http://www.democraticunderground.com/11472127Oh my.
Enthusiast (30,534 posts) Fri Jun 6, 2014, 07:56 PM
Any suggestions for treating gout?
I have a history of gout. But I have been gout free for several years.
The last time I had a severe long lasting gout event I went on Allopurinol. I had been on Allopurinol but quit it after it started to irritate my throat. Last time I had gout for over a month. So I quit the allopurinol and got better.
So, no more allopurinol for me.
Because of a damaged gut due to a severe gluten sensitivity issue I can no longer take NSAIDs.
I have been taking colchicine. Today they recommend only three pills per day. I used to take enough that it had to be considered an overdose. Colchicine isn't getting it done either, but unlike the NSAIDs, I am not having internal bleeding issues.
For pain I'm taking as few vicodin as I can by with.
The worst problem is the gout is in my left hand. Anything and everything hurts my hand. Good thing I'm right handed. This typing hurts very bad. Washing my hand is very difficult. I went almost a week without a shower because I could not lather myself.
Anything? I would greatly appreciate anything.
Hmmm.
I wonder why the GoneOffShore primitive, the one with the really good-looking trophy wife, hasn't come to this thread yet; he's afflicted.
And also the DFW primitive, the one with the formidable Teutonic
hausfrau.
<<<finds the best preventative of gout--and yes, it runs in this family--is simply by not acquiring hedonistic, decadent, materialist tastes.
Warpy (77,554 posts) Fri Jun 6, 2014, 08:12 PM
1. You didn't mention diet
Drugs are a poor substitute for a low purine diet, especially while you're in a flare.
Yes, it's a boring diet and you can't have any beer, at all.
Enthusiast (30,534 posts) Fri Jun 6, 2014, 08:29 PM
2. Thanks, Warpy.
I already follow a diet pretty low in purines because my history of gout is long and gruesome. And I already can't have beer due to the gluten problem. Oh, yes, I'm thoroughly miserable. Thank you much.
<<<had to look something up.
Purines are found in high concentration in meat and meat products, especially internal organs such as liver and kidney. In general, plant-based diets are low in purines. Examples of high-purine sources include: sweetbreads, anchovies, sardines, liver, beef kidneys, brains, meat extracts (e.g., Oxo, Bovril), herring, mackerel, scallops, game meats, beer (from the yeast) and gravy.
A moderate amount of purine is also contained in beef, pork, poultry, other fish and seafood, asparagus, cauliflower, spinach, mushrooms, green peas, lentils, dried peas, beans, oatmeal, wheat bran, wheat germ, and hawthorn.
Higher levels of meat and seafood consumption are associated with an increased risk of gout, whereas a higher level of consumption of dairy products is associated with a decreased risk. Moderate intake of purine-rich vegetables or protein is not associated with an increased risk of gout.
<<<guess doesn't have to worry too much about getting gout.
Warpy (77,554 posts) Fri Jun 6, 2014, 09:10 PM
4. Then I don't know what else to tell you
except some of the clinical trials are at http://www.healthguideinfo.com/arthritis-surgery-treatments/p65823/
You might try the allopurinol again for a week or so, just to see if it will cool this flare off a little before you start noticing the nasty side effects. There is a newer drug that lowers the body's production of uric acid. The drug is still on patent and probably expensive, but ask the doc, anyway. You might be able to tolerate it better than allopurinol, the patent name is Uloric.
The only other thing I can suggest is a short course of steroids, something to discuss with your doctor. They can be by pill or a shot and work well with colchicine.
I don't know if you have the G6PD deficiency. If you don't, maybe pegloticase would be an option. It's on patent and usually given by infusion every 2 weeks, so it would cost a fortune. The good thing is that it bypasses your GI system. It's used for gout that doesn't respond to the gold standard of allopurinol and colchicine.
My mother had gout but was lucky enough to control it by diet and NSAIDS.
libodem (15,386 posts) Fri Jun 6, 2014, 09:06 PM
3. I've heard it's horrible
Somebody told me the vibration of shutting the back door hurt her clear in the bedroom. And That The Sheets hurt. Warpy is right about the diet. No red meat or whiskey for you. Does heat or cold help?
What about topical compounds? Would they prescribe those lidocaine sheets for something like that? Just throwing out ideas. Best of luck.
( I soak in my tub with Epsom salts when the muscle relaxers aren't effective)
^^^must have hookworm too, if using Epsom salts.
Herself (167 posts) Mon Jul 21, 2014, 11:59 AM
16. natural Cure for gout
Apple Cider Vinegar.
1 tbsp in glass of water. if not gone within an hour. repeat.
Veteran buddy of mine just tried it. I bet him 20 bucks, and yes he owes me 20 bucks.
I was given the remedy when i was traveling in Europe. I called home to get it from a friend that has all the "old country" remedies. When I eat too many lobsters in a week, I get gout.. Works every time.
