A member asked:

Please share an interesting fact about living with gout.

31 doctors weighed in across 117 answers

Ignore: Reduce protein intake. Stay away from alcohol.

Answered 5/13/2017

4.3k views

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Dr. Thomas Namey answered

Specializes in Rheumatology

Ignore: Treatment with Allopurinol or uloric is mandatory for virtually all patients!

Answered 11/29/2016

4.3k views

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Ignore: You don't have to live with it. See a rheumatologist and take meds to normalize uric acid.

Answered 4/25/2014

4.2k views

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Dr. Larry Greenbaum answered

Specializes in Internal Medicine - rheumatology

Ignore: Gout attacks occur with high, normal, or low uric acid levels. A blood test can NOT "rule out" gout!

Answered 5/12/2014

4.1k views

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Ignore: Diet control only reduces your uric acid minimally .

Answered 6/3/2014

4.1k views

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Ignore: Some medicines can prevent most gout attacks which means a huge difference in quality of life.

Answered 6/8/2014

4k views

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Dr. Bradley Butkovich answered

Specializes in Orthopedic Surgery

Ignore: Don't combine alcohol with a high protein diet.

Answered 6/9/2014

4k views

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Ignore: Most foods now will not cause gout as was the case years ago. Keep hydrated and avoid stress.

Answered 6/21/2014

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Ignore: If attacks are getting more frequent, see your doc about getting a medication to prevent them.

Answered 9/29/2016

3.9k views

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Dr. John Munshower answered

Specializes in Family Medicine

The: The classic gout attack occurs in an overweight person who may have drank a little too much.

Answered 7/20/2014

3.9k views

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Dr. John Munshower answered

Specializes in Family Medicine

Women: Women can get gout, too, especially after menopause.

Answered 7/20/2014

3.9k views

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Dr. John Munshower answered

Specializes in Family Medicine

The: The big toe is the most common place to get gout, but it may occur in many other joints too.

Answered 7/20/2014

3.9k views

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Dr. John Munshower answered

Specializes in Family Medicine

A: A gout attack can be extremely painful. The affected joint can swell, get red and warm.

Answered 7/20/2014

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Dr. John Munshower answered

Specializes in Family Medicine

Even: Even slight pressure on the joint can be very painful.

Answered 7/20/2014

3.9k views

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Dr. John Munshower answered

Specializes in Family Medicine

Most: Most gout attack are self-limiting and will clear in time.

Answered 7/20/2014

3.9k views

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Dr. John Munshower answered

Specializes in Family Medicine

The: The best place to be during a gout attack is in bed.

Answered 7/20/2014

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Dr. John Munshower answered

Specializes in Family Medicine

The: The weight of any clothing or bedding material probably will add to your pain.

Answered 7/20/2014

3.9k views

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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

Hydrating: Hydrating can help flush the uric acid crystals that cause gout out of your system.

Answered 7/20/2014

3.9k views

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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

3.9k views

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Dr. John Munshower answered

Specializes in Family Medicine

If: If you don't have renal disease, NSAIDs are the best drugs for pain management.

Answered 7/20/2014

3.9k views

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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

3.9k views

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Dr. John Munshower answered

Specializes in Family Medicine

Prednisone: Prednisone is usually given by mouth with the dose tapered down over 10 to 14 days.

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 cystals.

Answered 7/20/2014

3.9k views

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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

3.9k views

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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

3.9k views

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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

3.9k views

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Dr. John Munshower answered

Specializes in Family Medicine

A: A gout attack usually clears up within a few days.

Answered 7/20/2014

3.9k views

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Dr. John Munshower answered

Specializes in Family Medicine

Many: Many patients will go a long time between attacks.

Answered 7/20/2014

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Dr. John Munshower answered

Specializes in Family Medicine

In: In 62 percent of patients, the next attack will be more than a year away.

Answered 7/20/2014

3.9k views

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Dr. John Munshower answered

Specializes in Family Medicine

The: The sooner you start treatment and pain management, the more quickly you will feel well.

Answered 7/20/2014

3.9k views

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Dr. John Munshower answered

Specializes in Family Medicine

A: A gout attack happens when someone who has high levels of uric acid in joints.

Answered 9/29/2016

3.9k views

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Dr. John Munshower answered

Specializes in Family Medicine

Gout: Gout attack may begin with a burning, itching, or tingling feeling in a joint.

Answered 7/20/2014

3.9k views

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Dr. John Munshower answered

Specializes in Family Medicine

If: If you get repeated gout attacks, you'll learn your body's signals.

Answered 9/29/2016

3.9k views

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Dr. John Munshower answered

Specializes in Family Medicine

Most: Most people have redness, swelling, and severe pain usually in one joint.

Answered 7/20/2014

3.9k views

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Dr. John Munshower answered

Specializes in Family Medicine

The: The pain is often so strong that it hurts to have anything touch the joint at all.

Answered 7/20/2014

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Dr. John Munshower answered

Specializes in Family Medicine

The: The feel of a bed sheet touching the inflamed joint may be very painful.

Answered 7/20/2014

3.9k views

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Dr. John Munshower answered

Specializes in Family Medicine

For: For many people, the first symptom of gout is excruciating pain and swelling in the big toe.

Answered 7/20/2014

3.9k views

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Dr. John Munshower answered

Specializes in Family Medicine

Lifestyle: Lifestyle factors may reduce the risk of having gout attacks.

Answered 7/21/2014

3.9k views

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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 7/20/2014

3.9k views

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Dr. John Munshower answered

Specializes in Family Medicine

Gout: Gout is a type of arthritis (it is very different from the common rheumatoid A. and Osteo A.).

Answered 7/21/2014

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Dr. John Munshower answered

Specializes in Family Medicine

Some: Some people have a high level of uric acid but do not form crystals or have gout.

Answered 7/21/2014

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Dr. John Munshower answered

Specializes in Family Medicine

Rarely,: Rarely, some people with a normal level of uric acid have gout attacks.

Answered 7/21/2014

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Dr. John Munshower answered

Specializes in Family Medicine

Usually,: Usually, the higher the level of uric acid, the greater the chance of developing gout.

Answered 7/21/2014

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Dr. John Munshower answered

Specializes in Family Medicine

With: With Gout, kidneys do not pass out enough uric acid and the blood level may rise.

Answered 7/21/2014

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Dr. John Munshower answered

Specializes in Family Medicine

People: People with gout are said to be under-excreters of uric acid.

Answered 7/21/2014

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Dr. John Munshower answered

Specializes in Family Medicine

Drinking: Drinking too much alcohol can cause uric acid to build up.

Answered 9/29/2016

3.9k views

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Dr. John Munshower answered

Specializes in Family Medicine

Not: Not having enough vitamin C in your diet, can cause uric acid to build up.

Answered 7/21/2014

3.9k views

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Dr. John Munshower answered

Specializes in Family Medicine

If: If you drink sugar-sweetened soft drinks high in fructose it can cause uric acid to build up.

Answered 7/21/2014

3.9k views

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Dr. John Munshower answered

Specializes in Family Medicine

Two: Two drinks a day of a sugar-sweetened soft drinks increases the risk of developing gout by 85%.

Answered 7/21/2014

3.9k views

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Dr. John Munshower answered

Specializes in Family Medicine

Drinks: Drinks labelled as 'diet' or drinks containing artificial sweeteners were not found to increase gout.

Answered 7/21/2014

3.9k views

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Dr. John Munshower answered

Specializes in Family Medicine

Fructose-rich: Fructose-rich fruits and fruit juices may increase the risk of gout.

Answered 7/21/2014

3.9k views

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Dr. John Munshower answered

Specializes in Family Medicine

Eating: Eating a lot of heart, herring, sardines, yeast extracts, or shell fish may increase gout risk.

Answered 7/21/2014

3.9k views

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Dr. John Munshower answered

Specializes in Family Medicine

Some: Some medicines may raise the level of uric acid.

Answered 7/21/2014

3.9k views

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Dr. John Munshower answered

Specializes in Family Medicine

Some: Some diuretic and chemotherapy agents, as well as Adult aspirin may increase uric acid levels.

Answered 7/21/2014

3.9k views

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Dr. John Munshower answered

Specializes in Family Medicine

More: More uric acid is made than usual in illnesses where the cells of the body have a rapid turnover.

Answered 7/21/2014

3.9k views

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Dr. John Munshower answered

Specializes in Family Medicine

Psoriasis: Psoriasis and some blood disorders may increase uric acid production.

Answered 7/21/2014

3.9k views

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Dr. John Munshower answered

Specializes in Family Medicine

Risk: Risk increases with Obesity, High BP, Kidney dz, Diabetes, Bone marrow dz, & Lipid disorders.

Answered 7/21/2014

3.9k views

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Dr. John Munshower answered

Specializes in Family Medicine

An: An attack typically develops quickly over a few hours.

Answered 7/21/2014

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Dr. John Munshower answered

Specializes in Family Medicine

Walking: Walking can be very painful and even light touch and the weight of bedclothes can hurt.

Answered 7/21/2014

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Dr. John Munshower answered

Specializes in Family Medicine

Affected: Affected joints usually swell and the nearby skin may look red and inflamed.

Answered 7/21/2014

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Dr. John Munshower answered

Specializes in Family Medicine

Sometimes: Sometimes two or more joints are affected with gout.

Answered 7/21/2014

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Dr. John Munshower answered

Specializes in Family Medicine

Less: Less severe attacks can occur which may be mistaken for arthritis.

Answered 7/21/2014

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Dr. John Munshower answered

Specializes in Family Medicine

Some: Some people may only ever have one attack.

Answered 7/21/2014

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Dr. John Munshower answered

Specializes in Family Medicine

Joint: Joint damage may occur if you have recurring attacks.

Answered 7/21/2014

3.9k views

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Dr. John Munshower answered

Specializes in Family Medicine

In: In a few people, uric acid crystals form kidney stones or may cause some kidney damage.

Answered 7/21/2014

3.9k views

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Dr. John Munshower answered

Specializes in Family Medicine

Sometimes: Sometimes the crystals form bumps (tophi) under the skin.

Answered 7/21/2014

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Dr. John Munshower answered

Specializes in Family Medicine

Tophi: Tophi are harmless and painless but sometimes form in awkward places such as at the end of fingers.

Answered 7/21/2014

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Dr. John Munshower answered

Specializes in Family Medicine

Gout: Gout is often diagnosed if you have the typical gout symptoms and a raised blood level of uric acid.

Answered 7/21/2014

3.9k views

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Dr. John Munshower answered

Specializes in Family Medicine

If: If there is doubt to the cause of the pain and swelling, your Dr. may take some fluid from a joint.

Answered 7/21/2014

3.9k views

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Dr. John Munshower answered

Specializes in Family Medicine

Aspirated: Aspirated crystals of uric acid (urate) can be seen in the fluid to confirm the diagnosis of gout.

Answered 7/21/2014

3.9k views

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Dr. John Munshower answered

Specializes in Family Medicine

With: With 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

Ice: Ice held against the inflamed joint may ease the pain.

Answered 7/21/2014

3.9k views

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Dr. John Munshower answered

Specializes in Family Medicine

Most: Most people can take short courses of anti-inflammatory painkillers without any problems.

Answered 7/21/2014

3.9k views

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Dr. John Munshower answered

Specializes in Family Medicine

Bleeding: Bleeding from the stomach is one of the most serious possible side-effects of NSAID gout Treatment.

Answered 7/21/2014

3.9k views

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Dr. John Munshower answered

Specializes in Family Medicine

Long: Long term use of NSAIDs for gout may harm your kidneys, so always discuss treatment with your Dr.

Answered 7/21/2014

3.9k views

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Dr. John Munshower answered

Specializes in Family Medicine

Some: Some people with asthma, high BP, kidney Dz. and/or heart failure may not be able to take NSAIDs.

Answered 9/29/2016

3.9k views

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Gout:: Gout: elevated uric acid levels do not automatically mean you have gout!

Answered 7/27/2014

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Gout:: Gout: many drugs can trigger an attack! thiazide diuretics, aspirin, antibiotics just a few!

Answered 7/27/2014

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Gout:: Avoid foods high in purine like shellfish, turkey, salmon, trout, beans, peas, and spinach.

Answered 8/1/2014

3.9k views

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Gout:: Gout: The big red swollen toe is the classic picture - but can be ankle, foot, knee, wrist, hand!

Answered 7/27/2014

3.9k views

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Ignore: Recurrent gout flares can case permanent joint damage. Take meds and avoid alcohol to avoid flares.

Answered 9/23/2014

3.7k views

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If you take your: Meds you may not have to live with it,.

Answered 9/29/2014

3.7k views

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Dr. John Munshower answered

Specializes in Family Medicine

Uric: Uric acid levels aren’t the only causes of gout attacks.

Answered 11/19/2014

3.5k views

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Dr. John Munshower answered

Specializes in Family Medicine

Crash: Crash diets and fasting can cause a gout attack.

Answered 11/19/2014

3.5k views

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Dr. John Munshower answered

Specializes in Family Medicine

Drinking: Drinking too much alcohol can cause a gout attack!

Answered 11/19/2014

3.5k views

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Dr. John Munshower answered

Specializes in Family Medicine

Eating: Eating large portions of certain foods high in purines (red meats or shellfish) can cause gout.

Answered 11/19/2014

3.5k views

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Dr. John Munshower answered

Specializes in Family Medicine

Dehydration: Dehydration can cause gout flares.

Answered 11/19/2014

3.5k views

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Dr. John Munshower answered

Specializes in Family Medicine

Drinking: Drinking sweet sodas can cause gout flares.

Answered 11/19/2014

3.5k views

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Dr. John Munshower answered

Specializes in Family Medicine

Surgery: Surgery or sudden, severe illness can cause gout flare.

Answered 11/19/2014

3.5k views

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Dr. John Munshower answered

Specializes in Family Medicine

Infection: Infection can cause gout flare.

Answered 11/19/2014

3.5k views

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Dr. John Munshower answered

Specializes in Family Medicine

Certain: Certain diuretic medications for high BP, leg swelling (edema) or heart failure can cause gout.

Answered 11/19/2014

3.5k views

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Dr. John Munshower answered

Specializes in Family Medicine

Chemotherapy: Chemotherapy can increase gout risk.

Answered 11/19/2014

3.5k views

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Dr. John Munshower answered

Specializes in Family Medicine

A: A gout attack can occur when uric acid builds up in the bloodstream.

Answered 11/19/2014

3.5k views

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Dr. John Munshower answered

Specializes in Family Medicine

High: High uric acid in the blood leads to the formation of crystals that often accumulate in the joints.

Answered 11/19/2014

3.5k views

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Dr. John Munshower answered

Specializes in Family Medicine

Painful: Painful gout flares are characterized by severe pain and inflammation.

Answered 11/19/2014

3.5k views

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Dr. John Munshower answered

Specializes in Family Medicine

One: One of the most common joints affected with gout is the big toe.

Answered 11/19/2014

3.5k views

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Dr. John Munshower answered

Specializes in Family Medicine

There: There are many ways to alter your diet to help keep a gout flare at bay.

Answered 11/19/2014

3.5k views

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Dr. John Munshower answered

Specializes in Family Medicine

Low-fat: Low-fat dairy products may improve excretion of uric acid in the urine.

Answered 11/19/2014

3.5k views

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Dr. John Munshower answered

Specializes in Family Medicine

Two: Two separate studies reveal that drinking coffee reduces the risk of gout for men and women.

Answered 9/29/2016

3.5k views

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Dr. John Munshower answered

Specializes in Family Medicine

Diet: Diet soda had no effect on gout compared to regular soda, so drink diet, avoid regular!

Answered 11/19/2014

3.5k views

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Dr. John Munshower answered

Specializes in Family Medicine

Research: Research shows drinking more water means fewer gout flares.

Answered 11/19/2014

3.5k views

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Dr. John Munshower answered

Specializes in Family Medicine

Gout: Gout can be so painful, even the sheet hitting your toe can hurt.

Answered 11/19/2014

3.5k views

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Dr. John Munshower answered

Specializes in Family Medicine

A: A well-balanced diet, using the U.S.D.A. dietary guidelines for Americans, can help prevent attacks.

Answered 11/19/2014

3.5k views

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Dr. John Munshower answered

Specializes in Family Medicine

Maintaining: Maintaining a healthy weight and avoid fasting or high protein diets can help prevent attacks.

Answered 11/19/2014

3.5k views

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Dr. John Munshower answered

Specializes in Family Medicine

The: The majority of people with gout require maintenance medications.

Answered 11/19/2014

3.5k views

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Dr. John Munshower answered

Specializes in Family Medicine

There's: There's nothing you can do to stop a gout attack once it's started.

Answered 11/20/2014

3.5k views

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Dr. Georgia Latham answered

Specializes in Family Medicine

Drinking: Drinking tart cherry juice is helpful in reducing frequency and severity of gout attacks.

Answered 11/28/2014

3.5k views

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Ignore: You can live gout free. Just avoid foods high in purine. Take meds as prescribed (allopurinol).

Answered 11/26/2014

3.5k views

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Ignore: Keep uric acid low to avoid flares.

Answered 12/4/2014

3.5k views

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Ignore: Most of the problems come from non compliance either with medications or lifestyle modifications.

Answered 12/13/2014

3.4k views

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Dr. Lee Stein answered

Ignore: Gout takes years usually to show up on an X-ray.

Answered 1/15/2015

3.3k views

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Ignore: If you wake with pain without obvious cause, it is gout. DO NOT SOAK YOUR FOOT.

Answered 2/5/2015

3.3k views

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Ignore: Gout can be very easy to control but you need to stick with your medications, and your lab studies.

Answered 3/9/2015

3.1k views

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Dr. Edward Hellman answered

Specializes in Orthopedic Surgery

Ignore: Diet important in gout. Increased uric acid from proteins causes gout, so low protein diet can help.

Answered 2/1/2016

1.7k views

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Ignore: Gout pain comes from your body's immune response to the crystals in the joint.

Answered 2/26/2016

1.6k views

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The: The best way to diagnose gout is to drain a swollen joint and evaluate the fluid for urate crystals.

Answered 10/18/2017

508 views

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Please tell me what is good for gout pain?

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Can you please talk about of the main causes of gout.?

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