Metspitzer > wrote:
> Since Google Groups has ruined Google's Usenet search I was unable to
> find an active group about gout.
>

I just searched with no problem. What do you do wrong??

Greg

> I have had gout flare up in both feet at separate times. My
> podiatrist gave me an injection of steroids directly in my foot.
>
> Because he is only in my town on certain days and not today, I called
> my regular doctor. I was expecting a shot in my foot. After talking
> to the doctor, the nurse came in and asked....Arm or hip? When I told
> her I was expecting it in my foot she went back and asked the doctor
> and came back with the only explanation...........He says we don't do
> that.
>
> She said that it wouldn't make a lot of difference. I am guessing
> that a local injection would have been better. No?

"sf" > wrote in message
...
> On Mon, 30 Jan 2012 21:04:50 -0500, Goomba >
> wrote:
>
>> On 1/30/12 7:43 PM, Julie Bove wrote:
>>
>> > Why *not* put it here? The biggest thing one can do for gout is to to
>> > change the diet. Right? Right? Right!
>>
>> Then he should have asked about the diet instead of the mystery
>> injection, right? Right? Right!
>
> When people are in pain, they just want it to go away and they don't
> care how. If it was his first gout attack, he probably didn't know it
> was gout when he went in to the doctor's and trusted the Dr to do the
> right thing. Why didn't the Dr. give him printed information about
> gout and sign him up for a class?

Well, the doctor might have, we really don't know what conversations
took place, and gout is one of the oldest known illnesses, extremely
well documented, but with the complication of the liver transplant I
agree that a specialist would be prudent.

In this case I agree completely with Julie. Food related to be sure.

pavane

"Jerry Avins" > wrote in message
news:8883901.1965.1327984962653.JavaMail.geo-discussion-forums@vbed2...
This is a good place. Gout is commonly controlled with diet. His doctor
should have told him. Foods high in purines are a problem. Small fishes,
like sardines, herring and anchovies tend to bring it on. When I was advised
to lay off red meat (for reasons I won't go into) even the occasional mild
flare ups I had had went away. The usual "cure" was colchicine, but that is
hard in the digestive system. Allopurinol works well as a preventive, but
some doctors are reluctant to prescribe it because it can make a severe
attack more painful before it clears it. I take a small dose daily and now
eat without regard to a possible gout attack. I had been getting gout since
my early teens, but it remained a mystery because it affected my knees. The
knees cleared up when I started taking allopurinol as an adult.

He already stated that because of a liver transplant
he cannot take allopurinol. I'm glad you are not his
doctor.

pavane

On 1/30/2012 8:55 PM, Ed Pawlowski wrote:
> On Mon, 30 Jan 2012 16:43:28 -0800, "Julie Bove"
> > wrote:
>
>
>
>> The biggest thing one can do for gout is to to
>> change the diet. Right? Right? Right!
>>>
>
>
> If you know what triggers it. I have a mild flare up every couple of
> months but have no idea what the food connection really is. Yes,
> weather can affect it a bit too. Meantime, it is more discomfort than
> real pain, but no food connection has surfaced yet.



Mine surfaced shorty after a Hawaiian vacation where we ate loads of
shrimp. My doctor said it (uric acid) is a product of protein
metabolism. I found the Mayo Clinic site helpful (and they aren't
trying to sell you anything.)

http://www.mayoclinic.com/health/gout/DS00090

loria p

On 1/30/2012 9:27 PM, sf wrote:
> On Mon, 30 Jan 2012 18:54:48 -0900, (Judy Haffner)
> wrote:
>
>> Come to find out it was Gout that had hit a couple of my
>> fingers. I was surprised, as I know when my dad had it, it was in a big
>> toe! Come to find out it is becoming more common to hit the fingers
>> anymore, as that's where I'm mostly bothered when I have a flare-up.
>> Only once I had it in a big toe.

>
>> My doctor didn't put much emphasis on foods, but blamed the many years
>> I've been on blood pressure medication, that caused my uric acid count
>> to to be high.
>
> Yes, hubby got it because of some medication (probably blood pressure)


Yes, hydrochlorothiazide (diuretics) are linked to gout.

gloria p

On Mon, 30 Jan 2012 23:10:38 -0500, Cheryl >
wrote:

> Come to find out it was bone spurs. Surgery to correct
> it did absolutely nothing and now the surgeon wants to fuse the joint.

That happened to my neighbor too. You're opening a Pandora's box when
you start having toe surgery. Bunion surgery seems to go well, but
not that kind.

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"Ed Pawlowski" > wrote in message
...
> On Mon, 30 Jan 2012 16:43:28 -0800, "Julie Bove"
> > wrote:
>
>
>
>>The biggest thing one can do for gout is to to
>>change the diet. Right? Right? Right!
>>>
>
>
> If you know what triggers it. I have a mild flare up every couple of
> months but have no idea what the food connection really is. Yes,
> weather can affect it a bit too. Meantime, it is more discomfort than
> real pain, but no food connection has surfaced yet.

Hmmmm...

"Cheryl" > wrote in message
...
> On 1/30/2012 10:54 PM, Judy Haffner wrote:
>
>> I really do sympathize with you! I had my first experience with Gout
>> this past summer, and suffered quite awhile before I went to the doctor,
>> as thought it was just arthritis, like my mother and grandmother had in
>> their hands. Come to find out it was Gout that had hit a couple of my
>> fingers. I was surprised, as I know when my dad had it, it was in a big
>> toe! Come to find out it is becoming more common to hit the fingers
>> anymore, as that's where I'm mostly bothered when I have a flare-up.
>> Only once I had it in a big toe.
>
> I thought I had it in my big toe but a CBC or urinalysis didn't indicate
> high uric acid. Come to find out it was bone spurs. Surgery to correct
> it did absolutely nothing and now the surgeon wants to fuse the joint.

My dad thought I had it in my big toe. The culprit? Peep toe pumps where
the edge of the peep cut right across the outer corner of my toenail.
Luckily I figured it out before the nail became ingrown.

"gloria p" > wrote in message
...
> On 1/30/2012 9:27 PM, sf wrote:
>> On Mon, 30 Jan 2012 18:54:48 -0900, (Judy Haffner)
>> wrote:
>>
>>> Come to find out it was Gout that had hit a couple of my
>>> fingers. I was surprised, as I know when my dad had it, it was in a big
>>> toe! Come to find out it is becoming more common to hit the fingers
>>> anymore, as that's where I'm mostly bothered when I have a flare-up.
>>> Only once I had it in a big toe.
>
>>
>>> My doctor didn't put much emphasis on foods, but blamed the many years
>>> I've been on blood pressure medication, that caused my uric acid count
>>> to to be high.
>>
>> Yes, hubby got it because of some medication (probably blood pressure)
>
>
> Yes, hydrochlorothiazide (diuretics) are linked to gout.

They are? I take that.

On Mon, 30 Jan 2012 18:34:35 -0600, Sky >

>With regard to colchicine, I believe it was was purposely withdrawn from
>the 'market' by the big Rx companies because the new drug, "Uloric", was
>introduced recently (at quite a considerable cost to the patient, too!).
>Colchicine was quite inexpensive.

That's not quite what happened. Only generic colchicine was pulled from
the U.S. market, because Congress and the FDA wanted to give an exclusive to
some of their buddies. So it is available, but only at an ultra-high
cost for a period of (I think) three years.

As far as medical scams go, it's right up there with the worst of them.
Colcichine has been used for two millenia, and was available in
pharmaceutical grade for many many decades. It is literally the
among the oldest medically-effective drugs known to man.

Steve

In article >,
wrote:

> The FDA decided colchicine needed to go through 'clinlcal trials'. Some
> company has now done this in 2009 and has exclusive rights to sell the
> drug under the brand name 'Colcrys'.
> They used to cost 10 cents each. Now the pills are ~$5.00 each (in the
> good ol' USA).

I testify for 'Colcrys'. Two tiny purple tablets followed by one an hour
later (that's three total) at the first twinge of gout have served me
well for ten months. I had a three month relentless attack in my knees
and feet last year about this time. Since I loathe going to doctors, it
took me that long to finally see one. I haven't had a problem since
using Colcrys. The doctor gave me thirty tablets, and I still have
fifteen left, I think. At any rate, I haven't had an attack of gout
since using Colcrys at the first sign of one.
The doctor prescribed colchicine, and the pharmacist had to call her to
substitute Colcrys. Same-same.

leo

On 2012-01-31, pavane > wrote:

> flare ups I had had went away. The usual "cure" was colchicine, but that is
> hard in the digestive system.

It's been my personal experience colchicine is a quick knockdown for
oncoming bout of gout and not a long term prescription. I ended up
suffering blinding headaches and finally a spinal tap! due to
even semi long term colchicine use.

> Allopurinol works well as a preventive, but some doctors are
> reluctant to prescribe it because it can make a severe attack more
> painful before it clears it.

Yes, this is the usual warning when starting or even restarting
allupurinol. I've never experienced it, but will not say it cannot
occur. I was STARTED on 1000 mg per day. I had unique side effects.
Eventually, I was weaned down to 300 mg per day, which I've taken fer
at least 10 yrs with no side effects.

There are two ways to prevent gout, which is s build up of uric acid
crystals in the soft tissues of a joint. Basically, an attack of gout
it's an overly high concentration of these crystals forming and
solidifying and acting like broken glass shards in said tissue
producing incredible pain.

There are two ways to deal with this problem. One way is to prevent
the bodies natural mechanism to produce uric acid from purines, which
many foods contain. That is what allipurinol does. The other is a
drug which aids the body in eliminating excess uric acid. I forget
which drug that is, but recall the side effects were worse than the
cure.

> He already stated that because of a liver transplant
> he cannot take allopurinol. I'm glad you are not his

I also have a liver problem, though not the same. Regardless, I took
this same issue into consideration before embarking on an allipurinol
regimen. According to several docs, not an issue and so far, not a
problem for me. Not sure how allipurinol is detrimental to your
liver.

As Sky advises, quit clowning around and see a specialist, a
rheumatologist, which is also, in essence, a specialist on arthritis.

nb


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On 2012-01-31, Steve Pope > wrote:

> That's not quite what happened. Only generic colchicine was pulled from
> the U.S. market, because Congress and the FDA wanted to give an exclusive to
> some of their buddies. So it is available, but only at an ultra-high
> cost for a period of (I think) three years.
>
> As far as medical scams go, it's right up there with the worst of them.
> Colcichine has been used for two millenia, and was available in
> pharmaceutical grade for many many decades. It is literally the
> among the oldest medically-effective drugs known to man.

Strangely, I've not heard it elaborated on, of late, but I recall a
time when it was claimed that colchicine added to pot seeds produced a
dbl or trpl potency plant. I no longer care, but often wonder if
my recollection is accurate.

nb


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On Mon, 30 Jan 2012 22:13:46 -0700, gloria p >
wrote:

> On 1/30/2012 9:27 PM, sf wrote:
> > On Mon, 30 Jan 2012 18:54:48 -0900, (Judy Haffner)
> > wrote:
> >
> >> Come to find out it was Gout that had hit a couple of my
> >> fingers. I was surprised, as I know when my dad had it, it was in a big
> >> toe! Come to find out it is becoming more common to hit the fingers
> >> anymore, as that's where I'm mostly bothered when I have a flare-up.
> >> Only once I had it in a big toe.
>
> >
> >> My doctor didn't put much emphasis on foods, but blamed the many years
> >> I've been on blood pressure medication, that caused my uric acid count
> >> to to be high.
> >
> > Yes, hubby got it because of some medication (probably blood pressure)
>
>
> Yes, hydrochlorothiazide (diuretics) are linked to gout.
>
I think that's the one, it sounds familiar.


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gloria p wrote:

>Yes, hydrochlorothiazide (diuretics) are
> linked to gout.

Yes, and I started taking a diuretic about 32 years ago (Dyazide) and
when that no longer was that effective, the doctor switched me over to
Maxzide, but if I don't take it, I swell up like a balloon, so it's
either that, or take it and put up with attacks of Gout. I guess I can't
have the best of both worlds! %-/

Judy

"Judy Haffner" > wrote in message
...
>
> gloria p wrote:
>
>>Yes, hydrochlorothiazide (diuretics) are
>> linked to gout.
>
> Yes, and I started taking a diuretic about 32 years ago (Dyazide) and
> when that no longer was that effective, the doctor switched me over to
> Maxzide, but if I don't take it, I swell up like a balloon, so it's
> either that, or take it and put up with attacks of Gout. I guess I can't
> have the best of both worlds! %-/

Hmmm... I guess I have been lucky. I have to have it or I get painful
swelling.

In article >,
says...
>
> On Mon, 30 Jan 2012 16:43:28 -0800, "Julie Bove"
> > wrote:
>
>
>
> >The biggest thing one can do for gout is to to
> >change the diet. Right? Right? Right!
> >>
>
>
> If you know what triggers it. I have a mild flare up every couple of
> months but have no idea what the food connection really is.

Might be worth looking at the "gouty" food list and next time it happens
trying to spot any connection. You don't ever want those mild flare ups to
progress to acute...

Janet

--
"Metspitzer" > wrote in message
...
> Since Google Groups has ruined Google's Usenet search I was unable to
> find an active group about gout.
>
> I have had gout flare up in both feet at separate times. My
> podiatrist gave me an injection of steroids directly in my foot.
>
> Because he is only in my town on certain days and not today, I called
> my regular doctor. I was expecting a shot in my foot. After talking
> to the doctor, the nurse came in and asked....Arm or hip? When I told
> her I was expecting it in my foot she went back and asked the doctor
> and came back with the only explanation...........He says we don't do
> that.
>
> She said that it wouldn't make a lot of difference. I am guessing
> that a local injection would have been better. No?

Cherry juice will help..

sharkman

> ... I started taking a diuretic about 32 years ago (Dyazide) and
> when that no longer was that effective, the doctor switched me over to
> Maxzide, but if I don't take it, I swell up like a balloon, so it's
> either that, or take it and put up with attacks of Gout. I guess I can't
> have the best of both worlds! %-/


You probably can if you're careful. Diuretic or no, drinking plenty of water seems to help. There are thr known gout-inducing foods, and some of us are sensitive to foods not on the usual list, and then, not always. For me, pistachios can be a problem, especially if I haven't been taking my maintenance-dose allopurinol.

> Judy

Leonard Blaisdell > wrote:

>I testify for 'Colcrys'. Two tiny purple tablets followed by one an hour
>later (that's three total) at the first twinge of gout have served me
>well for ten months. I had a three month relentless attack in my knees
>and feet last year about this time. Since I loathe going to doctors, it
>took me that long to finally see one. I haven't had a problem since
>using Colcrys. The doctor gave me thirty tablets, and I still have
>fifteen left, I think. At any rate, I haven't had an attack of gout
>since using Colcrys at the first sign of one.
>The doctor prescribed colchicine, and the pharmacist had to call her to
>substitute Colcrys. Same-same.

Colchicine is definitely an important tool in the toolbox.

It also helps to confirm the diagnosis -- nothing but gout will
respond to colchicine.

Steve

notbob > wrote:

>On 2012-01-31, pavane > wrote:

>> Allopurinol works well as a preventive, but some doctors are
>> reluctant to prescribe it because it can make a severe attack more
>> painful before it clears it.

>Yes, this is the usual warning when starting or even restarting
>allupurinol. I've never experienced it, but will not say it cannot
>occur. I was STARTED on 1000 mg per day. I had unique side effects.
>Eventually, I was weaned down to 300 mg per day, which I've taken fer
>at least 10 yrs with no side effects.

>There are two ways to prevent gout, which is s build up of uric acid
>crystals in the soft tissues of a joint. Basically, an attack of gout
>it's an overly high concentration of these crystals forming and
>solidifying and acting like broken glass shards in said tissue
>producing incredible pain.
>
>There are two ways to deal with this problem. One way is to prevent
>the bodies natural mechanism to produce uric acid from purines, which
>many foods contain. That is what allipurinol does. The other is a
>drug which aids the body in eliminating excess uric acid. I forget
>which drug that is, but recall the side effects were worse than the
>cure.

The latter drug is Probenecid, and overall it has fewer side
effects than Allopurinol. It's actually a much less dangerous
drug in terms of serious possible side effects. However, the
issue is not all gout sufferers benefit from it... you have
to be an "underexcreter" rather than an "overproducer". This
is determined via a 24 hour urine catch. If it's below 800 mg
you're an underexcreter and you want to be on Probenecid,
not Allopurinol. (Mine was 300 mg, so I'm on Probenicid, which
straigthaway reduced my serum uric acid levels to the 3.5 to 4.5
range.)

The bottom line is if your doc sends you straight to Allopurinol
he is perhaps taking a shortcut. (Or perhaps not, depending on
the total amount of data in front of him.)

I did not have any "ramp up" effects with starting Probenecid.
It is also a good idea to ramp down to a somewhat lower dose
whenever you are doing a course of pennicilin-family antibiotics.
(The original medical use of Probenecid was to "stretch"
pennicilin back during times of short supply.)


Steve

On Jan 30, 6:02*pm, Metspitzer > wrote:
> Since Google Groups has ruined Google's Usenet search I was unable to
> find an active group about gout.
>
> I have had gout flare up in both feet at separate times. *My
> podiatrist gave me an injection of steroids directly in my foot.
>
> Because he is only in my town on certain days and not today, I called
> my regular doctor. *I was expecting a shot in my foot. *After talking
> to the doctor, the nurse came in and asked....Arm or hip? *When I told
> foodher I was expecting it in my foot she went back and asked the doctor
> and came back with the only explanation...........He says we don't do
> that.

This was your cue to ask "Why not?" Cat gotcher tongue? Gotta speak
up in medical settings, I've learned.

>
> She said that it wouldn't make a lot of difference. *I am guessing
> that a local injection would have been better. *No?

I'd call him back and ask for a list of food triggers. I knew a woman
with gouty arthritis and she was told to avoid beans. (Anecdotal)

On Jan 30, 7:42*pm, "Julie Bove" > wrote:

*My husband
> is on pills for it but I don't know the name. *Y

Geez - you should be walking around with a written list of dh's meds.
What if you have to take him to an ER some night and they ask his
meds? Get that into YOUR wallet NOW - at least before you answer
another post.

On Jan 30, 9:17*pm, sf > wrote:
> On Mon, 30 Jan 2012 23:10:38 -0500, Cheryl >
> wrote:
>
> > Come to find out it was bone spurs. *Surgery to correct
> > it did absolutely nothing and now the surgeon wants to fuse the joint.
>
> That happened to my neighbor too. *You're opening a Pandora's box when
> you start having toe surgery. *Bunion surgery seems to go well, but
> not that kind.
>
> --
>
> Tell congress not to censor the web. *Add your voice here.https://www.google.com/landing/takeaction/

Not true- I've had my big toe fused and I have rods in 3 of my toes.
It was one of the best things I have ever done.

On Jan 30, 10:00*pm, notbob > wrote:
> On 2012-01-31, Steve Pope > wrote:
>
> > That's not quite what happened. *Only generic colchicine was pulled from
> > the U.S. market, because Congress and the FDA wanted to give an exclusive to
> > some of their buddies. *So it is available, but only at an ultra-high
> > cost for a period of (I think) three years.
>
> > As far as medical scams go, it's right up there with the worst of them.
> > Colcichine has been used for two millenia, and was available in
> > pharmaceutical grade for many many decades. *It is literally the
> > among the oldest medically-effective drugs known to man.
>
> Strangely, I've not heard it elaborated on, of late, but I recall a
> time when it was claimed that colchicine added to pot seeds produced a
> dbl or trpl potency plant. *I no longer care, but often wonder if
> my recollection is accurate. *
>
> nb
>
> --
> Fight internet CENSORSHIP - Fight SOPA-PIPA
> Contact your congressman and/or representative, now!http://projects.propublica.org/sopa/
> vi --the heart of evil!

Yes it is.

notbob wrote:
>
> There are two ways to deal with this problem. One way is to prevent
> the bodies natural mechanism to produce uric acid from purines, which
> many foods contain. That is what allipurinol does. The other is a
> drug which aids the body in eliminating excess uric acid. I forget
> which drug that is, but recall the side effects were worse than the
> cure.

And both of those approaches are appropriate for a foodie group.

Foods that contain purines are to be avoided. Reduce the intake of
purines and that reduces the production of uric acid. Most protein is
burned into urea not uric acid so type of protein matters. But there's
another approach that can be considered - Go low protein. The body only
burns excess dietary protein as fuel. Don't have any excess and the
body does not burn it as fuel. Usually low fat plans are easier to make
into low protein than other diet plkan types.

Foods that help the body purge uric acids are to be pursued. The
simplist of them is clean water. Some people don't count water as a
food but that's a semantic issue irrelevant to the topic. Drink four
liters of water daily and that helps. It's also a very mild form of
treatment so even if its degree of effectiveness is low every little bit
helps. I wonder if diurectics help?

On 1/31/12 10:34 AM, Kalmia wrote:
> On Jan 30, 7:42 pm, "Julie > wrote:
>
> My husband
>> is on pills for it but I don't know the name. Y
>
> Geez - you should be walking around with a written list of dh's meds.
> What if you have to take him to an ER some night and they ask his
> meds? Get that into YOUR wallet NOW - at least before you answer
> another post.

IMO, it makes more sense for the husband himself to have a list of his
own meds in *his* wallet. Otherwise there is a chance that if she is
admitted and can't speak for herself, someone might mistake that list
for being *her* meds.

Doug Freyburger > wrote:

>Foods that contain purines are to be avoided. Reduce the intake of
>purines and that reduces the production of uric acid. Most protein is
>burned into urea not uric acid so type of protein matters. But there's
>another approach that can be considered - Go low protein. The body only
>burns excess dietary protein as fuel. Don't have any excess and the
>body does not burn it as fuel. Usually low fat plans are easier to make
>into low protein than other diet plkan types.

Proteins don't convert to uric acid. Purines do. Purines are found
only in cell nuclei and mitochondria. Protein is considered a proxy
for purines becuase they tend to occur together in foods, but not always.
The prime example of a protein source with zero purines is dairy protein
(no cells!). Egg whites are also very low (no cell nucleus). A gout
diet is *not* similar to a protein-restricted diet such as for those
with high blood-urea nitrogen, where proteins are the direct culprit.

>Foods that help the body purge uric acids are to be pursued. The
>simplist of them is clean water. Some people don't count water as a
>food but that's a semantic issue irrelevant to the topic. Drink four
>liters of water daily and that helps. It's also a very mild form of
>treatment so even if its degree of effectiveness is low every little bit
>helps. I wonder if diurectics help?

Diuretics don't help, but alkalization of the urine can, which can
be accomplished (somewhat controversally) by ingesting the product
with brand names Citro-Soda or Picot. You don't necessarily want to
do this all the time, but it is useful during danger periods such
as when you are ramping up or ramping down a gout med.

There are also foods that, while they do not contain purines, worsen the
levels of serum uric acid by affecting uric acid metabolism. The two
proven culprits are (notoriously) alcohol and fructose.

So the summary of a gout diet is as follows:

Low overall protein (50 g/day may be reasonable)
High fraction of dairy protein (50% or more is feasible)
Moderate inclusion of eggs
Low inclusions of meat/fish/dairy/whole grains

Low alcohol
Low fructose (this includes sucrose, but not starches)

Avoid the highest-purine foods (organ meats etc.)

Cautious use of alkalization
Perhaps cherry extract (NOT juice -- too much fructose in it)



Steve

On Tue, 31 Jan 2012 07:41:34 -0800 (PST), merryb >
wrote:

> On Jan 30, 9:17*pm, sf > wrote:
> > On Mon, 30 Jan 2012 23:10:38 -0500, Cheryl >
> > wrote:
> >
> > > Come to find out it was bone spurs. *Surgery to correct
> > > it did absolutely nothing and now the surgeon wants to fuse the joint.
> >
> > That happened to my neighbor too. *You're opening a Pandora's box when
> > you start having toe surgery. *Bunion surgery seems to go well, but
> > not that kind.
> >
> > --
>
> Not true- I've had my big toe fused and I have rods in 3 of my toes.
> It was one of the best things I have ever done.

Fusing a toe isn't the goal when someone has surgery to remove bone
spurs.

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On Tue, 31 Jan 2012 07:32:29 -0800 (PST), Kalmia
> wrote:

>On Jan 30, 6:02*pm, Metspitzer > wrote:
>> Since Google Groups has ruined Google's Usenet search I was unable to
>> find an active group about gout.
>>
>> I have had gout flare up in both feet at separate times. *My
>> podiatrist gave me an injection of steroids directly in my foot.
>>
>> Because he is only in my town on certain days and not today, I called
>> my regular doctor. *I was expecting a shot in my foot. *After talking
>> to the doctor, the nurse came in and asked....Arm or hip? *When I told
>> foodher I was expecting it in my foot she went back and asked the doctor
>> and came back with the only explanation...........He says we don't do
>> that.
>
>This was your cue to ask "Why not?" Cat gotcher tongue? Gotta speak
>up in medical settings, I've learned.

After she came back in the room from talking to the doctor, it was
pretty obvious I had three choices. I was going to get a shot in my
arm or I was going to get a shot in my hip or I was going to be shown
the door with no meds.
>
>>
>> She said that it wouldn't make a lot of difference. *I am guessing
>> that a local injection would have been better. *No?
>
>I'd call him back and ask for a list of food triggers. I knew a woman
>with gouty arthritis and she was told to avoid beans. (Anecdotal)

She did give me two sheets with gout info on them.

On Tue, 31 Jan 2012 07:32:29 -0800 (PST), Kalmia
> wrote:

> I'd call him back and ask for a list of food triggers. I knew a woman
> with gouty arthritis and she was told to avoid beans. (Anecdotal)

The internet has lists rated by how many purines are in each food.
http://arthritis.about.com/cs/gout/a/foodstoavoid.htm (beans are high
in purines, but okay on that list)
http://www.ehow.com/way_5348067_list...ich-foods.html
http://www.acumedico.com/purine.htm

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On Jan 31, 11:15*am, Goomba > wrote:
> On 1/31/12 10:34 AM, Kalmia wrote:
>
> > On Jan 30, 7:42 pm, "Julie > *wrote:
>
> > * *My husband
> >> is on pills for it but I don't know the name. *Y
>
> > Geez - you should be walking around with a written list of dh's meds.
> > What if you have to take him to an ER some night and they ask his
> > meds? *Get that into YOUR wallet NOW - at least before you answer
> > another post.
>
> IMO, it makes more sense for the husband himself to have a list of his
> own meds in *his* wallet. Otherwise there is a chance that if she is
> admitted and can't speak for herself, someone might mistake that list
> for being *her* meds.

Waaal, yeah - I assumed he carries one too. Each should carry a list
for both of em. Just like car keys.

I made the crack because she said she didn't know what he took.

sf > wrote:

> Gout is not off topic in a food group because food triggers it

Actually, food doesn't actually trigger gout. Gout requires a genetic
predisposition and the presence of hyperuricemia (too much uric acid in the
blood). What actually happens is that the body deposits crystalized uric
acid (sharp, pointy crystals) in the joints, connective tissue, and
internal organs.

Hyperuricemia can have multiple causes and usually does not result in gout.
Basically, the body either produces too much uric acid or it doesn't
eliminate it as it should.

Food can contribute to this because *some* foods contain high levels of
purines. When purines are metabolized, they can raise uric acid levels -
but don't necessarily. Some purines (most vegetable purines) are
relatively innocuous.

So a diet which is low in purines can help to stave off future attacks, but
maybe not. Still, it's a safe bet to avoid organ meats, excessively fatty
meats, shrimp, some fish, meat extracts, and some kinds of mushrooms. But,
that's no guarantee. Once the first attack is past, daily doses of
allopurinol are pretty much standard. This drug reduces uric acid levels
in the blood.

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sf > wrote:

>On Tue, 31 Jan 2012 07:41:34 -0800 (PST), merryb >

>> Not true- I've had my big toe fused and I have rods in 3 of my toes.
>> It was one of the best things I have ever done.

>Fusing a toe isn't the goal when someone has surgery to remove bone
>spurs.

It might be. Foot problems come in all sorts of different
configurations.

Steve

sf > wrote:

>On Tue, 31 Jan 2012 07:32:29 -0800 (PST), Kalmia

>> I'd call him back and ask for a list of food triggers. I knew a woman
>> with gouty arthritis and she was told to avoid beans. (Anecdotal)

>The internet has lists rated by how many purines are in each food.
>http://arthritis.about.com/cs/gout/a/foodstoavoid.htm (beans are high
>in purines, but okay on that list)
>http://www.ehow.com/way_5348067_list...ich-foods.html
>http://www.acumedico.com/purine.htm

I eat fewer beans than in my pre-gout days. For sure they have
some purines in them, but not so much as to totally exclude them.

Steve

On Tue, 31 Jan 2012 10:19:38 -0800 (PST), Kalmia
> wrote:

> On Jan 31, 11:15*am, Goomba > wrote:
> > On 1/31/12 10:34 AM, Kalmia wrote:
> >
> > > On Jan 30, 7:42 pm, "Julie > *wrote:
> >
> > > * *My husband
> > >> is on pills for it but I don't know the name. *Y
> >
> > > Geez - you should be walking around with a written list of dh's meds.
> > > What if you have to take him to an ER some night and they ask his
> > > meds? *Get that into YOUR wallet NOW - at least before you answer
> > > another post.
> >
> > IMO, it makes more sense for the husband himself to have a list of his
> > own meds in *his* wallet. Otherwise there is a chance that if she is
> > admitted and can't speak for herself, someone might mistake that list
> > for being *her* meds.
>
> Waaal, yeah - I assumed he carries one too. Each should carry a list
> for both of em. Just like car keys.
>
> I made the crack because she said she didn't know what he took.

Hell, I don't know what my husband takes and we share the same
medicine cabinet. I don't know what I take either. I take a
diuretic, don't ask me to name it.

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Metspitzer > wrote:

> Unless you are a liver transplant patient. I can't take allopurinol.

Well that's the pits. Allopurinol is probably the most effective long-term
medication. I take it for my gout.

So, you're faced with lifestyle changes to harness the uric acid levels.
I'm sure the doctor told you to avoid organ meats, fatty meat, shrimp, some
fish, and so on. (Send me an e-mail if you'd like a spreadsheet showing
purine levels in some foods).

I've found, too, that vigorous exercise helps. This is because your body
dumps uric acid as a component of perspiration.

Given that you are a transplant patient, I'm not sure if you should even
consider the various diuretics since they could alter your blood chemistry
in other ways.

> BTW on a side note. The inflammation seems to be noticeably better.
> It still hurts, but less.

Can you do colchicine? That's usually given to treat acute gout (which is
what you have right now).


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"Julie Bove" > wrote:



> I'm with your Dr. on this one. You don't want to be messing around
> with steroids and I don't think that is standard treatment for gout.
> My husband is on pills for it but I don't know the name. You need to
> change your diet too. And add cherry juice.

Cherries, dark colored fruits and berries, and juices made from them.



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sf wrote:

> Gout is not off topic in a food group because food triggers it and it
> can be controlled by not eating certain things.

Gotta throw the "bullshit" flag on that one. It *is* off-topic, and the
transgression will be noted on your PERMANENT RECORD. :-)

Bob

On 2012-01-31, Steve Pope > wrote:

> The bottom line is if your doc sends you straight to Allopurinol
> he is perhaps taking a shortcut. (Or perhaps not, depending on
> the total amount of data in front of him.)

Doubtful. My rheumatologist monitored my treatment for 9 mos. Hardly
a "shortcut". Probenecid, under the name Benuryl sounds vaguely
familiar and was, I think, responsible for some horrific side effects
I suffered. Everyone is different and a good specialist is yer best
bet. The Palo Alto Medical Clinic, staffed by many Stanford docs, is
no padding of quacks, so I'm pretty sure I got more than competent
care.

nb

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