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Conditions and Diseases > Gout Forum > Long flights precipitating gout ?
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Q: Long flights precipitating gout ?
asked by: Giddygiddy on April 5th, 2009
New User
Although predisposed to gout by hereditary factor and weight I have only experienced 2 attacks both of which followed long intercontinental flights. We all look hard to find factors that might add to the risk factor of an episode, but is this too fanciful?
As a gout attack is caused by crystals being deposited in the joints does the lower pressure experienced for 11 hours in an aircraft increase the rate of crystalisation?

I'd be grateful for any input.
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painfree
replied on April 7th, 2009
Experienced User
It is not fanciful at all to suspect that air travel can lead to gout attacks. Aircraft cabins are supposed to be pressurized at a level equivalent to an altitude of 9000 feet. In addition, much of the air fed into the cabin is recycled, so it contains even less oxygen than air at 9000 feet on land. That means you're getting much less oxygen in your system than at altitudes near sea level. There is at least one medical journal paper describing the higher incidence of gout attacks among people who move to a much higher altitude. It's the same reason that sleep apnea causes gout attacks.

In most modern aircraft, cabin pressurization is automatically controlled, not under the control of the pilot. In my experience, the Airbus 319 is the worst aircraft for producing in me symptoms of prolonged oxygen deprivation. I have sworn off flying anywhere in that aircraft.
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MichaelBKK
replied on June 2nd, 2009
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It's also worth pointing out that the potential for dehydration is also much higher on long flights. Drink a lot of water before and during the flight to reduce the chances of an attack. It works for me!
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