I have been trying to get back into exercising as I am a bit young (27)
to be experiencing gout, but apparently I have too many hereditary
factors conspiring against me. So far I have only had two flare-ups,
the latter caused by an exercise injury.
Understanding the importance of hydration long before I found out about
this condition, I typically over-hydrate before, get dehydrated during,
then re-hydrate immediately after (as in, on the way to the car) any
exercise activity. These had mostly been hikes, runs, or workouts
scattered a couple to a month. After the first flare-up, caused by an
excessive work schedule (I work in a busy restaurant) of 4 15+ hour
days in a row, I made sure to keep my water levels up as much as
possible. This prevented flare-ups for over a year.
Then, in world cup fever, I was persuaded to play some pick up soccer
on a day off. I took my usual precaution before hand. However, while
playing, I tripped and had a spectacular spill that culminated in a
forward roll. After playing for a while longer, I realized I needed to
get off my feet. It turned out that I twisted an ankle, scraped and
jarred the same knee and landed on the opposing wrist. Although I made
sure to re-hydrate, I was ignorant about other triggers and iced both
leg joints and took aspirin (no other analgesics in the house). While
I am sure it was the second two things that made this bout much, much
worse than my initial attack, I am certain that it would have been
limited to my big toe/foot as before if I hadn't hurt the other joints.
This time, however, it hit all three of them.
After some googling I wound up at GoutPal.com, and your site
has provided me with some good tips; Thank you for your efforts and the
serendipitous discovery that I like fresh cherries (I've always assumed
they were terrible because I hate maraschinos).