Friday, April 26, 2013

What is the best remedy for the treatment of gout?

Q. I've tried limiting purines from a diet perspective. Is there anything anyone has tried before I launch into a lifetime of allopurinol?

A. I have had periodic episodes of gout for 25 years, and what works for me is this: be hyper aware of the start of soreness in any joint that usually gets the attack. If you can catch it at that point, Take 100mg Indocin capsules at once (with food), and then the following day, take 50mg in the morning, and 50mg at night until symptoms go away. This will prevent a full blown attack 90% of the time. For an acute attack, try the indocin plus darvon for pain. TAKE NO ASPIRIN AT ANY TIME as it interferes with the medication. If you stilll have a full blown episode, I agree that Cortico-steriod shots are the only 'quick-fix' but beware, used too often can lead to 'back-to-back attacks' that can go on for weeks! I don't know why this is, but it's a danger. I treat my gout on a case by case basis, and do not take allopurinol. Also, cut WAY back on consumpsion of protein, especially organ meats like liver. Hope this helps. I know Gout can be one of the most painful conditions we can ever endure.

What do you gout sufferers eat to relieve the pain?
Q. I am having my gout attack now for the the first time. Im taking Vicodin to keep pain at bay.

A. Many other foods contain purines, notably anchovies, goose, mussels, scallops, yeast, and meat derivatives such as soup stock and gravy. But avoiding purine-containing foods may not be as necessary as it was once thought to be.
Gout is a heritable disease marked by an excess of uric acid in the blood. Severe dietary restriction for people with gout can indeed decrease blood levels of uric acid somewhat. However, today's medications, especially allopurinol (Lopurin, Zyloprim), can do the job much better. So moderation in diet rather than avoidance of certain foods is sufficient for most people with gout.
Alcohol, however, is one dietary item that should be restricted, since it may trigger an acute attack of gout.

I hope this helps you. And good luck.

How do you tell the difference between an arthritic flare-up and gout?
Q. The first and second joints on my left index finger absolutely kill! They are swollen and the movement is diminished.
I am hoping it's only osteo-arthritis.

A. Maybe you should stop trying to play bird dog. I know you don't have a tail so you use your finder to point instead and when you stand and point for so long I am sure it gets stiff. Does Advil help? If it does then it is most likely not gout.

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