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

Find more (see gouty search hints for guidance).

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Gout Home Remedies – Treatment Without Drugs

Most regular visitors to GoutPal know that I am successfully in control of my gout, using allopurinol to keep my uric acid at a safe level.

It took me many years to realize that this was the only way for me, as diet controls recommended earlier by doctors did not work for me. I occasionally get criticized in the gout forums for constantly pushing allopurinol, but I have to say that I do that because I know that it works. I have no personal experience of gout home remedies that work.

I am skeptical about alternative methods. I do know from my gout research that herbal remedies can lower uric acid. However, I am concerned that there are no complete studies into natural remedies that would guide us to knowing the right dose. Remember, I only really care about getting uric acid down to 5mg/dL (0.30mmol/L). That is a safe level for uric acid. 6mg/dL should be safe, but has little margin for safety, so given the way that uric acid levels can fluctuate, I prefer an upper limit of 5 at the time of my blood tests.

I realize that pain relief is important, but it is futile to stop immediate pain if you do nothing to stop it from returning. The pest place for pain control is to help you with the first few months of uric acid lowering treatment. Whether you choose pharmaceutical or herbal medicine, you always need to have pain control on hand. Once sufficient uric acid crystals have dissolved to stop gout pain returning, you can dispense with pain relief for gout, as you will not need it.

Continue to see examples of gout home remedies

What To Take For Gout Pain: Status April 18 2014

What To Take For Gout Pain

When gout sufferers ask what to take for gout pain, I point them to Gout Pain Freedom.

Pain control is a temporary fix.
Gout pain control must be part of your gout treatments plan to get uric acid safe.
Stop gout pain returning, by limiting uric acid to 5mg/dL.

The 3 steps for gout pain control:

  1. Block inflammation
  2. Reduce inflammation
  3. Block pain

There are many choices for 2 and 3, but I only know of colchicine to block inflammation.

Stay Safe With Colchicine

Limit colchicine to 1 per hour and 2 per day.
Never take it longer than a year.
Unless advised by a specialist, never take it when you have other health problems, and certainly not if you have any infection.

If you are generally healthy, colchicine helps in the first few months of uric acid treatments.
If in doubt, just pass it by, and move on to the second and third lines of pain control.

The answer to what anti-inflammatory drug to take for gout pain is the same as to what pain-killing drug to take for gout pain.

See your doctor, or handle it yourself.

Your doctor can advise the best combination to reduce inflammation, with a follow-up to block pain if required.
For non-pharmaceutical alternatives, you still need to reduce inflammation then block pain.
If one product does not suit you, move to another – you have many choices.

What To Take For Gout Pain: Takeaway

First include pain control in your gout treatments plan, then find the specific tablets or tools that suit you.

Never take risks. Always ask your doctor what to take for gout pain.

Gout Diet Menu: Pancakes and Gout

Pancakes and gout is today’s topic for my 97th most popular search for gout. Like many of the topics near the end of your Top 100 gout topics, pancakes were in detailed food charts designed to help plan an alkalizing gout diet menu. Pancakes are not particularly important to gout sufferers, but if you eat a lot of them, you should know one key fact.

I should mention the futility of worrying about single food items. However, as I covered it in yesterday’s topic, I will focus on one aspect of pancakes that might be slightly relevant to gout sufferers.

There is no direct connection between pancakes, or their ingredients, and uric acid. However, pancakes have one significant property that has an indirect bearing on gout. They tend to be acid-forming. Acid forming foods are required as 20-30% of what we eat, but typical Western diet has too many acid-forming foods, and too few alkaline-forming foods.

See how to make Pancakes and Gout safe

Is Your Gout Hereditary?

Do you wonder why you have gout?

Is it bad diet, bad lifestyle choices or just bad luck?

There can be a host of reasons why we get gout, and I reviewed them in What Causes Gout? Now, I want to focus in more detail on the genetics of gout.

Hereditary Gout Study

There is an interesting study of the hereditary aspects of gout. Tony Merriman and Nicola Dalbeth have investigated how different genes are associated with different aspects of gout and high uric acid.[1]

Continue reading Is Your Gout Hereditary?

GoutInfo 2013

This GoutInfo post is about finding information on

Many years ago, I introduced a new word into the language of gout: GoutPal

Prior to my efforts, a search for GoutPal led the major search engine to believe you might be looking for perfume. These days, thousands of people search for GoutPal and find friendly gout support.

I try to keep an eye on what information people are searching for. It helps me prioritize new articles, or to reorganize old articles better. I know that the best gout information is on GoutPal, and my gout info update page is a very popular destination for anyone who wants to stay advised about gout news and developments. Recently, I’ve noticed an upsurge in visitor who found that page when looking for GoutInfo (no space between words).

I am always intrigued by new gout-related words, so I set out to investigate the meaning of GoutInfo.

See the GoutInfo Definition, and what it means for you

Treatment For Gout In Toe

If treatment for gout in toe requires surgical removal of tophi, something has gone seriously wrong.

Unfortunately, grotesque photographs and videos of tophi being removed from the big toe are far too common. I will subject you to more gruesome pictures soon, just to emphasize the point. You should prevent gout getting to this stage, and avoid treatment for gout that involves surgery.

Do not assume you automatically get the treatment you need to avoid surgery. In the gout case report where I found the photographs there is an indication that uric acid levels were not being managed properly. The patient had a history of gout, was being prescribed allopurinol, yet uric acid was 6.4mg/dL. The advice from rheumatologists for safe uric acid levels is 5mg/dL or lower. 6.4 is not outrageously high, but in the colder regions of the big toe, it is far from safe.

There is a further complication in this gout case study, as it features Viagra (sildenafil). The link between gout and Viagra is discussed occasionally, and mentioned on pack inserts, yet the evidence for a link is very unreliable. People often try to link unrelated health issues, and when that is reported in clinical trials, it has to be included in product information. However, there is nothing to suggest in any reports that this is anything other than coincidence, coupled with very poor understanding of gout.

Anyway, that is not the issue here, so let me return to consider this dramatic treatment for gout in toe.

Continue reading Treatment For Gout In Toe

New Medicine to Target Gout

The arsenal of gout medicine to target gout is growing.

Probenecid is an established option for gout sufferers who fail to excrete enough uric acid. This family of drugs, called uricosurics, is now joined by a new candidate – arhalofenate.

It’s developers, CymaBay Therapeutics, have recently announced new clinical trials for arhalofenate to treat gout patients. Arhalofenate, originally called MBX-102, was developed for diabetes sufferers, but it has a special bonus for gout sufferers. As well as lowering uric acid, it helps reduce gout flares.

Continue reading New Medicine to Target Gout