Simple Gout Treatment

I know gout can be complicated, but let’s try the simple approach to gout treatment before we look for difficulties.

Gout treatment is the heart of finding gout freedom.

Gout treatment must be preceded by a proper medical diagnosis of your gout symptoms.

Gout treatment might  be followed by adjustment to your gout diet.

So for all of you making life difficult for yourselves by worrying about food and drink – stop now. Do not even think about diet until you have a good gout management plan.

1. Starting A Gout Treatment Plan

The best gout treatment plan starts with good diagnosis from your doctor(s). If you have a confirmed gout diagnosis then move to step 2.

Gout diagnosis can be difficult for a small minority of gout patients. For most people, it is very simple.

If your gout symptoms are not confirmed, see your doctor or rheumatologist today. If they are confirmed, a more complete analysis of possible causes is useful, but not essential. If you have it, it may give you more options for gout treatment.

I will announce a personal gout symptoms assessment tool soon. In the meantime read the Gout Symptoms section, which is first in the list of sections near the top and bottom of every page. If you still have questions, ask in the Gout Symptoms forum.

Continue to read your simple 3 step gout treatment plan

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Gouty Tophi & Bone Erosion

Gouty tophi are usually noticed under the skin, and are not usually painful until they burst through the skin, or become infected.

We tend to ignore them in the early stages, and concentrate more on relieving the pain from acute gout flares.

But is this wise?

Now that technology allows us to see tophi growing into cartilage, tendons and bones, we can see it is not wise. I’ve added some more important 2014 information to this 2010 article about early detection of joint damage from new gout scanning technology. First let us see how this technology shows early tophi leading to bone erosion and severe, painful, joint damage.

Continue reading Gouty Tophi & Bone Erosion

Start Allopurinol Quickly, But Carefully

Surprising allopurinol news – it’s OK to start today even if you have an active gout flare.

Let me explain the new study into starting allopurinol, then you can see how it applies to you.

For a long time, rheumatologists have recommended against starting allopurinol if you have are experiencing a gout flare. They fear that allopurinol will make the flare worse, so it is better to wait until it has subsided before starting allopurinol.

This has always puzzled me. I know from years of gout pain experience, that gout pain can be controlled with the right pain relief combination. Given that, I have never understood why there should be a delay. New research agrees with me.

Continue to read the Starting Allopurinol Study

Doctor, do I have gout?

It’s been my sad duty today to tell someone that they have got gout.

First his doctor suspected gout but wasn’t sure. He ran the usual blood test for uric acid. The doctor didn’t understand the results, and suggested it was unlikely to be gout.

Like 3 in 4 doctors, he got confused between facts about laboratory reference ranges for uric acid, and facts about medical uric acid safety.

Our patient is left worrying what is wrong with him, and wondering what to do next. Someone had to step up and help this poor guy. That someone turned out to be me.

This is an on-going story, fresh from the gout forum. As I write, I do not know how the story will end. Will our gout sufferer get the right diagnosis? Will he get the right treatment? Can he ever get the right lifestyle improvement advice if his gout is undiagnosed? You can find out by joining the gout forum link below.

Here are the simple gout facts we have learned so far.

Continue reading Doctor, do I have gout?

What are your 5 Bad Gout Foods?

There are 5 bad gout foods that you must know if you want to get your gout diet working for you.

This is not another of the simple lists of random food items that you read around the Internet. These are 5 important groups of foods that affect gout in different ways. I have recognized 4 of these for a long time. Recently, scientists have identified a fifth important food group that changes the way we control gout. Before I explain this new group of foods that you need to be careful with, I will recap the other 4.

I will only present brief summary information here. You can find more information in my gout diet guidelines and by searching using the box at the top of each page. I also provide personal help and explanations in the gout forums. I will add relevant links at the end of this article.

Continue reading What are your 5 Bad Gout Foods?

Bismuth Subsalicylate and Gout

Bismuth subsalicylate is the active ingredient of many anti-diarrhea products. You should avoid it if you have gout.

Most products that contain bismuth subsalicylate carry warnings about gout. Salicylates are found in many plants, where they give beneficial protection against pests. Most famously, salicylates from willow was used to develop aspirin, though it is produced artificially now.

I mentioned salicylates in Beware Gout Cures You Do Not Need. That article lists many medicines that can cause gout, or make it worse.

Continue reading Bismuth Subsalicylate and Gout

Avoid Excess Calories for Gout

If you want gout foods to avoid, calories are just as bad as purines.

Purines don’t just come from meat on your plate. They also come from meat on your bones. So more weight = more flesh = more uric acid.

Just like other animals, humans eat for energy, and to build new tissues. New tissue replaces old, but if we overeat, our bodies create extra tissue, and we get fat. Tissue replacement is an essential part of life, but the meat in our own bodies is just as much a source of uric acid as the food that we eat.

Eating excess purines will increase our uric acid levels from diet. Excess calories will do the same from body weight.

Gout is not simply about food, but where food is a contributory factor then calories are just as important as purines. In fact they may play a bigger part in gout diet management as calories are contained in almost all foods, whereas purines that affect gout are only found in animal products and some fungal products, like mushrooms and yeast. Purines in vegetables can be ignored.

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What is gout to you?

I can answer “What is gout?” but the more important question is “What is gout to you?”

This is a heads up for a new gout support service called Keith’s Learners. I will launch it officially in a few days, but for those of you with a burning desire to learn what gout is, here is a pre-launch introduction.

Over the years, I have used many different methods to explain what gout is. I believe it is important for all gout sufferers to have that knowledge. It helps you ask the right questions when you discuss gout with your doctor. It helps you discuss gout in support forums and with friends. Your gout knowledge is something that tells you when people are not giving you the right answers.

That is why I often try to explain What Is Gout? by explaining what it is NOT! Exposing myths about gout is a good way to tell if your advisers truly understand gout. Do they know gout, or are they merely spouting something they read in an old book, or outdated website? On that page, I also point out that what really matters is: What gout is to you?.

Continue reading What is gout to you?