In the middle of my most painful attack
yet. Doc gave me allupropinal, but
stopped taking it beacsuse I thought it
was a one off. This is now my 4th attack,
and boy the pain is unbeleivable.
So, i'm now taking this seriously and have
a few questions that i'd really appreciate
an answer on....
1) how long a delay between triggers and
attacks? The last one came up within a
day or so (mussels!) but I really can't
think what caused this one? I overdid it
around 10-15 days ago, but is this too
long after a trigger?
2) I read on one website that cyclonic
depressions (the weather) had an effect.
We are in the middle of quite a low,
compared to quite high recently. Anyone
else come across this before?
3) bladder - my freinds call me a camel
because I must just store liquids away
soemwhere. I hardly ever go to the
toilet. Could this have something to do
with it?
3) do doctors give cortizone ijections,
and do they work?
Any help please?????
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JYY2
Experienced User , Rather EHEALTHy
Joined: 05 Jun 2004 Posts: 227
Posted: 07-31-06 17:33pm
You may like to take a look at "emergency
gout treatments" in http://www.Icuredmygout.Org .
Cortisone (e.G., methylprednisone)
injection works, almost instantly. If the
pain is unbearable, go to the hospital to
have a shot right now. Allopurinol
should not be initiated during the
attacks. See paragraph 3.8 of the above
webpage for more info. The answers to
your questions:
1) anecdotal evidence has shown gout
attacks occur within 24 hours of
encountering the triggers such as heavy
exercise, heavy drinking, or eating gout
triggering meals. Haven't seen a
scientific report on this.
2) studies have shown there is a high
correlation between the occurrence of
osteoarthritis attacks and the low
atmospheric pressure several days prior to
the attacks. But it does not apply to
gout.
3) yes, concentrated urine can trigger
gout attacks and cause kidney stones.
Drink enough water (2~3 litres a day)
until the urine is clear.
Take care.
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BossHogg
New User, Becoming EHEALTHy
Joined: 31 Jul 2006 Posts: 2 Location: france
Thanks! Posted: 08-01-06 03:12am
Thanks very much for the reply.
I didn't realise that the attacks could
come up so soon after the triggers.
Anyways, here are some more questions that
i'd very much appreciate knowledge on...
The first 2 attacks were classic big toe.
The very first one, I went to a&e
thinking i'd broken my toe somehow!
Anyway, big toe never got swollen, yet
this one is in the instep and my foot
swollen like a football. Is this
normal?
I'm in my 4th day, and can now hobble
around. Is it still worth going to see
the doc , or do I just sit it out?
I have copies of my medical report, which
shows urate oncentration as 0.46 mmol/l
last time it was checked. I beleive that
micomoles is the standard way of measuring
stuff in blood, and every country uses it
except the us. Because virtually all the
gout sites seem to be based in the us, i'm
having trouble finding what mmol/l is
compared to mg/dl ?
Thanks !
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JYY2
Experienced User , Rather EHEALTHy
Joined: 05 Jun 2004 Posts: 227
Posted: 08-01-06 22:19pm
Cortisone injection has serious side
effects and should not be used more than a
few times a year. So if you can hop
around, you do not need a cortisone shot.
However, aren't you taking colchicine
or an nsaid to treat the pain and
inflammation?
Gout can attack anywhere in the body.
Attacks in instep is rather common.
Test the joint fluid to be sure you have
gout. Rheumatologists are the best to
diagnose and treat gout.
Molar mass of uric acid is 168 g/mol.
That means: 1 mg/dl = 0.0595238 mmol/l.
The normal blood ua range is about:
3.4~7.2 mg/dl (milligram per decilitre),
or .202~.429 mmol/l (millimol per
litre).
By the way, if you are having a cortisone
shot, ask to have it injected in the
muscle and not in the joint, because
sometimes cortisone can crystallize in the
joint and cause another crystal disease
like gout or pseudogout.
Last edited by JYY2 on 08-02-06 00:57am; edited 2 times in total
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yonx
New User, Becoming EHEALTHy
Joined: 21 Jul 2006 Posts: 43 Location: new zealand
Gout Posted: 08-01-06 22:46pm
A quote from a web page bosshogg
blood tests for levels of uric acid also
may be done, but they can be
misleading because the levels may be
normal during an acute attack of gout. In
addition, many people with high levels of
uric acid never experience an attack of
crystal-induced arthritis.
So things don't always go by the book.
I have a friend with gout...He takes
pantothenic acid and a herbal formula that
works on the liver, kidney, gallbladder
and pancreas....Plus a herbal calcium and
he comes right much quicker.
