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2:30 pm
March 14, 2009
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geoffz
Gouty Twinges
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I had my worst gout attack ever 2 weeks ago now. It focused around my ankle bones on my left foot. It was so bad I did not sleep for a couple days and I had to see the doc to get pain shot. Anyway, a week plus later I can walk pretty normal but the subtle swelling around both ankle bones just lingers. I'm wondering if that is swelling from lingering gout or imflammation from damaged tissue around the ankle? I can't seem to get past this “last phase”. Any advise?
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12:17 am
March 15, 2009
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metamorph
Tophi Terror
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geoffz,
It's a great relief for you that your pain is gone! You could be right that the damaged tissues take longer to heal so the swelling persisted. You could go to Black Bean Cure for Gout and try some black bean broth and see if it can work for you too.
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1:16 pm
March 15, 2009
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Debi
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I have had a gout attack on the same spot. Just got my 2 days of treatment down, a lot better but spot below ankle is stll tender sort of like a bruised feeling.
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2:25 pm
March 15, 2009
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zip2play
Tophi Terror
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An acute attack of gout is an overwhelming insult the joint and some residual swelling might not be unexpected as your body tries to deal with the last remants of uric acid. For persistant sufferers the condition never fully resolves and that is often referred to a “chronic gout.”
As long as there's no pain, there's not much point to analgesics. To relieve the swelling faster, try to sleep with your leg raised…same for Telly watching or reading.
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8:10 am
April 12, 2009
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jane clark
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my husband's latest gout attack seems to be lasting for over two months. he is still in great pain. has anyone else had one that has lasted for so long, or is this a sign that something else is at the bottom of the pain and swelling?
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7:53 pm
April 13, 2009
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zip2play
Tophi Terror
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Jane,
What is your husband doing for the attack? Colchicine, Indocin? Has he had gout for a long time, long enough for it to have gotten “chronic?”
My longest attack was 9 days before I started the colchicine…cure took 22 hours.
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6:06 am
July 2, 2009
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Arline Applegate
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 I too was surprised how long the attacks can go on and then the pain linger with only a few good days between attacks. For me it has been 5 months now. I hate myself my tolerance level has become so low and my family is suffering for it.
I have a few good days once in awhile, but for the most pasrt I am miserable and in so much pain. As the days goes on my Right Big toe swells more and more as does the severity of the pain.
Colchicine does not seems to help and neither do the NSAIDS.
I am on Allopurinol 200 mg. and drink plenty of water.
5 months ago, before the Allopurinol, my serum uric acid was 8.5
One moth ago it was 6.5 yet attacks continue.
I search every information i can find as the Dr. wait is always at least 2 months.
6 weeks ago he refered me to a Rheumatoligist and that appointment is not until mid September.
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9:02 am
July 2, 2009
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GoutPal
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At 6.5, you are just on the cusp of uric acid control. I believe what is happening is that you are moving constantly around the point where urate crystals form (around 6.8). So as soon as the crystals start to dissolve, the uric acid rises again, and new ones might form.
Ask your doctor to approve 300mg, to get your level down more. Please don’t give up on the allopurinol, as it is your best chance of controlling the gout.
You will still get some attacks for a few months, but they will reduce in intensity and frequency. Colchicine should help. How much do you take?
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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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9:05 pm
July 2, 2009
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zip2play
Tophi Terror
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Arline,
As GP said, you really DO need more allopurinol. If you are in the state of chronic gout, and it sounds like you are, you have many grams of urate in your joints and you can only dispose of a teeny bit each day. More allopurinol will prevent your making much more while your body eliminates the old accumulation.
What I would do is take 400 mg./day allopurinol. If you cannot get a doctor's okay for two or three months take the increased amount anyway. When your supply runs out, just call your doctor and ask him to call in a prescription. If he asks, say they fell in the toilet .
When you finally DO see one, I'm sure that if you lay out your situation exactly as you have done here, he will up your prescription to 400 mg./day. I'm not a doctor and I'm not prescribing for you, just stating what I would do given continuously recurring gout attakcs.
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3:34 am
July 3, 2009
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pagey57
Toe Torture (status changes after 50 posts)
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jane clark said:
my husband's latest gout attack seems to be lasting for over two months. he is still in great pain. has anyone else had one that has lasted for so long, or is this a sign that something else is at the bottom of the pain and swelling?
yes
I had a gout attack that seemed to last forever.
The only thing that helped with the pain was Ibroprofen 400mg
It went on for about a year with a few good days in between.
I was off work for about 2 months total
It moved from the big toe to the side of the foot the ankle and the ball of my foot.
Has any one had it there?
My doctor finaly prescribed me colchicine very reluctantly though
That helped enormously then I settled with Alopurinol
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8:04 am
July 3, 2009
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zip2play
Tophi Terror
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Post edited 1:05 pm – July 3, 2009 by zip2play
Early acute gout lasts several days and then disappears…it could be months before another attack. Over the years they become more frequent and last longer. Finally, at the chronic stage the disease is less painful than initially but it is unrelenting, a semi-permanent affliction.
The goal of therapy is to make sure that the acute stage doesn't devolve to the chronic stage with multiple tophi and unremitting pain.
It moved from the big toe to the side of the foot the ankle and the ball of my foot.
Has any one had it there?
My first atack was atop my instep, my second was in my ankle and the next couple went from one to the other over a couple years all lasting 3 days…and then the TOE FROM HELL and a clear diagnosis.
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