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Hi. I too have had gout for many years now. I am on a multitude of drugs after a stent operation last year. About four months ago I started allopurinol and since then I have had weekly attacks. I have gone from 100 up to 400mg a day with no stopping of the attacks so I stopped taking them and since then three weeks ago the attacks have stopped. I check my uric acid levels which hover around 400/500 which is not good either. I now don’t know how to approach this painful problem.
Replies to "Hi. I too have had gout for many years now. I am on a multitude of..."
@andy604172 Welcome to Mayo Clinic Connect! I also suffer from gout attacks, and have adopted some dietary habits that will help me minimize those attacks. No pork, no shellfish [lobster, crab, shrimp], few processed meats, lower purine foods.
Here is an article from the Arthritis Foundation that can help guide you: https://www.arthritis.org/health-wellness/healthy-living/nutrition/healthy-eating/which-foods-are-safe-for-gout
Do you think you can give this a try?
Ginger
@andy604172
Well the first thing is to talk to your doctor about it, but since you're on allopurinol I guess you did that, but if that's all he has for you, you should ask for a referral to a specialist.
What kind of diet are you on? High purine foods can trigger gout, but there's much more to it, too much carbs and sugar can also do it.
What are you taking for the pain? Avoid aspirin, ibuprofen is much more effective.
Your other conditions and drugs may also count,
Bottom line is that diet should be able to control it for most people, since few doctors, even specialists, know anything about diet - or are willing (or allowed) to talk about it with patients, you may also want to get a referral to a nutritionist, and if possible a nutritionist with special interest and expertise with gout.
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@andy604172 Hey There. My husband battles gout and he is on Allopurinol 2 tablets daily. This was bumped up from 1 tablet daily a year ago. IF he has break through gout, he was prescribed Colchicine which will give him relief in one day. See if your doctor will prescribe this.
Try and find out what foods or activities may be causing gout. For him it's pork, shrimp and if
he stands for a long time on concrete working. Strangely, tying his shoes to tight on the top of his foot, caused gout. Gout is not just in the big toe like a lot of people think. You can get gout in any joint.
Praying for you. I have seen him suffer in the past greatly with it. Blessings...