I'm 27 years old, 178cm (5" 10') and 73kg (161lb) and I don't drink alcohol.
I had my first gout attack 2 weeks ago in bed.
The pain was... Fatal... Even the slightest touch from my blanket caused a spike of extreme pain as if it's not painful enough.
I broke many bones, tore ligaments.. Got my finger bitten off by my own dog.. But nothing even compares to the gout pain.
So the next morning, I went to the hospital, got my uric acid checked and it was 7.9, I had redness with a little swelling on my baby toe joint.
I took the usual drugs, indomethacine, colchicine, muscosta and miracid (i have ulcer).
The pain disappeared in 3 days. Then a couple of days later, the pain started to come back but wasn't all that painful.. It was just a mild pain around the baby toe joint area. It was just uncomfortable to stand or walk.
Then last night (2 weeks since first attack) I got the same killer pain back during 2am. I couldn't get any sleep due to the pain and I also ran out of medication.
Today, I went to another hospital from my first gout attack.
This is where the problem starts.
The doctor does not seem to be convinced that I have gout.
The new doctor thinks it's something else and wants to check the blood? In the joint. (like.. Extract fluid from my joint)
i live in thailand... Although the medical technology is supposed to be fairly good, i've been misdiagnosed couple of times thus have lost my faith in thai doctors.
I don't want to go through that painful fluid extraction from the joint just to find out I do have a gout, which the first doctor already told me.
Is there any other (less painful way) to check for gout?
I don't like big needles....
Based on your description of the severity of the pain, the inflammation, and the onset while sleeping, it very likely is gout. But the only definitive way to confirm the diagnosis is by examination of some aspirated joint fluid under a polarizing microscope to look for the birefringent monosodium urate crystals. From my own experience, I know that the brief pain of the needle in your joint is far less severe than the gout pain itself. You may find that preventing yourself from sleeping on your back will prevent future gout attacks by preventing apnea in your sleep.