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NOVEMBER 2013 UPDATE…
I had one relatively minor attack just under three years ago. My UA was quite high at the time (9). About two months later I had a second relatively minor flare up. Three months after my first attack I want on 100mg of allopurinol per day. I change my diet quite radically went off alcohol for 18 months. Gradually, over the past 18 months I have started introducing high purine containing foods and alcohol into my diet. My diet is now completely normal. I can drink alcohol or eat a steak without an issue and it has been like this for some time. There does not appear to be an issue. I took the Allopurinol daily without fail until about 2 to 3 months ago. Now I take the one pill 2 or 3 times per week. I am not seeing any adverse reaction. Very occasionally I do have slight tingling in my toes but not stiffness. Really I have never had another attack since the first one three years ago. Not sure whether I stay on 2 to 3 pills per week or to stop taking Allopurinol completely….
OCTOBER 2014 UPDATE
As a follow on comment from the above about February 2014 i stopped taking Allopurinol completely. I can eat or drink as much as I like with no issue. I was very careful with the size of meat in a meal etc and drank a lot of extra water. Now i don’t really drink additional water to keep my UA down. Over a period of months my UA level went up to about 7. Not sure what it is at the moment as I haven’t measured it for three months. I have no issue whatsoever. Dont really even get any tingling like I did. I do get slight sensations in both my toe joints but no pain or stiffness… Seems amazing but I have returned to a normal diet and stopped the medication with no issue! I guess what I did was live like a monk for 18 months and stopped alcohol and had a very careful diet. Perhaps that is what did the trick! However, had said all that I am very careful about not causing any type of injury to any of my joints…
I assume the rheumatologist is going to do a synovial fluid analysis. The doc suggested that the rhum would advise what medication I need to go on now. Everything is a bit difficult. I live in Spain and do not speak a word of Spanish so everything has to be translated back and forth by a third party.
Anyway the symptoms I was suffering seem to have subsided. Still mild aches in some of the joint in particular the toe joints and occasional twinge. UA levels have dropped today.
The bit I haven't got my head around yet is why the aches in my back and on one side of my chest. Also muscles in my legs were tingling.
Scared the bejesus out of me though…
Initially I was on Colchimax (0.5mg) twice daily but I did reduce this to once daily. I have now been on 0.5mg daily now for just over three months. Communication was a bit fraught with the Spanish doctor who I saw as I don?t have any Spanish and everything had to be translated by a Spanish friend of mine.
I modified my diet quite considerable. No alcohol whatsoever in three months. Also risky foods removed for my diet. My diet is now quite restricted? Eat lots of fruit on a daily basis. Most days I drink at least one litre of water.
In Spain last week I did go back and have a blood test. I haven?t seen the result of that test yet as I am now back in the UK.
Now I am on holidays back in the UK and yesterday I went to my old doctor and he arranged for a blood test. The results are below?
I would be grateful for the some opinions on what these results actually mean?
The results indicate that I have a normal urate level. Does this mean I am gout free and the original diagnosis was pseudo-gout? Also as I am on Colchimax could this in any way influence the test result???
Thanks for that feedback!
How about 2CV for a handle?
Yes the SUA was just below the upper limit. I understand also that once crystallisation takes place the SUA can fall after an attack occurs. I will be going back to the doctor probably tomorrow. I will request a repeat SUA test. Any brands of SUA self testers you or indeed anyone else can recommend it would be appreciated. I think it might be? wise purchase.
Prior to the attack I was consuming excessive amounts of alcohol, so this is probably what has brought on the attack. I have not consumed a drop since the attack. It would appear that gout is a difficult enough condition to manage without having also to juggle late friday night, saturday nights etc down the local taberna? I'm in Spain! Just left the UK last July.
I have a family history of diabetes so I was being very careful. Weight OK, diet very careful, fried food almost non existant ,getting regular exercise. However, I didn't realise that gout was also hereditary. If I had I would have backed off the booze?
So now I probably have gout to contend with instead of liver desease. However, damaged liver is also still possilbe. I note that on some of the medication it does state that it should not be taken if liver funciton is impared. Can a damaged liver also bring on gout?
I note there are two mechanisms, one where the blood is overload with purines due to incorrect types of food etc and the other mechanism is where the bodies ability to process the purines is impared. Might this apply in my case?
Prior to the attack I was taking no medication.
Based on what I have read, gout attacks appear to be very painful. The pain I had to my toe was not anything like this. Also the pain had stated to subside before I started the the gout medication.
Thank you all for your replies!
supply of Colchimax is going to run out in couple of days. I have two left
so I will try to get a repeat prescription.
will enable me to research the NSAID he is proposing to prescribe.
will also in parallel get a SUA test. The links below are the results of
the medical test I had just after the attack.
home tester sounds like a very worthwhile investment.
would love to think it was just a hairline fracture or something. An x-ray
was taken at the time and no fracture was evident. I can upload the x-ray
I have quite drastically modified my diet since this
condition was diagnosed. I stay away from high-risk foods.