Rheumatologist's view
I spoke to Dr. Raymond Enzenauer, the chief of Rheumatology at the
University of Tennesee Medical Center. He has never met me but was
recommended as someone knowledgable in gout. I came out of the
conversation with a few points that I think are important.
First as to a recent post by Newfoot, Dr. Enzenauer also says that
only 10-15% of your uric acid load comes from diet, as was posted,
but, he points out, if your renal system is able to manage 100% of
what it makes and cannot handle any more, a 10% overload, every day
of your life, ends up being a lot of extra Uric acid.
The biggest culprit for gout sufferers in his experience is beer.
Beer is a double problem for us because it shuts down renal excretion
while increasing, substantially, the purene load on the system. He
says that his office knows that Monday after the super bole, there
will be a stream of gout complaints. According to Dr. Enzenaauer,
alcohol consumption is a much bigger culprit in triggering gout
attacks than diet.
Men and women act very differently when they have gout. Men are more
than 4 times as likely and get gout much younger than wemen. Almost
all of the women he has treated are older, 60 and above, and their
gout is related to impaired kidney function. He stresses that he
doesn't really know but it seems like the attacks in women are
entirely different than they are in men.
I need to summarize the conversation more consicely and will do so in
a future post.
For now though, I need to go to my exercise. Ond day on the treadmill
and I am so much better that I wonder why I waited so long.
My attack has almost entirely resolved and I now walk normally.