[thetransporter]

Hi Everyone I have a problem which I have suffered a long time for I can't get a straight answer on the opinion.
Some years ago I had an injury in my left foot fractured ankle with torn ligaments. I now have Uric Acid Gout Attacks in both feet.
My right foot has been over compensating taking the weight off my left foot and has a minor strees hairline fracture... Both feet have reoccurrant Gout attacks where the Uric Acid hovers from one leg to the other...

Some Doctors are duspiting this...

Can I have an opinion... please without the nast remarks...

Thank you


Frank... +++

[tickle]

I didn't start getting gout until I found out I had diabetes. Always in my toes and very painful swelling and two months to go away. I don't have gout anymore thank god. You can adjust your dietary input and offset the uric acid which may help.

My doctor wouldn't comment on the gout and a physiotherapist just said wait it out, which I did. She also adjusted one of my shoes with a special insert and that helped take off the pressure.

I don't know what the formula is for balancing the uric acid, but you can find this on line.

I hope this helps and good luck, I know your pain believe me!

[J_9]

Gout is believed to be a form of arthritis, my father had this and my husband and brother currently do.

You can adjust your diet to reduce red meats, shellfish, etc to help offset attacks.

Medications such as NSAIDs aid in relieving pain and inflammation. Medications such as Allopurinol will help prevent an attack and Colchacine will aid in reducing the severity of an accute attack.

[inthebox]

Just some technical tidbits:

"Gout is also associated with hyperlipidemia, hypertension, hypertriglyceridemia, kidney failure, obesity, and insulin resistance. Social factors such as alcohol intake also increase the risk of gout" I.E. high blood pressure, high cholesterol, diabetes, alcohol and foods rich in purines.


"Acute gouty arthritis results from overproduction or reduced secretion of uric acid. Thiazide diuretics [ 'watrer pills'] and foods that are rich in purines will increase the frequency of attacks"


"Gouty attacks are triggered by crystal formation in synovial [joint] fluid. They are not related to serum levels of uric acid. Thus, a normal serum uric acid level does not exclude the diagnosis of acute gout, and an elevated level does not prove the diagnosis"
Clinical history, exam, treatment response helps. Definitively - taking fluid from the affected joint and analyzing it.


Hyperuricemia[ hogh uric acid] may be present but is not diagnostic. Renal uric acid excretion should be obtained in high-risk patients, including those with renal calculi, strong family history of gout, and first attack before age 25 years.

Your prior foot trauma probably is not related, or if it is, it one of many factors. [ see above].

Make sure you do not get dehydrated - hi risk situation for a gout attack - drink plenty of water.


Hope this helps



Grace and Peace