topic Re: gout attack in Wellness

gout attack

151949 — Sat, 09 Jun 2018 14:22:53 GMT

I am on a daily dose of allopurinal for my gout for many years. Then yesterday, out of the blue, I woke up with a swollen and very painful foot. Haven't had this for years! Dh had to get my walker out of the attic. I doubled up on my allopurinal this morning.

Re: gout attack

qualitygal — Sat, 09 Jun 2018 14:25:47 GMT

What do you think it was that set it off? My husband cannot have shrimp. My brother-in-law has too much beef and his acts up. Very painful indeed!

Re: gout attack

dex — Sat, 09 Jun 2018 14:33:02 GMT

@151949@Do you keep yourself really well hydrated?My son has gout and he really needs to avoid beef and alcohol but also stay hydrated.My son says that pain is so bad that he gave up his two favorites in hope of never having that horrendous experience again...beef and beer.I hope that your attack subsides quickly.

Re: gout attack

fleetwood — Sat, 09 Jun 2018 14:53:42 GMT

@151949 Sorry to hear this. I have extreme sympathy for anyone that experiences gout pain. My DH has been dealing w/ gout on and off for about 10 years. He has it under control and hasn't had any attacks for a couple of years. For the longest time he thought it was brought on by beer and/or steak but eventually he figured out it was actually butter that would bring on an attack. I hope your med kicks in and you feel better quickly.

Re: gout attack

cherry — Sat, 09 Jun 2018 15:19:43 GMT

My sister has this and told me they recommend she drink cherry juice, but it was so sour she couldn't. I suggested she cut it with some 7 Up or ginger ale

You might give it a try

Re: gout attack

Redd2 — Sat, 09 Jun 2018 15:50:01 GMT

I too take daily allopurinol for gout and have for several years. Lately, I feel my feet and ankles are on the verge of a gout attack but the feeling goes away eventually after my dose kicks in. My doctor and pharmacist think that specific foods should not trigger an attack while taking allopurinol, and drinking more water is the answer to this problem. I drink approx. six to eight 16 oz. bottles of water daily as well as green ice tea throughout the day. Needless to say, I spend a lot of time in the bathroom ! Hydration is imperative to flush and eliminate uric acid in the kidneys while taking allopurinol. I have felt the pain of gout in the past & will do anything not to go through that agony again. I would not double the dosage until I talked to my doctor. Its pretty potent stuff & I read that long term and/or high dosage can eventually damage kidneys.

Re: gout attack

lolakimono — Sat, 09 Jun 2018 17:03:53 GMT

Re: gout attack

sunshine45 — Sat, 09 Jun 2018 18:46:19 GMT

mine acts up when i have too much shellfish (which i LOVE), cocktails, and fried foods. it also occurs when i dont drink enough water to flush out the uric acid crystals.

i only take my medication when it flares up......not regularly

indomethacin 75mg twice a day.

Re: gout attack

151949 — Sat, 09 Jun 2018 19:53:10 GMT

@sunshine45 wrote:
mine acts up when i have too much shellfish (which i LOVE), cocktails, and fried foods. it also occurs when i dont drink enough water to flush out the uric acid crystals.
i only take my medication when it flares up......not regularly
indomethacin 75mg twice a day.

This med is just an antiinflammatory. You need to be on allopurinal or some other drug that helps to clear the uric acid out of your system.

Re: gout attack

blackhole99 — Sat, 09 Jun 2018 20:05:54 GMT

I did not read all the posts, but my husband had two bouts with gout(his big toe). The doc did not think it was diet related , he just stopped his Lasix and he has not had a gout attack for almost a year. Do any of you notice that your breath has an odd smell when you are brewing a gout attack? My husbands breath had a strange almost metallic smell for weeks before he had an attack. I thought it was the cat at first because the cat sleeps in his bedroom, but no it was my husband. We mentioned it to the doc and he said no one ever mentioned odd smelling breath as a symptom, but who knows. Anyway, no bad breath since his gout was resolved.

Re: gout attack

BirkiLady — Sat, 09 Jun 2018 20:53:11 GMT

@blackhole99 That sounds like a sign of diabetes. Was the metallic breath also pallatable for him?

Re: gout attack

blackhole99 — Sat, 09 Jun 2018 23:46:58 GMT

@BirkiLady no he did not smell it or have any kind of metallic taste in his mouth. He was just to the doc for a wellness check up and no diabetes. Like I said, the smell was just odd coming from his room at night and I really did think it was our stinky old cat. As soon as he started taking the Prednisone for the gout the smell went away.

Re: gout attack

sunshine45 — Sun, 10 Jun 2018 00:19:35 GMT

@151949 wrote:
@sunshine45 wrote:
mine acts up when i have too much shellfish (which i LOVE), cocktails, and fried foods. it also occurs when i dont drink enough water to flush out the uric acid crystals.
i only take my medication when it flares up......not regularly
indomethacin 75mg twice a day.
This med is just an antiinflammatory. You need to be on allopurinal or some other drug that helps to clear the uric acid out of your system.

this works for me just fine. i dont need anything else when i have a flare up....especially when i drink a lot of water. i take it for about three days and then i am okay. the less medicine the better.

Re: gout attack

drizzellla — Sun, 10 Jun 2018 00:40:14 GMT

lolakimono - Thanks for the information.

Last year on our cruise to Alaska, my husband thought he bumped his foot on the bed. But it hurt so much, he couldn't figure it out. But he pushed through and we did not miss a thing.

So when we got back, he went to the Doctor. The Doctor said it was gout. And told him to take over the counter pills for pain. With the many seafood buffets on the cruise. We thought that is what triggered the gout.

Well, the same time of year, this year, he had the same pain. Not nearly as bad but still painful. He was wondering if it was seasonal. Since twice he had the pain and both times it was near Memorial Day. And I can say we did not have any lavish seafood buffets this year.

Re: gout attack

Shiloh09 — Sun, 10 Jun 2018 00:54:49 GMT

Can gout appear near your ankle bone? I got out of the car two days ago and stepped on the ground and had pain near my ankle bone. It is not excruciating, but it certainly is making it difficult to walk without a limp. For the life of me, I have no idea what i did! I will give it a few more days this week and then call the doctor. It is so weird...

Re: gout attack

151949 — Sun, 10 Jun 2018 12:11:49 GMT

@sunshine45 wrote:
@151949 wrote:
@sunshine45 wrote:
mine acts up when i have too much shellfish (which i LOVE), cocktails, and fried foods. it also occurs when i dont drink enough water to flush out the uric acid crystals.
i only take my medication when it flares up......not regularly
indomethacin 75mg twice a day.
This med is just an antiinflammatory. You need to be on allopurinal or some other drug that helps to clear the uric acid out of your system.

this works for me just fine. i dont need anything else when i have a flare up....especially when i drink a lot of water. i take it for about three days and then i am okay. the less medicine the better.

But if uric acid is being deposited in your joints it is also being deposited in your organs - like your kidneys.That is WHY you need to be taking something to get rid of it.This is not a passive thing.Once kidneys & other vital organs are damaged, you don't get a do over.

Re: gout attack

151949 — Sun, 10 Jun 2018 12:13:44 GMT

@Shiloh09 wrote:
Can gout appear near your ankle bone? I got out of the car two days ago and stepped on the ground and had pain near my ankle bone. It is not excruciating, but it certainly is making it difficult to walk without a limp. For the life of me, I have no idea what i did! I will give it a few more days this week and then call the doctor. It is so weird...

It can be any joint. I've never had it in the typical bunion area , mine is more over my instep and back to my ankle.

Re: gout attack

violann — Sun, 10 Jun 2018 12:21:08 GMT

@blackhole99 wrote:
I did not read all the posts, but my husband had two bouts with gout(his big toe). The doc did not think it was diet related , he just stopped his Lasix and he has not had a gout attack for almost a year. Do any of you notice that your breath has an odd smell when you are brewing a gout attack? My husbands breath had a strange almost metallic smell for weeks before he had an attack. I thought it was the cat at first because the cat sleeps in his bedroom, but no it was my husband. We mentioned it to the doc and he said no one ever mentioned odd smelling breath as a symptom, but who knows. Anyway, no bad breath since his gout was resolved.

Interesting..... my doctor also swears that gout is not directly related to certain foods, and he’s rarely wrong (that’s why we go to him!). I’ve only had one attack, so I don’t know one way or another.

Re: gout attack

151949 — Sun, 10 Jun 2018 12:34:02 GMT

@violann wrote:
@blackhole99 wrote:
I did not read all the posts, but my husband had two bouts with gout(his big toe). The doc did not think it was diet related , he just stopped his Lasix and he has not had a gout attack for almost a year. Do any of you notice that your breath has an odd smell when you are brewing a gout attack? My husbands breath had a strange almost metallic smell for weeks before he had an attack. I thought it was the cat at first because the cat sleeps in his bedroom, but no it was my husband. We mentioned it to the doc and he said no one ever mentioned odd smelling breath as a symptom, but who knows. Anyway, no bad breath since his gout was resolved.
Interesting..... my doctor also swears that gout is not directly related to certain foods, and he’s rarely wrong (that’s why we go to him!). I’ve only had one attack, so I don’t know one way or another.

When a person takes certain diuretics their method of action is to eliminate sodium and thus water but they have to replace that sodium with something else and that is uric acid. Thus over time the patient gerts a build up of uric acid in the body - and gets gout. In those cases the first thing is to stop giving the patient his diuretic. Gout is a symptom of a condition, not a condition on it's own.When a person has gout they need to look at why it occurs. yes, it can be diet - but not always.

Re: gout attack

sunshine45 — Mon, 11 Jun 2018 02:30:44 GMT

@Shiloh09 wrote:
Can gout appear near your ankle bone? I got out of the car two days ago and stepped on the ground and had pain near my ankle bone. It is not excruciating, but it certainly is making it difficult to walk without a limp. For the life of me, I have no idea what i did! I will give it a few more days this week and then call the doctor. It is so weird...

yes @Shiloh09

that is where mine appears. it is usually an inflammation with some accompanying pain towards the outside of my feet, near where the ankle and foot meet.