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