A member asked:

Since i go to gym, diet, control my food, i have been remove from taking norvasc and zocor (simvastatin). but not i get gout attack. any reason or idea why?

6 doctors weighed in across 3 answers
Dr. Narmo Ortiz answered

Specializes in Podiatry

Gout attacks: Gout attacks are caused by increased uric acid levels in your system. Consult your internist to see if you are an overproducer or uric acid, or that you are not excreting enough of it out of your body. Once the cause is found, proper diet and possible medication treatment will help.

Answered 7/6/2013

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Hydration: Many times i see patients in my practice who control their diet, avoid alcohol, exercise who still get gout attacks. When i inquire, many of them are either a) on a diuretic (water pill) or b) don't hydrate enough (drink enough water). Uric acid precipitates out into joints when there is not enough fluid volume to dissolve it. See your internist for proper bloodwork to find the cause.

Answered 4/14/2014

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Acute gout: I wonder if your diet is a reason; or if you are stressing foot joints? Tart cherry juice is effective against gout; avoid organ meats; fatty meats and alcohol will aggravate gout. Avoid these. Also, drink at least 3 liters fluid per day - to enhance uric acid excretion - and incline diet successfully to mostly whole grain, fruit, and veggies, using egg white for protein; minimize stress to feet

Answered 9/4/2014

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