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?

On 1/30/12 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
> 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?


good grief, why put this on a FOOD group? Why didn't you pick some other
obscure group to post an off topic question to.

Did you even bother to ask if what they were injecting was the *same*
drug as what your podiatrist gave you!?

On Mon, 30 Jan 2012 18:10:03 -0500, Goomba >
wrote:

>On 1/30/12 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
>> 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?
>
>
>good grief, why put this on a FOOD group? Why didn't you pick some other
>obscure group to post an off topic question to.

Because I figured a lot of you fat fuKs would know about gout. (Just
kidding)

I picked this group because after pages and pages of searching for
gout, this was the first Usenet group that I found a post about gout
in. I figure an off topic post would get more comments in an active
group than picking some obscure group.

The shot was cortisone. I did ask the doctor that when she was in the
room. It is the same drug as the podiatrist gives.

>
>Did you even bother to ask if what they were injecting was the *same*
>drug as what your podiatrist gave you!?

On Mon, 30 Jan 2012 18:23:23 -0500, Metspitzer >
wrote:

> On Mon, 30 Jan 2012 18:10:03 -0500, Goomba >
> wrote:
>
> >On 1/30/12 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
> >> 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?
> >
> >
> >good grief, why put this on a FOOD group? Why didn't you pick some other
> >obscure group to post an off topic question to.
>
> Because I figured a lot of you fat fuKs would know about gout. (Just
> kidding)
>
> I picked this group because after pages and pages of searching for
> gout, this was the first Usenet group that I found a post about gout
> in. I figure an off topic post would get more comments in an active
> group than picking some obscure group.
>
> The shot was cortisone. I did ask the doctor that when she was in the
> room. It is the same drug as the podiatrist gives.
>
Gout is not off topic in a food group because food triggers it and it
can be controlled by not eating certain things. Unfortunately,
everyone has their own personal triggers and if you're going to
control your gout by your diet - you need to figure out what they are.
My husband figured out that shellfish triggered his gout and he has
also cut way back on red meat, which was a contributing factor. So
between not eating one and limiting the other, he hasn't had an attack
in years. Other people just take a pill and eat whatever they want.

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Locally injected cortisone would be an unusual, but not unheard-of
part of a gout treatment.

I think you need to keep communicating with your doctor. Gout is
usually treated at the primary-care level; you should not need
a specialist.

Good luck.


Steve

On Tue, 31 Jan 2012 00:00:05 +0000 (UTC),
(Steve Pope) wrote:

>Locally injected cortisone would be an unusual, but not unheard-of
>part of a gout treatment.
>
>I think you need to keep communicating with your doctor. Gout is
>usually treated at the primary-care level; you should not need
>a specialist.
>
Unless you are a liver transplant patient. I can't take allopurinol.

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

Taking it in the arm might not make much difference after all, but I
sure did want quicker relief.

On 1/30/2012 6:44 PM, 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. Unfortunately,
> everyone has their own personal triggers and if you're going to
> control your gout by your diet - you need to figure out what they are.
> My husband figured out that shellfish triggered his gout and he has
> also cut way back on red meat, which was a contributing factor. So
> between not eating one and limiting the other, he hasn't had an attack
> in years. Other people just take a pill and eat whatever they want.

A guy I work with has it and his trigger is salt.

On Mon, 30 Jan 2012 20:10:08 -0500, Cheryl >
wrote:

> On 1/30/2012 6:44 PM, 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. Unfortunately,
> > everyone has their own personal triggers and if you're going to
> > control your gout by your diet - you need to figure out what they are.
> > My husband figured out that shellfish triggered his gout and he has
> > also cut way back on red meat, which was a contributing factor. So
> > between not eating one and limiting the other, he hasn't had an attack
> > in years. Other people just take a pill and eat whatever they want.
>
> A guy I work with has it and his trigger is salt.

OMG! There's salt in *everything*. How does he control it?

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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:

> 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 Tue, 31 Jan 2012 11:44:28 -0800, Bob Terwilliger
> wrote:

> 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. :-)
>
Ouch!

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On 1/30/2012 5:10 PM, Goomba wrote:
> On 1/30/12 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.

(snip)

> good grief, why put this on a FOOD group? Why didn't you pick some other
> obscure group to post an off topic question to.
>
> Did you even bother to ask if what they were injecting was the *same*
> drug as what your podiatrist gave you!?

To the OP, "Metspitzer," instead of seeing a podiatrist about your gout,
you should consult a rheumatologist or a physician who specializes in
arthritis. Even though a podiatrist treats problems specific to feet,
they do not typically specialize in gout or gouty arthritis.

The OP did mark their post as OT. As gout is sometimes/often triggered
by particular foods, especially those high in purines (e.g., shellfish
and red meats are often considered culprits), the post was not
inappropriate, IMO.

With regard to treatment of gout, alas there are not many good ones :/
Spouse has had gout more than 15++ years now and takes allopurinol as a
daily prophylactic to hopefully prevent gout attacks (knock on wood!).
Colchicine was a good medication to treat an acute gout attack (but had
lots of bad side effects), except it is no longer available (bummer).
Thankfully - more knocking on wood - Spouse hasn't had a severe attack
in some years and won't suffer one in the near or far future.

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.

Sky

--

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Ultimate Kitchen Rule -- Cook's Choice!!

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

>On 1/30/2012 5:10 PM, Goomba wrote:
>> On 1/30/12 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.
>
>(snip)
>
>> good grief, why put this on a FOOD group? Why didn't you pick some other
>> obscure group to post an off topic question to.
>>
>> Did you even bother to ask if what they were injecting was the *same*
>> drug as what your podiatrist gave you!?
>
>To the OP, "Metspitzer," instead of seeing a podiatrist about your gout,
>you should consult a rheumatologist or a physician who specializes in
>arthritis. Even though a podiatrist treats problems specific to feet,
>they do not typically specialize in gout or gouty arthritis.
>
Good suggestion
Thanks

>The OP did mark their post as OT. As gout is sometimes/often triggered
>by particular foods, especially those high in purines (e.g., shellfish
>and red meats are often considered culprits), the post was not
>inappropriate, IMO.
>
>With regard to treatment of gout, alas there are not many good ones :/
>Spouse has had gout more than 15++ years now and takes allopurinol as a
>daily prophylactic to hopefully prevent gout attacks (knock on wood!).
>Colchicine was a good medication to treat an acute gout attack (but had
>lots of bad side effects), except it is no longer available (bummer).
>Thankfully - more knocking on wood - Spouse hasn't had a severe attack
>in some years and won't suffer one in the near or far future.
>
>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.
>
>Sky

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

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 18:34:35 -0600, Sky >
wrote:

>On 1/30/2012 5:10 PM, Goomba wrote:
>> On 1/30/12 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.
>
>(snip)
>
>> good grief, why put this on a FOOD group? Why didn't you pick some other
>> obscure group to post an off topic question to.
>>
>> Did you even bother to ask if what they were injecting was the *same*
>> drug as what your podiatrist gave you!?
>
>To the OP, "Metspitzer," instead of seeing a podiatrist about your gout,
>you should consult a rheumatologist or a physician who specializes in
>arthritis. Even though a podiatrist treats problems specific to feet,
>they do not typically specialize in gout or gouty arthritis.
>
>The OP did mark their post as OT. As gout is sometimes/often triggered
>by particular foods, especially those high in purines (e.g., shellfish
>and red meats are often considered culprits), the post was not
>inappropriate, IMO.

I can pretty much tell by tasting something if I am supposed to eat
it. If I like it, it is bad for me.
>
>With regard to treatment of gout, alas there are not many good ones :/
>Spouse has had gout more than 15++ years now and takes allopurinol as a
>daily prophylactic to hopefully prevent gout attacks (knock on wood!).
>Colchicine was a good medication to treat an acute gout attack (but had
>lots of bad side effects), except it is no longer available (bummer).
>Thankfully - more knocking on wood - Spouse hasn't had a severe attack
>in some years and won't suffer one in the near or far future.
>
>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.
>
>Sky

Sky wrote:
> On 1/30/2012 5:10 PM, Goomba wrote:
>> On 1/30/12 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.
>
> (snip)
>
>> good grief, why put this on a FOOD group? Why didn't you pick some other
>> obscure group to post an off topic question to.
>>
>> Did you even bother to ask if what they were injecting was the *same*
>> drug as what your podiatrist gave you!?
>
> To the OP, "Metspitzer," instead of seeing a podiatrist about your gout,
> you should consult a rheumatologist or a physician who specializes in
> arthritis. Even though a podiatrist treats problems specific to feet,
> they do not typically specialize in gout or gouty arthritis.
>
> The OP did mark their post as OT. As gout is sometimes/often triggered
> by particular foods, especially those high in purines (e.g., shellfish
> and red meats are often considered culprits), the post was not
> inappropriate, IMO.
>
> With regard to treatment of gout, alas there are not many good ones :/
> Spouse has had gout more than 15++ years now and takes allopurinol as a
> daily prophylactic to hopefully prevent gout attacks (knock on wood!).
> Colchicine was a good medication to treat an acute gout attack (but had
> lots of bad side effects), except it is no longer available (bummer).
> Thankfully - more knocking on wood - Spouse hasn't had a severe attack
> in some years and won't suffer one in the near or far future.
>
> 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.
>
> Sky
>
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).

Brian

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

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

"Goomba" > wrote in message
...
> On 1/30/12 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
>> 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?
>
>
> good grief, why put this on a FOOD group? Why didn't you pick some other
> obscure group to post an off topic question to.

Why *not* put it here? The biggest thing one can do for gout is to to
change the diet. Right? Right? Right!
>
> Did you even bother to ask if what they were injecting was the *same* drug
> as what your podiatrist gave you!?

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!

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?

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"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

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.

On Mon, 30 Jan 2012 22:55:26 -0500, Ed Pawlowski > wrote:

> Meantime, it is more discomfort than
> real pain, but no food connection has surfaced yet.

Gout is more than discomfort. They say it's one of the worst pains.

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On Monday, January 30, 2012 11:19:36 PM UTC-5, sf wrote:
> On Mon, 30 Jan 2012 22:55:26 -0500, Ed Pawlowski > wrote:
>
> > Meantime, it is more discomfort than
> > real pain, but no food connection has surfaced yet.
>
> Gout is more than discomfort. They say it's one of the worst pains.

It can be mild or severe, just like a headache. But when it is bad, it is horrid.

Jerry
--
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rights of the vilest and most abhorrent are protected."
- Chief Justice Charles Evans Hughes, 1927

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

"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...

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

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.

Jerry
--
"The rights of the best of men are secured only as the
rights of the vilest and most abhorrent are protected."
- Chief Justice Charles Evans Hughes, 1927

"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 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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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

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 Jan 30, 5:02*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
> 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?

Well, who gives a ****?

On Jan 30, 3:43*pm, projectile vomit chick
> wrote:
> On Jan 30, 5:02*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
> > 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?
>
> Well, who gives a ****?

Will you give a ****...and if so, how much?

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
> 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?

Ask Bovine. I'm sure she has it or will soon claim to.

On Mon, 30 Jan 2012 16:18:34 -0800 (PST), BillyZoom
> 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
>> 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?
>
>Ask Bovine. I'm sure she has it or will soon claim to.

grin

I am not a doctor, but I play one on the Internet.

"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?

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.

On Mon, 30 Jan 2012 16:42:42 -0800, "Julie Bove"
> wrote:

>
>"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?
>
>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.
>
Eating cherries was actually mentioned in foods to eat.

Thanks

BTW the list of foods I am allowed to eat is almost blank now.

Cherries
Weeds
Nothing with flavor