Gout - Same foot infection on holiday - 3 years in a row

Gout - Same foot infection on holiday - 3 years in a row

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NailedOn

Original Poster:

3,114 posts

236 months

Thursday 22nd January 2015
quotequote all
I am on holiday in Central America. All is going well in terms of weather and the tourism stuff.
But for the third year in a row I have developed a skin infection on my foot. It is in exactly the same place each time, on the first joint of my big toe.
This has happened in Japan, Argentina, and now Costa Rica.
I've been to the local pharmacy and have started a five day course of antibiotics. They did the trick of the previous two occasions. I hope they will work again as it is painful to walk.

I never get this condition at home, or when I travel on business.
Can this be a coincidence or do I have some latent condition that recurs on long haul holidays?
I've not been walking around barefoot or indulging in anything unusual.
I'll withstand the usual PH banter of sex drugs and rock n roll. But any useful insights would be welcome.

NailedOn

Original Poster:

3,114 posts

236 months

Thursday 22nd January 2015
quotequote all
grumbledoak said:
I would bin those flip flops.
No. Never wear sandals. Been shoes & socks this trip. Too many ants!

NailedOn

Original Poster:

3,114 posts

236 months

Thursday 22nd January 2015
quotequote all
Thanks for the helpful replies.
This does always occur in January after a long haul flight.
I googled gout and wish I hadn't! Sounds like too much fruit juice is bad for me.

NailedOn

Original Poster:

3,114 posts

236 months

Thursday 22nd January 2015
quotequote all
sawman said:
sounds more like gout than an infection.

ibuprofen is probably more help than antibiotics
I suspect that you are right. It would explain the classic gout symptom of a sore joint in my big toe.
I've been overdosing on fresh fruit and juices. Now taking ibuprofen and the antibiotics. Zero fruit and minimal booze for a while.
There are about a thousand exotic ways to get ill down here: Bugs; ants; plants; snakes. And I get gout!

NailedOn

Original Poster:

3,114 posts

236 months

Saturday 24th January 2015
quotequote all
FBP1 said:
Fruit juice is not an problem, in fact, cherry juice is a natural treatment for gout (glass a day). Orange juice is good.

Things that can cause/ worsen gout are quite surprising actually - eg shellfish, mackerel, salmon, anchovies, asparagus, etc. Anything with purines in it.

There are the usual suspects like red meat, but some things are surprisingly ok e.g. duck meat isn't that bad and neither is cheese.

Yes.... I've had gout and where you have a red inflamed big toe joint is a classic presentation of it. Get some Naproxen ( super ibuprofen) ice it and rest it.

Allopurinol is the treatment but once you're in it that s it for life - I follow the cherry juice route and try to avoid too many causative factors and it seems to work for me.
Thanks for the info.
I'm on four 600 mg of Ibuprofen a day. They are working and the joint has not got any worse.
The day before this happened I had OJ and fruit for breakfast, a fruit smoothie, then dinner of king prawns and beer.

That night my joint started being painful I also had a massive nose bleed. Not had one for two years and in the meantime I was on warfarin for six months without any problem. Not sure of gout and nosebleeds are related but there you go.

I am resting most of the day and walking very little. Last time this happened, it was maybe five days to be noticeably better and maybe three weeks to clear. Does that match your experience?

NailedOn

Original Poster:

3,114 posts

236 months

Saturday 24th January 2015
quotequote all
Thanks to the Mods for amending the title.
Also thanks for the continued sound advice.
Once I am home I will see my GP as I don't want any risk of joint damage.
Just now, 3000mg of ibuprofen a day is beginning to work. I'm hoping to be a little bit more mobile in a few days.

NailedOn

Original Poster:

3,114 posts

236 months

Sunday 25th January 2015
quotequote all
Upatdawn said:
I had gout, and sometimes in BOTH feet

It is a build up of crystals in the bone joint, usually big toe but also ankle and others

you need a blood test to verify

Naproxen cured me, but it wasnt prescribed last time

hurts dont it

cut out peas, cheese, wine.....lose weight

that hurts too

http://www.drugs.com/naproxen.html
Sorry to read you had it in both feet. One can be grim.

I switched to Naproxen today. Fortunately I'm in country where you can buy it at a chemist without a prescription. It is no worse and now day 5 so I'm hoping for some progress.

The web is awash with helpful and less than helpful information. As is the case with illnesses.
I am reading up what to eat and what to avoid. No cherries out here which is a shame as I like a juicy cherry!