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What kind of doctor should I see for gout?

Bones, Joints & Muscles | Last Active: Dec 27, 2024 | Replies (19)

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@bhb30602

The long awaited day as come! My appointment with a rheumatologist is this afternoon at 3:00. The previous comment about the wait time to see a rheumatologist was a valid one as it has been a 3 month wait.
My kidney Dr upped my dosage of Allopurinol from 200 mg p/day to 300 p/day 3 weeks ago. At that time, bloodwork showed my uric acid was down from 10 to 6.5 (barely w/in normal range) but he wants it down to more like 4.0. Still experiencing flare-ups and I've been taking prednisone (20 MG tablets) that work well. The script comes with 10 tablets and instructions say to take 2 p/day but I only take 1 p/day and within 3-4 days the flare-up is resolved and I'm good for another week or so. I hoard the remaining tablets for the next flare-up. I'm cautiously optimistic that the flare-ups are not as severe as they were 6 mos ago.
Questions for the group:
1)what treatments do rheumatologist usually prescribe?
2)what can I expect from my visit this afternoon? (I'll have a current list of meds, and she has access to the test results) I mentioned.
Thanks in advance - hoping you all have a safe and wonderful Holiday Season.

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Replies to "The long awaited day as come! My appointment with a rheumatologist is this afternoon at 3:00...."

bhb30602, Have your questions written down that you want to ask on paper....that way you will not forget or get off track.

My husband is treated by his (new) primary doctor for gout. Recently his doctor increased his Allopurinol from 300 mg once a day to 2 300 mg tablets (600 mg) a day as he was having gout flare ups. His uric acid level is great now.

Colchicine is usually given to break up a gout flare up....we keep those on hand and usually within one day, it completely knocks out a gout flare up. He has not had a gout flare up since doubling the Allopurinol.

Things that cause gout flare ups for my husband before doubling the Allopurinol were:
Orange Juice, Shrimp, Barbeque or any kind of pork.

He has had gout in the knees, ankles and toes. If he ties his tennis shoes to tight on the top of his feet, it has caused a flare up. Anywhere there is a joint, you can get gout.

Gout is a form of arthritis and I personally believe it's hereditary as his dad had to take Allopurinol for the gout and our son has also had the gout at a young age.

Praying for you to get answers and relief. Not trying to discourage you, but, prednisone is temporaroy for the gout. It works for most folks short term, but, you need a preventative for the gout.

Tart cherry juice or the tart cherry tablets have also been mentioned by many under People's Pharmacy online.

Merry Christmas and God bless you greatly. Blessings.....