Twinges/dehydration..
I queried my Dr’s about this..and a close friend who works(nurse)a lot with gout patients..the Dr.s said that that “twinges” or the socalled beginning of attacks are next to impossible to analyse..theysaid that the twinges could be either the beginning of an attack..i/ewhite blood cell activity..the white blood cells mobilizing..oractually starting their work..OR it could be that the white bloodcells are returning to the scene of the crime..a previosully damgedarea.I then asked iis it not possible that a crystal for whateverreason..got dislodged/moved..and irritated an area..the white bloodcells came to repair it..recognized the intruder..you know the rest. They agreed and said that tight fitting shoes/abrasions..havebeen the begining of some pretty monstrous attacks.
Dehydration..the chemical makeup of your body..uric acidlevel..should be such that you can tolerate..additional loads..ofuric acid..from whatever source..meat/alcohol..sweating. I know personally that I simply cannot go prancing through lifewith a uric acid level of about 4 or higher..I have to keep it at3..this gives my system a “cushion”..for additional loads. As for alcohol..my rheumatologist says..well..it is not thealcohol..but the dehydration caused by it..he says he would love tosee a medical research study where people have had x amount ofalcohol..AND they have also at the same time drank enough water tocombat the diuretic effects of it..ok ok..I guess it is thealcohol..because who in their right mind would drink a LOT of waterwith their alcohol..HEHEHAHA..what then would the point of drinkingthe alcohol be..