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Conditions and Diseases > Gout Forum > Gout and apnea
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Q: Gout and apnea
asked by: rodjac75 on October 15th, 2009
New User
I had been in pain for years before I even knew what was wrong. My toes and ankles would hurt and I would just attribute that to me not being as active as once was. That however was not the issue. Undoubtedly we all gain weight as we get older so I just figured that the extra weight was also the problem. That did contribute to my pain in joints but not as bad as gout.

After spending countless dollars in co-pays in seeing my primary doctor and (double the price for) seeing specialist, I knew that there was not a simple fix to this. Or at least thatâ??s what doctors were telling me. What I found out in this entire ordeal is that there is no money in finding the cure to the problem; it is in the treatment of problem.

I would look online checking various talk groups and would use some of the ideas that worked with other peoples cases. Then I had to take a step back and I got very upset when I went to one of these "specialist" that I was seeing. He said that we could possibly get this gout under control in about 6 to 9 months!!!! That made me very upset. Also he was not listening to me at all. I had been on allopurinal 100mg (along with other meds) for months and it did not work. I was getting gout attacks three and four times a month and I was CONSTANTLY in pain. When I told him that I had been reading and doing research and many people found better success a higher dosage. He did not want move my dosage higher...I left the office and have not been back since.

There is something wrong with our bodies that we have to understand. Acidic vs. Alkaline. But it goes deeper than that. I read 1 article, just a single article that summed all of my problems. This article focused on sleep disorders.

When I read this article things started to become clear. One problem lead to another, which lead to another, which lead to the answer. Just follow me in this and try to make sense of where I am going. In most cases when does gout set-in? At night. What happens at night... we sleep. In the article I read the information did not want to directly come out and say this a cure but I followed a hunch because of the constant pain. So in my case I had a sleep study performed. The study found that my oxygen dropped down to 73% when I went to sleep. I stopped breathing 17 an hour when I laid on my side and 32 times when I was on my back.....BINGO. That was the problem!!!!!

Without getting to deep into the physiological makeup of our bodies when our bodies. Monosodium urate crystals that cause gout result from excess uric acid caused by the oxygen deprivation of apnea. The two are linked undoubtedly. The risk of snoring and apnea increase as alcohol is consumed

This fixed my problem. I now sleep with a Cpap and I have been GOUT FREE for two months and counting. My oxygen level is 100% when I am sleeping. The key is to get tested for apnea. Many doctors do not test for this. They would rather keep patients on medications and returning doctor's visits, so they can continue to live off of our pain.

Good luck to you all, this is my testimony!!

Rodney J.
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painfree
replied on October 15th, 2009
Experienced User
Congratulations Rodney! Not only did resolving your sleep apnea prevent the recurrence of overnight gout flares, but it also will greatly reduce your risk for the development of atherosclerosis, high blood pressure, heart attack, heart failure, diabetes, erectile disfunction, depression, and many other diseases which are known to be consequences of sleep apnea. Bravo!
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bolkowboy
replied on November 12th, 2009
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I was an Apniac for 10 years and didn't know. I was stopping breathing 48 times per hour. Very severe. I was not seriously overweight 28 BMI and never had a problem with Gout. I had a bad turn with pericaditus 5 years ago and was hospitalised. This discovered the apnea and I was given immediate treatment. I have used an APAP for 5 years and today for the first time I am in bloody agony from my first serious, big toe, gout attack. It kind of blows your theory In my case. The thought of having the two together makes me shudder.
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painfree
replied on November 13th, 2009
Experienced User
Bolkowboy,

Though it may be unusual, your experience does not disprove the connection of gout with sleep apnea. I assume that you always use your APAP without fail while sleeping, because just a few hours of bad sleep apnea can lead to an immediate gout attack. Furthermore, obstructive sleep apnea, which PAP machines very effectively overcome, is not the only form of sleep apnea. The other form, less common, is central sleep apnea, for which the PAP machines are not effective. Some people have both forms. The last point is that about half the people with gout have concomitant sleep apnea. Sleep apnea is not the cause in the other half of gout sufferers.
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