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Conditions and Diseases > Gout Forum > Recognizing Gout symptoms ?
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Q: Recognizing Gout symptoms ?
asked by: christerman on June 18th, 2009
New User
I recently had symptoms in my ankle that were completely new to me. Day 1 started with slight twinges in the ankle followed by Day 2 with slightly more discomfort. Day 3 showed some slight swelling and the need to watch how I was walking. Day 4 was slighly worse than the previous and by Day 5, I was essentially hobbling around with a very swollen ankle. The swollen area was pink and hot to the touch. It was not painful to touch, however. Movement in the joint was where the pain was. It seemed like a sprain, only in reverse.

Went to my chiropractor on Day 5. He was clueless. Suggested I see my doctor. Went to her the following day. She looked at it and suggested either Gout or Bursytis. She drew blood, wrote me a Rx for Indocin and sent me on my way. Swelling and pain began to abate almost immediately. Two days and 6 Indocins later, pain free, swelling nearly gone. Now two more days later, only a trace of residual swelling. Got a message from her nurse yesterday that my test results had all come back in the "normal" range. They hoped that my ankle was feeling better. Modern Medicine.

So know I don't know what to think. Was she off the mark?
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painfree
replied on June 19th, 2009
Experienced User
Blood tests for uric acid concentration are not a definitive test for gout. The definitive test is viewing under a polarizing microscope aspirated fluid extracted from the affected joint. To have that test performed, you need to go to a rheumatologist who has access to that type of microscope.

If you do have gout, make sure that you don't have sleep apnea. If you have sleep apnea, follow your recommended treatment to overcome it. Doing that will probably prevent any future gout attacks, plus it will greatly extend the length and quality of your life.
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christerman
replied on June 19th, 2009
New User
Thanks for the reply. Can this fluid be drawn from my ankle even though I am not experiencing an "attack", so to speak?

My wife of course complains about snoring, but after a recent drop of 25 lbs, she says that it has abated. She also had never felt the need to wake me to start my breathing again. Weird that there would be a connection between the two conditions.

Drinking too much affects my sleep certainly, but while I have mused about sleep apnea as a condition I might have, there don't seem to be enough markers to make me pursue it further.
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painfree
replied on June 20th, 2009
Experienced User
When fluid was drawn from my ankle, I was not having an attack. Yet the rheumatologist was able to analyze it sufficiently in a few minutes to determine that I had gout. Once the urate crystals are formed in a joint, it takes many months for them to dissolve, even though a typical gout attack lasts 3-10 days.
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