Exercise definitely does it to me. In
fact, for a few years before I was
diagnosed, I had some symptoms that would
appear after beginning to exercise (sharp
pains in foot when I woke up that went
away after I warmed up) after being out of
shape for a while. At the time, I figured
it was because I'm kind of a big guy
(210-220 pounds when in decent shape) and
ran on less than ideal terrain, but in
hindsight they were probably warning signs
that I was developing gout.
I have discovered something called
"soda-loading" that athletes use before an
intense competition. The amount of lactic
acid that builds up in the blood from
heavy exercise can cause serious fatigue
and less efficient removal of waste, so
athletes take large doses of baking soda
before races as a ph buffer. Something
like 5 teaspoons. Tests were done, and it
was shown that 800 meter runners gained a
significant advantage (several seconds)
from soda loading. The 800 is a grueling
race that combines both aerobic and
anaerobic ability, so it builds up a lot
of lactic acid from the combination of
effort and time.
My guess would be that the combination of
acid formation from lactic acid and
carbonic acid, stress to the joint and
dehydration caused by exercise could all
contribute to gout. But this doesn't mean
you can't exercise -- only that you should
be careful and take precautions. Perhaps
take a teaspoon of baking soda in water
before exercise (ask doctor first), be
careful to rehydrate after you have
finished, and then take a warm footbath
and a little more baking soda before bed.
If you're really worried maybe take a
couple hundred milligrams of ibuprofen
before going to bed, too. I've found that
a half teaspoon of baking soda and 200
milligrams of ibuprofen before bed is
usually enough to avoid a gout attack even
if I feel one coming on.
BTW, has anyone noticed that taking baking
soda decreases one's craving for salt? I
hardly salt my food at all when using it.
I'm actually starting to wonder whether
the practice of using table salt doesn't
contribute to gout, because it substitutes
for natural sources of sodium that are
found in more alkaline food and water. I
think JYY2 may be on to something that has
implications far beyond just gout.
|
Panache
New User, Becoming EHEALTHy
Joined: 20 Jan 2008 Posts: 2
Results Posted: 05-15-08 19:43pm
I haven't had an attack since my last
post, 4 months ago! I didn't use baking
soda and am off allorpurinol. In fact, I
am hydrating less than before and am not
getting attacks!
All I had to do was monitor my heart rate
and keep it from going beyond 160 during
aerobic exercises. This apparently
prevents the extreme fatigue that triggers
high uric-acid production in my body.
I would encourage every gout sufferer who
exercise regularly to try this too!
|
tommytowne
New User, Becoming EHEALTHy
Joined: 06 May 2008 Posts: 19 Location: Redlands, CA USA
Thanks: 0
Thanked:1
Posted: 05-19-08 02:28am
I have had gout since my early 20's and I
am now 34. Whenever I twist an ankle I get
an attack. Whenever I walk a long distance
and get sore knees or feet I get an
attack. If a carry something heavy and
twist my wrist I get an attack. I hate not
being able to exersize and play
sports/martial arts etc. I am always
carefull to not over exery myself.
I just signed up for a water aerobics and
water weight lifting class at the YMCA and
start in a few days. I am very excited
about losing weight and regaining
strength. I will let you all know how it
goes.
|
painfree
Experienced User , Rather EHEALTHy
Joined: 14 Nov 2004 Posts: 69 Location: ,
Thanks: 3
Thanked:0
Posted: 05-19-08 08:07am
I have seen a medical journal paper that
reports that one effect of anaerobic
exercise (as opposed to aerobic exercise)
is the cellular overproduction of xanthine
oxidase, which is a link in the chemical
chain that leads to overproduction of uric
acid. Thus, it is possible that anaerobic
exercise can lead to a gout attack in some
people.
Exercise can also lead to a gout attack by
another means. In earlier gout attacks,
the body stopped the attack by stopping
the immune system's chemical sensing of
the presence of monosodium urate crystals
by forming a coating around those
crystals. Exercise can rupture that
coating, so that the presence of MSU is
again detected, initiating the immune
system's inflammasome respone that causes
more gout pain and inflammation.
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