Hi Tommytowne
The connection of gout to sleep apnea was written about in pulmonology journal literature more than 20 years ago. The repeated, prolonged periods of lack of breathing and oxygen deprivation known as sleep apnea cause two effects that lead to gout. The first effect is that oxygen-starved cells throughout the body undergo the process of catabolism, which would lead to their death if continued long enough. Cells in catabolism generate excess uric acid which they dispose of in the blood. The second effect is that the reduction of oxygen makes the blood even more acidic. The body compensates to restore normal blood acidity by dumping out uric acid in the form of crystals of monosodium urate. When these crystals lodge in a joint in those people predisposed to gout, they initiate an immune system response that leads to the pain and inflammation of gout.
Despite the fact that these effects were described in medical literature, they are not recognized by most doctors who treat gout. If we gout patients insist that we be screened and tested for sleep apnea, and then follow the treatment recommended to overcome it, we could greatly reduce our risk for the development of many serious diseases that are known consequences of sleep apnea as well as prevent further attacks of gout. A deviated septum is one of the anatomical structural conditions that makes sleep apnea more likely to occur. Heavy snoring is often a symptom of sleep apnea. Check it out.