I finally found someone to talk to about
my problem.Anyways im a 24 yr old male and
about 3 months ago at about midnight I got
this bad pain in my ankle and it got so
bad that I couldnt even walk to make a
long story short went to the hospital and
regular doctor and come to find out he
looks at my last blood test and see's my
uric acid level was high so therefore he
figured out what I had(gout) he put me on
colchicine and some other green cpasule
and it helped but once the pain stopped I
stopped takin the meds and then I got it
in the other foot so I took the meds again
for a few days and it cleared up well I
had been doin good for like 3 weeks now
with no pain so I just went and had my
uric acid level checked and it was high
like a 950 so im like whoa so he saids
just keep takin colchicine and come back
and we will check it again.Well now my
ankle is hurting slightly to day so maybe
it is coming backbut anyway is this what I
should be takin to lower my uric acid
level I mean the stuff gives me direa and
I looked online and it had lots of scary
side effects also.I mean im just worried
about gettin a kidney stone or something
like that so thats the main reason I want
to lower my uric acid level.Im sorry for
the long post I just needed to
vent..Thanks for any help..
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JYY2
Experienced User , Rather EHEALTHy
Joined: 05 Jun 2004 Posts: 227
Posted: 10-29-05 15:18pm
If your uric acid (ua) level is really 950
(i think you meant 950 mmol/l, which is
equivalent to 15.8 mg/dl), your ua level
is way off the normal level of < 420
mmol/l, or 7 mg/dl. Anyone with such
extremely high ua level is prong to have
gout, ua kidney stones, etc. My
suggestion is that you study gout and
track down what causes your high ua level
(hyperuricemia). Also keep a good
records regarding what happened, what med
at what strength you are taking, what the
docs say,... I am sure these info will
help you a great deal in the long run.
The doc has not given you uric acid
lowering drugs yet because he/she wants to
wait until next blood test to be sure your
ua level is really that high. You can
prevent diarrhea by taking prescription
drug lomotil which is habit forming.
When you are given ua lowering drug, make
sure to start at a low dosage and
gradually adjust up. Also take colchicine
or an nsaid to prevent gout attacks which
often follow the initiation of the drug.
More gout info can be found at http://www.Icuredmygout.Org .
Good luck and take care.
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Hardhittinz
New User, Becoming EHEALTHy
Joined: 28 Oct 2005 Posts: 13 Location: Maryland
Posted: 10-29-05 16:48pm
Well I just confirmed that my uric acid
was a 9.2 last time I had blood work and
my doctors scale saids it should be no
higher than a 8.2 and see the worse thing
is is that when I first went in a few
months ago and he thought I had gout he
looked at my prior blood test which was
from 2003 and saw that my uric acid was
high then I mean if he had said something
then I may have been able to lower it and
may have never gotten the gout that just
makes me mad...
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JYY2
Experienced User , Rather EHEALTHy
Joined: 05 Jun 2004 Posts: 227
Posted: 10-29-05 19:48pm
I am glad your ua level is 9.2 (mg/dl),
not 920 (mmol/l) as I thought. Most
people who have high ua level don't have
gout in their lifetime. Therefore they
are not routinely treated for
hyperuricemia until they have 2~3 gout
attacks because of the possible side
effects of the medicine. Hyperuricemia
at your age is unusual -- it may be caused
by genetic, drinking, ... Track down the
causes and avoid them. Good luck.
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Hardhittinz
New User, Becoming EHEALTHy
Joined: 28 Oct 2005 Posts: 13 Location: Maryland
Posted: 10-31-05 05:54am
Well I dont drink,but I do have high blood
pressure and I take toprol xl and
hydrochlorothiazide but I dont eat very
well which I think I will start to eat
better and my body mass index is a 36 so I
dunno..Thanks for all your help so far.
|
painfree
Experienced User , Rather EHEALTHy
Joined: 14 Nov 2004 Posts: 73 Location: ,
Thanks: 3
Thanked:0
Posted: 10-31-05 06:41am
Hardhittinz -
make sure that you don't have sleep apnea.
Both gout and high blood pressure are
indicators of sleep apnea.
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philedog
New User, Becoming EHEALTHy
Joined: 31 Oct 2005 Posts: 2
Posted: 10-31-05 12:40pm
Watch the high protein beef, nuts, gravies
etc...They can trigger an attack....If
they persist, ask you doctor about
allipurinol, it has worked for me..
The colcezine and endomiathsine are used
to knock down the goat attack...Sometimes
the stomach distress, dizziness and
diareha make you forget about the
pain..........
Good luck....
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JYY2
Experienced User , Rather EHEALTHy
Joined: 05 Jun 2004 Posts: 227
Posted: 10-31-05 21:15pm
Hi, hardhittinz,
i have the following fyi:
1) ask your doc to:
a) take you off hydrochlorothiazide.
It can raise the blood ua level and is
known to cause gout.
B) see if it is ok to replace toprol
xl with losartan (cozaar). Losartan
(cozaar) can lower both the blood
pressure and the ua level.
C) give you a 24-hour urine uric
acid test to measure how much ua you
excrete a day. Using the results from
the blood and the urine tests you can
estimate how much ua you are producing and
excreting which is very useful in the
management of hyperuricemia.
D) start ua lowering therapy using
allopurinol, benemid, etc. They can
lower the blood ua by 1~2.5 mg/dl in a few
weeks. Start with a low dosage with
colchicine or an nsaid, and adjust the
dosage up every 2~4 weeks. Otherwise,
they will trigger gout attacks.
2) work on your bmi. Extra weight
produces extra ua. But don't loss weight
too quickly, which can trigger gout
attacks.
3) avoid large serving of high purine
diet. Avoid atkin's diet which is known
to cause gout. See section 2 of http://www.Icuredmygout.Org for
things that you can do to help your
gout.
4) see a rheumatologist if your condition
does not improve.
