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Gout Advice #15047260 07/13/20
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luv2safari Offline OP
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YIKES!!! eek

This is new and not altogether fun. My first gout bout came a week ago, and the meds aren't doing wonders.

How do those here who get it get rid of it? I've changed my diet, but carbs aren't a smart option. My glucose is a bit elevated---pre-diabetic.

I'm all ears ( and a big red foot).


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Re: Gout Advice [Re: luv2safari] #15047285 07/13/20
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BillyGoatGruff Offline
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They only thing in my diet that seems to affect it is gluten, which I shouldn't eat anyway. That and not getting enough water. The tart cherry seemed to help in the beginning when I couldn't figure it out, but luckily in my case if I drink enough water and stay away from the wheat products. I'm fortunate in that I tolerate the allopurinol and it keeps things at bay by and large.

So I guess all I can say to help is drink a lot of water and maybe try adding in the tart cherry extract.

It sucks balls.

Re: Gout Advice [Re: luv2safari] #15047298 07/13/20
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AB2506 Offline
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Drink lots and lots of water. As you said, watch your diet. Get a good anti-inflamatory prescribed. When you feel an attack coming, get that AI running by doubling the first dose. If you get ahead of the inflamation, you can reduce the severity and duration.

I have Vimovo prescribed. Easy on the stomach.

Re: Gout Advice [Re: luv2safari] #15047308 07/13/20
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Spotshooter Offline
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Go get some bitter cherry juice and drink a couple glasses of it and it will do wonders... it’s the only thing that worked for me.

Try it

Re: Gout Advice [Re: AB2506] #15047317 07/13/20
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BillyGoatGruff Offline
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Originally Posted by AB2506
Drink lots and lots of water. As you said, watch your diet. Get a good anti-inflamatory prescribed. When you feel an attack coming, get that AI running by doubling the first dose. If you get ahead of the inflamation, you can reduce the severity and duration.

I have Vimovo prescribed. Easy on the stomach.


Dittos on the anti-inflammatory, but be careful on the dose. I've got icthamycin or something (green caplets) and it works but is hard on the stomach. I'd not take more than the prescribed amount no way no how.

IC-A

Re: Gout Advice [Re: luv2safari] #15047323 07/13/20
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Drink lots of water. Any medicine giving to me to lessen the pain seemed to do little. I had my first attack 1 1/2 years ago and suffered 3 attacks in one year. I am now on 100mg Allopurinol and since I have started it I have not had a problem. I have slowed down my beer drinking, which all of my attacks could be attributed to a beer event, like football tailgate, etc.

My sons both have severe gout problems and one is one 300mg and the other one 500mg to control the gout.

Re: Gout Advice [Re: luv2safari] #15047324 07/13/20
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BillyGoatGruff Offline
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Last thing I'll say is gout varies widely. Both the triggers, and the treatments that work for you. What works for one guy may not work for you. I found that out too.

Re: Gout Advice [Re: BillyGoatGruff] #15047339 07/13/20
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windridge Offline
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Originally Posted by BillyGoatGruff
Originally Posted by AB2506
Drink lots and lots of water. As you said, watch your diet. Get a good anti-inflamatory prescribed. When you feel an attack coming, get that AI running by doubling the first dose. If you get ahead of the inflamation, you can reduce the severity and duration.

I have Vimovo prescribed. Easy on the stomach.


Dittos on the anti-inflammatory, but be careful on the dose. I've got icthamycin or something (green caplets) and it works but is hard on the stomach. I'd not take more than the prescribed amount no way no how.


Probably indomethacin. That stuff is murder on stomachs.


TV has become nothing more than the Petri dish where this country grows its idiots.
Re: Gout Advice [Re: luv2safari] #15047350 07/13/20
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I took the prescribed indomethacin until the flare-up was over the last time then started allopurinol.

Re: Gout Advice [Re: windridge] #15047354 07/13/20
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Originally Posted by windridge
Originally Posted by BillyGoatGruff
Originally Posted by AB2506
Drink lots and lots of water. As you said, watch your diet. Get a good anti-inflamatory prescribed. When you feel an attack coming, get that AI running by doubling the first dose. If you get ahead of the inflamation, you can reduce the severity and duration.

I have Vimovo prescribed. Easy on the stomach.


Dittos on the anti-inflammatory, but be careful on the dose. I've got icthamycin or something (green caplets) and it works but is hard on the stomach. I'd not take more than the prescribed amount no way no how.


Probably indomethacin. That stuff is murder on stomachs.


That's it! It's awful.

IC-B

Re: Gout Advice [Re: windridge] #15047366 07/13/20
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duck911 Offline
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Originally Posted by windridge


Probably indomethacin. That stuff is murder on stomachs.


That's the stuff. It will help stop acute gout attacks - but it is not for long term treatement. That's the role of Allopurinol. Anywhere from 100mg to 375mg a day is the usual Allopurinol dose for gout.

I had gout, but with diet and a few changes I was able to get off the meds, and I am all good now.

My triggers were red wine, heavy beers (homebrew, IPAs) and shellfish.

Now I limit shrimp and lobster, drink lighter beers (or distilled spirits) when I drink, and I am good to go.

But DAYUM........... Anyone who has not had it.... does not understand the pain.


The DIPCHIT ADD, after a morning of drinking:

You despair, repeatedly, constantly! daily basis?
A despair ninny.
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Re: Gout Advice [Re: luv2safari] #15047367 07/13/20
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TheKid Offline
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Me and an old buddy got a sweet gig once when I lived in Alaska. Deal was we’d peddle live Dungeness crabs on the street corner after work in the evenings. Payment was all the crabs we could eat.

We were both eating 2 or 3 for lunch at the shop and another 3-5 for supper every night. Boil up a big batch on Sunday and stash them in the work fridge, house fridge, deep freeze, we had them everywhere and the guys we worked with always complained when we’d microwave a few at lunch.

Anyway this goes on for about 5 or 6 weeks when all the sudden he’s wearing his house slippers to the shop because he can’t get his shoes on his big red swollen feet. His knees were locked up and red, swelled up like cantaloupes. He had no idea except that maybe he’d managed to sprain his entire lower body slipping on the ice or something! Oh well he still had lunches and supper fit for a king.

Finally a Dr buddy of ours, who also suffers from gout got wind of what was up and looked him over. He proclaimed it possibly the worst gout attack in the history of mankind!

He eventually got ironed out with some meds and diet change but we laughed about it until the day he died. He was very susceptible to future flares afterward, a six pack or even one king crab cluster and he’d be back in house shoes for a week.

Sorry, not laughing at you and I hope you’re better soon. I just get reminded of him anytime gout is mentioned.

Last edited by TheKid; 07/13/20.
Re: Gout Advice [Re: luv2safari] #15047382 07/13/20
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hanco Online Content
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A couple of guys at work get that. They talk like it is no fun at all!

Re: Gout Advice [Re: luv2safari] #15047397 07/13/20
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ready_on_the_right Offline
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No alcohol, no pork, if on a diuretic BP medicine see if your doc will let you try a version without the diuretic (worked for me),

Heard a laxative would help clear out acid from your system but never tried it,


It definitely sux!

Mike


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Re: Gout Advice [Re: luv2safari] #15047414 07/13/20
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BillyGoatGruff Offline
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I spent 30 days living on steak, pork chops, and gin. Only added celery to keep things moving. Literally. No gout issues at all. I have a buddy that can't even look at a venison roast or steak, or have anything with high fructose corn syrup. It varies so widely. They work on curing the queers of AIDS but not gout lol.

Re: Gout Advice [Re: ready_on_the_right] #15047466 07/13/20
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Fugawe Offline
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As I've said before, see a good rheumatologist. They will straighten you out, probably with Allopurinol. Purine is the element that triggers gout attacks by causing you to produce too much uric acid. Lots of it in shellfish,
organ meats and other things. I went to a GP who put me on Allopurinol too early and I had an attack that lasted over a week. All inflammation must be gone before starting it.
Colchicine did the trick for me.
My rheumatologist got me on Allopurinol, properly, 19 years ago and I haven't had an attack since.

Re: Gout Advice [Re: luv2safari] #15047478 07/13/20
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ltppowell Offline
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Originally Posted by luv2safari
YIKES!!! eek

This is new and not altogether fun. My first gout bout came a week ago, and the meds aren't doing wonders.

How do those here who get it get rid of it? I've changed my diet, but carbs aren't a smart option. My glucose is a bit elevated---pre-diabetic.

I'm all ears ( and a big red foot).


Get to a
rheumatologist before you do anything else.


Trump Won.
Re: Gout Advice [Re: luv2safari] #15047507 07/13/20
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hatari Offline
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Dude, gout is a M’fer for sure. Crippling in an indescribable manner.
Colchicine fur the acute attack
Allopurinol daily for prevention

SLOWLY lose some weight. Often 15-25 lbs makes a difference.

Crash diet will bring on attacks.

High protein low carb plus alcohol is suicide!!!

Good luck!


"The Democrat Party looks like Titanic survivors. Partying and celebrating one moment, and huddled in lifeboats freezing the next". Hatari 2017

"Hokey religions and ancient weapons are no match for a good blaster at your side, kid." Han Solo
Re: Gout Advice [Re: luv2safari] #15047525 07/13/20
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My gout started about 10 or 12 yrs ago - wasn't sure what it was first few episodes. Flares up in big toe or ankle (worse than in toe!). Only reasonable connection I could make to diet was flareups early on seemed to be connected to eating scallops. Stopped eating them, maybe someday I'll try some again to see what happens - I really liked scallops. No correlation to beer consumption or anything else. Doctors said that lots of time it really can't be traced to diet.

Most NSAIDs didn't help me - went thru motrin, naproxen, maybe some others until I got script for indomethacin. The indo worked well to knock down flareup, no noticeable side effects for me taking it for 3 to 7 days, but the cardiologists took that away from me a few yrs ago. Tried colchicine - useless for me. Ended up with script for prednisone (a cortical steroid), it works, but takes longer to work than indomethacin and you have to go thru a taper off dosage for a week - I don't like taking it. Wasn't getting flareups often enough to use a preventative like allopurinol. Haven't had a flareup in well over a year and a half now - no real changes in diet or lifestyle except lost about 20 lbs. Blood work still shows slightly elevated uric acid levels, so probably not over it. Good new is my current doctor says if I need it he's ok with giving me a new indomethacin script - says that taking it for just a few days isn't the risk to cardio system that some people make it out to be.

If you end up with an NSAID prescription (like naproxen, naprosin, indomethacin etc) make sure to follow instructions. Don't take on empty stomach, and use prescribed dose. I made mistake early on of trying to use half prescribed dose of indomethacin worrying about side effects - bad idea - stretched out gout episode, would last 5 to 7 days. When I took right dose it would ease up the gout in 2 to 4 days. Once I learned to recognize first signs of flareup I could use the indo for just 2 or 3 days and avoid a full attack.

Re: Gout Advice [Re: luv2safari] #15047543 07/13/20
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Thirty years of experience here. Big toe. Ankles, knees, knuckles, and a few other places. It can get to kidneys. I can no longer take nsaids due to chronic kidney disease, possibly from nsaid treatment. Only recourse now is copious intake of water (keep your urine straw colored to almost clear), allopurinol daily (I recently had to go back up to 100mg from 50 per day), and stay away from shellfish, asparagus, red wine, dark beer, too much red meat, and everything fun and tasty. I used to take a dose of Joggin in a jug daily but can't find it any more.

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