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Cirtocs

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Gout treatment
Posted: 05-11-08 08:18am

First off let me start with a quick rant. I see alot of web site that state they will cure your Gout, by simple things, like grocerys, ect. and other secerets. As far as I am concerned, if these folks where true Gout suffers, when you go to there site, there would be all the answers and help you need. Not a charge for$$$$ to see what they think might help, and to pray on the true Gout suffer!

And for all who are thinking about trying uricinex. don't do it, it DOES NOT WORK.

I am 44yrs old, and been suffering from gout for about 5-6yrs now. It all started with a fall off a ladder onto my foot. At that time I think I was no carb dieting. However, I was in very good condition. Took the Doc's not long to tell me it was Gout and not the hair line fracture all had thought. probaly because with in that first two weeks, condition went from the injured foot, to same side knee, to oppisite side knee, then back to injured foot. Good call on there part.

Now being honest, since my attacks have started, my health has actually gotten worse. Gaining lbs, and lack of exercise not just because of the left over pain in feet has made activitys very uncomfortable, but also the fear of if I get any type of injury, OMG here we go agian.

I can't even count the # of differant types of foot wear I have tried, and trashed, and tried agian. My personal choice(after going thru hundreds of $$, and many brands) is New Balance and Crocs. The true gout suffer will know(if you suffer in your feet and knees)what the shoe thing is all about.

Something that I have seemed to notice in my case, is that my attacks(the really bad one's that put me in a wheelchiar 2-3 weeks, and peeing in a jug cause getting to the bathroom is, well you know) seem to be seasonal. It seems like between late April to early June I can expect this to happen.

Now through out the rest of the year(even though not mentally recoverd)I will get few managable mild attacks. But come this time of year,BAAM! I am down for the count.

Whats up with that? My diet, which is fairly healthy, red meat maybe 2x month, cook at home, don't eat out more than 3x year, and my beer intake remains consistent through out the year, no major changes in any, and no real problems till this time of year.

Have taken no Rx drugs for this. And baking soda has helped in the prior attacks. Can't say it is really doing much this time. So I have started, inconjuntion with the baking soda, 16oz of cherry juice 2x a day. Can't say that is doing much either except for keeping my wife busy washing undershorts.(sorry for that)

Based on what I read, this year I plan on staying on a daily cherry juice intake(not as much though)to see if this will be preventive for next year.

Any thoughts?
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painfree

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Posted: 05-11-08 16:07pm

A rheumatology journal paper in 2005 reported on a study showing that gout flared more often in springtime than in other seasons in the US, but it varied with the geographic location. My recollection is that the Chicago area is the worst, and the Phila. area is also bad. The article did not hypothesize any reason why that should be the case. I have my own hypothesis, but it's only a guess.
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Cirtocs

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Posted: 05-11-08 18:19pm

Okay, what would be your guess?

In the last 5-6 years, I have lived in Central Florida(really no sping at all), North Georgia(very mild spring), and now NW Montana(very drastic spring)and seems to occur in all and just as bad.

For the life of me, except for any type of injury to a past effected joint, I can not think of any triggers for this. Like I said prior, my deit and beer intake pretty much remains the same through out the year with no real changes to speak of.

Trying to sell now and move back to FL. But I think spring will be unavoidable no matter where I live.

Funny though, I think I remember something from when I was a kid about a neighbor who moved to AZ because his arthritis was so bad.
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painfree

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Posted: 05-11-08 19:04pm

My guess may not apply to your experience, but may apply to others. I connect springtime with a new blast of pollen in the air, which many people respond to with inflamed nasal passages. That makes breathing freely more difficuly, and can exacerbate sleep apnea. And I know that sleep apnea can be an almost immediate cause of a gout attack, as I have written about in posts on this website and on others.
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Stu77047

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Posted: 05-12-08 16:37pm

I always get flare-ups in the spring too. For me, I think it is allergies. I am not sure how it works, except maybe I am mildly sick for a log time. But I take allegra religiously in the spring now because of gout and not allergies. I noticed a few years ago that my bad flare-up for the year came around the end of April or early may. One year it came at the beginning of June when I ran out of allegra. Maybe it was coincidence, but now I still seem to get my bad flare-up sometime in June, but it is not as bad as it used to be. Also I drink extra water all spring too, so that may be part of the reason it is not as bad. Also my flare-ups are only in my right big toe and have been for about 10 year, since my first flare-up. Just a thought.

Other ideas I have too are an increase in work outside - Dehydration and Increased Stress on the joint.
More BBQ and Wine (Never beer or hard liquor anymore) in the spring.

Also of all the food and drink remedies I have tried, water is the only one that really makes a difference. I drink constantly. I try to drink an average of 1.5 of the 16 oz bottles of water an hour. I can only do this if they are not cold too. I can't get them down fast if they are. If I just eat fruits and veggies it helps a little more too, but fruit juices do not help me at all. And it keeps me from drinking water. I have gotten good at seeing the first sign of a flare up, a slight stiffness and tenderness for no reason. When I get that I eat nothing but soup, fruits and veggies for two days. I do find the salt from soups keeps you from feeling that weird way you do when you drink so much water. It makes all but one or two outbreaks a year last 1-3 days with a serious reduction in the amount of pain. You may want to try my regiment. I usually notice a difference after about 8 hours or so if I start late, if you do not notice anything by 12 hours, then I would stop to avoid the constant trips to the bathroom.
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tommytowne

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Posted: 05-19-08 01:56am

Stu77o47- do you take any meds?
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Cirtocs

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Posted: 05-19-08 17:45pm

No Rx. Just some over the counter Naproxen Sodiom. Some, yet very little relief. In the past, if the attack would go on for more than a week or two, I would go ahead and hit the baking soda. Usually with in a day or two shoes fit agian, and I could slowly get around.

However, not this time. Baking Soda for about a week now with no relief.

Kinda got a Doctor phobia.(long story with botched surgerys)But I think now that I am 4 weeks in this thing, not getting worse but not getting better. And I not sure my wife is not going to off me in my sleep,lol so she does not have to deal with it any longer herself. It might be time to go see the doc.

I have read and heard of suffers getting cortizone shots. Do these really work? And is it instant relief? I have heard that cortizone shots can be bad for the ticker.
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tommytowne

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Posted: 05-20-08 03:27am

I would get some indocin and some colchicine if I were you. Those two meds will normally knock down an attack overnight if taken at the onset and in just 1 or 2 days when taken in the middle of a medium attack. It sucks you have to start using meds but what I have found is that this disease gets progressively worse over time.
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Cirtocs

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Posted: 05-20-08 08:08am

It might be that time. I guess the older you get, the longer it takes the body to heal.

Might sound silly, but I have a bad habbit of when given an Rx, I research all the side effects several times over. Then end up not taking them at all based on what I read.

Still curious about the cortizone shots though.
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painfree

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Posted: 05-20-08 08:18am

Cortisone can have side effects too. Check it out.
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blackbusiness

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Posted: 05-29-08 06:20am

Colchicine and Indomethacin work wonders to knock down the pain of an acute attack. (I take the Colchicine sparingly as I know it can be poisonous is taken in too high of a dose.) I take it because it flat out works, and allows me to make it to the restroom unaided.

Cortisone would likely work, but as any athelete out there knows, one can only have a few shots in thier life before it becomes degenerative to the affected joint. But then again, I haven't tried it for gout, so I will say no more.

I am posting here because I noticed a few of you had attacks during the spring. I am having my first attack of the year (it is now late May) and this is particularly interesting because I know I had a very bad allergic reaction to the pollen in the air this spring. This is the first I have heard of this, and I am inclined to run my air purifier during the spring evenings if there is truly a correlation between spring alleries and gout.
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Cirtocs

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Posted: 05-29-08 07:38am

I would say thats a tuff one for anyone to answer for sure. I will tell you that my spring attacks are the longest(the accute attack usually acouple of weeks, but the inflamation 3-4 more)and the worst. Might be able to reduce the inflamation time, but my stomach can not handle the NSAID'S for more than a day.

I say it's tuff because spring is my enemy, however I do not suffer from allergys.

So, it's anybody's guess.

But on the other hand, differant triggers for differant people.

Me: Slight aggravation a few time through out the year, off my feet with some rest for a few hours and gone.
But come spring>forget about it>but no allergys

Now, all the usaual suspects, beer, red meat, fish, spinich, sweet breads, ect. no for me, do all, all year round. Agian, no real issues till spring.

However, the one thing I cannot rule out is STRESS. It does seem to me for the last 3 years in the spring, I have been ethier trying to sell a home, packing a home to move, or on the road relocating. This year it is the trying to sell in the wonderfull US market that we currantly have. So, who know's?
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