Gout Diet Blog

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I have been on Allopurinol and Diclofenac for 7 months. I still get alot of pain and today, a fairly acute attack. Had to go to the emergencyroom because the General Practitioner refused to see me today.

ER prescribed to CoDydramol to try and bring the pain under control.

I have been diagnosed with gout for a couple of years now. I am 53years old, 6′2″ and weigh 225. The diagnosis was originally aresult of the traditional pain in the beg toe. I guess since theallopurinol keeps it in check, I kind of convince myself that I onlyhave “mild gout”. I also take 100mg of Celebrex daily for arthritissymptoms mostly in my hands and fingers. I used to be quiteathletic until about 3 or 4 years ago (having run road races andmarathons), and recently have begun to try to run again. I haveexperienced the following:

The ball of one of my feet got very painful and felt as if it wereon fire. I had to stop running altogether until this symptomsubsided. An archpad in my orthodic shoe insert has helped a littlebit.

In the mornings and after sitting for long periods of time, thebottoms (both ball and heel) of my feet feel extremely painful whenI get up (but normalize during the day if I walk a bit).

My question to you who are most knowledgeable in this area is:

My big toe isn’t bothering me, but can I attribute the abovesymptoms to gout or is this a result of arthitis or both? Also,what are some different drugs to consider besides the Allopurinoland Celebrex to help me be able to run more pain free? I would liketo run some suggestions by my Doctor to see what he thinks sincethis is bothering me so much.

1. Drink water. At least a gallon extra water, over and above whatyou usually drink. The best way to regulate it is to drink at least aglass full after each time you urinate.

2. Slow down on the culchicine. It will make you sick and you willnot be able to eat or drink anything and that will only add to yourmisery. Three pills within 24 hours is right at the limit.

3. Start immediately with an NSAID, a non steroidal anti inflamitorydrug. You can buy Naprosyn, I think it is called Alleve, now over thecounter, or some stores sell the generic naproxyn. Also effective areIBProphin but stay away from Aspirin. I think you can even get motrinnow over the counter. You can get one of those over the counter antiinflamitory pills now, like in the next few hours and take abouttwice the recommended dose. Meanwhile, get your physician toperscribe a stronger anti-inflammatory like Celebrex.

4. Stay away from salty food, stop any salt intake at all while youare being attacked. I recommend a white rice diet for the first 48hours of a severe attack. You will need some flavoring with the riceso add some salid dressing but stay away from salt.

5. Clearly stay away from the known high purene foods. Too many tolist here and now byut you can find the list several places. No redmeat, especially no shrimp, lobster, clams etc. Also beans andasparagas, mushrooms— get a list.

Your attack should subside within 48 hours if you follow 1-5 abovebut you will be in an induced reprieve and not really getting welljust because the pain has subsided somewhat.

6. After the attack subsides to where you can walk comfortably, getyourself on allopurinol and stay on it.

I was wondering if anyone who has gout is thin?

Because it’s mentioned that you should lose weight, if you have gout.

Is everyone alittle overweight?

Doc wants me to take 100mg for a month and then check uric acid andkidney function levels. He is concerned because I have had elevatedcreatinine readings in the past. I am 34, 6′6″ and 280 and liftweights regularly. How many got gout as a result of startingallopurinol? How soon should I expect? Will take colchicine asprophalaxis….does this work? How long will the attack last? I knoweveryone is different just a quick synopsis please. Feeling anxiousand need reassurance….after ingesting first pill I will probablyhave an anxiety attack looking for rashes and any other horriblethings that could go wrong

What are they?

How long have you been on it and what side effectsare you, or anybody else on this list, experiencing?