Gout Forum : Been reading for 2 weeks...now more confused....help?

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Been reading for 2 weeks…now more confused….help?

UserPost

7:15 am
July 30, 2010


trev

Tophi Terror

England

posts 809

Goutful- Zip is broadly right in his inimitable N.Y way ;)

Suck it and see, is the order of the day!

Suck the meds, suck the herbals, books on the topic or GPal comments- it all takes judgement,patience, trial and error and some risk.

What we, I think, are trying to do here is tailor our experiences to sufferers problems and questions and  to advance a broader view on gout handling.

I think also, that it's a good thing that posters are strong enough to stick to their guns on what they believe- as well as being flexible with ohers ideas which may add something new.

In your stage of discovery, you really do need professional advice on your gout as this 'only' a support group. Then, you can beef up your Docs' performance by what you know or learn new yourself -and what can be added here as you go along.

There's no 'one size fits all' for gout, or its treatment!

8:31 am
July 30, 2010


toofast

Toe Torture (status changes after 50 posts)

United States, Ohio

posts 36

As a quick update….


As I struggle to find a Doctor who will see me sooner and get my on Allo – the super dose of Steroids has basically “fixed” me temporarily.  I am scared crapless that next week (when I take my last dose) that it will come back.  Basically most of the pain is gone, I still can't run, skip, etc..but I can function.


In the meantime…my neighbor heard of my issues…she is a “raw” nutrionalist and SWEARS it has cured Gout before.  I won't go into all the details, but has anybody “confirmed” a RAW diet can indeed be a non-medical cure?


Thanks!

9:55 am
July 30, 2010


hansinnm

Tophi Terror

Cochiti Lake, New Mexico, USA

posts 202

toofast said:

In the meantime…my neighbor heard of my issues…she is a “raw” nutrionalist and SWEARS it has cured Gout before.  …


toofast, you are either too gullible, or too naive, or whatever else. Zip and Trev already gave you the answers you need. If you believe a ““raw” nutrionalist [who] SWEARS it has cured Gout before” you deserve everything you are getting. NOBODY has ever CURED gout in the entire recorded history of mankind. You can only “manage” it and control it. Anyone who swears to it is a SHARLATAN.Yell

10:52 am
July 30, 2010


toofast

Toe Torture (status changes after 50 posts)

United States, Ohio

posts 36

Hehe…that is prety funny.


Yeah, I guess my question should have been a tad different.


Like can a RAW diet “control it” to the point of not needing meds, but I think the answer is NO !  I guess I am still in denial that I need to be on meds the rest of my life.  Cry

12:52 pm
July 30, 2010


trev

Tophi Terror

England

posts 809

Post edited 7:21 pm – July 30, 2010 by trev


Toofast- My experience is that you can cut back SUA quite a bit by diet and herbals etc.-  BUT once you've HAD an attack AND if your levels consistently go above 7mg/dl you cannot know for sure what your urate deposition status in tissues is.

Without this info, you are vulnerable to attacks anytime and also other bad issues to do with cardiovascular risks being higher.

This latter is disputed somewhat as the 'real' trials haven't obviously been done to the satisfaction of the broader medical community.

The one I know of recently, AlloP used on NY teenage group- brought down their BP as a surprise effect [I rather gathered] from the report. However, bear in mind that AlloP is now a generically available drug and unlikely to fund any new high tech foundation any day soon… :~/

I'm particularly interested in this issue as , though I had some success using natural means on Gout  ,having escaped attack for over a year I'm pretty sure that high BP could be a result of high SUA in my case [as it's so intractable, and no one yet has said why] given that microvascular disease is a real issue [18000 miles of micro arteries in our bodies!!] { http://www.vrp.com/articles.as…..mp;zTYPE=2} from Jules' Link

So, I have bitten the 'suck it 'n see bullet' to see where it goes :) - After all my BP meds can cause some quite bad side effects alone!

1:34 pm
July 30, 2010


toofast

Toe Torture (status changes after 50 posts)

United States, Ohio

posts 36

Trev,


Mmmm…what if I had 20 attacks, covering my knees, feet(all joints) elbow (just 2 small ones) and my UA is above 8 (during an attack).


As a side note, I am hoping that AlloP will help lower my BP, as it is around 134-140 / 78-82 untreated…with great low BP diet, etc.


Anyways, I know the answer…now all I gotta do is find a dang Doctor that will help!

2:24 pm
July 30, 2010


trev

Tophi Terror

England

posts 809

Yep _ I think you're  on target, with that background !

My BP barely gets as low as yours with meds- full  on ! Hence the need for more imaginative route..

4:00 pm
July 30, 2010


Goutful

Toe Torture (status changes after 50 posts)

posts 12

zip2play said:

Post edited 11:57 am – July 30, 2010 by zip2play


Then let me retranslate, goutful.

I gave you the CORRECT way to deal with gout. THere are many INcorrect methods confront. So since I do not think you have any particular reason to believe me over the opinions of others, I subtly suggested that YOU must become your own expert.

In becoming your own expert, learning about gout from RESPECTED and THOROUGH sources is preferable to internet information geared towards buying herbal cures, “special” secret ingredients,  cures that the “medical establishment won't tell you” just send $39.95, etc.

To repeat MY answer to your questions:

I'll field those 3 questions: The answers are: allopurinol, allopurinol, and allopurinol… for life to lower your serum UA below to 6.0. It's been the same answer for 50 years. If it doesn't work  one can try allopurinol + probenecid…then febuxostat if one is rich. See, not so complicated at all. You do not have to qworry about weekend light beer, water consumptions, cherries, black beans, chinese herbals, etc.


So basically your choices are:

1. believe ME,

2. believe someone ELSE,

3. become and expert and believe YOURSELF,

4. Flip a coin!


The same kind of thing can bve said of many things:

Is man's activity seriously warmning the planet?

Does tax cutting inevitably raise public debt?

Is chemotherapy efffective in stopping cancer.

Does God exist?


There are conflicting opinions on EVERYTHING and the more you learn about a subject the more likely YOU are to make the correct choice. Without thorough knowledge you either trust someone or make a guess.


You DO realize you are saking a pretty existential question…”How do we know truth from falsity?” I  think a good answer is to become as knowledgeable as possible or find someone who is.


Zip -   I never asked you “How do we know truth from falsity?”    Please don't make up things that I didn't say and then pretending that I said them.    If you are uncomfortable with a discussion regarding some of the confusion regarding the efficacy of various treatments that doesn't mean you have to start making up smartass responses to questions nobody is asking.   I never mentioned to you anything about secret cures or remedies or internet hoaxes and I never asked you any “existential questions”

I get that you think the answer to everything is allopurinol.   Unfortunately for you that is not always the case for some patients.  Perhaps instead of misstating my comments and telling people to believe everything you say or go read a medical textbook, you could actually try to understand where other people are coming from and what our experiences have been before deciding that the answer to everything is allopurinol.   Because that is not the answer for everybody.

9:17 am
August 4, 2010


toofast

Toe Torture (status changes after 50 posts)

United States, Ohio

posts 36

Well…guess what.


Steroids finished…and guess what is BACK!


Yep, same foot same area, same pain.

I can not FIND a doctor that will see me for yet another month, so for a MONTH I have to suffer I guess.  I am doing all the cherry juice, BBB, etc and nothing is working.

I know a alkaline diet MIGHT work to help lower UA just a touch, to maybe allow me to survive this next month…any tips for the 5-6 BEST foods to help lower my alkaline.  I am trying to read all the info on this site, but it will take me a month to do so.


Also, does anyone think it is SAFE to take naproxen for a MONTH straight to try and relieve the pain…

Any other advice to allow me to survive this next month would be appreciated.

10:24 am
August 4, 2010


trev

Tophi Terror

England

posts 809

That's not good Toof!

Two words for alkaline:  Fruit and Veg!

You are out of luck on the pain though- only BBB seeems to work in any way with me, esp. if caught early on.

Try to get Soya version of BB, they are stronger, apparently.

With my BP I can't do- but the other 'two words' are Soda Bicarb !  it seems to work for some, makes sense- but again the pain issue will need pain meds, as well. 

Good luck- you certainly need better attention than currently!

11:03 am
August 4, 2010


toofast

Toe Torture (status changes after 50 posts)

United States, Ohio

posts 36

Ok….well Fruit and Veggie will be my life…


I will try the Soda Bicarb…think a short BP spike won't kill me.


I agree…need better attention…problem in the US is good docs are booked months in advance.

11:44 pm
August 4, 2010


limpy

Swollen Joints

IOWA

posts 87

It really sucks that you have to put up with the kind of pain we go thu till next month. I'd be on the phone trying to get in to any doctor that I could. And get on as many cancelation lists as I could. I think I sent you a pm. about baking soda and how it helped me. Anyway I know you have to be careful because of you BP but if I were you I'd try 1/8 to 1/4 teaspoon in 8 oz. of water a couple of times a day. I was taking 1/2 teaspoon 3 and 4 times a day. Whatever you decide good luck and keep us posted. LIMPY                  P.S. IF  DOCTORS GOT A TASTE OF GOUT THEMSELFS I BELIEVE THEY WOULD BE A WHOLE LOT MORE HELPFUL. AND WE WOULD PROBABLY HAVE A CURE BY NOW.

LIMPYRICHARD

6:59 am
August 5, 2010


zip2play

Member

posts 1293

Post edited 12:09 pm – August 5, 2010 by zip2play


toofast,


It is okay to take naproxen for a month. BUT whether it will become or remain effective for that time is questionable. It is only a humble NSAID, one of the best mind you, but still only an NSAID.

It does not surprise me that prednisone did nothing to end the attack, only manage the pain. I am pretty much convinced that the only drug that will actually END an attack is a day of colchicine. Doctors have known this for 2,000 years but now some jackasses assume all knowledge of gout was discovered while they were in med school 10 years ago.

 Wow, you cannot continue too see any doctor that takes a month or more to manage your acute pain, it is just a nonstarter. We need access to our doctors more quickly than that.


(Do you know anybody with a bottle of colchicne?)


I think it is apppalling that, as toofast said, “problem in the US is good docs are booked months in advance.” Given there are MILLIONS fo doctors in the country and gout is the oldest recorded and diagnosable disease in all of recorded history, what does that say about the quality level of those doctors who are NOT the best. Sometimes I think that if the sphygmomanometer were not available to the average  GP, he could do nothing but refer patients to waiting lines for the very few good doctors. In my reasonable universe ANY doctor should be good enough to diagnose and treat gout, but that is clearly NOT the case as so many of us have found. A sad state of affairs for most afflictions…bit what about when our very liives hang in the balance.

7:22 am
August 5, 2010


zip2play

Member

posts 1293

Post edited 12:31 pm – August 5, 2010 by zip2play


Goutful,


It is clear that you have read very litttle of what is in Gout-pal. Given your complaint of how hard it is to glean knowledge about gout and then bristling about being told the best way is to read a medical book, it's pretty clear that you would rather entertain doubts than find the best way to solve your gout problem.

That is all well and good, but PLEASE refrain from telling me what to say or how to say it. Post whatever you want, ask whatever questions you want, read my posts or don't read them. Read something outside the internet or don't.


But DO NOT tell me what I should or should no say about gout…I do not need a censor. Basically, if you do not like my answers to your questions, then LUMP it. I have learned by your arrogant rudeness that I will not respond to any of your question so you will not have to read any more of them. Perhaps after you have spent 15 years pain free while eating and drinking whatever you wish, as I have, then you can contribute something usefull that you have gained from your long experience.

8:22 am
August 5, 2010


toofast

Toe Torture (status changes after 50 posts)

United States, Ohio

posts 36

I am not begging the Cleveland Clinic to get someone else to see me…they promised an answer today.

I think I made them mad though as I suggested that I simply need a script to relieve pain…


Oh well…


Also, I do not know anyone that has a script for colchicne CryCryCryCry

9:45 am
August 5, 2010


MyFootHurts

Toe Torture (status changes after 50 posts)

posts 14

toofast said:

I can not FIND a doctor that will see me for yet another month, so for a MONTH I have to suffer I guess.  I am doing all the cherry juice, BBB, etc and nothing is working.


It's too bad you're having trouble finding a doc to write a prescription.  The doctor situation, fortunately, is better here in the Baltimore/Washington metro area.


I hadn't seen a doctor in ten years.  I went to an immediate care place without an appointment and saw a doctor in 20 minutes.  I said I was having a bad gout attack and needed prescriptions for prednisone, colchicine and indomethacin.  I got the first two scripts, but the doc said to take 800mg of ibuprophen 3x a day  instead of indomethicin as it was easier on the stomach.  Fine by me.  Indomethacin didn't work too well anyway.  Since I was self pay they only charged $68.


A week later when the prednisone wore off the gout came back pretty bad and I called another place at 9am, made an appointment for 10:30 and saw a doc who took blood for a UA test and wrote a script for a bigger dose of prednisone and allopurinol.  That cost $150, but it was worth it.  They told me to come back after being on allopurinol for a month for another blood test so the dosage could be adjusted.


There are online pharmacies where you can get colchicine and allopurinol w/o a prescription, but they are overseas and it takes a couple of weeks for the stuff to arrive.  That's not much help when you're suffering.  I got a good supply of colchicine from one, though, and it works just fine.


When I had my two week attack from hell, I found ibuprofen helped a little, also soaking in very hot water.  But it took prednisone to knock the snot out of the attack, and now colchicine is working wonderfully to kill gouty twinges before they get out of hand.  I still take cherry juice (which tastes great) and BBB (which tastes not so great), but I'm not sure they do any good.


Good luck.

7:43 pm
August 5, 2010


metamorph

Tophi Terror

SEA

posts 241

Doctors aside! Let's come back to our discussion about gout. 

Having shared and learnt so much from each other here at GP Interactive I have also come to the realisation that whether it's medication or natural cures, they may be very effective for some people, “they are not the answer for everybody“, because it depends a lot on “where we are coming from and what our experiences have been“. It is for ourselves to decide on what is effective for us or suits us best.

For myself, I would shun long term medication at all cost because I would not want to be “enslaved” by them in any way. I would rather have complete control over my own health (and life) and take absolute responsibility for doing so.  Therefore, my choice is to take the NATURAL path.  Although I do not need to take BBB anymore I have not forgotten that it had never ever failed me before. Now I spend more time focusing on my “BREATHING EXERCISE” to upkeep and improve my general health.

Wishing all my friends here the Best of Health!

Cheers!

 

8:50 pm
August 5, 2010


limpy

Swollen Joints

IOWA

posts 87

Meta, I think your very lucky that BBB works for you and that you can get by without any meds. But in my case and many others I'm sure. The natural cures just don't work and the every day pain will win in the end. I myself use to box and got in more than my share of street fights. So I always thought I was a fairly tough guy. But after going more than a few rounds with Gout over the last year or so. I feel like a sissy when it comes to the pain this curse brings. So “enslaved” or not I'm just glad there is a medication that will help me even if I have to take it for the rest of my life. Like I said before if you can get by without it your very lucky. LIMPY

LIMPYRICHARD

9:51 pm
August 5, 2010


metamorph

Tophi Terror

SEA

posts 241

Post edited 3:04 am – August 6, 2010 by metamorph


Goutful made a very apt statement in one of his posts – “…………they are not the answer for everybody”,  because it depends a lot on where we are coming from and what our experiences have been.

The saying, “One man's meat is another man's poison” also applies. Here at GP-Interactive we share whatever works for us hoping that it would also work for some others, but we cannot claim that it will be effective for everybody.  Much less, insisting that others must try them.

What I mentioned were only what I think and believe, and it applies only to myself.  Perhaps you are right that I am “lucky” that BBB works for me. Maybe, my condition and yours are completely different. Maybe, my gout condition was not as severe as yours and many other friends here. Maybe, maybe ………………………… 

I do understand, however, that we will do anything, medical or otherwise, to rid ourselves of the terrible gout pain which can really affect our life so badly. Only those who have had a “taste” of gout will know.  

Maybe, I am really LUCKY that BBB works like magic for me. As for my general health, it is definitely nothing to do with LUCK – I make a conscious effort to be in good shape through a healthy lifestyle, and enjoying everything (especially food) in moderation.  I do that to make sure that I do not subject myself at the mercy of the doctors which I have very very little faith in. 


12:19 pm
August 6, 2010


toofast

Toe Torture (status changes after 50 posts)

United States, Ohio

posts 36

Meta -


I agree 100% with you, at times I feel I know more that most Doctors.  I have high BP and Strokes in my family.  I eat almost a perfect diet, am almost the perfect weight.  I don't drink a ton.

When I was 25, my BP was 160/90  – doctor said only choice was bp pills.  I listened…they worked.  HOWEVER, I hated that I had to take pills and I hated that it was making me feel sick everywhere else.

So, I decided to REMOVE 100% my salt/sodium intake…watch my diet and weight even closer and excercise more.

Guess what, no more high BP.


HOWEVER, NOW I have gout…so I can't exercise as much, guess what my BP is doing ?

Bottom line is I have tried all natural cures that I know…and nothing is working (at least fast enough).  Hopefully I can start taking Allo and then once the pain is gone, try to figure out how to wean my self off it, or NOT ?


Anyways…last night was the most painful night I had in weeks again…loaded up with sleeping pills and still woke up 4-5 times cause of pain.  I now have a doctors appt 2 weeks out  -


Quick question though…it seems that my pain seems much more extrememe during the night?  is that possible or am I crazy ?


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