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Artesia, NM
A 52-year-old male asked:

Recently diagnosed w/gout & plantar faciitis in l. foot. frequent flareups. pain in heel & across arch only. u.a. level 7.5. how do i know which one i've got? stay on allopurinol or just w/flareups?

3 doctor answers5 doctors weighed in
Dr. Robert Bennett
31 years experience
Allopurinol: This is a maint drug for gout and is mostly not for flares. Keep you urine volume up and actually a ph of 7.5 is protective against most types of kidney stones.
Dr. Glenn Aufseeser
Podiatry 10 years experience
Gout vs fasciitis: While both gout and plantar fasciitis can be causes of foot pain, they would have separate distinguishing characteristics. Plantar fasciitis is classically described as heel pain after periods of rest that improves with use. Simple things like stretching exercises, anti inflammatories and orthotics can be helpful. Gout attacks joints of the body. Flare ups would cause redness and swelling.
Dr. Rex Mahnensmith
A Verified Doctoranswered
45 years experience
Treat both: Must treat both. Stay on allopurinol. Adjust diet:Take in tart cherry juice and tart cherries, 20/day. Add Lemon extract 4 tblspns / day. Avoid alcohol, animal fats, organ meats, anchovies, sardines, tuna, salmon, and shellfish. Limit other meats to 4 oz per day. Avoid high fructose corn syrup containing drinks and foods. Add egg whites, quinoa, soy as protein. Eat lots of citrus fruit and veg

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Last updated Sep 2, 2018

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