mtmoore,

On your list two of the items you have listed have been triggers for me. They would be sodas and seeds.

I will admit I drink sodas excessively and i believe they contribute to dehydration. Seeds I identified as a trigger for me while in the Navy and routinely bought them out of the vending machines of course with one of the many sodas I would drink. Sure as heck a gout attack would follow.

Stopped the sodas and continued eating seeds and still had the attacks.

In a few of my posts I have mentioned dehydration I keep coming back to this because the first rhuematologist I had said monitor your urine flow if it is really yellow you are getting dehydrated and are in extremis in terms of getting a gout flare.

Concerning foods stay away from stuff high in purines.

V/R
Jeff

Thanks for the quick reply!

It's interesting you mention seeds... lately I have been eating bread with seeds in them and mixed seeds a lot.

Never have I had a gout attack this painful before. I think i'll try stopping them for a while and see if it helps.

I went to my doctor today and mentioned the Baking Soda, he was not in favour of it all! So, for the time being i'll stick to normal medication and Ibuprofen until no doubt my liver hangs out!

mtmoore,

I have not as of yet knocking on wood that seeds on bread have triggered an attack. However the seeds in trail mix et al sure fire me up.

With you mentioning bread (and coming from grains) I will tell you another thing that lights me up is cous cous not sure if it is a grain but I think it is.

Lot of folks on here talk about baking soda I have never tried it. My NSAID of choice and I think I have tried about 90 percent of them in the 17 years I have had gout is indomethacin. Stay away from Asprin it will trigger and attack.

Are you seeing a rhumeatologist??? If not you may want to. Back when I first started having issues and before the gout diagnosis the regular navy Doc I was going to thought it was Lyme disease (attack was in the elbow) and was treating to that end. Lived through pain for weeks and then my knee swelled up the size of a volleyball and I hobbled in to Portsmouth Naval and then the test began and was farmed out to rhuematology and have been a frequent flyer there ever since.

V/R
Jeff

One thing you may want to be aware of is overall caloric content of your meals. Sometimes bread--seeded or not, are very high in calories, and added to a meal can elevate the overall content, spiking your insulin, and causing some problems with your endocrine system, which can sometimes trigger an attack.

Another thing to consider is whether you are eating a whole grain bread that may have brewer's yeast added. Brewer's yeast is high in purines, which can trigger attacks.

As far as nsaids go, I have great success using sulindac for gout attacks. You may want to ask your doctor about it and see if that may be a better choice for you. I get no stomach upset, and none of the dizziness I get with indomethacin.

Ray

Recent research headed by Dr. Richard Johnson, chief of nephrology at the University of Florida in Gainesville, has shown that the ingestion of fructose leads to the generation of excess uric acid. The typical American diet contains lots of fructose as a sweetener in so many processed foods in the form of high fructose corn syrup. Fructose is also a major component of sucrose, which is regular table sugar.