Discussion
Gout?
Woke on Saturday with ridiculous amount of pain in my right foot, base of the big toe. Glowing red, swollen and pulsing pain. Seriously painful. Slightest touch I was in spasms of agony.
Pharmacist says best over the counter option is ibuprofen which has certainly taken the edge off, but still hurts like feck.
Have appointment with GP tomorrow afternoon - that'll be four days of excruciating agony, though it's subsided a little now - either that or the cumulative effect of 3-4 400mg ibuprofen daily is doing the trick.
Bloody hell.
FTR; I haven't had an alcoholic drink for over a month and don't eat meat - the two things t'Internets tells me I should omit to avoid recurrence. FFS.
Woke on Saturday with ridiculous amount of pain in my right foot, base of the big toe. Glowing red, swollen and pulsing pain. Seriously painful. Slightest touch I was in spasms of agony.
Pharmacist says best over the counter option is ibuprofen which has certainly taken the edge off, but still hurts like feck.
Have appointment with GP tomorrow afternoon - that'll be four days of excruciating agony, though it's subsided a little now - either that or the cumulative effect of 3-4 400mg ibuprofen daily is doing the trick.
Bloody hell.
FTR; I haven't had an alcoholic drink for over a month and don't eat meat - the two things t'Internets tells me I should omit to avoid recurrence. FFS.
Everybody has their own trigger foods for gout - so for you it may be something completely different to meat and alcohol.
I suffered for many years from my late 20s and nothing stopped it. About 10 years ago at aged 42 I finally admitted defeat and went on Allopurinol. I have not had an attack since.
I wish you well - only a fellow gout sufferer understands the pain!
I suffered for many years from my late 20s and nothing stopped it. About 10 years ago at aged 42 I finally admitted defeat and went on Allopurinol. I have not had an attack since.
I wish you well - only a fellow gout sufferer understands the pain!
Colchicine, is another effective drug for gout, and I speak from experience! https://www.medicines.org.uk/emc/medicine/30537
Also lost of threads on Gout
One here:-
http://www.pistonheads.com/gassing/topic.asp?t=112...
Also lost of threads on Gout
One here:-
http://www.pistonheads.com/gassing/topic.asp?t=112...
Water.
Drink lots and lots of water. And then more water. Flush the bugger out.
I first had gout about 20 years ago, and had attacks on and off for about 10 years. No obvious trigger foods but no attack now for 10 years (and no real lifestyle changes) so I must have out grown it
Water always helped during an attack. Good luck.
Drink lots and lots of water. And then more water. Flush the bugger out.
I first had gout about 20 years ago, and had attacks on and off for about 10 years. No obvious trigger foods but no attack now for 10 years (and no real lifestyle changes) so I must have out grown it
Water always helped during an attack. Good luck.
JumboBeef said:
Water always helped during an attack. Good luck.
That and Indomethacin as an alternative to Ibuprofen for me. (prescription). THe only thing that brings down the swelling, takes away the pain. I can now feel an attack coming and the Indomethacin acts quickly enough to prevent it. Have gone from having an attack every few months to not having had a proper one for 2-3 years.
Like others - can't identify the trigger foods / drinks for me. The usuals (meat, port, prawns) seem to have no effect and my last "attack" was after a clean living weekend with nothing unusual to eat/drink.
I think for me it just builds up over time ?
Bob
Allopurinol is the only guaranteed fix - otherwise dehydration (on a flight was always my issue) or some other unexpected trigger could leave you in trouble. I hated the idea of a tablet everyday for life but after several years of resistance and attacks it was by far the easier option.
Setting the level can take a bit of fiddling around with tests.
Never mix Indomethacin and Allopurinol - it must be one or the other as that can cause things to escalate which few GP's understand. Once settled on Allopurinol there should be no need for Indomethacin.
Setting the level can take a bit of fiddling around with tests.
Never mix Indomethacin and Allopurinol - it must be one or the other as that can cause things to escalate which few GP's understand. Once settled on Allopurinol there should be no need for Indomethacin.
I manage mine without drugs. Meant giving stuff up such as booze however one attack was part kicked off with some liver, spinach and mushroom cooked in olive oil. May as well whacked my toe with hammer as ate that. Anti inflammatory I carry just in case is Naprosyn (prescription). Lots of water though, get the system flushed. Means I am up at 2am for the usual etc. but regular check up with the doc to make sure it ain't something a bit more (nightly visits that is).
Purines is what you want to limit and they are in many foods in different levels. Someone posted a list of the stuff on PH some years ago, I have that list on the fridge as a guide.
Purines is what you want to limit and they are in many foods in different levels. Someone posted a list of the stuff on PH some years ago, I have that list on the fridge as a guide.
LordGrover said:
Gout?
Woke on Saturday with ridiculous amount of pain in my right foot, base of the big toe. Glowing red, swollen and pulsing pain. Seriously painful. Slightest touch I was in spasms of agony.
Pharmacist says best over the counter option is ibuprofen which has certainly taken the edge off, but still hurts like feck.
Have appointment with GP tomorrow afternoon - that'll be four days of excruciating agony, though it's subsided a little now - either that or the cumulative effect of 3-4 400mg ibuprofen daily is doing the trick.
Bloody hell.
FTR; I haven't had an alcoholic drink for over a month and don't eat meat - the two things t'Internets tells me I should omit to avoid recurrence. FFS.
It's all very well you adding your notes at the bottom, but gout is normally associated with portly middle-aged men and an overly rich diet isn't it?Woke on Saturday with ridiculous amount of pain in my right foot, base of the big toe. Glowing red, swollen and pulsing pain. Seriously painful. Slightest touch I was in spasms of agony.
Pharmacist says best over the counter option is ibuprofen which has certainly taken the edge off, but still hurts like feck.
Have appointment with GP tomorrow afternoon - that'll be four days of excruciating agony, though it's subsided a little now - either that or the cumulative effect of 3-4 400mg ibuprofen daily is doing the trick.
Bloody hell.
FTR; I haven't had an alcoholic drink for over a month and don't eat meat - the two things t'Internets tells me I should omit to avoid recurrence. FFS.
13m said:
It's all very well you adding your notes at the bottom, but gout is normally associated with portly middle-aged men and an overly rich diet isn't it?
That's more old wives tale than factual.As has been stated above, purines are the primary causes (this includes a lot of healthy foods) BUT it seems many people have differing trigger foods (I've known people who get gout from drinking fizzy soft drinks).
Thanks chaps. Some useful stuff above and in the links provided.
Still very swollen and throbbing, but it's definitely easing. The excruciating agony is now occasional rather than incessant. Still can't wear a 'normal', shoe but hobbling around okay now. Can't wait to see GP this afternoon.
I'm certainly middle-aged, but a little under 75kgs at just over six feet tall is hardly portly. Fit and active (apart from the gout), and generally pretty clean living. Whether it's an accumulation of decades of abuse (I've not always been as careful with my diet and drinking habits), a specific trigger or just random bad luck...? I don't know.
I do know it hurts like you wouldn't believe and want to avoid it happening again!
Still very swollen and throbbing, but it's definitely easing. The excruciating agony is now occasional rather than incessant. Still can't wear a 'normal', shoe but hobbling around okay now. Can't wait to see GP this afternoon.
13m said:
It's all very well you adding your notes at the bottom, but gout is normally associated with portly middle-aged men and an overly rich diet isn't it?
Which is exactly why I mentioned it. It's a myth. I'm certainly middle-aged, but a little under 75kgs at just over six feet tall is hardly portly. Fit and active (apart from the gout), and generally pretty clean living. Whether it's an accumulation of decades of abuse (I've not always been as careful with my diet and drinking habits), a specific trigger or just random bad luck...? I don't know.
I do know it hurts like you wouldn't believe and want to avoid it happening again!
The trick is to find your trigger food and cut it out. Mine is beef, so no more bleu steak for me....
I still norminally get one attack a year. Usually in the Autumn when it starts getting cold. Its the cold that causes the uric acid to crystallize.
Cherry juice can help the body get rid of the acid. Drink plenty of water to flush everything through. I've also started taking one of these a week, just as an insurence policy.
https://www.amazon.co.uk/gp/product/B00HFRT4NK/ref...
I still norminally get one attack a year. Usually in the Autumn when it starts getting cold. Its the cold that causes the uric acid to crystallize.
Cherry juice can help the body get rid of the acid. Drink plenty of water to flush everything through. I've also started taking one of these a week, just as an insurence policy.
https://www.amazon.co.uk/gp/product/B00HFRT4NK/ref...
I've had two attacks.
Neither seemed to be food/drink related.
First time I wasn't convinced it was gout as I'd broken my left knee and reckon I was walking funny (oh errr missus) on my right foot where the 'gout' appeared, but the doctor said it was.
About 3 years later, though, I had another brief attack (2-3 days).
As I've said elsewhere in the past, the gout was far more painful than my broken knee ever was!
Someone told me Cherries are a good way to deal with attacks/prevent them, so I tend to sweeten my cereal with dried cherries, rather than sugar these days. Not had an attack in a few years now (touches wood quickly!)
M.
Neither seemed to be food/drink related.
First time I wasn't convinced it was gout as I'd broken my left knee and reckon I was walking funny (oh errr missus) on my right foot where the 'gout' appeared, but the doctor said it was.
About 3 years later, though, I had another brief attack (2-3 days).
As I've said elsewhere in the past, the gout was far more painful than my broken knee ever was!
Someone told me Cherries are a good way to deal with attacks/prevent them, so I tend to sweeten my cereal with dried cherries, rather than sugar these days. Not had an attack in a few years now (touches wood quickly!)
M.
Just dropping in to say my gout is pretty much gone. After seven days there was a dull ache left, but now I have to think about it and wiggle my toes or bend my foot to get any reaction. I have a blood test booked for next week to confirm it was gout; not sure why I'm bothering though... if it proves to be the case the only recourse the GP suggested was daily medication for life to prevent recurrence - and I'm not doing that.
LordGrover said:
Just dropping in to say my gout is pretty much gone. After seven days there was a dull ache left, but now I have to think about it and wiggle my toes or bend my foot to get any reaction. I have a blood test booked for next week to confirm it was gout; not sure why I'm bothering though... if it proves to be the case the only recourse the GP suggested was daily medication for life to prevent recurrence - and I'm not doing that.
Or drink more water 
Here's what I posted a couple of years ago on another Gout thread, it may help those trying to work out what's Good, what's Bad regarding Purines in food.
HTH.
| High Levels of PurinesBest To Avoid150–1,000mg/100g | Moderate Levels of PurinesEat Occasionally50–150mg/100g | Low Levels of PurinesNo Restriction0–50mg/100g |
|---|---|---|
| HIGH | MODERATE | LOW |
| MEAT | MEAT | Eggs |
| Liver | Beef | Cheese |
| Kidney | Bouillon, Meat soups | Breads |
| Veal | Chicken | Cereals |
| Venison | Duck | Butter |
| Turkey | Ham | Margarine |
| Goose | Pork | Pasta |
| Meat Extract Oxo, Marmite. | Lamb | Noodles |
| FISH | Game | Macaroni |
| Anchovies | FISH | Nuts |
| Worchester Sauce | Lobster | Cakes |
| Sardines | Prawns | Biscuits |
| Herrings | Shrimps | Chocolate |
| Mussels | Crab | Grains |
| Cockles | Eel | VEGETABLES, SALADS |
| Scallops | Oysters | Potatoes |
| Cod | Herring | Green vegetables |
| Haddock | Whitebait | Red Cabbage |
| Trout | VEGETABLES | All Salads |
| Fish Roe | Peas | Tomatoes & Soup |
| Mackerel | Lentils | FRUIT |
| Sprats | Beans | All Fruits |
| Caviar | Legumes | Berries (high in Antioxidants) |
| ALCOHOL | Cauliflower | BEVERAGES |
| Beer | Mushrooms | Coffee |
| Spirits | Asparagus | Milk |
| - | Spinach | Carbonated drinks |
| - | Kidney beans | Fruit Juice |
| - | Lentils | Ice Cream |
| - | Lima beans | - |
| - | Soya Beans | - |
HTH.
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