Gout Forum : Getting very worried.

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Getting very worried.

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5:26 pm
July 23, 2008


Stacy S

Guest

Please excuse the bullet points but it is the easiest way to get the facts down quickly and succinctly.
  • 30 year old female diagnosed 2 weeks ago after 3 weeks of symptoms
  • left ankle at worst looked like I was smuggling a tennis ball in it
  • likely trigger was a switch from being pescetarian (fish/seafood and vegetarian) diet to meat eating diet
  • indomethicine 3 times a day gives moderate relief in pain and occasional reduction in swelling
  • was taking colchicine but stopped because it made me so sick I lost 8 lbs in 3 days.
  • cherry juice 2 times a day, apple cider vinegar 2 times a day, purine conscience diet
  • swelling is lowest in the morning and worst prior to bed.
  • swelling and pain improved for a short while but has returned at half/three-quarters what it was at it's worse
  • swelling and pain in my right foot and lower right ankle started 5 days ago.
  • right foot swelling is about the same as swelling in left ankle.
  • right foot pain is centered in the middle of the foot with the tenderest points being around the middle toe joints where they meet the foot.

My questions/concerns:

  • is it even possible for a healthy 30 year old (obviously pre-menopausal) woman to get gout?
  • is it possible to have gout in multiple joints?
  • could the swelling be caused by the uric acid crystals dissolving in my joints and the related immune system reaction to that process?
  • if so how long does that process take? weeks? months? years?
  • is there anything else I should/could be doing to speed my recovery? I cannot stay off my feet as I live in NYC and a great deal of walking is a daily necessity.

Thank you for your time. I'm getting very worried and frustrated. I'm terrified this will never go away.

12:22 am
July 24, 2008


GoutPal

Admin

posts 176

Stacy S said:

Please excuse the bullet points but it is the easiest way to get the facts down quickly and succinctly.

That's good - I love bullet points.

is it even possible for a healthy 30 year old (obviously pre-menopausal) woman to get gout?

Yes

is it possible to have gout in multiple joints?

Certainly, this is typical.

could the swelling be caused by the uric acid crystals dissolving in my joints and the related immune system reaction to that process?

The immune reaction to uric acid crystals happens first when they form (uric acid level too high) and second when they dissolve (uric acid level low enough to improve your gout). First tends to be one or two joints, second tends to be many joints, but this is not conclusive. Uric acid monitoring can help here (see earlier post today), but please note this is very complicated. Occasionally obvious, often clouded in doubt. Focus must be lowering uric acid.

if so how long does that process take? weeks? months? years?

Hours (1 - 5), possibly minutes.

is there anything else I should/could be doing to speed my recovery? I cannot stay off my feet as I live in NYC and a great deal of walking is a daily necessity.

Walking, in my experience is good. But be a friend to yourself. Try not to overdo it. Rest when you can. Keep circulation going as best you can with knee bends (stairs not elevator). Wear most comfortable shoes you can. When resting, raise feet as high as you can (dare?), and keep anklles rotating, toes twitching. Take water.

Pre-menopausal female gout is usually due to kidney's under excreting uric acid, but you really need a rheumatologist to confirm this.

12:36 am
September 16, 2008


Brian

Guest

The advice to see a rheumatologist is excellent.   There are a number of ailments that mimic gout and aren't.   To really be sure, the doctor needs to take a sample of fluid from the joint(s).   They can then analyze the fluid sample to see if there are crystals and what kind.   Too many family practicioners diagnose on the basis of the symptoms.

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