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--- Gout Diagnosis and Immediate Relief
Janet R wrote: > Ditto to what most of the folks have said. I have gout also and my > RD takes care of it because I am usually at his office anyway! > (imagine that) > > I take a drug called Allopurinol daily to reduce my blood uric acid > levels. It has worked wonderfully. Three kinds of medications are used in treating gout. One catagory (colchicine, and certain nonsteroidal anti-inflamatory drugs) controls the inflammation of a gouty attack. A second category, uricosuric agents, increases the body's ability to eliminate uric acid by way of the urine, thus lowering the amount of uric acid in the blood. The third kind of mediation (allopurinol) decreases uric acid levels in the blood by reducing the rate at which the body produces uric acid. Of the first catagory, the drugs used to control inflammation and treat gout attacks, colchicine is the oldest6. It has been in use for over 1,500 years. An injection of colchicine into a vein at the first sign of pain can bring prompt relief. The drug will also often work if taken by mouth at any time during the first two days of an attack. If the attack has gone on for more than 48 hours, colchicine becomes less effective. Colchicine has several side effect that signal the doctor to lower or discontinue its dose. Dearrhea, nausea and abdominal cramps can occur when this drug is taken by mouth. If these side effects occur, the person should stop taking the drug and notify the doctor at once. .....also useful in prevention. The second catagory of drugs used - the uricosurie agents - helps prevent attacks of the disease by increasing the amount of uric acid passed into the urine. The two uricosuric drugs commonly used are probenecid (Benemid) and sulfinpyrazone (Anturane). Side effect....can increase the risk of kidney stones....No aspirin.... The third catagory consists of the single drug allopurinol. It is used to prevent attacks of gout, but rather than increasing the body's excretion of uric acid, it changes the way in which the body produces uric acid, decreasing the amount of uric acid in both the blood and the urine. ....best for people whose kidneys are not normal. ....side effects include skin rashes, lowering blood count, allergies. The Arthritis Foundation: UNDERSTANDING ARTHRITIS
Thanks for putting that together and posting it Chief. You will see it again for future use. Harv "firechief" news:6kn9d.263$Lo6.188@fed1read03... > Janet R wrote: > >> Ditto to what most of the folks have said. I have gout also and my >> RD takes care of it because I am usually at his office anyway! >> (imagine that) >> >> I take a drug called Allopurinol daily to reduce my blood uric acid >> levels. It has worked wonderfully. > > Three kinds of medications are used in treating gout. One > catagory (colchicine, and certain nonsteroidal anti-inflamatory > drugs) controls the inflammation of a gouty attack. A second > category, uricosuric agents, increases the body's ability to > eliminate uric acid by way of the urine, thus lowering the amount > of uric acid in the blood. The third kind of mediation (allopurinol) > decreases uric acid levels in the blood by reducing the rate at > which the body produces uric acid. > > Of the first catagory, the drugs used to control inflammation and > treat gout attacks, colchicine is the oldest6. It has been in use > for over 1,500 years. An injection of colchicine into a vein at the > first sign of pain can bring prompt relief. The drug will also often > work if taken by mouth at any time during the first two days of an > attack. If the attack has gone on for more than 48 hours, > colchicine becomes less effective. > Colchicine has several side effect that signal the doctor to lower > or discontinue its dose. Dearrhea, nausea and abdominal cramps > can occur when this drug is taken by mouth. If these side effects > occur, the person should stop taking the drug and notify the doctor > at once. > .....also useful in prevention. > > The second catagory of drugs used - the uricosurie agents - helps > prevent attacks of the disease by increasing the amount of uric acid > passed into the urine. > The two uricosuric drugs commonly used are probenecid (Benemid) > and sulfinpyrazone (Anturane). > Side effect....can increase the risk of kidney stones....No aspirin.... > > The third catagory consists of the single drug allopurinol. It is used > to > prevent attacks of gout, but rather than increasing the body's excretion > of uric acid, it changes the way in which the body produces uric acid, > decreasing the amount of uric acid in both the blood and the urine. > ....best for people whose kidneys are not normal. > ....side effects include skin rashes, lowering blood count, allergies. > > The Arthritis Foundation: UNDERSTANDING ARTHRITIS > >
In article Janet R :Ditto to what most of the folks have said. I have gout also and my RD :takes care of it because I am usually at his office anyway! (imagine :that) : :I take a drug called Allopurinol daily to reduce my blood uric acid :levels. It has worked wonderfully. My last attack was at Memorial :Day when we bbq'd a brisket...and it was VERY good...I ate it for :breakfast, lunch, and dinner for the weekend...and that next day I was :cursing like a sailor. I couldn't stand the weight of the bedsheets :on my foot! big, big mistake. i am managing my gout by diet, and it isn;t rocket science. i limit my high-purine intake with a simple rule. if you have a high-purine food in ONE meal ONE day, have none the following day. have no more than one such meal per day. i use this rule for both the very suspect foods (veal, shellfish, herring, etc.) and the moderately high foods like salmon, trout, red meats, chicken, ...). you can find lists of these foods by googling on 'gout diet'. you can actually monitor how you are doing by observing the color of your urine. the closer to clear it is , the closer to little urea in the kidney output. the deeper the yellow, the richer in urea it is. (this is easier for a man than for a woman, i admit.) also, drink lots and lots of water with your high-purine foods. but never never go overboard for meal after meal after meal. will power is important! : :Anyhoo....I told Indocin for 3 days (which I have to be very careful :taking)....and by 3 days the pain subsided and within a week the :swelling and redness left. : :I also have to be seen by an Urologist for my gout....the uric acid :builds up in my kidneys and binds to calcium causing stones....Thats :just something to keep in mind. : :Janet R : : :"Shoeless Joe Jetson" :news:itm9m0dv35mlrdman5hl83ca30npmq4a9j@4ax.com... :|I have a pain around both sides of my achilles tendon. I noticed it :at :| work first. It gradualy got worse during my shift and when I was :| walking home, became very severe. I did not fall or lose balance or :do :| anything to cause this. (About a month ago, I also started having :| pain in my left knee for no apparent reason. It went away in about :| half a day, however, and was not as disabling as what I have now). :| :| I could not sleep last night and had to take aspirins to relieve the :| pain. In the morning, had to use a cane to get around. Severe pain :| again on both sides of the achilles tendon but below the ankle bones :| that jut out. It is swollen, hot and I also have a fever at this :| point. No redness or any sign of "tophies," however. :| :| I'v done Internet searches and I'm almost positive that it is gout. :| It was real cold that day and I didn't wear proper clothes. I'm 40, :a :| bit overweight and have not been eating the best fare -- no organ :| meats but plenty of red meat, corned beef, beans, lots of pasta, :| spinach, broccoli, also lots of sodas -- used to drink 4 cans of :| Welch's grape soda per day. :| :| I had nephritis when I was 7 and have a history of above-average :| blood pressure, high cholesterol levels and, for some reason, very :| high liver enzyme levels -- a condition called "fatty liver." :| :| Right now, almost 36 hours after the onset ... the pain has :subsidies :| somewhat. However, when I immobilize my foot, it begins to hurt :again :| when I try to move. I will take another day off and I'll get some :| apple pectin (which a poster has recommended) and Ibuprofen from :CVS. :| Regarding NSAIDs, are they available over the counter? I'm seeking :| immediate relief since my ankle feels like it's being torn apart by :| tigers claws sometimes. :| :| Also, it seems like I should go straight to a rheumatologist for :this. :| Or should I see my internist first? Should I just bypass foot and :| ankle specialists and podiatrists? I have a PPO so I can go :straight :| to the specialist, although I have to satisfy about a thousand :dollars :| worth of deductible, which at this point I have no choice of :avoiding. : : -- getting out of bed in the morning is an act of false confidence - jules feifer to email me, delete blackhole. from my return address
I am seen by both a urologist and nephrologist. My uric acid level were the highest they have encountered. I also "overexpress" uric acid into my urine. I have a genetic defect that lends itself to my hyperuricemia (sp?). I am a pre-menopausal female under 40....I make up 1% of gout patients. Before telling someone that they are "making a mistake", or should do something differently than their physicians advised, you may want to get more info from that person. I was having a kidney stones at the pace of 2 to 3 a year. I drink approx 1 gallon of water, and some tea, but not soda or juice. I could diet till the cows come home, but without my Allopurinol, I will have kidney stones. I rarely eat red meat...hence the memorial day incident was a bad choice on my part. But to tell me that diet alone would "fix" me is a bunch of quackery. I by no means want to say diet is not important...it is (hence what happened when I went overboard with red meat)....but I have gotten uric acid stones when I have not eaten any red meat or high purine foods. I have discussed diet with my RD, nephrologist, and urologist and all have said diet would change what is causing my gout. I have inherited it from my father and uncle...now that I have been diagnosed, my family members are being treated differently....its genetic (in OUR case) not environmental. Janet R "arthur wouk" news:736567115.739974@irys.nyx.net... | In article | Janet R | :Ditto to what most of the folks have said. I have gout also and my RD | :takes care of it because I am usually at his office anyway! (imagine | :that) | : | :I take a drug called Allopurinol daily to reduce my blood uric acid | :levels. It has worked wonderfully. My last attack was at Memorial | :Day when we bbq'd a brisket...and it was VERY good...I ate it for | :breakfast, lunch, and dinner for the weekend...and that next day I was | :cursing like a sailor. I couldn't stand the weight of the bedsheets | :on my foot! | | big, big mistake. i am managing my gout by diet, and it isn;t rocket | science. i limit my high-purine intake with a simple rule. | | if you have a high-purine food in ONE meal ONE day, have none the | following day. have no more than one such meal per day. | | i use this rule for both the very suspect foods (veal, shellfish, | herring, etc.) and the moderately high foods like salmon, trout, | red meats, chicken, ...). you can find lists of these foods by | googling on 'gout diet'. | | you can actually monitor how you are doing by observing the color of | your urine. the closer to clear it is , the closer to little urea in | the kidney output. the deeper the yellow, the richer in urea it is. | (this is easier for a man than for a woman, i admit.) | | also, drink lots and lots of water with your high-purine foods. | | but never never go overboard for meal after meal after meal. | | will power is important! | | | | : | :Anyhoo....I told Indocin for 3 days (which I have to be very careful | :taking)....and by 3 days the pain subsided and within a week the | :swelling and redness left. | : | :I also have to be seen by an Urologist for my gout....the uric acid | :builds up in my kidneys and binds to calcium causing stones....Thats | :just something to keep in mind. | : | :Janet R | : | : | :"Shoeless Joe Jetson" | :news:itm9m0dv35mlrdman5hl83ca30npmq4a9j@4ax.com... | :|I have a pain around both sides of my achilles tendon. I noticed it | :at | :| work first. It gradualy got worse during my shift and when I was | :| walking home, became very severe. I did not fall or lose balance or | :do | :| anything to cause this. (About a month ago, I also started having | :| pain in my left knee for no apparent reason. It went away in about | :| half a day, however, and was not as disabling as what I have now). | :| | :| I could not sleep last night and had to take aspirins to relieve the | :| pain. In the morning, had to use a cane to get around. Severe pain | :| again on both sides of the achilles tendon but below the ankle bones | :| that jut out. It is swollen, hot and I also have a fever at this | :| point. No redness or any sign of "tophies," however. | :| | :| I'v done Internet searches and I'm almost positive that it is gout. | :| It was real cold that day and I didn't wear proper clothes. I'm 40, | :a | :| bit overweight and have not been eating the best fare -- no organ | :| meats but plenty of red meat, corned beef, beans, lots of pasta, | :| spinach, broccoli, also lots of sodas -- used to drink 4 cans of | :| Welch's grape soda per day. | :| | :| I had nephritis when I was 7 and have a history of above-average | :| blood pressure, high cholesterol levels and, for some reason, very | :| high liver enzyme levels -- a condition called "fatty liver." | :| | :| Right now, almost 36 hours after the onset ... the pain has | :subsidies | :| somewhat. However, when I immobilize my foot, it begins to hurt | :again | :| when I try to move. I will take another day off and I'll get some | :| apple pectin (which a poster has recommended) and Ibuprofen from | :CVS. | :| Regarding NSAIDs, are they available over the counter? I'm seeking | :| immediate relief since my ankle feels like it's being torn apart by | :| tigers claws sometimes. | :| | :| Also, it seems like I should go straight to a rheumatologist for | :this. | :| Or should I see my internist first? Should I just bypass foot and | :| ankle specialists and podiatrists? I have a PPO so I can go | :straight | :| to the specialist, although I have to satisfy about a thousand | :dollars | :| worth of deductible, which at this point I have no choice of | :avoiding. | : | : | | | -- | getting out of bed in the morning is an act of false confidence | - jules feifer | to email me, delete blackhole. from my return address
Shoeless Joe Jetson wrote: > I'm 40, a bit overweight and have not been eating the best > fare -- no organ meats but plenty of red meat, corned beef, > beans, lots of pasta, spinach, broccoli, also lots of sodas > -- used to drink 4 cans of Welch's grape soda per day. From the Arthritis Foundation: In gout, certain chemical processes in the body are out of control. One of these affects uric acid, a normal waster product that comes from the breakdown of substances called purines, which are found in many foods as well as in all the cells of the body. Uric acid usually circulates in the blood until it is passed into urine through the kidneys. People with gout have too much uric acid in their blood, a condition called hyperuricemia. The uric acid changes into crystals (urate crystals) that deposit in joints and other tissues. Some of these crystals may then then fall from the joint lining into the fluid-filled space within the joint or else form in the joint fluid itself. These free urate crystams trigger a severe inflammatory reaction, the accute attack of gout arthritis. An attack can be triggered by drinking or eating too much, by surgery, by "crash" diets, and occasionally by trauma to a joint. Uric acid crystals can collect in the urine, forming gravel or stones. This development happens most often in people who pass too little fluid from thier bodies. People with gout may ahve high blood pressure or kidney infections, both of which can cause kidney damage. Thus, the physician must watch for the teltale signs of such damage and begin proper treatment if necessary. MEDICATION Three kinds of medication are used in treating gout. One catagory (Colchicine, and certain NAISDs) controls the inflammation, A second catagory, uricosuric agents, increased the body's ability to eliminate uric acid by way of the urine, thus lowering the amount of uric acid in the blood. The third kind of medication (allopurinol) decreases uric acid levels in the blood by reducing the rate at which the body produces it. DIET Myths abound concering the relationship between diet and gout. HERE ARE THE FACTS: 1. A person who is overweight should develop a weight-loss program under a doctor's supervision. The person should not fast or try to diet too severily. 2. Because a few foods tend to raise the uric acid level in the blood, a doctor may caution a person with gout to avoid eating them. These foods include organ meats such as kidneys, liver, and sweetbreads, as well as sardines, anchovies and meat extracts. 3. A person with gout does NOT need to avoid coffee and tea. Alcohol consumed in moderation (i.e., about two ounces of hard liquor, a can of beer, or a glass of wine per day) is permitted. 4. A high daily intake of non-alcoholic fluids is recommended (a minimum of two quarts). RELATIVE PURINE CONTENT OF COMMON FOODS GROUP A: (Foods with a high purine concentration) Liver Gravies Sweetbreads Broths Mussels Fish roe Anchovies Kidney Sardines Brains Herring Heart GROUP B: (Foods with a moderate purine concentration) Meats Peas Lentils Mushrooms Yeast Beans Spinish Cauliflower Fowl Fish Asperagus Whole grain cereals GROUP C: (Foods with negligible amounts of purine) Fruits Milk Cheese Eggs Spices and condiments (including salt and vinegar) Refined cereals and cereal products Butter and fats (in moderation) Nuts Sugar and sweets Clear vegetable soups Vegetables (except as noted above) Start « Previous 1 2 Related Discussion: Treatment of Sleep Apnea Lowers Glucose Levels in Diabetics (1 posts) obesity often indicates lack of discipline (2 posts) Pro-athlete giving guidance in newsletter to people with health issues (1 posts) Painkillers can cause fatal stomach bleeding (1 posts) Top Discussions From Our Archives Iron has long been suspected to be the culprit Vegetarian Glucosamine Information Needed Lose Weight, Feel GREAT, Make Money!!! Lower Rofecoxib Doses Raise Heart Disease Risk Compared With Celecoxib Other Discussion Categories Diabetes Symptoms Health Care Policy Oops!!! Unexpected Error While Reading the Feed
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