A member asked:

Please provide some do's and don'ts on living with gout.

28 doctors weighed in across 41 answers
Dr. Thomas Namey answered

Specializes in Rheumatology

Very: Very few cases can be diet managed. Most people will require Allopurinol or uloric! diet can help!

Answered 11/29/2015

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Ignore: Start allopurinol, normalize uric acid levels and you will not have to deal with gout.

Answered 2/24/2018

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Ignore: Watch your diet ! Talk to your doctor about preventative measures. Be proactive about symptoms.

Answered 5/9/2014

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Dr. Lee Wittenberg answered

Specializes in Podiatry

Ignore: Watch your diet. Stay away from Red Wine, Beer, Red Meet, Dark/leafy green veggies.

Answered 5/30/2014

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Dr. Stuart Erner answered

Specializes in Internal Medicine

If: If you suffer from gout avoid purine rich foods, alcohol and take your gout med(s) faithfully.

Answered 6/4/2014

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Avoid: Avoid beer and spirits. One or two glasses of wine daily may be ok if you have to drink.

Answered 3/16/2015

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Dr. John Munshower answered

Specializes in Family Medicine

Ice: Ice it down. Putting ice on the affected joint will reduce the inflammation.

Answered 7/20/2014

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Dr. John Munshower answered

Specializes in Family Medicine

Watch: Watch your diet. Gout can be aggravated by a diet high in animal protein and by alcohol.

Answered 7/20/2014

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Dr. John Munshower answered

Specializes in Family Medicine

Limit: Limit your intake of meat, shell fish, and avoid alcohol completely during a gout attack.

Answered 7/20/2014

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Dr. John Munshower answered

Specializes in Family Medicine

Stay: Stay hydrated. It's important to drink enough water during a gout attack.

Answered 7/20/2014

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Dr. John Munshower answered

Specializes in Family Medicine

Take: Take OTC pain meds. Ibuprofen (Motrin) is a typical NSAID that may help.

Answered 7/20/2014

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Dr. John Munshower answered

Specializes in Family Medicine

The: The steroid drug prednisone can be used for patients who can't take NSAIDs.

Answered 7/20/2014

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Dr. John Munshower answered

Specializes in Family Medicine

Colchicine: Colchicine is taken orally to relieve an acute gout attack. It works by blocking uric acid crystals.

Answered 7/20/2014

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Dr. John Munshower answered

Specializes in Family Medicine

Colchicine: Colchicine is usually effective if taken within 12 to 24 hours of a gout attack.

Answered 7/20/2014

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Dr. John Munshower answered

Specializes in Family Medicine

Allopurinol: Allopurinol may be given to people who have repeated attacks of gout; it deceases uric acid prod.

Answered 7/20/2014

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Dr. John Munshower answered

Specializes in Family Medicine

Probenecid: Probenecid is a medication that works by helping your kidneys get rid of uric acid.

Answered 7/20/2014

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Dr. John Munshower answered

Specializes in Family Medicine

Be: Be patient. Sometimes the best advice is to be patient and wait it out.

Answered 7/20/2014

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Dr. John Munshower answered

Specializes in Family Medicine

Take: Take the medicine prescribed by your doctor and stay in bed.

Answered 7/20/2014

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Dr. John Munshower answered

Specializes in Family Medicine

If: If you have frequent attacks, talk to Dr. about which long-term drug therapy might be helpful.

Answered 7/20/2014

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Dr. John Munshower answered

Specializes in Family Medicine

Take: Take your medicine as directed when you know you are having a flare-up.

Answered 7/20/2014

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Dr. John Munshower answered

Specializes in Family Medicine

Lose: Lose weight, eat a healthy diet, and do not drink much alcohol or sugar-sweetened soft drinks.

Answered 7/21/2014

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Dr. John Munshower answered

Specializes in Family Medicine

If: If gout attacks recur, taking vitamin C supplements and/or allopurinol each day can prevent them.

Answered 7/21/2014

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Dr. John Munshower answered

Specializes in Family Medicine

During: During an attack, raise the affected limb (usually a leg) to help reduce the swelling.

Answered 7/21/2014

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Dr. John Munshower answered

Specializes in Family Medicine

Use: Use ice, held against the inflamed joint, to ease the pain.

Answered 7/21/2014

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Dr. John Munshower answered

Specializes in Family Medicine

Wrap: Wrap the ice pack (or frozen peas) in a towel to avoid direct skin contact and ice burn.

Answered 7/21/2014

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Dr. John Munshower answered

Specializes in Family Medicine

Discuss: Discuss long term treatment with NSAIDs for gout with your doctor as it may cause kidney injury.

Answered 8/1/2014

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Dr. John Munshower answered

Specializes in Family Medicine

Check: Check with your doctor or pharmacist before taking NSAIDs if you're taking other medication.

Answered 8/1/2014

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Ignore: Do stay on prescribed medicines and diet. Don't stop meds or start meds yourself.Don't ignore diet.

Answered 7/21/2014

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Do: Do drink plenty of water, 60-80 oz. per day Do take medications regularly Don't drink any alcohol.

Answered 9/23/2014

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Follow: Follow a low purine diet, and take your preventive medication faithfully to limit gout flares.

Answered 10/22/2014

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Do: Do eat cherries. Limit alcohol consumption. Don't eat organ meats. Limit shell fish. Limit sodas.

Answered 11/26/2014

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Ignore: As far as you keep uric acid levels below 5 mg/do with treatment of chronic disease,you will be fine.

Answered 12/4/2014

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Ignore: GOUT. G: go to your doctor. O: order your life style. U: uric acid level needed. T: try harder.

Answered 12/13/2014

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Ignore: Drink lots of fluids, avoid alcohol and reduce intake of proteins like shellfish, red meat!!

Answered 2/11/2015

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Ignore: Do not disappear, do not miss your medications, and do not miss your doctor appointments.

Answered 3/9/2015

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Dr. Scott Keith answered

Specializes in Podiatry

Ignore: Do restrict your intake of the foods that are causing the problem. These are purine based proteins.

Answered 8/10/2015

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For: For an acute attach take a 2 colchicine 0.5mg then one hour later take 1 colchicine 0.5mg.

Answered 10/6/2015

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Dr. Ellen Wenzel answered

Specializes in Podiatry

Ignore: Consult with physician about possible daily management. Do follow purine restricted diet.

Answered 12/20/2015

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Ignore: Drink 6-8 glasses of water daily and take your medication as prescribed by your treating physician.

Answered 12/27/2015

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Dr. Edward Hellman answered

Specializes in Orthopedic Surgery

Ignore: NSAIDs help kidneys secrete and lower uric acid; meat and alcohol raise uric acid leading to gout.

Answered 2/8/2016

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Ignore: Don't eat too much protein at once. Do spread protein intake (1gm/kg body weight) through the day.

Answered 2/26/2016

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