hit me again Tuesday, still too swollen to wear my boot or shoes this morning. Spent the last three days sitting in a chair alternating between the right foot on the ottoman or in a tub of cold water.

I was taking Sodium Naproxen every 4-6 hours and Friday night decided to take aspirin before bed, huge mistake, I never went to sleep and by 3:30 I had the filet knife and was ready to amputate my foot.

The internet indicates high purine foods cause the buildup of uric acid and naturally, being on a low carb, high protein, low calorie plan for the last 15 years, I question if this is really the cause in my case.

On the other hand, I know I was dehydrated after being about 3 lbs lower than normal for several days straight. I also recall being dehydrated the few days before a kidney stone, maybe three times in the last seven years. It seems logical, if the kidneys normally filter out uric acid along with the other waste products, and I don't drink and piss enough, and my eating plan leads to dehydration, and the coffee and diet sodas lead to dehydration.

I was asked me how bad it hurt, I said it's like hitting your thumb with a hammer...

...and repeating every few minutes.






Dave

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