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Doctor insights on: Coumadin And Gout

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Anyone know of any pain relief? I've had gout for two weeks now and it's still not shifting. I am on warfarin.

Anyone know of any pain relief? I've had gout for two weeks now and it's still not shifting. I am on warfarin.

Yes: If for sure gout, then short dose regimen of steroids may give relief.
The antique treatment with Colchicine has worked, but must be in the context of review of all medications and doses.
Long term diet and uric acid reduction with Allopurinol may be appropriate ...Read more

Warfarin (Definition)

Warfarin is a medication used to thin the blood and to prevent or treat people with blood clots. It requires frequent blood ...Read more


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What gout medications can be taken with warfarin?

Avoid NSAIDs: Warfarin is a blood thinner, so you would want to avoid other medications that thin the blood; the most common of which are NSAIDs. Steroids and colchicine are the two most commonly used for an acute gout attack that are relatively safe to use with warfarin. Your doctor would still need to follow your inr closely. ...Read more

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I've had gout for two weeks now and it's still not shifting I am on warfarin?

I've had gout for two weeks now and it's still not shifting I am on warfarin?

Should progress: By now you should have had some improvement. Did you take any acute gouty attack medications, such as colcrys? I would see a doctor to verify it is not something else (commonly infections present the same way as gout and are treated much differently). An appointment can also provide some relief with injections and/or immobilization. ...Read more

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Can you tell me about gout pain relief, i, ve had it for two weeks now and its still not shifting I am on warfarin?

Can you tell me about gout pain relief, i, ve had it for two weeks now and its still not shifting I am on warfarin?

Go see your doctor: If you are still having problems, go see your doctor. You don't need to live in pain. The longer it stays around, the more damage that could occur. ...Read more

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What is a gout?

What is a gout?

Uric acid: Gout is over accumulation of uric acid in the body. A gouty arthritis attack is one of the most severe joint pains possible. Other symptoms of gout can be kidney stones (also painful) or chalky deposits in the skin. Gout can cause joint deformity. Gout is a very treatable disease with dietary changes and medications. ...Read more

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What cause gout?

What cause gout?

Elevated uric acid: Uric acid is a breakdown product that builds up in the blood. In people with gout it can be due to the body making too much and/or not excreting it efficiently. There can be many medical reasons for the build up of uric acid. This can lead to the production of monosodium urate crystals that can precipitate in the tissues and joints and cause the gout attack: evaluation and treatment depends. ...Read more

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How to cure gout?

How to cure gout?

Treatment: There is no cure but medicines and a change in lifestyle may help reduce the painful attacks of gout. Certain drugs such as colchicine and anti-inflammatories relieve the joint pain of a gout flare. Other drugs such as allopurinol reduce the body's uric acid and help prevent attacks of gout. ...Read more

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Can gout be cured?

Can gout be cured?

Not: Most people how have gout have all the time, you minimize the symptoms by adhere to diet and take medications and avoid aggravating factors. ...Read more

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Is gout hereditary?

Is gout hereditary?

Yes, sometimes: Gout does run in families. To lessen the risk of developing gout, lose weight if you are overweight. Reduce the amount of red meat and shellfish you eat. Reduce the amount of alcohol and high fructose processed food that you eat. Eat more grains, vegetables, and low fat dairy products. ...Read more

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Gout what caused it?

Uric acid: In gout, uric acid over accumulates in the body. When the uric acid crystallizes, it forms microscopic needle shaped crystals. A gout arthritis attack is one of the most severe joint pains. Other symptoms of gout can be kidney stones or chalky deposits in the skin. Gout can cause joint deformity. The good news is that gout is a very treatable disease with dietary changes and medications. ...Read more

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What is good for gout?

What is good for gout?

Medication: There are a number of good drugs. For long term care it would usually be Allopurinol or uloric. ...Read more

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What do you do for gout?

Gout treatment: There are medications to treat acute attacks of gout and medicines to keep it under long term control. Also, there are certain foods (red meat, shellfish, organ meats, nuts/seeds) and alcohol can cause attacks. ...Read more

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Gout - how did I get it?

Gout: As was stated previously, gout is a buildup of uric acid in the body. This buildup forms crystals which deposit themselves in the coldest places in the body. The buildup occurs either by the body producing too much uric acid or not excreting enough of it in the urine. Most people are underexcreters. Drugs that lower uric acid levels in the body are helpful for long term control. ...Read more

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Is urcinol good for gout?

Uncertain: It is not fda approved. It is not been evaluated in fda studies. ...Read more

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How do you realive the gout?

Medication: Though gout attacks are usually self-limited (ie, lasting 7-14 days) they can be disabling. Medications including nsaids, steroids, and Colchicine can bring relief. The third of these options is usually optimal due to its excellent side effects profile and rapid onset of action. This drug has, unfortunately, recently become expensive (no longer a generic available), and is only available via rx. ...Read more

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What are the tests for gout?

What are the tests for gout?

Blood work: Blood work for uric acid level is the most common.
A joint aspiration could also be done with sending the material to the lab to see if crystals exist. ...Read more

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What triggers a gout attack?

What triggers a gout attack?

High purine food: Such as shellfish certain types of meats and alcohol increase the production of uric acid in the body. Get out occurs when the body cannot metabolize uric acid adequately. Medicines are taken to help get rid of the excess uric acid. If one counters this by eating foods that make more your casted then of course you are defeating the purpose of the medication. Hi was at York acid in the blood will c ...Read more

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What triggers a gout attack?

What triggers a gout attack?

Elevated Uric acid: Which canbe from overproducing it or under excreting it. Food or medication is usually inciting factor. ...Read more

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What are the symptoms of gout?

Usually joint pain: A gout attack is one of the most severe joint pains that you can experience. The most common site is the big toe. Other symptoms of gout can be kidney stones (also painful) or chalky deposits in the skin (painful if large and draining through the skin). Gout can cause joint deformity. The good news is that gout is a very treatable disease with dietary changes and medications. ...Read more

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What are the symptoms of gout?

Crystal joint dis: Gout is caused by a build up of crystals of uric acid. Usually this leads to an acute painful joint pain and swelling (crystal joint disease, an acute inflammatory arthritis), commonly at the base of the great toe, but it can affect other joints too, usually one at a time. Build up of crystals under the skin causes bumps on the skin called tophi. ...Read more

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What are the symptoms of gout?

Usually joint pain: A gout attack is one of the most severe joint pains that you can experience. The most common site is the big toe. Other symptoms of gout can be kidney stones (also painful) or chalky deposits in the skin (painful if large and draining through the skin). Gout can cause joint deformity. The good news is that gout is a very treatable disease with dietary changes and medications. ...Read more

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What are the main causes of gout?

What are the main causes of gout?

HIGH URIC ACID: High uric acid causes gout
that can happen due to number of reasons, like diet high in purines, genetic predisposition or kidneys not able to excrete uric acid as a result there is high uric acid level in blood. ...Read more

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What medicines are used for gout?

See below: Drugs used in the short term are colchicine and indomethacin and sometimes prednisone. If there are frequent recurrent disabling attacks of gout, erosions of bone on X-Rays, chalky deposits of uric acid (gout crystals) under the skin, or uric acid kidney stones, a long term Rx such as allopurinol or feboxustat would be needed to lower the uric acid. ...Read more

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How can you releive pain of gout?

See details: Nsaids, Prednisone or a local cortisone injection. There is a debate whether heat or ice works best if applied to an inflamed joint. ...Read more

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Any diet recommendations for gout?

Any diet recommendations for gout?

Gout diet: Take in tart cherry juice +tart cherries, 10/day. Add Lemon extract 2 tblspns/day. Avoid alcohol, animal fats, organ meats, anchovies, sardines, tuna, salmon, and shellfish. Limit other meats to 4 oz/day. Avoid high fructose corn syrup containing drinks and foods. Add egg whites, quinoa, soy as protein. Eat lots of citrus fruit and veggies. Drink 3 L /day. Nuts are excellent. ...Read more

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What's your experiences with gout?

What's your experiences with gout?

I agree with Dr. Gol: I cannot remember in my 29yr career a single patient with recent onset attacks that coul;d not be remitted. Obviously, people with long standing, untreated hyperuricemia, can have tophi, joint damage/destruction. Medication can reduce the urate deposits, but cannot solve the joint damge issue. ...Read more

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I'm wondering is gout always painful?

Not always: An acute gout attack is always painful. However often gout crystals build up in joints for months or years without an symptoms. This process can result in joint deformities. For this reason I usually recommend proactive treatment for gout to prevent the complications. See your primary care doctor or a rheumatologist. ...Read more

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How to stop reoccuring gout attacks?

Medication: You may need to see your pcp for testing and then to be placed on a long term medicine to control uric acid such as uloric or alopurinol. ...Read more

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Could it be prevalent children to have gout?

No: Gout is not a typical disease found in children as uric acid levels rarely rise before puberty. It takes years for uric acid overload to manifest itself as gout. There are a few rare exceptions such as a metabolic condition known as Lesch-Nyhan syndrome in which uric acid levels rise during childhood. ...Read more

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What kind of foods should you not eat if you have a gout?

Avoid animal purines: Avoid foods rich in animal purines. Examples include: beef, lamb, pork, and shellfish. Alcoholic beverages, especially beer and spirits (whiskey, vodka) are also high in purines. Some studies suggest moderate wine consumption is less likely to cause gout attacks. Low fat dairy products are GOOD for gout. They help rid the body of uric acid. ...Read more

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Is gout fatal?

No: Gout is not fatal. Gout is part of a syndrome, or collection of other diseases such as diabetes, high blood pressure, high cholesterol and overweight, which can increase the chance of heart attack. But gout itself is not fatal. ...Read more

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Remedy for gout?

Remedy for gout?

Control uric acid: People with gout have elevated uric acid levels. Uric acid in the tissues becomes monosodium urate crystals. These crystals form in the joints of patients with gout. The way to control these crystals is to lower the level of uric acid. There are medicines to lower the production of uric acid, or to more rapidly remove uric acid crystals from the body. Your evaluation will decide which is the best therapy for you. ...Read more

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Is gout curable?

Manageable.: No cure. If managed appropriately, prolonged remission is possible. Would recommend seeing a rheumatologist. ...Read more

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Gout pain attack?

Can take: Colchicine when attacks are acute, antiinflammatories, warm water soaks and at times injection into the region. ...Read more

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What is pseudo-gout?

What is pseudo-gout?

Pseudogout: Its an inflammatory arthritis caused by deposit of calcium into your joint. Typically affects the large joints but can affect your ankle as well as joint in your foot. ...Read more

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Is there any cure for gout?

No: There is no cure but it can be controlled and prevented with diet and meds. Gout level or aka uric acid needs monitoring to goal < 6. ...Read more

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Could there be a cure for gout?

Could there be a cure for gout?

No: There is no cure for gout but dietary and lifestyle changes may reduce the attacks of gout. If that is not sufficient, there are several medications that can lower the body's uric acid load to the point where gout attacks are infrequent. ...Read more

Dr. Pierre Moeser
907 Doctors shared insights

Gout (Definition)

Occurs when too much uric acid gets deposited in a joint. Lifestyle factors like red meat and alcohol ...Read more


Dr. Ted King
699 Doctors shared insights

Coumadin (Definition)

Coumadin is an anticholinergic agent which is a kind of anti-Parkinson's drug ...Read more