Gout Forum - bad foot pain and taking Indometacin

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Q: bad foot pain and taking Indometacin

asked by: gallego1968 on January 24th, 2008

New User

Hi my name is John age 39 and i`m from London.
I have had gout for about 8 years and i coped with it pretty well so far, as soon as i feel an attack coming on i start using Deplofenic and gout pain goes in about 3 days.
This time it`s different, i`ve had this attack for 6 days now and the pain has been very bad everyday. I went to the doctor 2 days ago as i have never had an attack like this, the doc put me on Indometacin as they are ment to be stronger in controling the pain and the uric acid but so far no different.
I had blood test yesterday to see if i qualify for a pill which prevents gout from attacking as long as i take one a day forever which is what i want.
I can`t sleep due to the uncomfortable and painfull my foot is at the moment and getting very fed up with it.
How do you guy`s cope with a bad attack.

Replies(22)

JYY2

replied on January 25th, 2008

Experienced User

To relieve the sever pain, you can go back to your doctor to ask for a steroid injection, or to ask for some opioid pain killer to take by mouth. He/she should have given it to you when you saw him/her 2 days ago to save you the agony! Indomethacin won't work well now because you waited for too long before taking it. The result of the blood uric acid (UA) test taken during the gout attack is meaningless because the UA level can go higher or lower than usual during the attack.

Warning: Don't take Allopurinol (the once a day pill) until the attack has completely subsided. Otherwise, it will worsen and prolong the attack. More info can be found in Emergency Gout Treatments section of http://www.ICuredMyGout.org . Take care.

gallego1968

replied on January 25th, 2008

New User

The doc said not to take Allopurinol until this attack has gone away, i`ll ring the doc up and ask for the other stuff you mentioned.

gallego1968

replied on January 26th, 2008

New User

Last night the pain got so bad my wife took to to my local hospital where they gave me Colchicine which worked and i got some sleep last night.
It`s be a week now this attack started and i hope it goes very soon as i`m now getting depresed by it.

gallego1968

replied on January 26th, 2008

New User

Got a letter from the docs today asking me to make an appointment about my blood test, i`m going to ask for Allopurinol is this right.

JYY2

replied on January 26th, 2008

Experienced User

Very glad the pain has subsided. Keep some spare Colchicine around in case gout returns in the future.

My guess is that your doctor wants you to take Allopurinol to lower your uric acid level, to be on low purine diet, ... About 80% of gout patients who took Allopurinol are happy with the results. This info may help you decide whether you want to take it (for life) or not. Initiation of Allopurinol often triggers gout attacks.

gallego1968

replied on January 26th, 2008

New User

I have started watching what i eat and have a list of foods i shouldn`t touch, hopefully loose a bit of weight aswell.

JYY2

replied on January 26th, 2008

Experienced User

May I ask what is the list of foods you shouldn't touch? Thanks.

gallego1968

replied on January 27th, 2008

New User

Shellfish
Red meat
Pork products
Turkey
Spinich
Aspargus
Colliflower
Some fish
Yeast
Game birds
Venison
Beans
Lentils
Cheese
Alcohol
There are more can`t remember at the moment.

JYY2

replied on January 27th, 2008

Experienced User

Thanks for the reply. You might be interested in an article by Prof. Dr. Adel G. Fam which discusses gout, diet and weight loss... It can be found at http://www.jrheum.com/subscribers/02/07/13 50.html .

gallego1968

replied on January 27th, 2008

New User

Many thanks for that, it` was a very informed and interesting read.

gallego1968

replied on January 28th, 2008

New User

Just got back from the doctorshe said that i have to keep taking Indometacin for a month and then after everything has calmed down i will be put on Allopurinol, which is what i want.
My foot is a bit better and the pain has gone, so just waiting for the imflomation to go down and then i can get a shoe on and get back to work.

gallego1968

replied on March 4th, 2008

New User

3 days ago i started taking Allopurinol and today i feel an attack starting again. I stopped taking Indometacin on Friday but i have had to start taking them again as i feel the attack.
Is this ment to happen as i thought the Allopurinol was suppose to stop an attack from happening again.

stanl

replied on March 4th, 2008

New User

reaction to allopurinol

Allopurinol is doing its job and is reducing the amount of uric acid in the blood. To compensate, the body tries to dissolve some of the existing UA crystals to bring up the level of UA in the blood and that's when the immune system notices the crystals and causes a gout attack. Eventually -- I don't know how soon -- these attacks should stop. The good news: you are getting rid of some of those "evil" crystals and reducing the possibility of future gout attacks.

gallego1968

replied on March 5th, 2008

New User

That`s good to hear, many thanks for that.

gallego1968

replied on April 5th, 2008

New User

This lastest attack has stopped but i my toe is still a bit sore, i went to the pub and only had 2 pints of Guiness and an orange juice, the next day i had a slight attack so back on the pain killers for 2 days.
Looks like now that it`s alcohol that triggers my gout off, so no more alcohol for me for ever. Crying or Very sad

JYY2

replied on April 5th, 2008

Experienced User

Sorry the attack is back. May I ask:

1) How much orange juice did you have with Guiness?

2) How much orange juice do you drink a day normally? Did it bother your gout when you drank OJ alone?

Thanks.

gallego1968

replied on April 7th, 2008

New User

I only had 2 pints of Guiness and 1 pint of OJ. When i`m at home i only drink water or cherry juice.

JYY2

replied on April 7th, 2008

Experienced User

Thanks for the reply. BTW, citric fruits including OJ can trigger gout in some people. Take care.

gallego1968

replied on April 7th, 2008

New User

I`ll stop citurs drinks aswell sa alcohol now, now i don`t know what to choose in the pub. Crying or Very sad

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