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Medical Forum / Diseases and Disorders / Arthritis / February 2006Gout attack
Any advice? Thanks. G > Any advice? > Thanks. > G Short term: Get thee to your doctor and get a prescription for a powerful anti-inflamatory, drink lots of water and keep your foot up for a couple of days, more if necessary. Long term: Have your blood tested regularly and get on preventative meds (probably zyloprim), don't drink beer, red wine, eat organ meats or shellfish. I find that the only shellfish that affect me are lobster and crab. Untreated, this can lead to joint degeneration and kidney damage. BTW, each gout attack usually lessens in severety even though the disease is worsening! I've been sucessfully living with gout for over 35 years. Regards Lee PS.. if you should have any surgery under general, you will probably have an incredible gout attack. The longer you are under, the worse it will be. If you talk to the surgeon prior to entering hospital, you can have them administer liquid colchisine by way of your IV as soon as you show signs of an attack. I've had three major surgeries, all followed in about 10 - 12 hours by a gout attack and have dealt with it in this way. Thanks. I tried the preventive medicine you mentioned and broke out in a rash. I think this last attack was brought on by shell fish, red wine, a beer and stress. G >> Any advice? >> Thanks. [quoted text clipped - 28 lines] > I've had three major surgeries, all followed in about 10 - 12 hours by a > gout attack and have dealt with it in this way. > Thanks. I tried the preventive medicine you mentioned and broke out in a > rash. I think this last attack was brought on by shell fish, red wine, a > beer and stress. > G Have you discussed the rash with your doctor? Some have a short term reaction to zyloprim, but it is usually temporary. Normally, you are put on a high dose to start and as blood tests show how it is working, they lower the dose. With a mild reaction, they would normally start you off on a lower dose which would take longer to bring your uric acid levels down, but down they will come. Also, the higher your weight, and the higher your blood pressure, the higher your uric acid will be. Regards Lee Thank you. I'll ask him about that. You have been very helpful. G >> Thanks. I tried the preventive medicine you mentioned and broke out in a >> rash. I think this last attack was brought on by shell fish, red wine, a [quoted text clipped - 11 lines] > Regards > Lee Does the zyloprim prevent further attacks as long as you take it? > Thank you. I'll ask him about that. You have been very helpful. > G [quoted text clipped - 13 lines] >> Regards >> Lee > Does the zyloprim prevent further attacks as long as you take it? > "G&G" <G&G@mindspring.com> wrote in message Only if the dose is correct and if you co-operate with your diet. Also, trauma to the toe joint can trigger an attack. A couple of years ago I knocked a large jar of mayo out of the fridge and it landed on my big toe (was in socks only). Was in agony for a couple of days. Why don't you check out Zyloprim (also Allopurinol) on: www.rxlist.com/ Regards Lee in Toronto Will check both out. Thanks >> Does the zyloprim prevent further attacks as long as you take it? >> "G&G" <G&G@mindspring.com> wrote in message [quoted text clipped - 10 lines] > Regards > Lee in Toronto >Any advice? >Thanks. Cherry juice is supposed to be a specific for gout. Drank a lot of it (and ate some dried cherries!) when I had an attack. No idea if it really worked. "Tart Cherry Juice" and dried, available at Trader Joe's at reasonable prices. The general advice is to go on a low purine diet, no meat, no legumes (IIRC, have to Google it up again), drink LOTS of water - and/or cherry or fruit juice, just so it's not too sweet. Mine subsides in a week or two when I do this, clears entirely after a few more weeks, last attack about three years ago, previous attacks about three years before that (hmm, ...). Hurts like a sonofabitch, don't it? Dad gets the allopurinol, works for him. J. http://arthritisinsight.com/medical/disease/gout.html Some people may benefit from a reduction of purine rich foods. These include beer and other alcoholic beverages, anchovies, sardines (in oil), fish roes, herring, yeast, organ meats (e.g., liver, kidneys), legumes (e.g., dried beans, peas, and soybeans), meat extracts, consommé, gravies, mushrooms, spinach, asparagus, cauliflower, and poultry. http://www.about-health.info/gout/gout_diet.htm Foods to Avoid Causing Gout A low-purine diet is often prescribed as the best food for Gout sufferers. Hence, foods to avoid Gout are those foods that are High in Purines What are Purines and How do I Avoid them ? Purines are substances found in food, which, when broken down produce a lot of uric acid. A low-purine diet is often prescribed for individuals with Gout. To avoid purine ask about ingredients at restaurants and read food labels. The following lists of High and Low Purine Foods is not complete. Consult with a healthcare professional before making any significant changes to your diet. Foods to Avoid - Foods that are high in purines: · Offal foods such as: Liver, Kidneys, Tripe, Heart, Tongue, etc. · Excessive amounts of red meat and poultry. · Shellfish, mussels, anchovies, fish roe, herring, mackerel, sardines, shrimp, and scallops. · Peas, legumes, spinach, lentils and beans. · Yeast. · Mushrooms · asparagus · Alcohol intake should at least be reduced (beer and wine especially). Foods that are low in purines - Food for Gout sufferers: · Raw fruit - (Cherries & strawberries are good) · Vegetables (those not mentioned above) · Grains · Seeds & nuts · White bread / crackers (not whole wheat,) · White rice · Cereals and cereal products · Cheese (all kinds) Additional to a low purine diet is - maintaining an appropriate weight to height ratio, avoiding excessive alcohol intake, and increasing your daily water intake. http://www.dietitian.com/gout.html With gout, the uric acid level in the body goes up and it is the cause of the painful feet you probably experience. Foods high in purines break down in the body to uric acid. However, food sources of purines account for only about 50 percent of the uric acid produced in the body. The remaining uric acid breaks down from other sources within the body. High levels of uric acid increase the acidity of urine excreted by your kidneys. This increases the possibility of kidney stones. Fluid intake in the form of additional water up to two quarts per day helps ease the excretion of uric acid. http://www.fpnotebook.com/PHA72.htm I. High Purine Foods A. Alcoholic beverages B. Organ Meats 1. Liver 2. Kidney C. Fish and Seafood 1. Anchovies 2. Sardines 3. Herring 4. Mussels 5. Codfish 6. Scallops 7. Trout 8. Haddock D. Meats 1. Bacon 2. Veal 3. Venison 4. Turkey II. Moderate Purine Foods A. Vegetables 1. Asparagus 2. Kidney beans 3. Lentils 4. Lima beans 5. Mushrooms 6. Spinach B. Meats 1. Beef 2. Chicken 3. Duck 4. Pork or Ham C. Miscellaneous 1. Bouillion D. Fish and Seafood 1. Crab 2. Lobster 3. Oysters 4. Shrimp http://www.health24.co.za/dietnfood/Food_as_medicine/15-48-467,20351.asp The absolute don'ts: Avoid foods with a high purine content. The following foods contain 100 to 1 000 mg of purine nitrogen per 100 g of food: · Anchovies · Brains · Consommé · Goose · Gravy · Heart · Herring · Kidney · Mackerel · Meat extracts · Mincemeat · Mussels · Roe · Sardines · Yeast (baker's and brewer's, taken as supplement) The maybe's, and in moderation Foods with a moderate purine content These foods contain 9 to 100 mg of purine nitrogen per 100 g of food. One serving of meat, fish or poultry (90 g) or one serving of vegetables (1/2 cup) from this group, is allowed per day, depending on the condition of the patient: · Asparagus · Dried beans · Lentils · Meat, fish and poultry (except the above-mentioned) · Mushrooms · Dried peas · Shellfish · Spinach The yes-foods The foods with a low purine content These foods contain negligible amounts of purine and may be used daily: · Bread (white) and crackers · Butter or margarine (in moderation) · Cake and cookies · Carbonated beverages · Cereals · Cheese · Chocolate · Coffee · Cream (in moderation) · Custard · Eggs · Fats (in moderation) · Fruit · Gelatin desserts · Herbs · Ice cream · Milk · Noodles · Nuts · Oil · Olives · Pickles · Pasta · Popcorn · Puddings · Relishes · Rice · Salt · Sugar and sweets · Tea · Vegetables (except those mentioned in the first group) · Vinegar Source: Krause's Food, Nutrition, & Diet therapy, 10th edition (Mahan LK, Escott-Stump S) Thank you all for your input. How discouraging. G > http://arthritisinsight.com/medical/disease/gout.html > Some people may benefit from a reduction of purine rich foods. These [quoted text clipped - 164 lines] > Source: Krause's Food, Nutrition, & Diet therapy, 10th edition (Mahan > LK, Escott-Stump S) |
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