Who Else Here Has Gout?

Gebe

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I'm recovering from my third serious bout with gout in the last 8 years.

I can go for 2-3 years without an attack and then suddenly, it hits me and I can't walk.

How many of you have had gout attacks in the last several years and what do you do to treat it?
 
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Gout is caused by excess Uric Acid. Too much and you get Gout with a capital G.

I gave up 25 years ago, after 3 crippling attacks, and take 100mg Allopurinol daily. Have not had an attack since.

My doctors have told me that once you have elevated Uric Acid, it is near certain that it will be necessary to take controlling meds the rest of your life.

Allopurinol is a very old med. It was 'old' 25 years ago. A three month prescription costs me $5.95, with no insurance payment.
 
I unfortunately have the worst gout of anyone I have ever met. Thats saying a lot seeing how i'm a paramedic and have seen lots of gout. I had my first "big toe attack" when I was in my mid twenties. I have since had hundreds of attacks from my toes, ankles, knees, wrist and elbows. I would have to say the knees and elbows are the worst. I have had to have gouty fluid removed from my knees on three different occasions. I have splints for most all my extremities. Isolating a gouty joint so it doesn't move really helps when your having a severe attack. You should have a blood test done to test your uric acid level. Uric acid is what causes gout. High uric acid can't be processed through your liver and filtered out of your blood very efficiently if you have gout. The uric acid forms crystals in your joints and that is what causes the pain and inflamation. I am not sure of what a normal uric acid level is, but I believe it is around 2. Mine has been as high as 8. Usually above 4-5 causes a lot of pain for me. It takes a long time to reduce uric acid levels. I take allupurinol daily for gout and indomethecin for break through pain and I keep lortabs when it gets unbearable. Theres a med called cholchicine that gets rid of gout really fast, but I wont take it if there is any other choice. It causes uncontrolled diarrea and vomiting in some folks. I'm one of them. There is nothing worse than having to run to the bathroom when you can't walk. I don't know anything about the new med Uloric. My doctor says it is the same thing as some of the other meds, but cost more.
 
I have had a couple of attacks, widely spaced. The last time was last summer. The doctor prescribed prednisone, which took care of the inflamation. However, within about a month, barely detectable diabetes became much more severe. After months on oral meds, I have just started insulin. I don't know if there was a connection, but I know that steroids, as well as stress and infections can cause elevated blood glucose. If you are diabetic, be very careful that the doctor is well aware of that before he prescribes any medicine.
 
I have not had an attack for several years since I started taking Allopurinol on a daily basis. There is no doubt it is very painful.
 
I have had a lot of trouble with gout in the past but not lately. What works best for me is indomethacin. It does have some side effects that bother me some, but it really helps. I think it works to take the swelling down and that gives relief.
Gout is sort of a precurser to kidney stones. You will think gout is a picnic in comparison!
 
I have personally never had gout but have seen it on numerous time under the microscope. It polarizes and looks like needles that white cells gobble up. Its no wonder that it hurts so bad. I hope you can get some relief. Doeboy
 
GaMedic, I had gout similar to yours before I was put on Allapurinol, I've never had another flare up after assimilating it. My elbows looked cartoonish and I had much fluid removed, kind of a pinkish looking ****.
I'ts odd it hasn't worked for you, I feel for you man.
Watch the smoked meats, shellfish, beer and everything else guys like to eat. Fresh fruit also seems to help me alot.
Good luck to all fellow Goutians.
RD
 
My understanding is there are two types of people with elivated uric acid. Over producers & under excreters, I am the latter, allopurinol does me no good, I still get attacks.

I take prednisone to reduce swelling & thus reduce pain during attacks.
It's about the only thing I've found that helps. My advice is "If you like it, you can't have it". Lots of water to flush your system seems to help me to recover from an attack.

Beer, red meat, shell fish, & asparagus are my favorites, & they are all high on the gout 'do not eat' list. If I have shrimp for dinner, I WILL have gout by breakfast.

Jim :(
 
'Nother Gout guy here.

Straight cherry juice is something else that's good for folks with gout BUT I've also heard (read?) that if you drink it during an attack, it'll make it stick around longer. I can say that I first used it during an attack and that one lasted about 4 weeks. Coincidental or not, I honestly don't know.

The knuckle behind my left big toe is more prominent than the same on my right because of gout. I live in fear because for me, there's no way of knowing when it's gonna show up.

I just can't wish everyone here that's inflicted enough luck in keeping it away.
 
Complications

My advice...have your heart checked. I had gout when I was younger-bad, bad, bad-then high BP and finally a heart attack. Some Docs will say it's not related-others will differ.
 
I usually get gout in one ankle at a time, sometimes both together. Between colchicine and motrin I can usually make it through and still function.

I recently had my first attack in my knee. Sum of a beach...I wouldn't wish that on hardly anyone (a select few I wouldn't mind getting it).

This one took me out of work for two days, I couldn't walk, crawl or otherwise move around without unbelievable pain.

What is scary is I still wouldn't call the pain on that 10/10 because I know there are things lurking out there that are much more painful, but not many.

bob
 
Since the last five years or so I get an attack once or maybe twice a year, tops. And one hit last week and it's the first time I have residual pain left over in my big toe. Hope that goes away. My wife buys pure cherry juice for me and I have a glass every morning. It's not that expensive and is always on sale at one of two stores. This last attack might have been the worst ever. Even when it's not the worst, the weight of a bed sheet feels like an anvil on your sore toe or foot.
My dad had gout and made a box to stick his foot in under the blankets. I like beer, shellfish, and red meat but the beer is what I intake on a regular basis of those three. I don't know if cherry juice is an urban myth but if I get gout only once a year (lasts a couple days for me), maybe it does work.
The pain I felt last week was the worst I ever encountered. It took pain to a new level but seems trivial compared to what Gamedic described. Knowing what one big toe feels like is bad enough, but to endure his attacks in beyond comprehension. Sometimes the pain is deep for me and you can't just point to the spot. The swelling is minimal compared to the pain, for me anyway.
Thaks for bringing this up. That one medicine a few of you brought up sounds encouraging. I'm finishing the book "The Boys Of '98" for the second time and General Shafter in Cuba during the Spanish/American War had, it's described, a "gouty leg". And bounced around in a buggy to get around. I felt his pain, man! But, it's preferable to a 7MM Spanish Mauser bullet zippin' through you. (Hey. I made this gun related!)
 
Yep have had it since I was in my early 20's.Dad and Grand dad had it too.Dad couldn't eat too much fresh pork.Grand Dad couldn't eat a lot of red meat.Mine goes off when i eat too many mixed nuts or drink too much beer.The later isn't a problem.I dont drink much beer.Like my whiskey though.Allipurinol works for me too.If I do have a attack, it's a doozy.Medrol pak of steroids and all is well.Another good benefit of the steroids is I don't hurt any where else either.Kicks old"arthur's"butt.
 
My last real bad case of gout was at the worst possible time, 7 years ago on theresa`s wedding night! Theresa also was in bad shape with her back needing to use canes! Theresa had went from bedridden to walker and was on two canes when we met. She had injured her back.
Like wyatt said, theresa also built me a "tent" by my feet to keep the weight of the sheet off my feet. Seafood seems to be the worst for me.
If it tast`s good, spit it out! Try to keep your feet dry and warm. If they get wet and you cant dry them off and it`s cold, chances are you will be fighting the gout.
The biggest danger of all is once you get the gout it`s also a big clue that you also have kidney stones in your future. If you think the worst pain is gout, you have a unpleasent lesson to learn if you get hit with a kidney stone!
 
Gout is caused by excess Uric Acid. Too much and you get Gout with a capital G.

I gave up 25 years ago, after 3 crippling attacks, and take 100mg Allopurinol daily. Have not had an attack since.

My doctors have told me that once you have elevated Uric Acid, it is near certain that it will be necessary to take controlling meds the rest of your life.

Allopurinol is a very old med. It was 'old' 25 years ago. A three month prescription costs me $5.95, with no insurance payment.

This is gospel,my sentiments exactly.
 
I have had gout for years, as well as kidney stones (6 so far.) Ironically, my first gout attack happened when I was on a business trip...and it was in my right ankle. I thought I must have sprained it in some way...but I couldn't for the life of me figure out how. Anyway, I went to the ER, and they told me it was gout. I've since had a number of episodes, always in my ankles or in the metatarsal joints (long bones of my feet), but never in my toes. Gout can happen in any joint...my dad has it in his elbow. I've even heard of it in the spine! Now that must be awful...

I secrete excess uric acid, and as a result also have kidney stones (uric acid stones, not calcium stones.) As I said, I've had six of those little lovelies...I had one when out of town on a business trip, one while we were at my son's college graduation, and the other four at home. One was so severe they put me in the hospital so they could keep giving me morphine. (That stuff is WONDERFUL!) The doctor told me the pain was similar to child birth, and I said no way! I've had three kids and none of them hurt like this! :p

I take allopurinol, and for years I took Indocin. For the last few years, I have been taking colchicine, but my doctor recently told me I didn't have to take it anymore. I still keep a bottle on hand in case of an attack, but I haven't had one (or a kidney stone) in several years now...knock on wood.
 
To those with gout, get your blood lead level checked. High lead in your blood can cause your uric acid to be high and cause gout.
 
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