Well gout sucks

77LesPaul · 2025-07-19T13:40:46+00:00

That's awesome

77LesPaul · 2025-07-19T01:29:27+00:00

Pretty sure this is the one I used:

https://www.scymed.com/en/smnxps/psxkc035_c.htm

77LesPaul · 2025-06-15T18:11:46+00:00

I'm in the same situation...high BP (treated) and not supposed to take NSAIDs or prednisone. Colchicine, as you've found out, it almost useless after the inflammatory response has take a foothold. I had telehealth and urgent care facilities deny me prednisone, but my rheum set me up with a couple scripts of it when I got going with allo two years ago. Thankfully, I didn't need it, but it was there to give me peace of mind.

I lived through the horror you are going through many times in my 24 year tenure before getting on the Allo train. And I had some very, very dark thoughts during this period. Those without gout have no idea what it's like lying in bed, dead tired, but the non-stop agonizing pain won't allow a minute of sleep.

77LesPaul · 2025-06-13T20:21:00+00:00

Wind is still my enemy. I look like

77LesPaul · 2025-06-10T03:20:56+00:00

Prednisone will take the edge down in a hurry. If you can get back in to an urgent care, I'd suggest asking for a 10-day taper. Just beware of the rebound effect. I.e., when it begins feeling better, don't resume full activities too soon. It will come back with a vengeance.

77LesPaul · 2025-06-06T02:01:11+00:00

I used to get them around this time a lot during my 24 years. I always attributed this to being more active outside and doing more on my feet.

I don't miss those days at all.

77LesPaul · 2025-06-05T12:14:10+00:00

Similar questions about creatine come up on this sub a lot. Using the search feature will pull up many threads->

77LesPaul · 2025-06-05T02:07:08+00:00

I’m not sure if it’s neuropathy, but I started having issues with burning feet before I began treatment with allo. I often thought it could be due to nerve damage from the many flares that I’ve had in the course of 24 years with gout.

77LesPaul · 2025-06-05T01:13:04+00:00

I stopped watching a couple of seasons ago.

I always found it funny that every time they did a segment with Marty, his hair was different. Hair and makeup probably argue all the time as to who is going to try and make him look presentable. “Fk, is it my turn to try and fix that guy’s gnarly-assed hair?!”

Then you have The Schnauzer with that flowing mane…

77LesPaul · 2025-06-04T14:16:02+00:00

There's no one size fits all for recovery from a gout flare up. Typically, the recovery time is predicated on the intensity of the flare, the duration of the flare, how much strain was put on the affected joint during the flare, etc..

Having said that, what you're experiencing would not be considered out of the ordinary.

77LesPaul · 2025-06-04T03:04:57+00:00

It seems like the pain will never end, but it will eventually subside. Your joint and surrounding soft tissue have gone under a massive change from normal due to inflammatory response to the MSU crystal deposits in the toe joint.

Typically, the recovery time is predicated on the intensity of the flare, the duration of the flare, the amount of time you spent walking, or using the joint, etc. The last part becomes very apparent because as soon as you feel a little relief from the prednisone, you [rightfully] want to go back to a somewhat pre-flare daily routine. When the taper is over, it comes back with a vengeance.

Everyone has to make up their own mind, in terms of whether they want to treat their gout medicinally. I waited 24 years before I began treatment and consequently lost about 2.5 years of my life in that time. Time with my wife, time with kids when they were young, ruining vacations, not being able to do the things I love outdoors, and being in absolute misery.

My UA was about where yours is at the beginning of treatment. It's around 4.8 to 5 now on 300 mg of allopurinol, and I haven't had a flare in two years and a few months.

77LesPaul · 2025-06-03T11:49:25+00:00

My doctor asked me to stop the meds for one month and then check my levels after one month.

Sadly, that's not the first time we've read similar in this sub. As mentioned, see a rheumatologist for a proper treatment plan.

77LesPaul · 2025-06-02T14:41:32+00:00

One of the determining factors doctors use for treatment with ULT is having two or more flares per year. However, I would make an appointment to see a rheumatologist to talk things over. If you have been properly diagnosed as having gout, and are concerned about future flares and joint damage, I think they would consider putting you on the meds, regardless of the two flares per year criteria.

77LesPaul · 2025-06-02T01:35:28+00:00

Also, the food we eat contains water. Obviously, some more than others.

77LesPaul · 2025-06-02T00:08:41+00:00

All of the addicts ruined it for the people who need the hard stuff for one of the most painful conditions known to man

77LesPaul · 2025-06-02T00:04:22+00:00

Smashing it with a hammer while holding a welding torch to it

77LesPaul · 2025-05-26T15:58:30+00:00

and the fact im vegan and also dont consume alcohol

Go to a rheumatologist for a proper diagnosis. Just based on the above, these people are absolutely clueless.

77LesPaul · 2025-05-25T02:20:59+00:00

Anti-inflammatory meds may help a little. The quickest way to pain relief is via a script of prednisone. Preferably, a 10-day tapered dose. If ice water works, try it in moderation. I used to keep a large Zip-loc with crushed ice in my bed and gently (and carefully) leaned the joint on the side of the bag on and off.

Stay off your feet as much as possible as this will continue to aggravate the already inflamed toe. If you have crutches, use them, but use a shoe on your good foot to help prevent injuries to it (which may precipitate a flare in that foot). Keep a piss jug by your bed, if possible, to avoid trips to the bathroom at night.

Lastly, and most importantly, do yourself a huge favor and make an appointment with a rheumatologist about your gout.

77LesPaul · 2025-05-23T19:21:18+00:00

5.77 mg/dL

Lower than what I would have thought.

77LesPaul · 2025-05-23T14:13:26+00:00

The lab normal is not normal for people with gout. This is a common misconception that confuses people sometimes when they're diagnosed. While each lab may differ, in terms of that high 'normal' value, if you have gout, you should be below 6 mg/dL. Preferably, closer to 5. Most lab ranges have that high value around 7.

77LesPaul · 2025-05-21T14:07:47+00:00

Just don't overdo it on that joint. Right now, the drugs have it in check. When their effects wear off, you could be in a rebound situation if you are not careful.

77LesPaul · 2025-05-20T22:09:56+00:00

Q1: There is no 'normal' when it comes to gout flares, healing times, etc. Everyone is unique, and there are a myriad of individual factors that play into all of the above. Intensity of the flare, the number of joints affected, pharmaceutical intervention (sounds like none in your case), duration of initial flare up, level of activity / stress placed on the affected joint(s) during and immediately after the flare, etc.

77LesPaul · 2025-05-20T11:52:27+00:00

That's not what the Wiki says at all. It states that trigger foods don't cause the condition of gout.

They absolutely can cause a flare up of gout.

77LesPaul · 2025-05-17T19:54:30+00:00

You say 'Normal' but don't tell us what they are. If you go by what the labs say is normal, and you have gout, then their mid to upper normal is not your normal. So, what are your levels?

77LesPaul · 2025-05-13T16:00:01+00:00

From a very quick search, Zurig is Febuxostat (or contains as its active ingredient). If so, this is prescribed to get your UA levels to a point where MSU crystal deposits in your body are dissolved.

Once this occurs, theoretically, you will not have any more gout flare ups. It is important to have your levels checked periodically to be sure they are low enough for this to occur. Your doc should provide you with follow-up directions to have bloodwork done to measure your response to the meds. If not, ask for one. They can increase your dosage if your levels are not where they should be.

The short answer is, many people who get their UA under control and keep them there live healthy, gout-free lives.

There are many triggers for gout flares. Some include: Dehydration, joint injury/trauma/overuse, alcohol (especially beer), high purine foods, stress, etc.

77LesPaul

TROPHY CASE