Gout

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Discussion

Glassman

Original Poster:

22,665 posts

217 months

Tuesday 19th May 2009
quotequote all
Been laid up for days with the latest attack (left big toe).

On the usual 50mg Indometacin but no pain killers this time.

Owwwwwwwwwwwwwwwwwwwwwwwwwwwwwch.

frown

I've got apple cyder vinegar... heard cherry juice (pure) works wonders for it.

Anyone else cursed with this?

andy ted

1,285 posts

267 months

Tuesday 19th May 2009
quotequote all
I have had it before - I have reduced kidney function and gout can be a side effect of this. unfortunately because of this i can't take NSAID pain killers

the first time I got it no one put two and two together and diagnosed it so I was sent for x-rays etc had it for over a month constantly! It is really very painful so you have my full sympathy!

hope you get better soon!

Edited by andy ted on Tuesday 19th May 13:32

Glassman

Original Poster:

22,665 posts

217 months

Friday 22nd May 2009
quotequote all
Have been prescribed 500mcg Colchicine.

Leaflet says to take "until the pain is better or you feel sick or diarrhoea occurs".

Great.


stemll

4,138 posts

202 months

Sunday 24th May 2009
quotequote all
Get very occasional severe attacks but more often mild ones.

I get by with Diclofenac but nothing really seems to make any difference when really bad.


Big Al.

68,980 posts

260 months

Monday 25th May 2009
quotequote all
Glassman said:
Have been prescribed 500mcg Colchicine.

Leaflet says to take "until the pain is better or you feel sick or diarrhoea occurs".

Great.
Not only me then, left big toe.... SNAP and yes fecking ouch!

My course is only 12 tablets how many you got to take?

Glassman

Original Poster:

22,665 posts

217 months

Monday 25th May 2009
quotequote all
Big Al. said:
Glassman said:
Have been prescribed 500mcg Colchicine.

Leaflet says to take "until the pain is better or you feel sick or diarrhoea occurs".

Great.
Not only me then, left big toe.... SNAP and yes fecking ouch!

My course is only 12 tablets how many you got to take?
I've always has 50mg Indometacin, but this attack has been relentless. After two weeks o accute pain, I surrendered and went to my GP who prescribed me with Colchicine 50mcg along with some Omreprazole to help my stomach lining.

I was told to take every 2-3 hours or until I felt sick or a started stting through the eye of a needle. 48 hours later, I felt the same - no change - in fact, the rest of foot was giving me trouble too and had swollen to look like a cornish pasty. Popped in to a nearby NHS centre where I was told to continue taking the Colchicine for another 48 hours to allow it to work (it lowers uric acid). I was also given Codydramol for the pain and if the combo failed, the doc also prescribed me Diclofenac 50.

I stuck with the Colchicine every 2-3 hours and stopped yesterday evening (funnily enough after seeing Newcastle drop down). Stomach not too clever, but the toe is looking like my toe again...

..so far so good; bit sore but 50 time better.


Big Al.

68,980 posts

260 months

Monday 25th May 2009
quotequote all
Seems we a singing out of the same hymnbook, glad it's on the mend. thumbup

Glassman

Original Poster:

22,665 posts

217 months

Monday 25th May 2009
quotequote all
Big Al. said:
Seems we a singing out of the same hymnbook, glad it's on the mend. thumbup
I geting mixed reviews about the high purine foods to avoid; red meat is a no-no, but tomatoes are ok?

It's not hard for me to remember the forbidden food as it so happens to be my favourite things too.

weeping

Invisible man

39,731 posts

286 months

Monday 25th May 2009
quotequote all
I had a really bad and sustained attack in my big toe....the doc said he'd give me a steroid injection in the joint......"you might feel a scratch" he said......the lying bd, it's the closest I've come to passing out from pain. Worked though

Glassman

Original Poster:

22,665 posts

217 months

Monday 25th May 2009
quotequote all
Invisible man said:
I had a really bad and sustained attack in my big toe....the doc said he'd give me a steroid injection in the joint......"you might feel a scratch" he said......the lying bd, it's the closest I've come to passing out from pain. Worked though
Please, no! fk me, I could pass out just by trying to imagine it.

Big Al.

68,980 posts

260 months

Monday 25th May 2009
quotequote all
Glassman said:
I geting mixed reviews about the high purine foods to avoid; red meat is a no-no, but tomatoes are ok?

It's not hard for me to remember the forbidden food as it so happens to be my favourite things too.

weeping
I compiled this from info I've picked up.

High Levels of PurinesBest To Avoid 150–1,000mg/100g Moderate Levels of Purines Eat Occasionally 50–150mg/100g Low Levels of Purines No Restriction 0–50mg/100g
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 Shrimp 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 & Tom. 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 -


HTH. smile

Glassman

Original Poster:

22,665 posts

217 months

Monday 25th May 2009
quotequote all
Take a bow Al.. great stuff.

Thank you.


Big Al.

68,980 posts

260 months

Monday 25th May 2009
quotequote all
Lets hope it also can help others, reduce the chance of the poxy scourge. smile

stemll

4,138 posts

202 months

Friday 5th June 2009
quotequote all
Big Al. said:
High Levels of PurinesBest To Avoid 150–1,000mg/100g
ALCOHOL
Beer
Spirits
Maybe it doesn't hurt that much after all.

Big Al.

68,980 posts

260 months

Friday 5th June 2009
quotequote all
Oh but it bloody does cry, just easing now after 3 painful weeks.

Glassman

Original Poster:

22,665 posts

217 months

Saturday 6th June 2009
quotequote all
Big Al. said:
Oh but it bloody does cry, just easing now after 3 painful weeks.
Me too. Two days ago, I was feeling relieved of the pain... then.... at 3am

yikes

it came back.

I was on my tablets, drinking water and avoiding the forbidden food. But, thankfully, it only lasted 12 hours.

Good to go now.

[/touchingwoodwithcrossedfingers]

jmorgan

36,010 posts

286 months

Thursday 3rd June 2010
quotequote all
Big Al. said:
Glassman said:
I geting mixed reviews about the high purine foods to avoid; red meat is a no-no, but tomatoes are ok?

It's not hard for me to remember the forbidden food as it so happens to be my favourite things too.

weeping
I compiled this from info I've picked up.

High Levels of PurinesBest To Avoid 150–1,000mg/100g Moderate Levels of Purines Eat Occasionally 50–150mg/100g Low Levels of Purines No Restriction 0–50mg/100g
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 Shrimp 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 & Tom. 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 -


HTH. smile
Holy thread resurrection.....


Ta. Been trying to fathom the foods. Thought I had whacked me toe somewhere but no. The G word.

Glassman

Original Poster:

22,665 posts

217 months

Thursday 3rd June 2010
quotequote all
My latest attack has finally backed-off after six weeks. I'm off to collect my drugs this arvo: Allopurinol.

I am to take this uric acid-reducing drug until further notice. It can trigger another attack when first taken I'm told (I'm looking forward to it). But if I take it alongside Colchicine (for the pain) hopefully, it won't last as long as the last one.

For me, it's not the frequency of attack (~one/two a year) it's the time it takes to recover - gets longer with every bout.


jmorgan

36,010 posts

286 months

Thursday 3rd June 2010
quotequote all
I have a blood test tomorrow to see what is what levels wise. Spent a day on the web getting contradicting do and don't with foods. Just had one day of the bad pain but several leading up to it and just the odd sharp pain after the ant inflammatory. Then finding out I cannot eat spinach and another says yes you can but in moderation. One web site says no tea and another says yes and so on so went for the levels of purine.

Seems I have it very mild.

Glassman

Original Poster:

22,665 posts

217 months

Thursday 3rd June 2010
quotequote all
These lists come from research and many are endorsed by professors. It's a bit worrying when some lists will categorise high risk foods which are medium (or even low) on other lists.

At first I saw turkey, pork, mushrooms, artichoke, spinach (as well as kidneys, liver, seafood etc) on a high purine, high risk list. But a bit more searching and I found another list from another university and it listed those foods as either medium risk or worrying, low risk.

My GP did confirm though, nobody really knows what the definitive list is, or should be.

It might be a case of individuality and dunno, can a nutritionist advise on this?