Interested in gout

Natasha,
I am kind of in the same boat. I do have a nutritionist and never have. The
only instruction my surgeon gave me was no more than 3/4 cup of food per
meal, 1/4 protein, then if i have room 1/4 cup veggies and/or fruit..then if i
still have room 1/4 cup carbs. That was basically all I was told and then given
a
couple of sample menus...of food i dont eat.
However, I have been an Atkins dieter for a long time, and have his books and
some books on carbs, so i have a general idea of what is good. Also, reading
on here has been a big help, with the recipes and ideas. I wasn't given any
set amount of protein to take in every day, but most on here say like 60grms a
day. To me, our diet is similar to the Atkins diet as far as keeping carbs
low and focusing on protein first. Some people seem to focus on more low fat
options, which is good when you can, but in most cases, the lower the fat the
higher the carb content.
Anyways, if you have any questions regarding diet, your surgeon is probably
your best starting place, but the people on here are very knowledgeable and can
probably direct you in the right direction..and I'm here if i can help in any
way. Best of luck to yoU!
Chrissy
Open RNY 02/19/03
310/235

hey folks. anyone out there self-administer B12 shots? i have both
the syringes & the vial, but i don't dare! one of the probs is the
time off work for the doc's appts, even though the nurse is the one
doing the injecting. also, getting insurance to pay---i told 'em to
use the post-operative malabsorption Dx, hopefully that'll work.
on another note, has anyone (that cares to admit it, hehehe) used a
girdle to help out the silhouette? after PS, they have you wear
girdle-type garments. there's a saleslady visiting me @ home tonight
that sells 'em to hospitals.
lori h.

Just had to share-I reached 50 pounds gone when I weighed in this
weekend. I was soooooooooootickled I could scream. Also, 36.75 inches
gone. It is a great idea to measure along with the weight-when one
doesn't go down-the other does to keep me reassured.

Hey Guys
I found this recipe for NY Cheesecake on the net it stated it was for after
wls, but I see eggs and cornstarch in it. Please read the ingredients and tell
me what substitutions we can make to the recipe to make it even more
"friendlier" so we can have a happy alternative to goodies that are really
baddies for
us in the long run.
Thanks Everyone have fun
Lori Anne pre-op lap rny :)
AFTER WLS NY CHEESECAKE RECIPE
STEP 1
Mix vanilla wafer crumbs, butter, and 1 teaspoon Slenda® for Recipes or 3
packets of Splenda® sweetener in the bottom of a 9-inch springform pan. Reserve
1
tablespoon of crumb mixture. Pat remaining mixture evenly on bottom and
1/2-inch up side of pan. Bake in preheated 325 degrees Fahrenheit oven until
crust
is lightly browned, about 8 minutes. Cool on wire rack.
STEP 2
Beat cream cheese and 5-1/2 teaspoons Splenda® for Recipes or 18 packets
Splenda® sweetener in a large bowl until fluffy; beat in eggs, egg whites, and
cornstarch. Mix in sour cream and vanilla until well blended. Pour mixture into
crust in pan.
STEP 3
Bake in preheated 325oF oven just until set in the center, 45 to 50 minutes.
Remove cheesecake from oven, sprinkle with reserved crumbs. Cool completely on
wire rack. Refrigerate 8 hours or overnight.
STEP 4
Remove side of pan; place cheesecake on serving plate. Serve with
strawberries and Strawberry Sauce.

Hey Pam T,
I just got of the phone with my surgeons office. I am
so happy to say my last appt with him before the
surgery is July 23rd. We will set the date and get all
my pre surgery stuff done and I can say I will be on
the losing side soon. (~~@@~
dance all over puter...LOL
Have a great one
Pam C

lol every one gets that like i chose the daily digest and it srends
me all the posts on the site each day so any thing that is discussed
here is open to every one lol

Please tell me one of your doctor's ordered that sleep study and
without a surgery diagnosis! If you are having symptoms that it akes
sense to have this test, then make sure it has a diagnosis code
related to your symptoms on it and no reference to surgery anywhere.
Otherwise you could be looking at a huge bill - $2200 in Oshkosh and
I'm sure more in IL. Has the surgeon requested this? If not, BCBS
might have a bird about it.
Just a warning! I know you are anxious to get the approval but
please be careful not to dig yourself into a major financial hole!
Chris D. (Just being concerned)

Hi all my name is kelly I am writing for my husband he was diagnosed
three weeks ago with gout. He is 32 years old and a pretty healthy
guy. He is probably 40 - 50 lbs overweight which is about his only
real health concern at this moment. Anyway he had his first gout
attack three weeks ago ....He woke up in pain and after two days he
swore I broke his toe in the night. LOL. Well we did end up in the
E
drink alcohol (well once or twice a year doesn't count) but he
consumes alot of meat. He has been not eating meat for three weeks now
he has been eating cherries like crazy and taking endomethicin for the
inflamation. He is still limping around and feeling pain ....its not
as bad as it was at first but it is still hurting quite a bit. The
doctors are not offering too much advice. I was wondering if anyone
has any tips or natural remedies? Diet? Thanks
Kelly

Ok, call me crazy, but I found this connection. I've been on a strict alkaline
diet for the
past year. (Cut out sugar, white bread, potatoes, caffeine, liquor, etc.) I have
not had any
full blown gout episodes, but found that my Ph would fall into acidic territory
and I would
get some tell-tale swelling in my big toe occasionally. This worried me because
I'd already
been restricting my diet. In my researching, I kept coming across references to
metabolism. I began to take my temperature (orally) three times a day (9am, 12
noon and
3pm). (Normal temp is 98.6). Mine would start out at the low 97's and rise only
to the
upper 97's! (That's hypothyroid territory.) My doc had done bloodwork and found
nothing
amiss. Interestingly, I also thought about how many gout sufferers find their
attacks
happen most often in the cold weather months. I wondered about that connection
and
began to research what I could do to jump start my metabolism, normalize my
temps and
perhaps bring my Ph into a more alkaline range. I discovered coconut oil and
began to
take a tablespoon with meals. Sure enough my temperatures rose to within normal
levels
and my Ph became more evenly alkaline. No more twinges in my toe. Could body
temperature be an indicator? Could raising my metabolism a pinch, help with uric
acid
levels? Coconut oil is qualified as a food, and entirely safe (they put it in
infant milk
formulas). It is a saturated fat but with NO cholesterol. Buy virgin coconut
oil. If you try it
work up to three tablespoons a day, over a few days, because it's very rich and
you don't
want to upset your stomach. I've left a few links. Best, Michele
http://www.mnwelldir.org/docs/nutrition/coconut.htm
http://thyroid.about.com/cs/dietweightloss/a/coconutoilfife_3.htm
http://www.best-gout-remedies.com/candida-albicans.html

After dealing with gout for over 10 years and reading and listening to everything i possibly can about it, i still find it difficult to understand how, after eating a food 24 hours previously, this can then trigger an attack. I assume that prior to an attack the UA level is high and the blood saturated with UA cystals, which would be deposited in a joint which may already have a crystal build up from previous high levels, therefore, how, chemically and physiogically, does a particular food trigger these into action.
I appreciate the purine and protein effect on the UA blood levels but this surley is only over some lengthy period of time.

Any knowledge on this would be appreciated.

Regards,

Geoff

Hi, here is a link to a natural remedy for gout - Goutgo, check it out
www.enacu.com
[Moderator note: and boy, is it pricey! $32 a week! I try to not interfere too
much, so I'm approving this message, but I would highly encourage everyone to
not try this unless someone you trust has had good experience with it. Or if
you're willing to risk $1500 a year on something that might have no effect at
all. - Terry]

First gout attack happened about 8 years ago during the visit of my
(then) 19 year old nephew from Germany. (no stress involved, it just
happened)
Father had gout so the doc says "To be expected". (not much help but
got the drugs that cured it in a week)
Have had minor attacks (sore toe joint, slightly swollen) immediately
took the drugs and it went away almost on the same day, only twice
since then.
Didn't take any notice of it ie change diet or stop drinking (would
rather not walk, actually).
Went on 4 weeks holiday to Asia and was walking around a city in the
first week when in the morning the old foot starts to complain. Well,
can't have that on holiday now can we? So off to what passes for the
local pharmacy where the little old lady gives me some pills that I
can't read and have no idea what they were. Worked a treat - after 2
days all well again and for the rest of the holiday no problem.
On the 16 hour return flight the old foot starts to feel "funny" not
ha ha, but peculiar. Get home and go straight to see uncle doctor. He
prescribes the usual anti-inflammatory which doesn't work for about a
month of sitting on my progressively fatter ass.
Now here comes the "funny" bit (peculiar, not haha) had the tests for
blood and all that and my values were less than for my last (unrelated
to gout) blood test for 1 1/2 years - but back then I didn't have
anything.
Have also learned that it can be seasonal too, mainly in spring - go
figure.
Doctor basically said just carry on with life as normal and when you
feel it coming on take the pills. So any advice?

I am drinking a lot of oxygen rich alkaline water to prevent from gout attack on
my toe? Has anybody had any expericence with perfect water. Its listed on
www.perfect-4-u.com
raj

Have you had your thyroid levels tested? Do you have any of the signs of thyroid
under-
activity or overactivity? The thyroid directly affects uric acid levels, and
often it can be
underperforming or over performing for years before the levels are noticeable.
Ask your
doctor. See if any of the symptoms are familiar. Here's some links with a quick
and easy
home temperature test. Best, Michele
http://www.ncbi.nlm.nih.gov/pubmed/11791637
http://www.ecoviva.com/html/coconut-oil-thyroid.html
http://www.best-gout-remedies.com/candida-albicans.html
http://www.drrind.com/tempgraph.asp#intro

A doctor recommended that I take one tablet of colchicine per day as
prophylactic for gout control. One tablet is 500mcg (I think that is
micrograms).
Anybody on this same regimen?
Bay

My partner has gout and was prescribed Allopurinol. He found that his
toes became numb, as if they were anaesthetised, so he stopped taking
it. Over 3 - 4 years the feeling slowly started to return but not
fully. The doctors told him that the parasthesia was not a side effect
of the Allopurinol.
He started having more gout attacks and has had to go back on
Allopurinol. He's been back on it for 2 months now and he's starting
to have the numb feeling in his toes again.
Has anyone else experienced anything like this?

Of the 25 respondents, 5 said they were allergic (20%) and 20 said
they were not (80%).
This limited study makes it seem that Allopurinol allergies are not so
rare after all.
[Moderator's note: I have to point out that it seems much less likely that
someone who is successfully managing their gout with Allopurinol will ever sign
up for this group. This group is going to attract a higher percentage of people
who have gout and are having problems managing it. So, your poll is going to be
very skewed. - Terry]

On observing lists of foods with uric acid levels below 100, I observed
two surprising entries; corned beef and frankfurters. Did sombody goof
or is this info correct?
Thanks

yesterday i was replacing the brake shoe of my wife's motorcycle. i
discovered a wrong part that was installed by a previous mechanic.
this drove me really fuming mad...literally. an hour and a half later,
i was suffering from a sudden gout flareup. during the night, i
thought of this gout-anger connection. so i tried to imagine happy
scenarios till i was lulled to sleep. waking up this morning, the pain
subsides considerably i can already weak with a slight limp.
is there a strong connection with anger as a gout trigger?
bay

My doctor prescribed colchicine and told me to take it whenever I feel
an attack coming on. So far I havent had an attack when I take it. I
have only had to take 1 or 2 tablets and the attack goes away. Is that
the same for most of you or do you have to take it everyday. Last year
I was having attacks about every two months and so far this year I
haven't had any. Gloria

Hi Everyone,
I was diagnosed with gout 6 years ago, but had no second episode
until 4 weeks ago when it appeared first in the mid-foot, then a
couple weeks later in the first metatarsal phalangeal joint. Based
on how this joint feels (it is still completely stiff and anything
involving it is quite painful) I think I am at least a week or two
from recovery, maybe more. During this time I will continue being non-
ambulatory (bedrest mostly) but it is clear to me at some point I
will need to start walking again at some level, and in a way that
minimizes stress this joint.
Obviously there are ways to get about that put zero stress on the
joint (wheechair, crutches) but short of those measures are there
any methods that can incrementally reduce the stress on the joint as
it recovers? I can use a cane, but I calculate that only relieves
about 15% of the weight on the foot. Is there any sort of footwear
that relieves any of the stress? (I am thinking sandals might at
least relieve the outside pressure on it, but does anything else
help... Earth Shoes maybe?)
If anyone has experienced a useful approach to this situation I would
be happy to hear about it. Thanks much--
Steve

well, what did she recommend!? uric acid in the 8+ range is definitely high enough to treat with allopurinol. were you still having the attack when you went? you can't start on allo until the attack is completely over. maybe that's what she meant?

has your doctor treated much gout? you can ask this, by the way. i know it may be uncomfortable, but you have to remember, you are the customer! you have a right to proper treatment, not a doctor who sends you away with incomplete information. unfortunately, we often look at doctors as sort of these unquestionable experts, but you must remember, they are humans like you and me... and you need to be your own best advocate in there. ask questions, be a pest, get your problem solved!! you'll be glad you did when you get home.

if she has not treated much gout, you may want to look for another one. as with any illness, you want to go to a doc that has seen a lot of it, and knows what to do about it.

Hi All,
All my recent gout attacks has been preceded by a pain in the 7th
thoracic at the spine. Is there a connection between this and gout?
The 7th thoracic is about the upper center of the back.
Bay

So I had my first and second gout attack within a 6
week span. Each time my blood was taken my uric acid
was 8.2-8.4. This was close to the attacks.
I have read on here that measuring uric acid near an
attack is not helpful/accurate because the uric acid
is mostly in the joint.
How long do I wait to go back to the doctor to get
things checked out. She would not prescribe allpurinol
because she said my uric acid was not high enough at
the 8 level. Any suggestions? Do I get a second
opinion? She is a rheuotologist. By the way my new
insurance will not kick in for 60 days, but I am not
at all interested in waiting for a 3rd attack.

The "gout diet" appears to be a trial and error type of diet. What works for one does not necessarily work for another. As a diabetic I was trying to avoid a lot of the things we can eat as gout sufferers (potatoes, pasta, etc.) However when I have them now I only eat a very small portion so it does not bother my blood sugars. Or I mix it in with a ton of veggies. I've been able to cut back on my insulin because of eating a lot less (wonder why I never thought of that before...j/k). I have cut back on my coffee/caffeine consumption also. Fruits, veggies, cheese, non fat greek yogurt, tart cherries, and so far don't feel like I'm missing out on anything. Guess this is what they call "clean eating". For once food is being my helper and not the enemy.

Would still like to hear more about what everyone is eating as it helps even tho' it is a "your mileage may vary" kind of situation. Never hurts to learn more. Toast was mentioned and I didn't get the correlation with that and gout. Can that be cleared up for me?

Thanks,

Kandy

In a message dated 6/11/2008 12:38:18 P.M. Eastern Daylight Time, bocondo@... writes:

have been able to stay off red meat, turkey, mushrooms and ham for
years, ever since diagnosed with gout...other high purine foods were
not really part of my diet anyways...beer and wine and toast/soda
crackers are another story...just do white meat chicken, eggs
infrequently, lots of cheese and occasional white fillet of
fish..veggies, rice, pasta dishes, baked potatoes, sweet potatoes,

Wow! Everyone is so helpful. I think we're gonna try cherry pills.
thank you all for your advice. It's much appreciated. x

I am taking Spironoalactone as long term medication for Conn's
syndrome. Lately, I suffer from bi-weekly gout attacks. Is this a side
effect manifestation of the diuretic?
Bay

I see in the Gout Hater's Cookbooks she refers to using no xanthan gum
in products. Is this because it is a derivative of a protein? I am not
able to find any info about this and gout. Has anyone else seen this?
Also has anyone ordered the Gout Hater's cookbooks and if so, how do
you like them?
Kandy

Special thanks to victor et all for the responses. The
pain was too much. i called my doctor and she called
in a steroid pack (predeserone...(spelling) Cost
$19.00) to my pharmacist. Killed a lot of the pain.
She said I will have to go on allo after the attack is
over.
I have psoriasis as well. She is very concerned that I
have Psoriatic arthritis and some how that is tied
into the gout. I really don't get it yet. My new job
starts next week and hopefully I will get this sorted
out shortly.

I have added this poll. Please respond using this link (

I found this at Amazon.com
http://www.amazon.com/Gout-Haters-Cookbook-II-Purine/dp/1888141808/ref=pd_bxgy_b\
_text_b
--Diane

I've had gout since 2002 (my first attack), and I think I've had only
a total of about four attacks. My first one was by far the worst,
and lasted 3 weeks and my doctor put me on Endomethacin for that.
I find that almost ALL of my attacks are proceeded by my overdoing it
on alcohol (especially Scotch) and processed sandwich meats (esp.
salami). I had too much of both last weekend, and now I am suffering
the consequences. I know what I need to stay away from, and can do
it for a while, and then I get complacent.
--Diane

I picked up a new client today, a podiatrist who works at several
retirement homes. I figured this was a doctor who saw lots of gout,
and he confirmed that he does because of his exclusively elderly
patients. I asked him what he considered the best treatment for gout,
and he astounded me by saying he uses lidocaine. First he flushes the
joint with a lidocaine solution to mechanically remove the UA
deposits, then after the flush he does another lidocaine injection
into the joint, which he said dissolves the remaining crystals. He
said this is a semi-permanent solution, he saw a patient just this
morning, an elderly woman that he gave a lidocaine flush to 9 months
ago, and she is still pain-free. He said he never messes with
allopurinol or diet, just does a lidocaine flush and they are good to
go. I have searched the archives here and find no mention of this,
nor have I read anything about it in my extensive research. Comments?
Chase Kimball

After about a year with no attack, I now have a gout attack. Sigh.
It's in my right big toe, and I'm hoping it will get no worse as I
hate it when it "travels" up to the ankle. What can I do to keep it
from progressing. I know I have to stay off the booze and the salami,
and drink lots of water. Is it okay if I eat: wheat crackers,
cheddar cheese, and chocolate? I'm thinking of having all those
things today, and wonder if I should skip all of them. I've forgotten
what I can and cannot eat -- it's been so long, but I do know that
scotch and salami are triggers for me and I've indulged in both (last
weekend). Sigh. Any advice? Thanks!

well did stop it and luckily I'm still here...my doctor must have
been misinformed when he asked to stop for 10 days and then restart
it...on my request he started me on 100mgs per day because the
regular daily dose is 300mgs...after two weeks my uric acid was down
to 5.5 and he congratulated me on my dosage selection.
yet one week later I developed the blister on my forearm...kind of
like if someone had used a whip on me...it was also painful to raise
my arm...should assume then that someone did die from it.
had given some thought to start it again and did take two pills I
had left over...but now I know Allo is NOT for me.
so its cherry pills...Vitamin C....flax and a strict diet if I want
to avoid attacks...my uric acid last read 8.3
perhaps I should reconsider Benemid...the abdominal pain might have
been caused by the colchicine only as I was on both for prevention...
anybody here on Benemid or its generic form probenecid?
any good results from it? if doctors have now switched to Allo
almost exclusively there must be a good reason, right?

Hello: I have been reading my posts and seeing what some people eat.
I am diabetic on insulin and am wondering if anyone else here is
also.
I am trying to eliminate meats but as a serious carnivore this was
hard in the beginning.
With conflicting information does anyone have a definitive answer on
the affects of cauliflower, asparagus, mushrooms, broccoli on gout? I
use the cauliflower for a replacement for potatoes and the others
were supposed to be GOOD for me and I really just love them. Who
would've thought veggies could be an enemy??? I have read the info by
Dr. Choi but again conflicts abound for this info.
The dr. gave me a prescription for the allo at 100 mg. once a day. I
have never had a "gout" flare up in my feet but have had problems
with my thumbs and body joints. My pharmacist says it feels like the
flu, achy all over. That's been me for almost two years. Along with
this I am having sciatica problems so am very very slow moving.

Hi all. We're new here. My boyfriend Kev has recently been diagnosed
with gout. We keep reading that Cherry Juice is good at helping
prevent flare up's but we cannot seem to find it anywhere unless we're
willing to pay a lot of money. Does anyone know where we can get
Cherry juice at a reasonable price. We're in Wales but can travel a
bit. Thanks x

Hi - I am new to this group. My husband has had gout for about 2
years and I am very involved in helping the problem. He seems to be
getting more flair ups spaced closer together and it is really
dabilitating for him. I bought a large bottle of Omega Fish Oil
capsuls from Costco (because all the studies say you need to have
your omega's now a days)
and after taking them for 2 weeks he got such a massive flair up.
Has this happened to anyone else? I think they are too high in
fish/sardine protein for his body to process.
Also, after this most recent flair up I was desperate for him. I
knew in my heart that there had to be another way to help him that
modern medicine could not fix. I found a homeopathic
doctor/electronic acpuncture doctor that came "highly recommended"
from a friend of a friend. The bill came to over $575!!! Plus he
gave us about 12 different tinctures and pills that had to be taken
all throughout the day and different times. It was a total waste.
Fortunately I was able to return the homeopathic meds and got a
little bit of our money back. If anyone has insite on any
herbal/homeopathic remedies I would love to hear.
Thank you!

since my doctor said to go back to allo after 10 days of my allergic
reaction, went back again to check up on it...here's some of what I
found:
A small % of people develop a rash and must discontinue this drug.
Zyloprim should be discontinued at the first appearance of skin rash
or other signs which may indicate an allergic reaction.
Do not use this medication if you ever had a serious allergic reaction
to allopurinol.Stop taking it and call your doctor at once if you have
any signs of skin rash, no matter how mild.
Because a skin reaction, the most common side effect of Zyloprim, may
occasionaly become severe or even fatal, you should stop taking
Zyloprim if you notice even the beginnings of a rash.
Seek inmmediate medical attention if you notice any symptoms of a
serious allergic reaction including rash.
Apparently something pretty serious happened to someone for all these
warnings to appear, does anyone here know what happened?

Hi Everyone,
I am the latest "victim" of gout. What a horrible
condition.
I am 32, overweight and have high colestoral. So if
there is a positive in this, I know I have to change
my diet.
About six weeks ago I went to a general doctor for the
first time in 4 years. He checked my blood out, told
me I had high Uric Acid in my blood (8.2) and should
be concerned about getting gout. I ignored him and
thought to myself: "What the heck is gout...I am not
getting that."
Literally 2 weeks later I had the worst pain of my
life in my right toe. I went to a rhemotologist, got
a steriod pack and cholchine. The pain went away.
So, I have a lot to learn. I am posting because I am
getting my second flare up of gout in my right toe in
a four week period. I am extremely frustrated. I have
cut out sugar, red meat and alcohol from my diet. I am
frustrated with my learning curve of an acceptable
diet. I have always eaten quite a bit of chicken and I
drink lots of tea. Is it fair to say I should cut or
lower these foods as well? Is anyone willing to give
me thier typical diet over, say a 3 day period?
To add insult to injury I am now in between jobs. I am
starting a new job in two weeks and currently have no
insurance. I have a few colchcine pills left. Any
ideas how I can manage the pain until I get new
insurance?
Thanks for listening.

11. when you finally give up and start taking allopurinol!

OK, I'm new to the whole gout thing. I've backed off all the obvious
things that could cause it. I'm drowning myself in water. I'm on
steroids (Cortizone) for 2 weeks and then who knows what yet.
Anyway, I'm new to all this...and not liking it at all. (Surprise
surprise, right?
I'm craving so many things that I can't have. Everywhere I turn I
see them. For whatever reason pizza is a big thing for me that
lights me up. It was a huge staple of my diet prior to all this. Do
you all know how many pizza advertisements there are?!?!? Arrrgh! I
open Men's Health magazine this month and there is a nice juicy
hamburger within the first 10 pages.
Is there a gout friendly alternative to these gout no no's? Are soy
burgers ok? I wish I could go to the supermarket and look at the
nutritional section and see a purine percentage.
Anyone have any good advice on this? I'm fresh back from the
supermarket where I picked up lots of fruit (including dark cherries,
bananas and blueberries) and cherry juice and water. I also picked
up some potatoes to try out this week. Cheese sandwiches at lunch
seem to be working with white bread.
I'd love to hear some good ideas. Is there a good gout recipie book
out there somewhere? Hmmmm...
Jim

10 Reasons you know you have gout
1) When you meet an old, lost friend, go for a drink and you have to
order mineral water.
2) When you go to a restaurant and you have to go straight to the
side dishes page in the menu.
3) When you order the side dishes and the waiter gives you a what's
wrong with you look.
4) When you open your closet door and your cane sticks out and falls
on the floor.
5) When you go to the supermarket and surprise!! they have fresh
cherries.
6) When you visit your local health food store, ask for cherry pills
and the clerk goes : what is that for?
7) When you spend hours online looking for gout info and all you get
is conflicting advice.
8) When you think you have been behaving well and the next morning
you wake up with a swollen foot.
9) When you open the refrigerator and you have to rush out to buy
drinking water.
10) When you see others hardly walking with canes, walkers or in
wheelchairs and you think Oh my God!!

Hi
In agony today :-( nasty attack in my right toe joint, whole area red
and agony.
My own fault I guess as had some beers over the last few days and
chocolate as on holiday (easy to forget)
Back to work Monday.
But can't get away from the pain justg now, taken codine pillsa
as well.
Take cherry tablets every day and drink cherry juice as well.
Ouch
Mike
Sussex UK

I can relate to this.. I went 40 years with never a trace of gout in
my life.. and then after a hysterectomy, wham! gout.. not one of the
docs I consulted about the surgery told me that estrogen protects
women from gout.. (why so many more men get it.. women not until
after menopause usually).. (I had a cancer scare.. thus the surgery)..
personally I find that gout is a very individual thing.. for
instance, I can red meat, I eat beef, pork and lamb on a regular
basis.. with no outbreaks.. however, two tablespoons of gravy will
do me in..
I remember reading that thing about meat juices and extracts being
high risk.. well that turned out to be completely true for me..
I've also had to completely cut out organ meats..
I'm not a beer or wine drinker, but like a Scotch or cider once in a
while.. however, I'm a very moderate drinker.. (less than once a
month).. and I have so far had no problems with an ocassional drink..
so to some extent, you have to find out what works for your
body.. which things you can consume moderately, and which things you
have to competely eliminate..
Helen
-------
Helen Martin
Nanaimo, BC Vancouver Island, Canada
http://mypage.uniserve.com/~hrmartin/

Hello! I am Anne. I am glad to have found this group!
I was diagnosed with gout this January, although I had my first attack
in September. It's kind of strange for me, because gout really isn't in
my family. I found out that I gout developed gout because I take
diuretics (a lot) for CHF and gour precipitated from the heavy use of
them. I had gone to several doctors because I had developed sensitive
nodules on my hips and knees. All of them said, "You don't have _____,
but I don't know what you have." After September I started doing
research on my symptoms and it came down to medcine-induced gout. The
nodules were tophi on my joints and no one knew. What a world!!! I
recently was admitted into the hospital for fluid around the heart and
lungs and they started me on Lassix again. Guess what? I had a flare-
up. It wasn't bad, but it answered a lot of questions for me. I found
that the concentrated cherry juice works well for me, as well as
drinking A LOT of water.
Have a great day!
Anne

Hi all,
I was just wondering if you'd know how bad wholemeal/whole wheat food
in general is for gout. For instance, I only eat wholemeal bread,
pasta and rice and am not sure if it would trigger a gout attack.
Thanks.
Nelson

I have recently been diagnosed with gout. I finally did the lood
work over the weekend to confirm it and will get the results in a few
days.
My father and mother have both had attacks in their big toes. My
attacks seem to be much different though. I get mine in my ankles.
It also seems to move on me once it starts up. It might start on the
outside of my ankle and then move to the upper foot and then move to
the inside ankle.
I've had a really hard time sleeping over the last 2-3 months and
even harder time walking. I had just joined Gold's Gym a month prior
to having my first big attack.
My biggest concern is diet. Nothing I try seems to work. I'm
staying away from the red meat. I've found for some reason pizza
triggers it so I'm staying away from that. I'm icing it down at
night. I've cut my diet down to nearly water and bread and nothing
seems to make this latest attack go away.
I've had a miserable Memorial Day weekend which I've spent mostly in
bed. The weather is so perfect outside but I can't get out to enjoy
it. This is the worst thing I think I've ever experienced...well
next to my ex-wife.
At any rate, if anyone has any dietary advice out there please let me
know. Also, if there are any ankle sufferers out there I'd like to
know as well. I've so far only heard of big toe gout. I know it can
be caused in all joints, but I don't know of anyone who has it like
me.
Thanks!!
Jim

I have a painful swollen big toe that is worse when pressure is put on it. It comes and goes every few days. Is this gout? How is it diagnosed?

Hi

I had gout attack on big toe of my right leg. It was 3 years ago. Then by the grace of God there was no attack. recently since the last six months i feel back pain. i cant bend properly. some days i could not do my prayer (Namas for Muslims). I consulted a docter then he said it is because of your habits and siting position. I am working as accountant since the last 12 years. Now when i see this mail, i am doubtfull about it...whether it have any relation with gout or not.
Victor <mailings@...

Bay,
Haven't heard of that, but one study recently showed that gout in the joints of the spine, which was thought to be rare, may actually be more common than thought (and misdiagnosed by doctors). You may be having gout pain there. I know when I have a gout attack, I will usually feel discomfort in one of the joints where I typically have an attack, sometimes days beforehand. If you feel this pain in your back, I would suggest trying to treating like a gout attack and see if it goes away (take a full dose of an NSAID such as indomethacin, or whatever medication your doctor prescribed at the very first sign of pain).
-Victor Konshin
Author of "Beating Gout: A Sufferer's Guide to Living Pain Free"
www.beatinggout.com
I have observed that when I experience pain at the middle back area,
along the spine, gout will occur a few days later. The pain is like a
pointed instrument stabbed (or a razor blade making a quick deep cut)
and varies in intensity. This intensity is proportional to the gout
that follows.
Has anyone else noticed this warning pain?
Bay

Hi, I have gout and recently have developed swellings between the first
and second knuckle joints on both hands.They are always there and
sometimes get larger but go down after a few days.
The skin is very itchy but not painful is this gout or something else?

I have had trouble with the left index finger on my left hand off and
on the swelling goos away in a few hours I'm on allopurinol 300 mg per
day. Could this be gout related I have not had an attack in my feet
for several months

thanks for sharing

healthy diet and exercise are always the panacea for all illnesses, including our "companion" - gout
eelnivek53@... »¡¡G

Topic: Healthy Diet and Exercise May Reduce the Risk of Gout
Keywords: GOUT, ARTHRITIS - Diet, Exercise, Body Weight
Reference: "Effects of diet, physical activity and performance, and body weight on incident gout in ostensibly healthy, vigorously active men," Williams PT, Am J Clin Nutr, 2008; 87(5): 1480-87. (Address: Paul T. Williams, Donner Laboratory, Life Sciences Division, Ernest Orlando Lawrence Berkeley National Laboratory, Berkeley, CA 94720, USA. E-mail: ptwilliams@lbl.gov ).
Summary: In a prospective study involving 28,990 ostensibly healthy male runners, the risk of gout was found to be lower among men whose diets limited meat and alcohol and included high amounts of fruit, who maintained an ideal body weight, and who were very physically fit and physically active. Over the course of 7.74 years of follow-up, 228 cases of gout were reported. Higher alcohol intake (per 10 g/d; relative risk: 1.19), meat consumption (RR=1.45), and BMI (RR=1.19) were found to increase the risk of gout, while higher fruit intake (RR=0.73), running distance (RR=0.92), and fitness (RR=0.55) were found to reduce the risk of gout. Subjects consuming more than 15 g/day alcohol had a 93% greater risk of gout than those who drank no alcohol. Subjects consuming more than 2 pieces of fruit/day had a 50% reduced risk of gout compared to those who consumed less than .5 fruit/day. Subjects with B MI
These results suggest that making dietary and lifestyle changes may offer significant protection against the development of gout.

I just have read that mineral absorption can be interrupted by phytic acid in
whole grains,
beans and legumes. This may be vitally important for those of you seeking a
solution
through diet. Here are two links that will explain why soaking first, is
important. Best,
Michele
http://www.kitchenmuse.net/soaking%20grains.htm
http://www.rebuild-from-depression.com/resources/book/Chapter13.pdf

Dear All
I am new to this forum, a little about myself. I am 40 years old and
had my first attack of gout/arthritis (in the bone below my big toe)
about 7 months ago. This happened just 3 months after I decided to
give up drinking alcohol! My late father was a heavy drinker and had
osteoporosis. My gout/arthritis has been threatening to come back
over the last few days and at the moment, I just have mild swelling
in the joint and intermittent discomfort but am managing without
drugs. I don't smoke or take any medications at all. Also, I have
just given up caffeine as I was a heavy coffee drinker!!! However, I
occasionally drink tea. I was prescribed Diclofena when I had my
first agonising attack and it cleared up within 3 days.
I am now obviously concerned to prevent another full blown attack and
doing some research into the best non-drug methods of preventing a
full attack. There seems to be a lot of conflicting information
around. I have been on the UK Gout Society website and found some
useful information on diet.
I just wondered if anyone has read Mr Konshin's, Beating Gout Book
and tried any of his methods and found success?
Similarly, has anyone any tried and tested methods (diet and herbal
remedies) that they can suggest?
Many thanks,
Wendy

Topic: Healthy Diet and Exercise May Reduce the Risk of Gout
Keywords: GOUT, ARTHRITIS - Diet, Exercise, Body Weight
Reference: "Effects of diet, physical activity and performance, and body weight on incident gout in ostensibly healthy, vigorously active men," Williams PT, Am J Clin Nutr, 2008; 87(5): 1480-87. (Address: Paul T. Williams, Donner Laboratory, Life Sciences Division, Ernest Orlando Lawrence Berkeley National Laboratory, Berkeley, CA 94720, USA. E-mail: ptwilliams@... ).
Summary: In a prospective study involving 28,990 ostensibly healthy male runners, the risk of gout was found to be lower among men whose diets limited meat and alcohol and included high amounts of fruit, who maintained an ideal body weight, and who were very physically fit and physically active. Over the course of 7.74 years of follow-up, 228 cases of gout were reported. Higher alcohol intake (per 10 g/d; relative risk: 1.19), meat consumption (RR=1.45), and BMI (RR=1.19) were found to increase the risk of gout, while higher fruit intake (RR=0.73), running distance (RR=0.92), and fitness (RR=0.55) were found to reduce the risk of gout. Subjects consuming more than 15 g/day alcohol had a 93% greater risk of gout than those who drank no alcohol. Subjects consuming more than 2 pieces of fruit/day had a 50% reduced risk of gout compared to those who consumed less than .5 fruit/day. Subjects with B MI
These results suggest that making dietary and lifestyle changes may offer significant protection against the development of gout.

Summary# 46297
Topic: Consumption of Coffee Impairs Glucose Homeostasis
Keywords: GLUCOSE HOMEOSTASIS, DIABETES TYPE 2 - Coffee, Caffeine, Insulin
Reference: "Caffeinated coffee consumption impairs blood glucose homeostasis in response to high and low glycemic index meals in healthy men," Moisey LL, Kacker S, et al, Am J Clin Nutr, 2008; 87(5): 1254-61. (Address: Terry E. Graham, Department of Human Health and Nutritional Sciences, University of Guelph, Guelph, Ontario, Canada N1G 2W1. E-mail: terrygra@... ).
Summary: In a study involving 10 healthy men, consumption of caffeinated (5 mg/kg) coffee was found to impair acute blood glucose management and insulin sensitivity. Subjects consumed either caffeinated (5 mg/kg body weight) coffee or decaffeinated coffee, followed by a 75 gram oral glucose load (either a high glycemic index (GI) cereal or a low GI cereal mixed meal tolerance test), one hour later. Results found that compared to consuming decaffeinated coffee prior to the high GI meal, when subjects consumed caffeinated coffee followed by the high GI meal, areas under the curve were higher for glucose (147%), insulin (29%), and C-peptide (40%). After consumption of the low GI meal, areas under the curve were also greater for glucose (216%), insulin (44%), and C-peptide (36%), when caffeinated coffee had been consumed. Moreover, insulin sensitivity was significantly reduced (by 40%) when the high GI meal was consumed following caffeinated coffee, and it was reduced by 29%
after consumption of the low GI meal. The authors conclude, "Future investigations are warranted to determine whether caffeinated coffee is a risk factor for insulin resistance."

The Patients Voice invites to a ResBlog about Gout
Dear Friend
May I take this opportunity to invite you to a new online research
blog discussing the impact of gout on lifestyle and environment?
If you suffer from gout then this is a great opportunity to share
your views. By doing so you may have a positive impact on the
treatment options on offer in the future.
To take part please click the link below:
http://www.thepatientconnections.com/blog.asp?uid=z0nsrl
Please bear in mind that all contributions can be anonymous and your
comments will be used to design a new international research project.
Contribution is easy! Just fill in a user name of your choice and
type in your comments.
Feel free to share this link with anyone you may feel would be
interested. We are very keen to hear their views as well.
Kind regards and many thanks for your help
Belinda
The Patients Voice Community Manager

Dr. Streem, head of the section of stone disease and endourology in the department of urology at the Cleveland Clinic Foundation.

An estimated 80%-90% of people with uric acid stones have prolonged periods of urinary acidity with a urine pH that is fixed at 5 or 5.5. These patients lack a postprandial "alkaline tide," so they have more uric acid in the free or less soluble form throughout the day, Dr. Streem explained.

In a normal individual, uric acid exists in urine as free uric acid, which is relatively insoluble, and urate salt, which is relatively soluble. The solubility of uric acid in the urine is pH dependent: At a pH of 5, the urine is saturated at 60 mg/L, but at a urine pH of 6, the urine is saturated at 220 mg/L.
* Orange juice improved urine alkalinity with a 0.6 higher pH compared with both lemonade and water.
* Orange juice increased net gastrointestinal alkali absorption to 52.7 mEq/day versus 7.6 mEq/day with lemonade and 11.1 mEq/day with water (P<0.05).
* Orange juice reduced urinary ammonium to 23 mEq/day versus 36 mEq/day and 37 mEq/day, respectively (P<0.0001). Most of the acid excreted by the kidney is in the form of ammonium.
* Net acid excretion was substantially reduced with orange juice consumption as well (17.3 mEq/day versus 48.9 mEq/day and 55.5 mEq/day, P<0.0001).

Daily consumption of 400 ml (13 oz) of orange juice from concentrate also significantly improved urinary citrate excretion compared to similar intake of lemonade from concentrate, an increase of 88 mg versus 11 mg per 240 ml consumed (P<0.05).

The study also examined urine oxalate which is a component of calcium stones. Urinary oxalate increased to 35 mg/day for orange juice but not for lemonade, which resulted in even lower oxalate excretion than water alone (30 mg/day versus 31 mg/day). However, the calculated relative saturation ratio of calcium oxalate was not significantly different between the two beverages.

Orange juice lowered calculated undissociated uric acid, compared to the other phases (77mg/day versus 184 mg/day on water and 181 mg/day on lemonade, P<0.0001) thus potentially decreasing the risk of uric acid stones. The citrate in orange and grapefruit is accompanied by a potassium ion while the citrate in lemonade and cranberry juice is accompanied by a hydrogen ion. While hydrogen ions counteract the
beneficial effects of high citrate content, potassium ions do not.

.
[INLINE]

Hi there,
I'd like to introduce myself as one of the editors of NHS Choices
(www.nhs.uk), the Department of Health's website for members of the
public.
I'm looking to interview someone with gout, for a real-life story
for the NHS Choices website. I would do the interview over the
telephone at a convenient time and it should take no longer than 20
mins.
If you're able to help, please drop me a line:
caroline.finucane@....
Many thanks,
Caroline
Caroline Finucane
Editor, Health A-Z
NHS Choices
www.nhs.uk

Anyone recommend a good uric acid level indicator easily available in
the uk?

I to not quite understand what the following means: " An inverse dose-response association was observed with vitamin C doses through 400-500 mg/day, after which the effect reached a plateau. Increasing intakes of vitamin C (categories: < 90 mg/d, 90-249 mg/d, 250-499 mg/d, 500-999 mg/d,

Someone wrote something about Vitamin C and I think I read that as something we were not to take. Did I read that wrong and that Vitamin C "is" something to take to help us out?

ANDRE

Summary# 46286
Topic: Vitamin C Intake May Reduce the Risk of Gout and Elevated Serum Uric Acid Levels
Keywords: GOUT, HYPERURICEMIA, URIC ACID - Vitamin C
Reference: "Vitamin C Intake and Serum Uric Acid Concentration in Men," Gao X, Curhan G, et al, J Rheumatol, 2008 May 1; [Epub ahead of print]. (Address: Dr. X. Gao, Department of Nutrition, Harvard School of Public Health, 655 Huntington Ave, Boston, MA 02115, USA. E-mail: xgao@... ).
Summary: In a population-based study involving 1,387 men without hypertension, with BMI less than 30 kg/m(2), greater intake of vitamin C was found to be significantly associated with lower serum uric acid concentrations, after adjusting for various potential confounding factors (smoking, BMI, ethnicity, blood pressure, presence of gout, use of aspirin, intake of energy, alcohol, dairy, protein, fructose, meat, seafood, and coffee). An inverse dose-response association was observed with vitamin C doses through 400-500 mg/day, after which the effect reached a plateau. Increasing intakes of vitamin C (categories: < 90 mg/d, 90-249 mg/d, 250-499 mg/d, 500-999 mg/d,
hyperuricemia and gout."

I have observed that when I experience pain at the middle back area,
along the spine, gout will occur a few days later. The pain is like a
pointed instrument stabbed (or a razor blade making a quick deep cut)
and varies in intensity. This intensity is proportional to the gout
that follows.
Has anyone else noticed this warning pain?
Bay

I am thinking that limiting my intake of protein will help in the uric
acid levels in my system. If so, I have read no more than 6 oz of
protein per day. That would also be what my diabetic diet would also
advocate. Isn't a protein a protein no matter what the source? I
thought dried beans would be good but see they can be a trigger. I also
didn't realize (silly I guess) that even vegetables have protein in
them. Also, it sounds as though spicy food can trigger...I love spicy
stuff!
I know that food alone, will not clear out the uric acid. I also have
read that cherries will help. I did buy frozen, no sugar added
cherries. Will look for the pills as they won't carry such a sugar
load.
I am enjoying reading the posts here and learning. Are there any
specific questions I should be asking the dr this week? Thx in advance,
Kandy

Hi,
Any of you used this device? Any good?
Thierry

Does salt ingestion increase the probability of getting a gout attack,
or does it merely reduce the amount of water in one's system available
to remove uric acid?

Hello: Just found this group. Had a blood test for several items and
the uric acid level is 8.8. Dr. says I have gout. I have had hand
pain for over a year now, only in the fat pads of my thumbs. Thumbs
ache and have had severe pain so I could not hold or write with a pen.
I am a Type II diabetic, overweight, etc. etc. and am trying to
straighten myself out but having a hard time with walking etc as my
knees are achy, etc.
I have been reading about gout on the web and am concerned about how
much eliminating/reducing meat would help. I can do it but just don't
exactly what to do. Meds look like they help many. I have been taking
Aleve for sciatica and see that it can also help with the gout.
Basically, I am confused and don't see the dr until next week. What
do I eat? I am getting fresh veggies, fruits and cutting back on the
protein. Have always been a big meat eater so figured that would be
the best place to start.
I said I am confused, I am SCARED.
Any help and pointers on things to read, etc. would be helpful. Thank
you.
Kandy

HI,
I have managed to control my gout by being careful with food and
alcohol intake. As soon as I feel the slight twinge in my big toe, I go
on a water binge to make sure I flush everything. This has been working
well for the past 10 years. But then last week, I felt the twinge on
Monday and despite copious amount of water could not put my foot down
on Tuesday. I soldiered on but then on Wednesday had to admit defeat
and go the doctor. I was given Arcoxia 120mg, which seemed to do the
trick, my big toe is no longer swollen and I have been able to put
shoes back on. However my foot is still very swollen as a whole and I
feel that after 8 days of Arcoxia, it should really have gone down back
to normal.
What experience have you got on this?
Thierry

I have been on 300 mg daily of Allo for a year now. But I still get
occasional twinges in my toes, and my left great toe has been tingling
for the past five days. These twinges aren't a big deal, they don't
interfere with my life, but they do remind me I still have gout.
Could this be a sign that I need to take a higher dosage of Allo? I
am 6'2" and weighed 205 this morning. Even before I started the Allo
my attacks were quite mild compared to what most of you suffer. I
still observe some elementary precautions, e.g., I take acidophilus
pills in the morning and drink plenty of filtered water every day. I
don't avoid beef like I used to, but still opt for chicken most of the
time. I am satisfied overall with the way Allo has helped me, and
don't want to fix something if it isn't broken. But if the twinges
mean that crystals are still building up in my joints and could lead
to tophi, I want to stop that now if I can.
Chase

Okay, so here's something I've never read or heard about:

While at karate this evening I got caught by a fairly solid kick to the groin. I was down for about five minutes and now, a couple of hours later, still feel the after-effects. (Men who have been kicked in the groin know what I am in reference to here).

While fairly certain that the kick did not do any real damage, I am starting to feel the beginning of a goutbreak on my left foot.

Has anyone ever heard of a correlation between that type of injury and an attack, or am I just having a particularly bad Thursday evening?

All worked for me, all good to try. Cheers, Michele
http://www.earthclinic.com/CURES/gout.html

If the crystals are still there even after an attack, why is surgury
not an option? They could just take the crystals OUT. The recovery
time would be about the same as an episode, and less painfull? Of
course the surgeon would have to cut through muscle and stitch it back
together. Is that so hard or expensive?
Just wondering,
Lou

After 17 years of football (soccer to you yanks!) I have finally had to
give up due to gout.
I have had attacks in my right knee, elbow and ankle - all joints that
i have fairly substancially injured through sports over the years.
My knee and elbow are almost 100% back to normal, but i have had
varying degrees of pain in my ankle of over 7 months now - at no point
has it not been painful to some degree, although only rarely as painful
as a full blown "somebody shoot me" gout attack.
My understanding was that gout flared up then left - i didnt realise it
flared up then got a just a wee bit better, then flared up again!
Has anone else noticed that their attacks of gout have ccured in joints
previously injured?

Since i went up to the 300m dosage of allopurinol, i have been feeling
generally unwell, nausia, tightness in chest (which is now receding)
stomach pain, every joint aches (not just the joints that i have
previously injured and subsequently had gout attacks in)and insomnia.
This is now going on for almost 3 weeks although it does seem to be
easing off a bit now.
My Dr told me in 25 years of prescribing, he has never encountered a
serious side effect with allopurinol.
Any one else have similar?

When last tested, my uric acid levels were about 550. What is a normal
level, and why do other people talk in terms of 5.5 or 4.5, rather than
in the hundreds?

Dangerous Plastics: The BPA Problem - AOL Money & Finance

Have any of you tried febuxostat? Any of you part of the clinical trials?
I am allergic to Allopurinol and am looking forward to Febuxostat as an alternative.
Right now I am trying to manage (more like mismanage) my diet to deal with my gout.
Raffy

lots of postings since the last time I was here...took me a while to
get up to speed...
seems like pH is a controversial one...as for me I just look at the
color of my urine....the lighter the better...right? or is just that
the lighter it is the better hydrated you are and it has nothing to do
with pH?
since I was last here been taking my cherry concentrate and then
switched to pills...so far so good...as I have been drinking a lot of
wine and yes, even some beers...have a new girlfriend and it has been
virtually unavoidable...so was expecting an attack yet it has not
materialized...been watching what I eat though...only white chicken
meat...is white wine better than red?
well... I did get some pain in my left foot yet I'm not sure if it
was gout...my doctor once told me I could also have regular, good ol'
osteoarthritis...anybody out there have both, the twin evils gout and
arthritis? how do you tell the difference?
also...way way back read somewhere that abstinence from sex made
uric acid levels go up...naww...probably a bad joke..
stay healthy...

Hello All,
Since joining this forum I have noticed many people saying things like "I do
this or that" and
my gout attacks have stopped. That's great and it's great that there is a
dialog about things
that help gout. What am curious about though is how many of you actually know
what your
blood serum uric acid (sUA) level is. Some of the experts I talked to in
writing my book
stressed how important it is for people with gout to know their sUA. One expert
stated that,
"it's as important for someone with gout to know their sUA level as it is for a
diabetic to know
their blood sugar level." I created a poll on this forum to get an informal
feel for just many
people know that information.
Also, if your doctor said you level is "normal" but did not give you the
number I suggest
you ask him/her what they level was. Up to 30% of the population are
hyperuricemic (while
only 2% have gout) and that skews the normal range on most lab reports toward
the high
side.
-Victor Konshin
Author of Beating Gout: A sufferer's guide to living pain free
www.beatinggout.com

This is my second attack, and I didn't really, really believe I had
gout after the first attack, because I have Fibromyalgia, and the
pains can be so tricky, to make you think it's a sprain, and then it
goes away. Anyway...
1. I went to the orthodontist (orthopodist?) to get my ingrown toenail
cut off, and the next day I got a Gout attack. I thought for sure he
had done something wrong, or it was my Fibro, but the nurse touched
the joint of my big toe, very, very gently, and I yelled out in pain,
and the doc said "it's Gout". But he said it had nothing to do with my
toenail proceedure. But it MUST have. It's too big a coincidence.
2.I have Diabetes, and it seems like the diet for Gout is contrary to
my diet for Diabets...eating pasta, bread, and no beans is what I'm
most depressed about. Beans are like the perfect food..high protien,
fiber, low calorie, vitamins. AND I like beans. That just sent me over
the top, and depressed the hell out of me, especially after........
3.Being Incapacited. MY GOD, how can you people stand it???? I have to
plan my trips to even go across the room, and have people wait on me
hand and foot. I can't drive. I have to use a cane or walker. I have
to lie down and rest, when I don't want to. This is depressing, and
frustrating I must say.
4.Could this Gout episode be caused my haveing 2 spoonfulls of Corned
beef? That's all I've had lately. Is it always a reaction to eating
the wrong food?
5.What if I get stuck somewhere? I already got stuck once, waiting for
my ride from the Dr office, I decided to sit outside..on the concrete
sidewalk, it was a lovely day, but then I just could not bring myself
to get up, it hurt so bad, so I ended up sitting there constantly
shifting and crying, and praying for my ride to show up.
6.PORK???? This is what I have been eating instead of beef. Do I
really have to give up pork? This is depressing.

I just uploaded a file that is a spreadsheet based on the number of
posts to our group, by month. It reasonably closely matches this:
http://en.wikipedia.org/wiki/Gout
See footnotes [6] and [7].
Anyway it's spring and I've had a horrible March. Today I needed lots
of Probenemid (I'm allergic to allopurinal) and cholchicine and added
motrin for good measure. Finally I am able to walk and drive. I'm
eating very basic food, very little meat, no legumes, etc and it's
stuck with me all month. And at 48 this doesn't bode well for the
future. I've never had an attack for more than a day or so before and
only a handful of times in the last 8 years since they started. This
March has left me at my wits end!

Just a quick note... It was suggested to me by a nutritionist, to add a good
quality whey
product to my morning green smoothie. Bad move. Within two days my left toe
joint began to
swell and I had twinges in my left knee. I realized that I had been adding a
whey powder
supplement to my morning smoothies for nearly a month, before my first gout
attack.
Putting two and two together, this obviously is a very bad protein source for
me. Just a heads
up for y'all. (I've been in perfect shape, on my otherwise alkaline diet.) Best,
Michele

I READ TODAY ABOUT CASTER OIL FOR GOUT PAIN.
I THINK IT WAS CALLED CALVERT OR CASTER OIL YOU RUB IT WHERE THE PAIN
IS AND ITS GOES AWAY ALMOST AS FAST AS IT CAME ON.
WONT HURT TO TRY IT, ANYTHING IS BETTER THEN NOTHING AT ALL.
JUST A THOUGHT
APPLES

Here's a question... I had a bout with gout a year ago. Changed to an alkaline
diet and
haven't had a relapse, but I have been plagued with on and off allergies, so I
thought this
may be all related somehow to my immune response. In my researching, I found
Leaky Gut
Syndrome (see links below). The curious thing about it, is that even though they
don't
specifically mention gout, in the laundry list of associated diseases, it may
fit. I say this
because, more than 70% of your immune system is in how well the digestive system
is
working. If you are not digesting nutrients and minerals correctly, you cannot
rid yourself of
uric acid properly. With added probiotics, enzymes and HCL. I think I may have
solved my
allergies as well as found the culprit behind my gout. BTW, this began with
menopause and a
few years of chronic stress. Just a thought for those of you with multiple
unsolved problems,
which may be related to immune issues. (Please note: I am not a doctor, and this
is just a
suggestion of something to consider. when nothing else works) Best, Michele
http://www.allergyescape.com/leaky-gut-syndrome.html
http://www.leakygut.co.uk/Causes.htm
http://www.drz.org/asp/conditions/hcl_deficiency.asp
http://www.nutri-linkltd.co.uk/documents/HClandEnzymeQuestionnaires.pdf

GOUT' the most painful thing i;ve ever had---- you cant cure IT but you can prevent severe atacks---What works for mewell plenty water and I mean loads of the stuff---cherry juice--NO red meat--keep as active as possable---as for booze well Ido drink beer in moderation.--- My contension is that by drinking and I meen by drinking anything Ikeep my Kidneys in a constant state of flux hoping that there's no chance of producing Purines which you all should is the precerser to GOUT--GOOD LUCK IN YOUR FIGHT AGAINST THIS MONSTER----Bill

This is a clinical research study to determine the safety and
effectiveness of an experimental drug called rilonacept in subjects
with gout who are beginning another additional treatment. Subjects
will participate in this study for approximately 24 weeks. Rilonacept
is being studied for use in preventing gout attacks in patients who
have gout.
http://clinicaltrials.gov/ct2/show/NCT00610363?term=Gout&recr=Open&rank=2

Hi All,
Recently joined this group and I've picked up a few tips here and there.
Ever since I had my first gout attack 6 years ago, I have had a
permanent pain on the ball of my left toe. This pain goes away after
taking Inruprofen or Diclofenac but returns again after a couple of
days. Does anbody have anything similar or what can anyone advise what
to do to get rid of it permanently?

Does taking calicium suppliments affect gout in either a positive or
negative way?

I have managed to treat my gout without prescriptions, largely through diet and exercise. Not to rub it in, but I also still am able to drink (too much) beer. During the day, I am also good for drinking close to a gallon of water and/or very weak tea. (I'm a little over 6'1 and 215 pounds)

My question is this: Is there a correlation between the causes of gout and excess sweating?

I understand, of course, that excess sweating could cause dehydration, which could lead to uric acid not being flushed away, etc., and I don't sweat exessively all the time (even in Florida's somewhat hot and humid summer).

However, when I work out, I drop nearly 8 pounds of water weight in a 2 1/2 hour period. The first hour of this is teaching martial arts to children, during which I am somewhat active, and the last 1 1/2 hours are taking (and sometimes teaching) the adult class, in both of which I am very active. Of course, as soon as I drink water (or Gatorade or beer or anything) following the workout, the weight comes back, or else I would be selling exercise videos on "How to lose 8 pounds in three hours!", but no...

Still, 8 pounds of water is a full gallon.

Do any of you, especially those who are keeping gout at bay, experience anything similar to this?

MY DR SAID ONLY WHITE CHICKEN TO EAT FOR MEAT. NO BEEF NO TURKEY OR
FISH THEY ALL HAVE HIGH PURINE.
I CAN HAVE CHEESE, SOME FRUITS AND NO BEANS OR PEAS.
ANY IDEAS ON WHAT TO EAT?
TY APPLES

Hello, I am writing to ask a question I haven't seen addressed in the
archives or elsewhere on the 'net. If I have gout in my wrist, will
it improve more quickly if I immobilize it? Or is it helpful to use
it sparingly as long as the pain is not disabling? Or....doesn't it
make a bit of difference either way?
The pain began 4-1/2 days ago, and I took aspirin, thinking I had
sprained my wrist. By the second day, though, my whole hand was
inflamed, hot and extremely painful. It looked just like the
pictures of gout in my medical book, so after reading up on it and
joining your group, I learned that aspirin was the absolute wrong
choice, if it is gout.
I sent my husband out to buy Advil, and have been taking it every 5
hours. The pain is no longer constant, and it's possible now to use
my hand a little bit even though it hurts to do so. The swelling
decreases some between Advils, but before it's time for another
tablet, my hand and fingers are puffy again. And it goes on like
that, never seeming to get a whole lot better. I had hoped that by
now I would be seeing a steady improvement, and be able to go longer
between Advils.
So my question is this.....am I delaying the healing by using my hand
before a gout attack has subsided? If so, I can immobilize it (with
a splint, as though for a sprain or a break), but I'd rather not if
it won't make any difference anyway. My chores are very difficult if
I cannot at least use a finger or thumb here and there to assist my
other hand.
I went out today and bought the foods suggested here, and am also
drinking lots of water, as I see that is important. Maybe tomorrow
will bring the improvement I hope for.
There is a wealth of information on this group, and my heart goes out
to those of you who have suffered so greatly and so often with this
condition.
Thank you for any advice. If my wrist is not better in a couple more
days, I'll probably head off to the doctor. I've been reading here
about the meds usually prescribed for gout, and would sure like to
avoid them if at all possible.
Dottie -- active 77 y.o., otherwise in excellent health

Hi, I'm new here.
Have been a gout sufferer for years. My rheumatologist put me on
Benemid and colchicine for prevention, yet stomach aches landed me in
the emergency room. The ER doctor told me to get off the colchicine as
it would mess up my gut. Stopped medication but further gout attacks
had me going back to my doctor.
We tried Allopurinol, only 100mgs a day and it worked at first. My
uric acid level went down to 5.5, yet as I continued taking it skin
sores appeared and they were also painful. My doctor said stop the med
for 10 days and start again. I never did. Now another gout attack,
though somewhat mild.
Opens to suggestions as to what to do next. Thanks.

Hello, I'm new member. I like to know, what is the best solution to
cure gout using herbal or vegetable or fruits or ....?
Thanks.

Hello all,
sorry to bother you, its a long note and i'm new here, i'm 33, women,
over weight, Which on my new diet am loosing thankfully and 5 weekes
ago i was told by my Doctor that i had Gout and high cholestral( in
my big toe and in some fingers )so he told me to go to a dietitian.
So i went and to be told that she didn't know nothing about gout but
she printed me off a diet sheet she got from the web that they
thought is ok for gout suffering people because the NHS system they
have done research so they could give me it. it told me i could only
eat fish and chicken with no skin on avoid all yeast, vinegar and no
bread at all but also because i have high cholestral they are
fighting each other. so i have been looking at all the different
website to do with gout and they all seem to say different thing well
i just bought a recipe book called gout haters 2 but in it it says i
can have french bread and vinegar but the doctor says no. My husband
is being wonderful and only eating the same as me to try and help me
as much as he can as some time as i guess you people know the pain is
sometimes unbearable i know i have to wait a couple of months for my
pills to kick in last couple of weeks i have been eating lots of
cherries. can anyone give me some tips or sugguestions to help me as
i'm getting quiet upset over it.
thanks in advance for any help
from
Lisa

Is clam chowder a gout friendly food?
Regards
- prem

Having played football (soccer to the yanks!) for 15 years, I have over
the years had injuries in m right ankle,right elbow and right knee.
When gout flares up, it tends to affect these areas.
And can someone please assure my wife that accute gout is more painful
than childbirth!!!!

I am predominently a Guinness, whisky or red wine drinker. Have been
told that Cider is is least likely to contribute to gout. Is this true?

Hi, I had my first attack of gout and it is not something I want to
ever get again ! A few friends of mine told me that they had good luck
with a product called Xango that contains juice from a fruit called
the mangosteen. Has anybody had good results with this? It is
expensive but if it works I would gladly pay the price !

Some say one, some say the other for gout.
Which one? When and at what stage should each be used?

I am very into cherries, I even got cherry chapstick today.

My Question today is : My sed rate was 68 2 months ago and I am on 2000 MG daily of Probenicid. What is the average of you all for Sedementation rate????

And what is the difference between allopurinol and probenicid ???

I wonder why I an not on some of the meds you all are using ? Bill

during my recent gout attacks, i found out that application of a
castor oil pack helped reduce the pain and the duration of the attack.
i would like to know if anyone echoes this experience.
bay

Hi
I am 33 and female and just been diagnosed with gout.
My concern is that I have really bad cracking in most of my joints
and a lot of discomfit in my knees. My doctor has advised it is only
nitrogen bubbles and nothing to worry about it but doesn't feel like
it is nothing. Should I be pushing for them to xray my joints?
I am currently on diclofenac to get me over my attack which I come
off today to see if the change in my diet has relieved the uric acid
problem. So fingers crossed it has otherwise I beleive I am going on
Alprinol.
I would ask my doctor more about my knees but he is condescending and
won't answer questions, just hands me flyers and brushes me off.
Any advice gratefully accepted.
Lisa

Enter your vote today! A new poll has been created for the
gout group:
Should the moderator approve messages from people who are
looking for gout sufferers to participate in a study?
o YES, such messages are appropriate to this group
o NO, I would prefer not to see such messages.
To vote, please visit the following web page:

[Moderator's note: I'm not at all sure if I should be approving
messages like this. I will be sending out a poll to find out what the group
thinks. - Terry]
GOUT PATIENTS
Adept Consumer Testing, a National Market Research Firm, is looking
for People who suffer with Severe Gout to participate in a paid
market research study.
This research interview will take place one day Wednesday March
5,2008
in the Encino area. A generous honorarium will be provided to all
those that qualify and participate in this 1 hour Individual
discussion.
If you or someone you know is fits the above specifications and would
like to participate please contact us at the following phone number
below to see if you qualify.
We thank you for your interest!
Please call Karen @ 818-905-9666 extension 472
All information will be kept confidential and will not be used or
sold for any other purpose. Adept will always abide by HIPPA laws and
will never share PII (Personal Identifiable Information)
Market Research Interview

Here's my story.
I was kneeling down one evening when I felt cramp in my right big toe.
I immediately got up but as the evening wore on my foot started to
swell. The day after I was in some discomfort but just got on as
normal. The day after - bang, it hit hard. I could barely walk. The
day after still hobbling I went to my GP who did a blood test and
x-ray. This was a Friday and by the Monday it had got so bad I was not
walking at all. I had a GP visit me who immediately diagnosed Gout and
put me on Indometacin. The following week I didnt walk at all. The
week after I started walking and stopped taking the drug last Friday.
Over the weekend it was fine - no increased swelling, little pain so I
went to work on Monday. Tuesday it all started again so I left work,
went home took 2 Indometacin and I'm back to where I was at the start
of the second week - I'm walking round but in a lot of pain and swelling.
I'd like advice on where this will take me. Am I going to have a life
of pain ? The GP has already said that I will go onto a pill per day
(probably Alopurinol) but what about the thing with Cherries and
Baking Soda ? I will be asking my GP tomorrow what she thinks of them
but what experiences have people had ? Do people think I should
continue with the Indometacin ? My GP told me to stop once the
swelling had gone down.
Sorry for all the questions but like I said, I just dont know where
this will take me in the future.....
Andy.

Hi folks,

Is anyone taking (or has taken) colchicine as a regular daily dose to help or prevent attacks? If so, your thoughts, comments and experiences would be appreciated. I use it for flare-ups and find it very helpful and would like to prevent anything too bad, by maybe taking it in small doses daily.

Thank you,

Steve

I spent about 50% of my life on crutches, for the past 7 years. I
submitted to a complete ACL (knee muscle) reconstruction, because my
doctor was too stupid to realize that my problem was gout. I suffered
all the pain that all of you a have suffered.
Then...............I took some allopurinol, and the pain was gone. In
my case, I had an allergic reaction, so we switched to Probenicid.
Folks, afte 7 years of pain, I think I'm going to have a big pot of
steamed clams for dinner.
Forget the cherry juice and the baking soda.
Take the medicine. It works. Don't spend your money on gout "cures."
Just take the medicine. I promise, it's a lot better than suffering.
Contact me, if you have any questions.
Mark Saltzman