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7:42 am
July 25, 2009
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Mark
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I had my first attack ever, second toe, gone in one day. I have been on restrictive diet for a week, lots of water, cherry juice, cherries etc. When is it safe to have 1 glass of wine (or do i wait a month or so?)
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7:53 am
July 25, 2009
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zip2play
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Second toe, eh…that's not common.
If it was your first attack, have the wine whenever you wish. One attack shouldn't turn your life upside down. If it triggers another attack then look into getting your uric acid checked.
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10:10 am
July 25, 2009
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marky 5
Toe Torture (status changes after 50 posts)
| | west yorkshire | |
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| posts 6 |
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gout is not uncommon in your 2nd toe as this picture shows . Italso shows my weeping tophi in my small toe. Stick with your medication it will come good as long as you dont have any adverse reactions. I am waiting for benzbromerone.Will post some pictures of my hands and elbows when i can get someone to take them!
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4:58 am
July 26, 2009
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trev
Tophi Terror
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Gout is a bit similar to migraine in behaviour. Both seem to build up to a crisis point, have warning signs and then almost on a whim decide THIS is the day to blow!
Then a minor food trigger, or stress, or who knows what will just kick in and the body has to go through the whole riigmarole till its done.
It dioes seem to be suck it and see with gout and timing ,but due to this trigger effect- it's too late once the threshold is crossed.
I found that just one, maybe large, glass of wine has never triggered an attack proper -but beer certainly has.
This is supported by research,[USA] to some degree.
PS: Nasty little 'un Marky!!
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8:18 am
July 26, 2009
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zip2play
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Gosh marky,
That little toe looks a mess. Is it very painful? My experience is that old tophi are annoying and sometimes slightly achey but nbever acutely painful.
The best thing for it is continued weeping…I wonder if there's something you couuld do to enhance it
Let me narrate one of mine. I had a fairly painless tophus perhaps the size of white bean (larger than a pea, smaer than a kidney bean) on my end thumb joint on the side facing inward towards my body. It just laid there for perhaps 5 years. THere really was no acute phase for it…it just appeared I'm not even aware of how fast. Since I played the clarinet for a long time I thought maybe it was arthritis from supporting the weight of the instument…it's the right thumb that carries all the weight.
So it just sat there for years and I could wiggle it around slightly under the skin. THEN it slowly started to move towards the end of my finger…maybe a millimeter a month. It encountered my thumbnail which slowed it down…but inexorably it started moviing UNDER the nail (or moving with it as the nail grew. The nail bulged appreciably…several millimeters high. When it reached the middle of the nail I had had enough so I straighted a paper clip, held it with pliers and made it red hot. I plunged it through the nail which melted very easily almost like wax (surprised me.)
A seepage of opaque fluid began through the hole but what was striking was that it was the slipperiest material I have ever encountered…and being a guy I am aware how slippery some thuings can get. Being chemically trained I threw it under a microscope and saw what seemed to be dendritic crystals under polarized light. I should have dyed it properly but I wasn;t equipped to do it. I let some DRY annd examined further…it turned to a MASS of sharp dendritic crystals.
Over a period of a month it all came out and I didn;t even lose the nail…it just continued to gropw until the hole moved to clipper range. The tophus is completely gone.
What I conjecture was that my body expelled the tophus and it's surrounding synovial fluid…which I conjhjecture is that super slippery stuff I mentioned.
It was one of the more amazing episodes in my life.
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12:21 am
July 27, 2009
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GoutPal
Admin
| | Baildon, Yorkshire | |
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Mark said:
I had my first attack ever, second toe, gone in one day. I have been on restrictive diet for a week, lots of water, cherry juice, cherries etc. When is it safe to have 1 glass of wine (or do i wait a month or so?)
The short answer – when your uric acid level drops to 6mg/dL or below for two consecutive months.
Explanation: Many people try to control gout through diet and lifestyle changes rather than medication.
This can work, but you need to do it properly, and that means managing uric acid. Arrange to have blood tests every month and keep a record of your uric acid numbers. Restrict your diet severely until uric acid level remains below 6mg/dL for two consecutive months. You can then relax the diet a little, but never allow uric acid to rise above 6.5 mg/dL.
Personally, I don’t think many people could stand this for long. I’d love to hear from anyone who has successfully managed uric acid properly through diet.
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Unless replying to specific points in this topic, please start a new topic. See new topic link above, or gout forum guidelines.
Current gout status in my profile.
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9:43 am
July 27, 2009
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zip2play
Member
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I too think that most will throw in the towel not only becasue an anti-gout diet is so tough but also that it is so often useless against the disease progression.
So my glib answer would be: WHen it it safe to enjoy a glass of wine? When you use it wwash down your allopurinol.
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10:57 am
July 27, 2009
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Tavery
Swollen Joints
| | Seattle Region | |
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| posts 70 |
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Yeah, count me in as one of the people to throw in the towel after a few months. I started Allopurinol on Friday and even drank a couple beers on Saturday night without any subsequent flareups.
On the plus side, gout has motivated me to exercise more. I am only two pounds away from being merely overweight instead of technically obese. (gotta love the arbitrariness of the BMI!)
However no one can say it better than zip did above. As long as the wine is washing down the Allopurinol, life will be good.
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