I have read that 4 to 6 cups of coffee a day will reduce the risk of an attack, although this is said to be true no study mentions if milk and sugar can be added, what is the way the coffee needs to be taken ?
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replied January 17th, 2010
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Hi ma18466,
Gout suffers should eat plenty of cherries,(fresh or frozen), to include 100% cherry juice, stay away from red meats, wine, sugars, fats. you can also eat strawberries and very little else for a few days. Strawberries are alkalizers and contain calcium, iron and an ingredient known as salacin which soothes inflammation. I would stay away from all caffeinated drinks during this period, that includes coffee, even the decaf coffee. Raw garlic is another route to take.
Hope this is of some help to ya.

Good Luck,

Faded Rose
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replied January 20th, 2010
Yes got gout in my left ankle really bad 2 days ago so will stop the coffee. I am in NZ on my farm and have strawberries/ fresh cherries on hand & gout levels have dropped. My wife said I'm not drinking enough water & yes I have a high uric acid level 9.6?? Don't eat much meat now but love radishes in the garden-thought it was that so will see how a change of diet helps. Had gout for 8 years now but do not drink or smoke. Thanks for tips on strawbs!!! Cheers Tam
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replied January 22nd, 2010
To both the above - try drinking 2-3 litres of water per day for two weeks then (as symptoms fade) drop to a minimum of 1.5 litres. Stop drinking beer and avoid other known gouty foods.

Get your kidneys working with higher levels of hydration and your uric acid levels will drop. In my opinion cherries and bicarb remedies have no basis as a cure.

I suffered terribly for three years. Crippled at times. Only this method worked.... attacks became less and less and now I am free but I still keep an eye on hydration.

Gout is a cumulative syndrome which can take months and years to build and also months and years to get rid of but it is possible. It will never be achieved without removing causes like beer and poor hydration levels.
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replied January 22nd, 2010
Thanks Mort. I actually have been pretty good and do not drink beer or alcohol & keep away from most meats & gout foods. Unfortunately too much coffee & my wife tells me more water which I am now doing.Also stopped the sugar? She says drink water in the morning once one wakes up to clear the body of toxins. Does this make sense?
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replied January 22nd, 2010
It does make sense. Remember that Gout also damages the surface of the joint which takes time to heal.

To my (untrained) mind, gout is a syndrome which consists of several attributes.

1. Poor hydration levels which severely affects kidney function.
2. Poor kidney function which can cause high Uric acid levels and build up of other nasty toxins.
3. High levels (in my case not very high) of Uric acid causing crystalisation (and hence joint damage)
4. Cumulative joint damage which reaches a critical stage where it is felt as pain.... and lots of it as we know.

I looked at point 1 . What caused poor hydration. Well, in my case I used to drink beer most evenings and perhaps a couple of cups of tea during the day. The beer would de-hydrate (as all alcohol does) and the couple of cups of tea was not enough to rehydrate me again. Over time (a long time) my body found it more and more difficult to operate correctly in this de-hydrated state. Kidney function declined, uric acid levels rose etc etc

To break the cycle, I made a concerted effort to remove the dehydrating/irritant cause (beer, wine, some foods) and improve the source of hydration. 2-3 litres of water per day for 2 or 3 weeks. It takes several days to become fully hydrated. I monitored how often I urinated and the colour of the urine. On average I urinated every 2 hours and urine colour was almost clear. It was easy to drink this much water and it had a huge effect on my general well being. My kidneys started working again and my uric levels dropped.

I also supplemented with Glucosamine & Chondroitin Capsules to help rebuild the damaged joints. I have no idea if this worked but it was mentioned by a artritis specialist so I figured it might help.

After 2 weeks I had a significant decline in gout pain and improved mobility. I could then reduce water intake to about 1.5 litres. If urine colour darkened I would drink a glass or two more.

I did have a few more attacks but they were much less severe and frequent. I "treated" them with higher levels of water intake. (2-3 litres max)

I have been free of bad gout for 18 months - 2 years. I live a normal life. I don't need huge amounts of water all the time, I just think its good to be hydrated. I can even enjoy a beer now and then. Sometimes I get a sore foot which reminds me to take care of hydration but this is a small price to pay for being free of this awful affliction.

I would add a further point about coffee. Many people use hot drinks as their sole source of hydration. Coffee has a limitation in this respect. Many people do not drink more than say 4 cups a day (because it messes with your head). This is not adequate for hydration needs. You need to supplement with water. I happen to prefer tea and I can drink lots of it without any of the side effects of coffee... In any case a simple way to monitor is via urination. If the urine is not bright, clear and plentiful, you need to drink more water.

I hope that helps.. By the way, I live in NZ too. Feel free to discuss further...

Paul
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replied April 10th, 2010
i beleive hydration is the single most important thing anyone can do to rid the body of all toxins. however, throughout my life i drank quite a bit of alcohol, and i noticed that the more i drank,the clearer my urine became. oppositely, the more water i drank the darker the urine would be. it would seem to me that darker urination color may indicate toxins are being voided out in the urine, hence the darker color.
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replied May 24th, 2010
I can't tell if coffee helps, but I know it doesn't hurt. Whereas, for me, tea triggers gout. If I have a cup of tea a day, by the third day I have gout. I think it's because it's a mild diuretic and it changes the relative amounts of things in blood -- that's just my speculation, but whatever the case, my experience has been tea triggers gout in me. I have heard virtually no one else ever mention tea and gout on the web, so I must be an odd case. But coffee... no problem.
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replied May 25th, 2010
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Origin of the tea
mistered2,

May I ask where the tea is grown and what company in what country packaged it? Thanks.
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replied July 5th, 2010
hello,

A gout newbie here.

I have just been diagnosed with gout and have been a massive coffee drinker all my life. I am very anxious about having to give this up as it is my last pleasure. the marujana and the alcohol went nearly three years ago now (am sober alchohlic). and Now I have to give up all the food I love so much (why is all the tasty stuff so bad?) and now the coffee. I am gutted and in pain.

I think I have had low level gout for some time and have not known what it was. But as I write both toes are very sore around the joint and I have some pain in my left hand where I had surgury some time ago. I am doing my best with the water and trying to adapt my diet but am finding it all very tough and the toes are not yet calming down.

Consider my self fortunate as the pain seem to be more backround and continous rather than very acute yet. very frightened about having a very acute attack as am not a very courageous person and hate pain.

one other question apart from the obvious one about do I have to give up coffee.....(do I have give up my expresso coffee in the morning?)... Anyway alongside the sensation that someone has run over my toes with their car.the sensation in my feet and hands is one of biting cold rather than heat. Is cold a common feeling to have associated with gout pain? I thought it was heat?
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replied July 13th, 2010
My gout want go away
I have had this gout attack now for four weeks, my diet is where it should be, the swelling comes and goes but the pain remains the same. I don't know what to due, my doctors are not sure what to due , they gave me a stairiod injection, and that seemed to help some but it came back after a few days....Help help
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replied July 26th, 2010
FYI: Coffee contains caffeine (which we all know). Non-herbal teas also contain caffeine and theophyline and theobromine. All three are purines and diuretics. The good news is that they are NOT usually metabolized to uric acid so they won't contribute to gout that way. The bad news is that as diuretics, they will lower the fluid volume of the body (mostly the blood, diuretics are used that way as anti-hypertensives) which will concentrate any uric acid you might have possibly to the point of crystalizing out and causing a gout attack. I don't see much negative to switching to decaf coffee, which is a lot better these days than in the past. BTW: if you are on diuretics (like HCTZ) for high blood pressure, you should talk to your doc about the complications with gout.

One anti-inflammatory/pain reliever that I recently used was toradol (ketorolac). Ask your doc about it. It starts with an injection and then pills for 4-5 days. Toradol is another non-steroidal anti-inflammatory like indomethacin, but newer and in my view better. Worked great to deal with the acute attack, but I did have to switch back to indomethacin after the 5 days of toradol until the gout subsided.

Good luck.
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