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Doctor insights on: Gout Flare Ups

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What causes gout flare-ups?

What causes gout flare-ups?

Many: They can be caused by medications, kidney function and other medical reasons, hereditary predisposition, and (controversially) diet. Hyperuricemia can cause the gout. The underlying cause of hyperuricemia needs to be addressed, and sometimes management with medications are necessary. ...Read more

Dr. Pierre Moeser
912 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


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Can exercise help control my gout flare-ups?

Can exercise help control my gout flare-ups?

No: Gout is a genetic condition. A patient with gout has an abnormal accumulation of uric acid crystal in their joints. No amount of exercise will prevent the abnormal accumulation in the joints. The most significant preventive measure for avoidance of gout flare-ups is diet. Stay away from foods high in uric acid like red meat. ...Read more

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I have trouble with gout flare-ups. Anyone got any advice?

I have trouble with gout flare-ups. Anyone got any advice?

Find cause: Diet, genetics, kidney problem and sometimes blood disorder. ...Read more

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Can there be an easy diet to follow to avoid gout flare-ups?

Can there be an easy diet to follow to avoid gout flare-ups?

Gout diet: Lowering uric acid: Adjust 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. ...Read more

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How can I prevent my gout flare-ups?

How can I prevent my gout flare-ups?

Many ways: Gout is an inborn error of metabolism. You either over produce uric acid or you under secrete uric acid from the kidneys. 1st stay as wel hydrated as you can. Next, follow a low purine diet (google it) to the best of your ability and 3rd, you may need medication to help lower your uric acid levels. If you are having problems beyond this, follow closely with your pcp & consider rheumatologist? ...Read more

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Can motrin make my gout flare-ups worse?

Can motrin make my gout flare-ups worse?

Not usually: Ibuprofen is one of the ways to treat gout. We can have individual reactions to things. It's more likely that it didn't work and your gput flared anyway. Good luck finding something that works for you. ...Read more

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How much gout flare-ups could one have before ur kidneys fail?

Since this : Is not a way to measure things, the goal should be to control uric acid below 6 at the first sign of a gout attack. ...Read more

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I have back pain. I also have gout flare-ups. The pain definitely feels like gout. I'm 51. Had gout @ 19 toe ankle knee. Could it be in si joint?

I have back pain. I also have gout flare-ups. The pain definitely feels like gout. I'm 51. Had gout @ 19 toe ankle knee. Could it be in si joint?

Don't guess : Gout can involve any joint of the body including those of the back, usually seen in more advanced cases. Back pain can be caused from many things, some which do not even involved the back. A medical history, detailed review of system & physical examination by a physician plus x-rays may provide the answer. ...Read more

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How much time does gout flare up last?

How much time does gout flare up last?

Depends: On how long swelling has been present as well as severity. Also, depends on how effective and quickly gout is treated. Normally swelling subsides within 3 to 4 days of effective treatment for an acute attack. ...Read more

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How can I tell if I have a possible gout flare?

Gouch: Gout commonly presents as a hot, red, swollen, sharply painful joint. Onset is usually sudden. Infection also can present the same way so it is important that you see your doctor if you have these symptoms. Blood tests are helpful to diagnose the problem. ...Read more

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Is there an easy diet to follow to avoid gout flare?

Is there an easy diet to follow to avoid gout flare?

Yes: Limit meat, poultry and fish. Animal proteins are high in purine. Avoid or severely limit high-purine foods, such as organ meats, herring, anchovies and mackerel. Red meat (beef, pork and lamb), fatty fish and seafood (tuna, shrimp, lobster and scallops) are associated with increased risk of gout. Because all meat, poultry and fish contain purines, limit your intake to 4 to 6 ounces (113 to 170 gr. ...Read more

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Can taking buspirone cause a gout flare?

Can taking buspirone cause a gout flare?

Not usually: Buspirone should not cause an elevation in your uric acid. Buspirone has a side effect of kidney imparment. If you have this side effect it might affect your uric acid and gout. ...Read more

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How does resveratrol affect a gout flare up?

Still unclear: So there is a ton of crap (excuse my language, but I cannot find another suitable word) regarding resveratrol and gout. There are antedotal reports littering the internet, but following up on those reports leads to dead ends in my opinion. I would say the effects are still unclear, and it does not hurt or help gout based on our current understanding. ...Read more

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What effect does resveratrol have on gout flare up?

This is a purine: Resveratrol is a antioxidant benefit that is found in red wine which is good for your heart. Unfortunately alcohol in any shape or form is broken down into purines that can cause in increase in purines and thereby increasing your uric acid leading to gout. ...Read more

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I have gout, and does eating shredded wheat every morning make gout flare up?

I have gout, and does eating shredded wheat every morning make gout flare up?

Podagra: Generally speaking, gout flares are related to high protein/high purine foods."organ meats, shellfish, peanuts, cashews, greens, coke... Etc

stay hydrated

black cherry juice is ok!, antinflammatories may help when acute.

Call your pcp or rheumatoligist to prevent chronic problems including arthritis and kidney stones... ...Read more

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Besides using drugs how can I prevent another gout flare up from occurring?

Gout: Hi, adjusting your diet to avoid high in animal product, fat and alcohol, drink lots of water, avoid losing weight so rapidly, avoid foods sweetened with high-fructose corn syrup.
Be well. ...Read more

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I had a gout flare up. It was treated and went away. Started on Puricos on Tuesday. Now it feels like a new flare up. Should I continue on puricos?

I had a gout flare up. It was treated and went away. Started on Puricos on Tuesday. Now it feels like a new flare up. Should I continue on puricos?

YES: Speak with you Health care provider who may wish to treat the continued flare with an anti-inflammatory drug or a specific anti-gout medication such as COLCHICINE... BTW continued acute pain is common when Allopurinol is first begun!
Hope this is helpful!
Dr Z ...Read more

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If having a gout flare, but meds are making the pain manageable, is it best to rest until the flare is gone or can you do normal activity? Exercise?

If having a gout flare, but meds are making the pain manageable, is it best to rest until the flare is gone or can you do normal activity? Exercise?

Rest gout joint: Rest it. Don't exercise it. 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 /foods. Add egg whites, quinoa, soy as protein. Eat lots of citrus fruit and veggies. Drink 3 L/d ...Read more

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I'm having a gout flare up right now and I'm out of medicine what can I do? Go to er?

I'm having a gout flare up right now and I'm out of medicine what can I do? Go to er?

Gout flare : If your flare is during regular business hours call your prescribing physician. If it is not but is before about 9-10pm you should see if there is an urgent care in your area. In the future, it's always a good idea to request refills of medication before finishing it if it will be something you will use again. ...Read more

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Can you get a gout flare-up in your heel?

You can: It is possible. A foot doc would know if you have gout or a heel spur or plantar fascitis.
One way to differentiate is by aspirating the region of pain. Monosodium urate crystals would confirm a gout diagnosis. ...Read more

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What is good to take for a gout flare up until I can get in to see the doctor?

Water: Increase your fluid intake, rest the joint, avoid purine-high foods and alcohol, especially beer. If you have any meds from a previous flare-up, take them. If you don't have any left you can use otc Naproxen (1, 500mg per day maximum). . And get to your doctor as soon as possible! ...Read more

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Does eating peanut or using peanut butter causes a gout flare up? What is the usual dose of colchicine during a flare up?

Does eating peanut or using peanut butter causes a gout flare up? What is the usual dose of colchicine during a flare up?

Peanut and gout: No, peanut foods wll not trigger gout. Colchicine dose is 0.1. Mg /d. Take in tart cherry juice and tart cherries, 20/day. Add Lemon extract 4 tblspns / day. And 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. ...Read more

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I'm having my first gout flare as an active 24 y/o. I've been on indocin (indomethacin) for a week, but pain is still between a 6-8/10. Should I ask for another med?

Is it really gout?: If you have involvement of the base of the great toe then the diagnosis will almost always be gout. However, if this joint has never been involved then I would see a rheumatologist. A joint can be aspirated and evaluation of the joint fluid would determine if it is gout or some other form of arthritis. If this is gout, a short course of Prednisone works well. ...Read more

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Could a sprained ankle make my gout flare up?

Yes: Any trauma, surgery or infection can cause gout to flair up. ...Read more

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Does anyone have suggestions for treating a gout flare in my big toe?

First, you need to: Verify that it is indeed gout. A blood test will usually confirm the presence of a high or nigh-normal level of uric acid. If it is, then you will need some form of antiinflammatory medication. Each doctor has his/her favorite--colchicine, naprosyn (my favorite), indocin, sulindac, and more. Otc aleve, (naproxen) similar to naprosyn, can be good to try until you have your foot examined. ...Read more

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