I am very sorry you have gout. I am not a healthcare professinal. All my postings are for info only.
Baking soda in water is not a treatment for gout in the mainstream medicine. I just accidentally found it to be extremely useful in getting rid of my acute gout more than 3 years ago. It seemed to have worked for many others too. To date, among the 266 people who responded to my survey question: "if you have tried baking soda to treat and prevent gout, was baking soda ... ", 59% said it's extremely useful, 12% very useful, and 15% useful... My explanation on why baking soda in water can help gout is given in paragraph 2.7, section 2, in
http://www.Icuredmygout.Org . Unfortunately, my attempts to raise the interest of the healthcare professionals on the issue has resulted in total failure.
Since baking soda in water is not for treatment of gout in the mainstream medicine, I could not find a reputable source on its dosage for treating gout. However, for use as antacid (in otherwise healthy person), the dosage is 1/2 teaspoon in 4 oz. Of water every 2 hours up to 7 times a day; for alkalizing the urine is one teaspoon in 8 oz. Of water every 4 hours up to 4 times a day. More info about baking soda (sodium bicarbonate) can be found at:
http://www.Nlm.Nih.Gov/medlineplus/druginf
o/uspdi/202525.Html .
The pain and the stress caused by gout attacks can significantly raise the blood pressure -- up to 210/110 in some people . Nsaids and some other meds used to treat gout can also raise the bp. If you have high bp, I suggest do not take baking soda because it can cause the body to retain extra water to increase the bp. You may find the following helpful to your gout:
* lose the extra weight gradually.
* if you are taking thiazide or loop diuretics to treat your hypertension, talk to your doctor about taking them off or reducing the dosage.
* ask your doctor if it's ok to switch your hypertension med to losartan/cozaar. It can reduce both bp and the uric acid level at the same time!
* track down the triggers of your gout attacks and avoid them. They could be be dehydration, starvation, heavy exercise, certain food or drinks (especially alcohol), medicines, heat from hot weather, physical & mental stress, ...
* other suggestions mentioned in section 2 of
http://www.Icuredmygout.Org .
January is just around the corner. I suggest that you see a rheumatologist (gout & arthritis specialist) about your gout. Good luck and take care.