Gout flare up...

[MaryB]

Fibromyalgia makes every muscle in your body hurt during a bad flare, makes sitting and sleeping hurt, anyone touches you it hurts... imagine a giant bruise covering your entire body to give you pain but no actual bruising. Smaller flares do seem to hit me the most in my feet and ankle joints, sometimes knees and hips. To test they press all over your body and if you flinch in 7 or more spots you have it. Pressure points are in spots you would not normally hurt, like the outside of my hips, insides of my knees, several back spots... one spot is almost exactly where Spock does the Vulcan nerve pinch on Star Trek lol.

[wallenba]

Day eight, a little worse than yesterday. Ate something to aggravate it. Green olives maybe. Nothing seems to be helping. Doctors office closed until after labor day.

kill me

[JonB_in_Glencoe]

Oh no.

My friend that has it...and is having a flare up, as I mentioned.
He is a veggie farmer and sells produce at farmers markets on wed, thur and sat.
I talked to him on thursday and he said missed the wed market so he could rest a day to hopefully get over the gout. well it was worse on thursday, he said he wished he'd have went to that wed market, cuz he thought resting and laying around made it worse, and moving about seems to help it. I'm not sure why I'm mentioning that, as it seems to go against what is recommended? I presume it just has to run it's course, keep up with drinking lots of water. Good Luck and I'm prayin for you.
Jon

[jcwit]

Man, you've had to put up with this for over a week now. Have you been to the Dr.? I never had it last that long back in the day when it visited me.

Knock on wood, it never does again.

[wallenba]

Day ten now. Woke up this morning, very little pain, skin color looking normal. Just a little throbbing. Got a family BBQ to do, will be on my feet a lot.

Next time, if this happens, I'll now have a base line to gauge my recovery time, just revisit this thread. What I haven't figured out is, why the sudden turn around?

[Beagle333]

Who knows?.... I know what triggers mine, and what helps it out, but never know exactly when the "blessing" is going to be over.
Thank Goodness that yours is on the mend!

[Jimbo2]

Doterra is a company that produces purified oils - They have no end of various oils for a multitude of problems. My wife uses them for allergies, headaches and colds / flu. The only oils that have worked well for me are the lemon oil, white spruce and the deep blue muscle rub. They have a web site (do-essential-oils.com) the lemon oil is about 12 bucks a 15 Ml bottle, but you only use a drop or two rubbed into the effected area, so it should last a month or two. If you find a local dealer, they can give you a lot more information than I can. Hope that helps. I've suffered with gout for about 5 years or so, and the lemon and white fir oils seem to do more for me than the cherry juice. Keep trying until you find something that works for you.

[worker]

Disclaimer, I am not a doctor and not in any medical profession, so my advice is just speculation.

The flare had startedm that means the ice picks had formed and are hurting everything around them, and creating more inflammation around the joints where they formed.

You have to drink regular or even purified (distilled water) as much as you can. Your pee should become the color of water almost (sorry for being explicit).
Take anti-inflamatory medicine that you are not allergic too or have no other negative reactions (eg ibprophin or naproxin).
Doctors normally prescribe indomethacin http://www.rxlist.com/indocin-drug/p...de-effects.htm as it is much stronger than over the counter. But I assume you do not have that, so just ask your doctor to prescribe you this so you have it available.
10 days is long and it is very painful to hold. You have to use some anti-inflamatory, do not subject yourself to this much pain and do not wait to take them, start right away.

http://www.health.harvard.edu/fhg/up...and-more.shtml

"Treatment

Gout responds very well to nonsteroidal anti-inflammatory drugs (NSAIDs) if two rules are observed. First, the NSAID should be started as promptly as possible, and second, it should be used at the maximum recommended dose. Many physicians prescribe indomethacin (Indocin), but the other prescription and over-the-counter NSAIDs are also effective. One exception: Aspirin should not be used for gout because it can raise uric acid levels.

Men who can’t take NSAIDs because of gastritis, peptic ulcers, or bleeding can get relief from a closely related drug, the selective COX-2 inhibitor, celecoxib (Celebrex). Joints that are inflamed should be rested, but men can resume their normal activities as soon as their gouty attacks settle down.
"

As far as why it happened. of course you know red meats.
But it can also happen if you gain or loose weight -- say 2-3% of your body weight, rapidly.

Just a general observation, rapid change in body weight, what type of food your eating, other medicine change -- can cause a flare.
Also if you drink too much coffee or just too black tee or soft drinks with caffeine -- they are dehydrating.
So you should replace your body's fluid with even more fluid -- if you are not one of the folks who constantly have a bottle of water in their hand -- you have to become one.

I had also noticed large portion of watermelon, nuts, corn, sun-flower-seeds (rosted, the way I like them) -- cause a flare, almost always.

Day ten now. Woke up this morning, very little pain, skin color looking normal. Just a little throbbing. Got a family BBQ to do, will be on my feet a lot.

Next time, if this happens, I'll now have a base line to gauge my recovery time, just revisit this thread. What I haven't figured out is, why the sudden turn around?

[wallenba]

[QUOTE=worker;2914545]Disclaimer, I am not a doctor and not in any medical profession, so my advice is just speculation.


As far as why it happened. of course you know red meats.
But it can also happen if you gain or loose weight -- say 2-3% of your body weight, rapidly.

Just a general observation, rapid change in body weight, what type of food your eating, other medicine change -- can cause a flare.
Also if you drink too much coffee or just too black tee or soft drinks with caffeine -- they are dehydrating.
So you should replace your body's fluid with even more fluid -- if you are not one of the folks who constantly have a bottle of water in their hand -- you have to become one.

Big clue here. I did just recently lose 27 lbs. I was recently diagnosed with diabetes mellitus. My doctor put me on Metformin 1000 mg at dinner. He told me I would probably lose weight. I did. It also caused severe gastric problems, so I'm off it now, and just doing the diet and exercise thing. Numbers on the blood sugar are good, low 80's in the AM, 130's after eating. All I really had to do was stop with the goodies and chips and such.

Today, despite yesterday's pig-out session I'm good. Think I'll put this thread to rest. Eleven days.

[jcwit]

Dr. put me on Metformin a while back, severe gastric problems is putting it mildly.

[6bg6ga]

All I can say is if you find something that works then stick by it. Having had a number of cases that have lasted as long as a month I'm not a believer in anything. Have had all the medicines nothing helped. Cherries, vinegar, all the home remides nothing helped. Can't say there is anything that triggers it for sure. Even didn't eat for several days trying to get relief and that didn't help. I think it just needs to run its course and when its done you get relief.

[pmeisel]

Dutch, I used to have flare ups 3 or 4 times a year. A few things I did:
1. For the very worst flareups, and "I gotta get better now to go to work", doc prescribed Indomethicin. Works but is not something you want for first response.
2. First sign of a twinge or swelling, I keep some black cherry extract from GNC. An ounce two or three times a day.
3. Foods vary. I am very careful about asparagus, beef jerky, and summer sausage. YMMV.
4. I also had sugar trouble and was initially prescribed Metformin. Had gastric trouble and doc immediately switched me to Januvia.

Good luck. I haven't had a serious flare in a couple years now, the cherry extract right away does the job lately.

[ashhoe]

Weird to see this thread. I haven't talked to a doctor about it but I'm sure I have gout issues.
In the spring I figured out my springtime "flare up" problem. A coworker loves to fish and always smokes a ton of lake trout which he shares with me. Holy sheep shirt, I avoid that stuff like the plague (even though it's the best food ever created).
Three days ago we had baked beans with dinner. My left big toe was broken the next day and I had the same baked beans for lunch that day at work. Yesterday I could barely walk and took a half day off. I took a day off in 1989 because I had pneumonia, the last time I missed a day of work.
Page two (I think) mentioned beans and I am amazed.
The effing beans.
The disease of kings??? Kings can keep this problem and I'll be a serf. Moving my toes again is like a wish come true. For you folks that get it in your knees, if I pray again I'll pray for all of you because I've had in my toe and ankle and it was almost more than I could take, and I can take a lot.
Chalk another one up to Cast Boolits, I'll pass on your godforsaken angry little hate filled beans.

[6bg6ga]

Digging this old thread up yet once again. Reason another Gout attack. I am miserable to say the least and have the kitchen 1/2 painted. No left shoe today and none yesterday. I've tried every known self help type cures with absolutely no relief. Been to a specialist and had my medication adjusted and have done fine till this week.

[daengmei]

I will say that my attacks in the past have been so severe that I've considered a chain saw, severe pain for several weeks. Every diet adjustment didn't work and finally a doc prescribed Febuxostat. Been at least 3 years no attack and I have to admit more than enough alcohol consumption. This took nearly 20 years.

[JonB_in_Glencoe]

I believe all the At-Home traditional therapys are all for Prevention, once the Urate crystals accumulate in your joint, causing the inflammation and intense pain of a gout attack, it's too late. Then it's time to see the Dr. and/or just stop most any activity and drink lots of water.

[6bg6ga]

I went to a specialist for slightly less than a year before we moved. We discussed the so called remedies in which he laughed and I did too because we both had tried them all with no success. The nice thing about having a Dr. that has had the Gout too is finally someone that understands that when you have an episode you can't even stand to have air blow on it well maybe not that bad but close. I was told red meat causes attacks along with Coke. I was told to eat some red meat everyday a small amount. Its when you haven't had it in a few day your apt to have an attack at least in my case. Been eating chicken for a while and one day with a hamburger and its Gout attack city. If it wasn't for the added pain and the mess I believe I'd have my legs cut off but then it would choose another appendage to attack.

[Greg S]

I've been off allopurinol now for three years with one very minor flare up that was due to dehydration. Pounder 2 gals a day x 3 days with is basically a half gallon extra of my daily weekend consumption and work days can be upwards of 3.0 as a preventative measure. I roll with 2 half gallon and two 46 oz Yeti bottles. Not styling or pimping Yeti, it's just hard to drink frozen wate.

Endomethacine is good stuff and takes the edge off a flare up until the Allopurinol can reduce the UA levels. .68 and I'm ready to self amputate in the garage with the skill saw after a week of two. Had episodes last 6-10 weeks and move I to the anklets . Be smart folks, get it treated early cause all those crystals are like lapping compound which causes the inflamation which later leads to authritius.

I think ice is counter productive here also. Warm fluids can have a higher concentration of a solid disowned in it over colder temps. Tried icing a few times over several flare up a d it only seemed to make matters worse. Think disolving salt in water. It reaches a slicer tain sat point that no more will disolving but you warm it up and it'll disolve and as for heat, it'll just cause more inflamation.

My triggers are dehydration and asparagus more than once per week. Tried every home remedy to include eye of newt and jackalope horn to no avail. You have a flare up see the doc and get on Allopurinol to reduce your uric acid and Indomethacin to reduce pain. Double up on first dose of Ino then as directed and you most likely won't be hobbling srou d the next day. Folks who aren't on a prevenation regimen of allopurinol, it'll most like get worse before it gets better hence the need for Indomethacin to get you through the rough patch. Indo is only a pain reliever to get you over the hump, not a profile tic type regime.

Wis you a quick quick recovery. I still carray Indomethacin and allopurinol in my kit in the event of a flare up which, knock on wood has been a long, long while.

I'm not a doctor and am not prescribing any specific treatment, just throwing out there what has and has not worked for a gout flare up in my body.

[dpoe001]

My last flare up was right before christmas, still don't know what set it off. Already had appt with doc for the next day he gave me a new script.Still don't know what set off my last two flareups.

[6bg6ga]

I was on Nabumetone until they decided that I shouldn't have it because of my heart trouble.