Arthritis Information -Gout?

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 Hi everyone,

I am also new to this group and looking for some advice. I am a 49 year old male and I have been suffering from joint pains for some time now (over 15 years). During this time I have been living in a variety on countries (my punishment for being an engineer) and have seen many different doctors. I have recieved mixed messages from the doctors.

The pain started initialy in my feet, usually the bridge or ocassionaly big toe or ankle. Usually only one at a time but ocassionaly both. Doctors prescribed Diclofenic for this and in general this seemed to keep it under control when I had attacks.

Over the years this got worse and worse and eventually I started getting it in knees and hips as well, and more frequently. About 6 months ago I eventually saw a specialist here in Canada and he aspirated some fluid from my knee and a lab result confirmed that it was indeed uric acid causing the problem. I was prescribed Allopurinol (300 mg per day) and Colchesine 0.6mg per day. The rub of it is that six months later, although my uric acid levels now seem to be normal, I am still in almost constant pain, mainly in the soft tissue below my knees, but also in my feet. I feel constantly like am 90 years old. When I get a bad attack I also feel very nausious and have flue like symtoms. This doesnt sound normal to me, and there doesnt seem to be too much point taking the allopurinol and colchesine (at least diclofenic generaly helped the symptoms). Has anyone else had the same results? Could it be something else that the high uric acid is masking? Xrays show no noticable bone damage.

Don

Hi Don,

Sorry you have nagging gout.

To treat inflammation and pain you need therapeutic dose of a certain med.  Neither Allopurinol 300 mg/d nor Colchicine 0.6 mg/d seems to be good for that.  Possible alternatives are:

(1) Increase the maintenance dose of
Colchicine 0.6 mg/d to the therapeutic dose of 0.6 mg 3 or more times a day.

(2) If (1) doesn't work, switch Colchicine for an NSAID therapeutic dose -- Indomethacin, Diclofenac, Ibuprofen, Naproxen, etc.

(3) Take Allopurinol 150 mg twice a day, instead of 300 mg/d.

(4) Alkalize yourself with baking soda (
sodium bicarbonate) in water. (For more info see: http://www.ICuredMyGout.org )

Please get an OK from your doctor before trying.

T
he object of uric acid lowering therapy is to lower the blood uric acid level to less than 6 mg/dL.  About 50% of gout patients need more than 300 mg/d to achieve that.

Symptoms of acute gout attacks include: malaise, fever, chills, ...

Take care.
i tried some colchesine this time for a gout attack in my elbow and boy talk
about flu like symptoms..sick to my stomach and many bathroom visits. it
might be the colchesine...i thought you only had to take it with allopurinol n
the beginning and not once you've made the transition to allopurinol..
For your case i suggest you only that you must insert beef pieces and soup in your diet. Its heavy diet for bones and your muscles. Heavy weight body builder use it only daily basis. Its have lots of proteins, calcium and vitamin B12. Vitamin B12 have specialty to recover your muscles and boost their energy.

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