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Medical Forum / Diseases and Disorders / Arthritis / December 2005

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Gout attacks without the redness?

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mrb5674 - 16 Dec 2005 19:36 GMT
Hi,

I have gout, I've gone to a rheumatologist to be examined.  My first
attacks were "classic" and occurred at the base of my big toe.  Now,
I've had 2 attacks where I'm in a great deal of pain but the normal
redness and swelling aren't that evident but I KNOW it's an attack.
Anybody ever run into this?

Any help would be appreciated.

mrb5674
Harvey R. Stone - 17 Dec 2005 02:44 GMT
> Hi,
>
[quoted text clipped - 7 lines]
>
> mrb5674

Hi,,,  Got a couple of questions for you....  Are you staying on the diet
for gout???  Are you taking the medicine that controls gout for most people?
Harv
mrb5674 - 17 Dec 2005 18:09 GMT
Havey,

Basically, yes  I don't have any of the pointers toward gout, no family
history, I'm 164ish at 5"10' - 49 years old.  Don't drink much - if at
all.  Actually, when I was close to 200lbs. and drank like a fish - up
to about 2003 - I had no problems.

I don't want bore  you any further with the details - I'm just
interested in finding out if anybody has  had attacks  with the
symptoms, or lack there of, as I described in my initial post.

I  haven't had an attack since August but I've never had one where
there wasn't the redness and such.  Just wondering if anybody else has
experienced this.

I take Colchicine for attacks.  My uric acid level is 8 but doc wants
it at 6.
I am trying to avoid taking allopurinol  for the rest of my life - if
at all possible.

Hope this answers your questions and maybe give u a clue to mine -
thanks.

mrb5674

> > Hi,
> >
[quoted text clipped - 11 lines]
> for gout???  Are you taking the medicine that controls gout for most people?
> Harv
Easter - 18 Dec 2005 01:13 GMT
Harvey I have been taking the Allupurinal for years and it does
help.......but nothing like the folic acid......my arms will stop
burning....
Easter - 17 Dec 2005 03:25 GMT
Yes mine started out like that in my big toe....then to my hands I now
have twisted fingers...Then woke up one morning my arms were on fire
nothing would stop it so i looked it up on the internet and it was
called ''Gouty rheumatoid Arthritis"" and it is miserable.....Folic acid
is about all I can find to help.....The Dr gave me a couple different
kinds of pills but can't tell it helps...
Harvey R. Stone - 17 Dec 2005 14:34 GMT
 Yes mine started out like that in my big toe....then to my hands I now
 have twisted fingers...Then woke up one morning my arms were on fire
 nothing would stop it so i looked it up on the internet and it was
 called ''Gouty rheumatoid Arthritis"" and it is miserable.....Folic acid
 is about all I can find to help.....The Dr gave me a couple different
 kinds of pills but can't tell it helps...

 Oh my,,,  In my uneducated opinion that is not near enough medicine.    Please ask you family doctor to let you see a Rheumatologist and begin to have better tomorrows.

 Harv
Easter - 17 Dec 2005 16:44 GMT
Folic acid comes in prescription.....and you can also buy it over the
counter i take two pills at a time and my arms cool down it is the most
miserable thing I've had I think....It honestly feels like your arms are
being ironed with a hot iron and even the over the counter pills stop
the burning.....in fact i'm taking them now instead of the prescripton
pills he wouldn't give them strong enough to help.....just try them
Harvey R. Stone - 18 Dec 2005 16:46 GMT
 Folic acid comes in prescription.....and you can also buy it over the
 counter i take two pills at a time and my arms cool down it is the most
 miserable thing I've had I think....It honestly feels like your arms are
 being ironed with a hot iron and even the over the counter pills stop
 the burning.....in fact i'm taking them now instead of the prescripton
 pills he wouldn't give them strong enough to help.....just try them

 I have taken folic acid for many years and the prescription folic acid is about 3 times stronger than the over the counter folic acid.....    You need more than this to help with your problem.    We make choices in our life you are making this one.   Please see a RD.     Since follic acid is in the B family,,,, do you take B12 or B 6??
 Harv

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mrb5674 - 17 Dec 2005 18:15 GMT
Find a good Rheumatologist, he will confirm if you acutally have gout.
Psuedo gout, and anything else should be ruled out.

Just my 2 cents

Good luck.
Newsgroup Spambuster - 17 Dec 2005 19:03 GMT
Mrb,

You really do need to find a good rheumatologist to evaluate or
reevaluate your situation.   You may have more going on with you than
you realize, and only a good rheumatoligist can help you sort this all
out.

It just so happens that on the discovery health channel the other night,
they had a show about mystery diagnoses, and one of the cases they
shared was of that of a young man in his mid 20's, who was in great
shape, not overweight in any way, was young, and his initial
presentation was that of a very red hot swollen knee.  He then went on
to have many problems with pain, but now a whole lot of redness or
swelling.   This went on for several years with many different trials of
meds and many differing diagnoses, all because he did not fit the
"typical" profile of someone with gout.   It was actually a few years
later when he again developed a red hot swollen joint that an orthopedic
doctor at a local ER he went to drained the elbow and sent it off for
culture and such that it came back with a diagnosis of gout!

So, as you can see, you are not the only one who presents atypically and
who could probably get better treatment from a rheumatologist or from a
good doctor who will just listen and then be willing to take the time to
get to the bottom of it all for you!!!

Best wishes to you in getting what ever is going on under better
control!

Donna G
mrb5674 - 17 Dec 2005 19:53 GMT
Donna G,

Thank  you for your reply - actually, I have great faith in my
rheumatologist due to his great success with a non-blood relative who
was crippled with gout.  I'm going back to him - directly.
I assume draining an inflammed joint is done after shot of pain
killers.  Just the thought of draining without  pain killers makes me
wince.

Thanks
Harvey R. Stone - 18 Dec 2005 16:52 GMT
> Donna G,
>
[quoted text clipped - 6 lines]
>
> Thanks

Which makes you normal in my world....  I can truthfully say that I never
enjoyed having a joint drained and steroid filled butttt it always helped.
The fluid does its own kind of damage and is why it is drained.
Good luck with it all,,,
Harv
 
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