Gout and other arthritis

Gout and other arthritis

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Discussion

Don1

Original Poster:

16,047 posts

213 months

Thursday 17th June 2021
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Anyone else suffer? I'm desperate enough to consider a meat free diet....

blingybongy

3,941 posts

151 months

Thursday 17th June 2021
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Don1 said:
Anyone else suffer? I'm desperate enough to consider a meat free diet....
Through my late 30s and 40s I used to get gout so badly I could barely walk.
I was then made redundant from my mad rusharound job and made the decision to slow down (I'm now a caretaker).
I have not had gout for years. Here are my thoughts on why.
1. Stress, this is now virtually non existent in my life.
2. Hydration, I used to drive for hours and not drink anything
3. Diet, I no longer touch liver(a big favourite) or kidneys.
Thats about it, in the last ten years I haven't had full blown gout once.
I've noticed it starting to twinge a bit a couple of times and have got rid with Ibuprofen and lots of water.
However stress was the big one, I'd get an attack exactly the same time as a stressful period at work every time which would take days to get under control.

Don1

Original Poster:

16,047 posts

213 months

Thursday 17th June 2021
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That is interesting - I do have a stressful role.

Thank you.

Al Gorithum

4,062 posts

213 months

Thursday 17th June 2021
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I suffer from it very badly if I drink too much beer.

blingybongy

3,941 posts

151 months

Thursday 17th June 2021
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Al Gorithum said:
I suffer from it very badly if I drink too much beer.
That doesn't trigger mine and I'm pretty sure never has.

I'd go with the stress at work as number 1.
It also usd to give me mouth ulcers, lots of them.
Never had one since.

knk

1,286 posts

276 months

Thursday 17th June 2021
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You should take allopurinol, titrated up until your urate is <300mmol/l.

That will mean you have no attacks of gout, any gouty tophi and crystals in joints will dissolve, it will reduce the chronic inflammation, and reduce your cardiac risk.

Speak to your GP.

Don1

Original Poster:

16,047 posts

213 months

Thursday 17th June 2021
quotequote all
Thanks, but it doesn't work on me. I've had it for nearly a decade, but recently it's every day instead of occasional attacks.

Throw in rheumatoid arthritis in a few destroyed joints (sport, it's good for you), means I don't enjoy life occasionally.

knk

1,286 posts

276 months

Thursday 17th June 2021
quotequote all
How high did you titrate the allopurinol? What is your urate?
An alternative to allopurinol to prevent gout attacks is febuxostat.

Rheumatoid is a completely different beast and tends to cause a symmetrical polyarthropathy of small joints. There are some really good disease modifying drugs, the biologics that a rheumatologist can initiate.

It is not related to osteoarthritis (wear and tear) which tend to affect large weight-bearing joints, hip and knee.

AB

17,246 posts

200 months

Thursday 17th June 2021
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I blame dehydration. I used to get it once a year for a couple of days, but I had an attack about a month ago and it was utterly horrendous, the throbbing and inability to walk which seemed to move around my foot starting in my big toe and moving underneath my foot and into my ankle.

It was bright red, throbbing and so utterly painful, worst pain I've ever experienced. It seems to have been there now for about a month on and off, the odd tingle, painful big toe. I seem to be over it just about, but I've got a horrible bunion looking thing left over and I can't see it going.

I have a Naproxen prescription from my GP which I use when I first get symptoms.

People who don't get gout, really don't understand how debilitating it can be.

sjc

14,221 posts

275 months

Thursday 17th June 2021
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Water , water, water …
And then more water !

so called

9,119 posts

214 months

Friday 18th June 2021
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Don1 said:
Anyone else suffer? I'm desperate enough to consider a meat free diet....
Hi Don, I think your suffering due to the TVR Sagaris driving position.
It will help you a lot if you give it to me. smile

I had a little Arthritis in my knees about 6 years ago.
I then injured one and after the operation, the consultant confirmed the Arthritis stating that my injured knee would only have 90 to 95
5 recovery.
Due to the period of waiting for the op and then recovery time my other knee started to suffer.
My mother had always said cod-liver oil was good for arthritis so I started taking it.
Today I would give both knees 100%.
Reading this thread, I assume my condition is Osteoarthritis.

By coincidence, my Doctor took me off Statins as I wasn't taking them properly.
The Omega 3 in the cod-liver oil along with a daily glass or two of red wine is controlling my cholesterol.

Also reading symptoms some of you are suffering from, I think my Wife may have Rheumatoid-arthritis.

Hope you find something that helps.



Edited by so called on Friday 18th June 13:53

Don1

Original Poster:

16,047 posts

213 months

Friday 18th June 2021
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You do realise this advise means no Sagaris transfer? biggrin

Thank you.

buckline

377 posts

168 months

Friday 18th June 2021
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Gout sufferer here, first time was around 4 years ago (37) on left big toe. It was the single most excruciating thing I’d ever endured. It took me around 3 weeks to get over it. After that I was fine, aside from the odd warning “tingle”.

The last 15 months however has been rough. 4 or 5 bouts, this time in my right foot somewhere in the middle. It forced me to walk on the outside edge of my foot for a week each time and as a consequence I’ve developed ankle problems. I’m pretty sure arthritis will come.

I’ve not gone down the Allopurinol route though it is tempting. I need to change my drinking / eating and drink more water, though he latter of which I am consciously doing now.

You all have my sympathy. It’s grim when it takes proper hold.

Ynox

1,722 posts

184 months

Friday 18th June 2021
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I used to suffer from it pretty badly. Including horrendous outbreaks when I bought my last house where I could barely walk.

I’m convinced it’s predominantly tied to stress for me. As long as I drink enough water I can pretty much eat anything and drink beer, wine etc.

Don1

Original Poster:

16,047 posts

213 months

Friday 18th June 2021
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I find it always gets me where I've broken bones before.

anonymous-user

59 months

Friday 18th June 2021
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I’ve suffered from two episodes of pseudo gout and two of actual gout in 9 years, although two in the last year.
Three were in the ankle , completely unable to walk, really painful,and once in the wrist ( not too serious).
Not giving up steak and red wine but I’ll leave liver alone.

elanfan

5,527 posts

232 months

Friday 18th June 2021
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I get achy finger joints when I eat too many tomatoes. Try cutting them disnnir out.

PH Jo

5 posts

119 months

Saturday 19th June 2021
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I've had a humbling day today after attending A&E with what I thought was a broken bone in my foot. I'm late 40s. Excruciating pain on the ball of the foot, swelling and red. Painkillers (Ibroprufen and Naproxen) didn't touch it, and it was too painful to sleep. The clear X-ray and a chat with the nurse brought the subject round to gout. They suggested I go to the GP and have blood/fluid tests to confirm.
I think I tweaked my foot on Tuesday while hill walking with some decent weight on - I have since learned that injuries can trigger gout flare-ups. That, along with a love of beer, stress at work and the odd dehdrated day must have contributed. Lots of tomatoes in the diet too.

Anyway, good to read about other's experiences. This has certainly clipped my wings!

anonymous-user

59 months

Sunday 20th June 2021
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PH Jo said:
I've had a humbling day today after attending A&E with what I thought was a broken bone in my foot. I'm late 40s. Excruciating pain on the ball of the foot, swelling and red. Painkillers (Ibroprufen and Naproxen) didn't touch it, and it was too painful to sleep. The clear X-ray and a chat with the nurse brought the subject round to gout. They suggested I go to the GP and have blood/fluid tests to confirm.
I think I tweaked my foot on Tuesday while hill walking with some decent weight on - I have since learned that injuries can trigger gout flare-ups. That, along with a love of beer, stress at work and the odd dehdrated day must have contributed. Lots of tomatoes in the diet too.

Anyway, good to read about other's experiences. This has certainly clipped my wings!
Because I’d had it before and was sure it wasn’t a broken ankle and told them that.( although it definitely feels like it).
However ,they insisted on an X-ray even though thus was the first week of lockdown and you’d have thought they wanted non Covid cases in and out ASAP.

Belle427

9,568 posts

238 months

Sunday 20th June 2021
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I’ve suffered what I’d consider minor attacks for 20 years, still getting one now and again even after virtually giving up alcohol.
I’d consider stress a big cause, my diet also included a lot of tomato based sauces etc and fruit squash. I even read porridge oats were quite high in purines and I eat that nearly on a daily basis, but touch wood I’ve had nothing for a year.
My dad had his first attack back last year at 72 and it was a severe one, his diet is better than it’s ever been and he hardly drinks either so it’s a very difficult condition to manage.
When I get an attack I dont find naproxen that good, Ive used Indomethacin in the past and this was great but it’s not prescribed much these days.