can you tell me how to avoid future attacks of gout?

Question

i get gouty attacks an have become use to them an know how to treat 'em. back home (usa) everytime i got an attack my dr would give me "allopurinol" and some other med and sen me on my way. when i got my first attack in hina my gf went to the pharmacy and told them i had "the gout". she came back with an "otc" called "colchicine tablets". perhaps these are the same medss that my dr back home prescribed but each tab is 10mg. the tabs of the "other stuff" my dr presribed were 50mg. but being these ones (here) are an otc they probably had to make 'em 10mg each.

this last attack was pretty bad. i was popping the colchicine tabs like pez but it seemed to have no affect. and i was drinkin water like a horse and that seemed to worsen the attack. i went to the er and the dr gave me an IV of glucose and an otc called "saridon". which of course were both new treatments to me. he said in severe cases this treatment is needed.

i know gout is caused by elevated levels of "uric acid"; according to my blood test my uric acid level was "off the chart".

i just don't understand why the mass consumption of water worsened the attack. or maybe it just seemed that way. and why id a glucose IV work much better? its been a long time since my college chemistry class. but i know water is used to dilute acids. but maybe "suger water" works much better?

Answer 1

Stop second guessing with your LIFE and see the doctor.

You may need to be on a special diet but either way only a medical professional should be giving you advise.

Answer 2

1

Answer 3

I get attacks too, but it seems yours are worse.

I drink a lot of water, and it seems to increase the pressure around the joint. At the same time, it helps to clear the uric acid out a little bit so the attack will go away faster. It's a trade off.

Cochicine is toxic. Follow the prescription.

I react better to Naproxen, which is also called Aleve.

Saridon is like Excedrin.

My main "treatment" is to make a note of what deviations I made from my no-alcohol, no-meat diet that may have triggered it. It's usually due to eating increasing amounts of meat during the holidays. The fix is to stop that behavior immediately, and go to a low purine regimen.

Maybe the IV drip dilutes the blood, makes you urinate, and allows you to stop eating foods that contain purines.