I think this is the best tophi picture. Because it shows successful tophi treatment. Most tophi photographs are horrible. But I think you should know the dangers of untreated gout.
Despite the advances in science that mean we can now control gout, there is a tiny minority who cannot tolerate common uric acid-lowering treatment. If you do not get uric acid to safe concentration, you are doomed to the continuous growth of tophi. So, you might treat the pain, but can you control the gout?
Pain relief without uric acid control means more and more uric acid crystals that will eventually show themselves as gouty tophi.
Continue reading about the best tophi picture
Foods high in uric acid and purines form the conclusion of the High Purine Foods study, which is described below. This concludes the study: Purine-Rich Foods, Dairy and Protein Intake, and the Risk of Gout in Men.
Your GoutPal Update
I flagged this article for review as part of my project to make this website easier for all gout sufferers. Therefore, I must make it clear that:
- This article is aimed at Gout Dieters. Specifically, gout sufferers who are actively monitoring the effects of their diet changes on their uric acid levels. Otherwise, gout sufferers interested in food should start at GoutPal Plan for Gout Foodies.
- Gout Dieters should seek high-protein, low-purine foods. But, they must recognize that vegetable purines do not raise uric acid. Because not all foods high in purines can be described as foods high in uric acid.
- Individual high protein foods from animals should not be omitted from your diet simply because they are high in purines. Because Gout Dieters must consider total diet and all factors that affect uric acid levels. Especially purine-rich flesh from overweight bodies.
continue reading Foods High In Uric Acid And Purines
My allopurinol for gout guidelines explain some implications of taking allopurinol for gout.
The main reason for taking allopurinol is to lower uric acid. When it is prescribed correctly, your doctor will take regular blood tests to ensure that your uric acid stays below 6mg/dL. In most cases, the upper limit should be 5mg/dL. For the early months of allopurinol, which is often referred to as the “debulking period,” your target should be much lower than 5mg/dL.
Those are the basic facts about allopurinol for gout. I explain those facts, and others, in detail throughout these allopurinol guidelines. In this page, I look at some practical issues that show why you have to be vigilant about your uric acid level, and your allopurinol dosage.
Despite a half century of allopurinol as the first choice treatment for gout, correct prescribing remains inadequate. In recent years, professional rheumatologists throughout the world have emphasized the need to set safe uric acid levels on a personal basis. Thereafter, physicians should treat-to-target. That is, every gout patient should have a personal target uric acid level, and allopurinol dose should be adjusted to meet that target. In addition, gout patients should:
- Be pre-screened for genetic liability to Allopurinol Hypersensitivity Syndrome in at-risk ethnic groups (Korean, Han Chinese, and Thai). See Minimize Allopurinol Side Effects
- Know about the risks of gout flares during the debulking period.
- Have access to pain prevention or pain treatment during the debulking period.
- Have kidney function and liver function tests alongside uric acid tests.
- Have adequate follow-up care for life
Continue reading Allopurinol For Gout
The Gout & Colchicine Dosage Facts are answers to questions about colchicine dose. So, they help answer questions such as how should you take colchicine, and when should you stop, etc.
The complete facts about colchicine are in the Colchicine guidelines. But here is a selection of questions commonly asked in the gout forums. Please remember that these are only a quick guide to general dosage aspects of colchicine. If you are in doubt, you should ask your doctor.
continue reading Gout & Colchicine Dosage Facts
Greek Yogurt and Gout explains links between Greek yogurt, gout, and uric acid. Specifically, I show how Greek yogurt can be good for gout. But only if you eat it in the right way.
Greek Yogurt and Gout Audience
I wrote Greek Yogurt and Gout for GoutPal Foodies. GoutPal Foodies are gout sufferers who want to eat better gout foods. But, they do not have a healthy eating plan. So, I explain how Greek Yogurt might help gout sufferers. But, only if you incorporate it into a healthy gout foundation diet.
Are you unsure which type of gout sufferer you are? Then, before you read this article, go to Questions for Gout Sufferers.
continue reading Greek Yogurt and Gout
During my review and reorganization of the Gout Diet section, I noticed how my old Diet For Gout page was about the benefits of losing weight for gout sufferers. Control of excess calories is important for some gout patients, though probably not as many as is generally believed. There was a lot of useful information on that page, so I reproduce it below.
The latest gout foods to avoid pages, now cover specific aspects of excess calories and gout, including tips for losing weight that do not trigger more acute gout flares.
I will expand the relevant pages in the Gout Diet section to make it clear that a diet for gout must consider different types of foods to avoid (or at least to limit). As excess calories lead directly to extra uric acid from the purines in our own flesh, it pays to consider calorie control. As with all forms of gout treatment and diet changes, your plan must start with gathering information about yourself. This article introduces some tools to help you assess if weight loss needs to be part of your personal gout management plan.
continue reading Losing Weight With Gout Foods To Avoid
The gout cure you look for first is one that will relieve the agony.
Though it is vital, in the long term, to control uric acid, those treatments will not give the immediate gout pain relief that you need.
Gout Cure List
Whilst you wait for your uric acid treatment to get you to safe levels, you can look to the pain relieving treatments listed here.
continue reading Anti-Inflammatory Gout Cure Brings Pain Relief