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well first off I do not take any drugs yet for gout     but doctor was also very specific  the color of my piddle was a strong indicator of when I should be drinking more water.  Also the wiff.  If it smells amonioia like “”drink more water””.       I seldom take any medications  but I do know that always every time the pharma fellow fills any perscription for any ailment he always cautions me to drink extra water.  So is it a case of Allopurinol requires you to drink more water or is it just medication in general  that you should consume more water to counter balance the chemical you add to your body?  Or will extra water alone counter act some of the claims those pharma fellows make about allopurinol.  

If you haven't all guessed by now, I'm not a big pharma supporter.   Many times I fell the big drug companies may have a cure for many diseases  but its just not $$$ in their pockets to advertise or cure a disease.  

ciao  OUCH

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thanks trev.   I was thinking its in the same family as kale which is a good alkaline veg for gout.,  Store was out of stock  so I purchased the bok choy.   I'll try the savoy cabbage next time if the kale supplies are non existant on grocery day. 

   It may just have been a blip of too much exercise or not enough water or a  combination of the two…   or just one too many chilies peppers in the purchased  sauce.  Teach me to be unorganized this week.  I generally make everything from scratch  but this time I thought I'd treat myself to some store bought sauce.   Maybe it was trigger and not the bok choy.   

As I've been doing real well with nary a tiny pin pick since I've been paying real close attention limiting types of  protein intake and uping the veg intake. Seems the bean broth for lunch may have nipped it in the bud.    Will see tonight. 

ciao  

OUCH

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thanks all     headache is now down to reasonable level.   I had some Advil at the back of medicine cabinet as well.   so that's what I ended up taking.  

taped up note on inside of the door  not to take the asprin    just incase I forget or one of the kids fetches me something when I'm not well.  

ciao   OUCH

off to hospital again.   They may release hubby this afternoon if CT scans are ok.     

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my thoughts exactly    why were the tests so low?   can you now understand why I'm very confused.   Not only were the numbers throwing me off  but  finding the conversion chart to recheck my figures   absolutley had me stumped.   unless I've actually  miscalculated the coversion between umol and mg/dl  ?????      

gout pal     no drugs.   I've had indo  for the initial swelling  which has gone down now to almost nil.       no injurys  for onset.   went to bed fine woke up in middle of night in excrutiating pain.       had xrays done to make sure no broken foot.   given indo  to releive swelling while blood tests were out to lab. 

some small recurring tingles  that come and go, with the occasional odd jab of sharp pain in my hands around the knuckles and in my toes (big toe both feet).  for some reason two or three cups of hot water and  sliced slivers of ginger   tend to ease.  ????? 

I'm confused.   My lifestyle hasn't ever been one of excess, and I definitly don't eat much meat or trigger foods as far as I can tell.   only issue I have is being overweight  but I've been reducing that over the past year at less than 1 lb every week.   So excess exercise isn't the culprit, and i definetly do not starve myself.  ????  I'm not a drinker,   all other tests have come back fine, even this one for uric acid levels. 

and for the record zip   I'm a woman   

ciao  OUCH

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actually zip2play I did check  my doctor uses  SI standard measurments.   A simple point out to the coversion chart was all that I required. 

mg/dL           µmol/L           mmol/L
Under 6    Under 350      Under .35 Good  This level will stop uric acid crystals forming and dissolve existing crystals

old level  221  divided by 59.48   =  3.715 mg/dl
latest result 216  divided by 59.48 =3.631   mg/dl

https://gout-pal.com/refere…..cid-levels

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I'm sorry   I'm not near as knowlegable as you are.   but I came here for help.   this is all very confusing to me  and frankly I'm terrified.   i don;t really need the stress of changing doctors and starting from point one again.      point was made that there were different measurements  by first answer so now I know what to ask next visit.     I didin't need to be made to feel stupid, or were you trying to make a joke? 

ouch.

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thanks trev.   I'd sort of figured it was around 3.64  mg/dl   from an article I read on orange juice and gout.    but wasn't positive I was reading correctly.    just totally threw me off at the office I was expecting numbers like you all throw around here 4, 5 , 6 ,7     216 almost made my heart stop.    

the doctor said it appeared not high  but he still was concerned about the swelling, redness and tenderness on my left foot.   right foot seems to have gone down.    more indomethicine (spelled incorrectly I'm sure)   and a back up refill for any other flareups until I can get past the front desk.    Also a notation in my file for same day clinic admision if he is booked solid.   

we discussed at length diet  and he was in the opinion of following mayo clinic and john hopkins recommendations.      They pretty well fall in line with what is discussed here  so I'm on track, food wise. 

we also discussed the factor of stress, and I figure its a combo of stress and the added exercise I'd added to my normal daily activities that put me over the threshold.    I've a step daughter from h….llll    and she was just one big headache over Christmas.  Things are settling down we've not had to deal with her since Christmas. 

ciao 

OUCH   

   

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I'm only 5 ft 2 in tall in stocking feet.    I wish I was 5 ft 9 inch talll but alas I'm just a     short wee little woman.  

per BMI charts   
5 ft 2 in  person  normal weight  should be 104-135     overweight  136-163    I'm over weight  for sure.  

 and its time to take  that excess  baggage off.   Last year Jan. 2009  I just looked back in my little notepad  I weighed in at 169.    so its been a good year  a long haul with loads of modifications in my eating habits.     but all worth while  even if I do crave  the odd peperoni pizza.  .   

ciao 

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that would be why the list of blood tests also included test of the creatine level, and the doctors recomendation  drink water and lots of it when ever I take my little stroll.   Although lactic acid I'm certain builds up when you do strenuous exercise.   I'd hazzard  my little every other day little stroll on the treadmill doesn't do too much.   Lord  it  takes me almost an hour to do a mile.    the turtle would definitely beat me.     

look forward to the spelt menu  its not something I've tried previously.   

ciao  OUCH

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trev  yes you are correct my doctor is good but he has not dealt with many gout cases.  He also has  said   come back “if it happens again”   I had blood test with first attack, which was on the wain by the time I got past front desk appointment in two weeks min. wait time receptionist.  so likely levels were down quite a bit.    It will not be until Feb 11 I can get in to get the results.  (no results over phone allowed… privacy issue here in Canada)   

Meds were discussed first visit  and it was basically a lets wait and see if there is another attack. 

I said in my first post I'm about 20 lbs overweight.   and agree with Gout Pal its one of my biggest problems.   I have always eaten vegs,  and we stopped redmeat consumption (except on the rare occasion) years ago.  I'm not too into meat chicken at least 3 times a week I did eat fish (all the bad ones)  shellfish (not any more), dried beans etc.  all the things doctors have recommended for years for health.  I might have one glass of wine a week, seldom drink any alchohol. So I truly think my first attack came  from stored crystals in the fat.    I started back in Aug using my treadmill (slow walk  every other day  1 mile)    I weighed 159 Lbs.   first attack in Dec.  I had managed to whittle off 9 lbs to 150 lbs.   slow  but sure weight loss, I'm not into excess exercise and starvation diets.   But the attack put me back one month off any exercise.    I've restarted using walking on treadmill again,  added more water and vegs to diet, and I'm trying to now eliminate those hidden high trigger foods.  (ie in the Worchester sauce   anchovies  I never knew that) 

on bbb today I will make up another batch  I've used the other already. 

NateA   watch the tofu.   If you are not used to it.  A little goes a long way.  It is a concentrated protein.   average adult portion is only 4 tbs. a day.     its not  big slab meat = equal size slab of tofu. 

ciao  OUCH 

now its time to drink two big 8 oz of water get my sneakers on and do my mile. 

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odo   thanks for the heads up on the Worcestershire Sauce.  I have always used that quite liberably,  its now been chucked in the trash.   

I'll make note of chilies as possible triggers  perhaps   omit them.  maybe I'll try a sweet red pepper an come up with a whole new dish.  

trev  I tried the black bean broth.  not to bad tasting.     but after and 1 hr and 1/2 boil I didn't have much bean juice left.      just enough for todays cup after supper and two for tomorrow. (we have a restaurant luncheon to attend and I don't know what's on the menu.  It might be required in a rush tomorrow for emergency pain releif)  

 I  haven't noticed any effect on the tingles yet.   Hopefully after I hit the pillow it will kick in and I can rest for the night. . 

ciao   OUCH

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thanks you for your very imformative reply.   

I imagine this can very likely be an excellent  standin for the veg stock in recipes I currently make. The earthy taste should work quite nicely. Especially since many use mushrooms to acheive that taste and I'm alergic to those.     As I do now I  just add in additonal vegs (1/2 purey 1/2 whole vegs)  , take out the mushrooms.  Only  change out  will be the  plain veg stock to black bean broth.  

yum    now I'm getting hungry  and I shouldn't go to the grocery that way  or the $$$$  will add up quickly.  

ciao  OUCH

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Thanks you Trev.  I read the Black Bean saga  thru twice last night, as I was having trouble sleeping from the little pin pricks in my fingers and toes.      

After two re reads I was still a bit unsure about the beans.   There are several  different ones they call black beans in the shop,   wish someone could just show a picture of what the dried bean looked like  along with the correct botanical name.  Then I'd be certain I was purchasing the correct one.   

I'm purchasing a pkg of each today because its grocery day.  Which ever ones are incorrect will get donated to the food bank, and I'll make up some broth with the other for me.  Hubby still wants  his fav chicken stock base in soups , so its just as easy to cook up two different pots of broth as  to make just one   .I've loads of little square freezer containers in both  1 cup and 2 cup sizes, and that would be handy for sure to just defrost individual portions  as required. 

Some on that thread said they drink it cold,   but not the quantities the consume a day.  1 cup in morning,   2?  3?  over the course of a day?       or is that just a personal trial by error thing? 

so much to learn. 

ciao 

Ouch

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The brown rice and almonds sounds very much like  a vegiterian meat dish I've had and enjoyed.   Will look at trying this one out.      

thanks

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thanks you for info, I'll be adding the tofu to tonights supper.   

I found one thing very intriguing in your reply.   It was your mention of cod.   When I first read this forum  I thought fish was a high on the list of foods to really limit.   So first thing I did was drop my daily codliver oil capsule.      (something I've taken for over 30 yrs daily). 

ciao Ouch.

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