Gout

[gazza285]

Jesus wept, how do you get rid of this?

I have been away with work, and stopping in a crappy Premier Inn with attached "restaurant", the company have paid for a meal deal, so I have been eating fatty frozen crap for a month. I now have gained a load of weight, and appear to have developed gout in my left toe, and today I'm off up to a quite corner of The Lakes for a week's worth of walking holiday...

Any sure fire tips for relief?

[elanfan]

Caused by too much uric acid. Medications that block uric acid production. Drugs such as allopurinol (Aloprim, Lopurin, Zyloprim) and febuxostat (Uloric) help

[JakeT]

It’s a build up of euric acid. Typically red meat, sausages, beer cause it. It really is the disease of too much living. Eat your typically healthy foods, salad chicken et al, and cut out the booze. Your doctor can provide tablets to stop the build up, and some people kid themselves into saying there’s no avoiding it, but some healthy living should sort it out. Might not want to walk too much on it mind.

My dad got gout in 2012, and he had to fly home from Chicago with a fat foot.

He only has a flare up if he’s had a lot of wine and steak, and it’s milder.

[Big Al.]

Previous thread here:-

https://www.pistonheads.com/gassing/topic.asp?t=87...

[Teddy Lop]

Naproxen works for me if by relief you're thinking shorter term. Different drugs work for different people. Little over the counter though.

As for diet and lifestyle, I've (touch wood) not had an attack since going low carb about 3 years ago with that that entails (and I like my red wine, whisky and strong coffee too). Go figure.

[gazza285]

Cheers Al.

I don’t drink much, three or four bottles of beer on a Friday and Saturday, non any other night, and I don’t eat meat or fish.

I usually run at least three miles five times a week, and eat healthily, but since working in Slough I have been out running and am eating crap. John Betjeman description of Slough was pretty accurate.

Naxopren and other NSAIDs are not an option unfortunately, as I am asthmatic.

Edited by gazza285 on Saturday 21st August 10:44

[Jasey_]

Good luck putting socks on if it gets really bad.

Never mind shoes and walking!

Hopefully will calm down but that can take a while even wuth the various meds.

[Jasey_]

Drinking lots of water tends to help mine.

[ovlovlover]

gazza285 said:

Cheers Al.

I don’t drink much, three or four bottles of beer on a Friday and Saturday, non any other night, and I don’t eat meat or fish.

I usually run at least three miles five times a week, and eat healthily, but since working in Slough I have been out running and am eating crap. John Betjeman description of Slough was pretty accurate.

Naxopren and other NSAIDs are not an option unfortunately, as I am asthmatic.

Edited by gazza285 on Saturday 21st August 10:44

Colchicine is the alternative for those with contraindications to nsaids. Need a Dr to prescribe though.

Otherwise plenty of water and probs best not to do much extensive walking till its settled.

[CubanPete]

It is interesting to read pate causes it. I had some pate at my parents, and the some at home as I had enjoyed it so much...

Not. Long after I had my second ever attack of (I think) gout. Middle toe (that I have previously broken), manageable with ibuprofen, it lasted about five days.

I'm 47, a couple of stone over my preferred weight (BMI just over 26), but not 'fat', active (but hard exercise constrained by a young family) eat reasonably healthily and don't drink excessively.

Looks like it is time to start eliminatimg potential triggers.

[MB140]

I had a bout of it about 3 years ago lasted for about a week. Nothing would stop the pain that was crippling. All I could do was sit with my foot up, rest, ice, lots and lots of water (as advised by someone else.) some pain killers and endure.

I’ve had two short attacks of it in my 45 years and by god I hope I never have another. I’m sorry to say but I fear your walking holiday is done for.

[TwigtheWonderkid]

JakeT said:

Eat your typically healthy foods, salad chicken et al,

Not entirely true. The absolute worst thing you can eat is sardines. Lobster, scallops, shrimps and oysters are bad too. Sunflower seeds are a big no no, as are lentils. All these are "healthy foods".

OP needs to avoid foods that are high in purines.

[blingybongy]

Number 1 don't get dehydrated with me it's the number 1 cause.
Stress also guarantees an attack, for me.
I now know the very early signs and can zap it with Ibuprofen before it flares up.
I've had it since my mid 30s (not had an attack for yonks now though).
The best tablets for getting rid were slow release Voltarol, which they later refused to prescribe.
Diclofenac (generic) were ste
Indomethacin were ok
Colchicine were good but guarantee you'll feel sick and get the sts.
Naproxen are better than nothing.
Allopurinol so you don't get gout in the first place have to be taken in tandem with naproxen etc for a while and in the process liquified my guts.
So I now drink plenty of water during the day and had the stress bit solved by being made redundant.
Can't remember my last full on attack but a few weeks ago I had 8 ibuprofen tabs over 24 hrs which stopped one occurring.

[anonymous-user]

CubanPete said:

It is interesting to read pate causes it. I had some pate at my parents, and the some at home as I had enjoyed it so much...

Not. Long after I had my second ever attack of (I think) gout. Middle toe (that I have previously broken), manageable with ibuprofen, it lasted about five days.

I'm 47, a couple of stone over my preferred weight (BMI just over 26), but not 'fat', active (but hard exercise constrained by a young family) eat reasonably healthily and don't drink excessively.

Looks like it is time to start eliminatimg potential triggers.

Different foods trigger it for different people. As you say, you need to find your trigger(s) and go from there.

[vixen1700]

Every time I hear about Gout, it just makes me think of Laurel & Hardy in Perfect Day.

https://m.youtube.com/watch?v=dVIYdSR-mcw

[oldbanger]

There’s quite a lot of research now starting to suggest that the underlying cause is excess fructose . These sugars have to be broken down in the liver and the uric acid by-products of this basically tip the balance.

http://blog.arthritis.org/gout/fructose-sugar-gout...

https://www.news-medical.net/health/Why-Does-Added...

[TwigtheWonderkid]

blingybongy said:

Naproxen are better than nothing.

Anadin are worse than nothing. But at least they are honest about it, and actually tell us that "nothing acts faster than Anadin"

[Belle427]

oldbanger said:

There’s quite a lot of research now starting to suggest that the underlying cause is excess fructose . These sugars have to be broken down in the liver and the uric acid by-products of this basically tip the balance.

http://blog.arthritis.org/gout/fructose-sugar-gout...

https://www.news-medical.net/health/Why-Does-Added...

Pretty sure it’s what triggers mine.
Sufferers should read up on the various trigger foods, it surprising what you will find.
Pate would be one of the highest ones to avoid.

[Teddy Lop]

oldbanger said:

There’s quite a lot of research now starting to suggest that the underlying cause is excess fructose . These sugars have to be broken down in the liver and the uric acid by-products of this basically tip the balance.

http://blog.arthritis.org/gout/fructose-sugar-gout...

https://www.news-medical.net/health/Why-Does-Added...

That would tie in perfectly with my experience - low carb/sugar diet, quite rich in all the supposed trigger foods, but no sugary drinks and little fruit.

[Mr R]

As someone else suggested, if you can't take NSAIDs than you could potentially get Colchine from your GP as I'm in a similar position.

I have just been through a 3 week long attack in both ankles which was excruciating, initially did a course of Prednisolone but that didn't seem to kick it so then did a 3 day course of Colchine which touch wood seems to have sorted it until the inevitable next time (linked to chronic illness rather than lifestyle related).

Hope you get it under control soon.