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  • Another GOUT post

    Hey, sorry for the long post. Just been looking through the past gout posts and also Marks views on it. I think I have gout in my foot (the arch), it's been painful for the last three days now. Not confirmed by doctor or paste experience, but my dad had it at one point, my brother has it really bad (although he is obese), it is worse in the morning and finally it came on after a night of six cans of Scrumpy Jack cider. I have a uric blood meter coming tomorrow to measure my uric acid levels (canít stand doctors Ė but will go when I have the opportunity!).

    I am Primal (1 year now) although I probably eat too much meat and could do with a more rounded diet. Drinking is something that I havenít cut down on the PB. In fact the last 3 years I have been consuming more and more at a very steady rate Ė with the last 1.5 years being pretty dam heavy!

    The internet is full of conflicting advice (surprise!). I guess the reason for gout is not a givenÖpossibly very complex. Anyway I used a scatter-gun approach to a Ďnaturalí cure and bought some cherries, some celery and some bicarbonate of soda. After limping in to work today Iíve had my breakfast (celery, cherries and a boiled egg Ė plus one bicarb) and reaching lunch, my foot is now showing signs of recovery.

    As I said I canít confirm itís actually gout at all yet but Iíve done nothing that would give me a foot injury and Iíve had Ďtinglesí in my hands and shins/feet which others have described. Iím really looking for any reactions to all this Ė personal experience, the primal diet and can the gout recede that quick! I personally think my drinking has been a major issue here and my body has reach saturation point Ė needless to say Iíve stopped!

    PS. This year Iíve also had a Ďganglioní type bump on my wrist Ė which isnít a ganglion as I thumped the crap out of it with a large book. Also physio said it was a result of a strain (I think it is to do with the computer work). And, both knee joints giving pain (limping) Ė physio again says itís a strain causing the joint stuff to squeeze out (puke). IT band massage and stretch was prescribed. All connected?

    Feel like Iím just trying to keep my body going at the moment!

  • #2
    Gout isn't typically in the arch of foot but around joints. It may be Plantar fasciitis.

    Comment


    • #3
      Gout is caused by uric acid which is a byproduct of fructose metabolism.
      Gout: The Missing Chapter from Good Calories, Bad Calories

      Comment


      • #4
        Not typically - but CW says it can be in the arch as well.
        Very interesting on the Plantar fasciitis thing - thanks. I've been wearing minimal footwear for nearly a year now (vivo barefoot) which does tie in with the symptoms of Plantar fasciitis - however I have been using minimal footwear for a long time now and I hadn't been doing anything radical the day before the pain started...only drinking (no change there then!).
        Incidentally the pain in my foot has completely gone now and I can put my whole weight on heal and to toe no problems. Just spoke to my brother and he says his gout can appear and disappear just as quick. Wonder if the cherries did any thing! And if I'll get any uric acid readings tomorrow...

        Comment


        • #5
          Thanks. Interesting to see what your uric acid reading is tomorrow.

          Comment


          • #6
            UV acid test

            Got my Uric acid tester on Friday. My levels have shown - sat 8.5mg/dL, Sun 9.8, Mon 10.2. Today (Mon) my foot was the worst since the very worse time on Thursday - which would make sense with the readings. Not been drinking alcohol for a week now, cut down on Purine foods (although conflicting information on the interweb re purines being that bad for you...ahh!) but did do a major curcuit training session on Sunday...foot hurt directly after. So although the readings (and my family history) point to gout, there's also huge parallels with Plantar Fasciitis - as Sue suggested. Next stop is the doctor to ask for a test that involves drawing liquid from the area of pain to test for crystals - that seems to be a definitive test for Gout. Anybody with similar past experience or other information most welcome.

            Incidentally both my wife and daughter show high uric acid levels - 8mg/dL and 6mg/dL respectively (daughter is 4!). This makes me think that uric acid in the blood CAN lead to crystals but doesn't necessarily! Tried to find on the web information on uric acid level in NON gout sufferers - can't at the moment. Frustrating.

            Comment


            • #7
              Do check up on plantar faciaitis as well. Primary symptoms -- pain in the arch of the foot upon rising and easing up as you walk on it/use your foot. It often strikes first in your early thirties. Stretching can help -- stand with your toes on a step and lower you heels. Hold for 30 seconds. Don't do this on the top step! This stretches your achilies tendon as well. Good news -- it usually resolves if several weeks with stretching. Bad news -- it can become chronic (I had it for two years and had the best success with long term acupuncture for a cure, but also had surgery on one foot, which was okay, but not as good as the acupuncture.)

              Nevertheless, you are quite correct that you should probably cut way back on the booze. Meat and ale did give Henry VIII gout. Your uric acid tests should be enlightening.
              Life is an ongoing Experiment of One, so here's to science!

              My Primal Journal: http://www.marksdailyapple.com/forum/thread37576.html

              Comment


              • #8
                Thanks dkd2001. I'm now booked to see the doc who should hopefully (sure I'll have to fight for it!) get a fluid test from the foot to test for crystals.

                I really want to see if I have gout one way or the other - so bizarrely I've gone back to eating as many bad gout foods as possible! Yeah I know that's odd, but I do not want the crystals (if they are there) to disappear and not know for sure. The outcome was two bottles of stout, two Guinness's and a slab of pork liver pate last night! Ironically my uric acid blood levels are slightly down this morning!

                Comment


                • #9
                  Prolonging this post in case there are other 'joint' sufferers out there! Well, my uric acid levels seem to go up and down and don't seem to relate particularly now with foot pain. My doctor was as helpful as expected - asked nothing of food, drink, lifestyle. Even when I volunteer about heavy drinking over the last year, he didn't asked about it...wonder how many alcoholics fall through the net... To my utter non-amazement he recommended the same thing as all the other joint issues I have (wrist 'bump' - not a ganglion btw, both knees and now foot)...some ibuprofen. Honestly, is it just the UK or are all doctors just glorified chemists!

                  Fought for a referral to a Rheumatologist and now have an appointment in September. Meanwhile my foot is improving! Maybe it is just a strained ligament!

                  Comment


                  • #10
                    Hi Guys,

                    Sorry for jumping on this topic but having spent the last week or so studying up on the gout situation I have somewhat become more confused, thanks to the wonderful world wide web.

                    I started primal back in October 2012. Started by completing whole 30 where you can check out here - Whole9 | Let us change your life. | Category Archive | Whole30 - I lost a lot of weight in the first week, approximately 17 lbs and since then another 15-20 lb in the last 2-3 months. I live a very strict primal diet without dairy also. Sweet potato and winter squash are my main carb intakes, no potatoes! I do not eat excessive amounts of red meat, or shellfish, mackerel etc.

                    Approximately 2 months ago I began to feel a small amount of pain in my big toe, nothing drastic just very minimal pain, which became sore or stiff during or after any exercise. I have just had my first gout attack this weekend and I am close to cutting my own foot off! It is horrible, I wouldn’t wish this on anyone. I have been trying the natural approach to getting rid of it mainly because I have just started an exchange program with university and am currently in finland. I do not have access to my doctors, medicine, etc. I don’t understand I have been pretty strict primal, progressively upping my exercise as time went on, I am at the stage now where I want to start on my conditioning and strength training but this is severaly holdng me back!

                    I am only 25, no known history of gout in the family, I do not eat any sweetbreads, not much shellfish, not a big red meat eater unless it’s a special occasion which is not very often, maybe once a month, possibly less. My main protein would be through chicken and eggs. I’m at my wits end and do not want to stop eating primal, apart from my foot I feel great.

                    Any recommendations as to what to do next? Or could anyone shed any light on why gout has come about in this case, I understand that losing weight quite quickly can up the levels of uric acid in the body but surely that would be a temporary thing that should level out as time goes by? I would really appreciate any help you guys could offer!!!

                    Thanks!
                    Karl

                    Comment


                    • #11
                      Originally posted by kgp11 View Post
                      Hi Guys,

                      Sorry for jumping on this topic but having spent the last week or so studying up on the gout situation I have somewhat become more confused, thanks to the wonderful world wide web.

                      I started primal back in October 2012. Started by completing whole 30 where you can check out here - Whole9 | Let us change your life. | Category Archive | Whole30 - I lost a lot of weight in the first week, approximately 17 lbs and since then another 15-20 lb in the last 2-3 months. I live a very strict primal diet without dairy also. Sweet potato and winter squash are my main carb intakes, no potatoes! I do not eat excessive amounts of red meat, or shellfish, mackerel etc.

                      Approximately 2 months ago I began to feel a small amount of pain in my big toe, nothing drastic just very minimal pain, which became sore or stiff during or after any exercise. I have just had my first gout attack this weekend and I am close to cutting my own foot off! It is horrible, I wouldn’t wish this on anyone. I have been trying the natural approach to getting rid of it mainly because I have just started an exchange program with university and am currently in finland. I do not have access to my doctors, medicine, etc. I don’t understand I have been pretty strict primal, progressively upping my exercise as time went on, I am at the stage now where I want to start on my conditioning and strength training but this is severaly holdng me back!

                      I am only 25, no known history of gout in the family, I do not eat any sweetbreads, not much shellfish, not a big red meat eater unless it’s a special occasion which is not very often, maybe once a month, possibly less. My main protein would be through chicken and eggs. I’m at my wits end and do not want to stop eating primal, apart from my foot I feel great.

                      Any recommendations as to what to do next? Or could anyone shed any light on why gout has come about in this case, I understand that losing weight quite quickly can up the levels of uric acid in the body but surely that would be a temporary thing that should level out as time goes by? I would really appreciate any help you guys could offer!!!

                      Thanks!
                      Karl
                      Are you 100% it's gout? The only way to tell is to get your uric acid level tested and/or examine some of the fluid in the joint for uric acid crystals.

                      I had gout for years and it completely disappeared when i started PB. I think the culprit in my case was eating/drinking too much fructose. Too many high fructose corn syrup sweets, especially. But since you shouldn't be having any of that, maybe you are eating a lot of sweet fruit?

                      I feel for ya! I know what gout feels like.

                      Comment


                      • #12
                        While on the whole 30 it recommended staying away from fruit, and i did, also refrain from alcohol which i have. I Would eat alot of bananas, well tried to eat one every day or every 2 days, along with some mandrin oranges or satsumas every now and then. I would try and take maybe 1 piece of fruit a day, sometimes every 2 days but planning on cutting that out for the next week or so.

                        I thought maybe I had a problem with my joints build up of fluid (my dad has problems with that but likely because he was a bodybuilder and was caused by lifting too much) but the signs I have this last few days are typical of a gout flare up. Ironically enough i have started taking glucosamine sulphate (maybe 3 weeks ago) thinking it might be a problem with my joints but i have discovered that it is harvested from shellfish - so have stopped that. Fingers cross that could have been the culprit.

                        I will see the local nurse on wednesday who should refer me to a gp to properly diagnose the problem. I plan on buying a vitamin c supplement. Im not too sure whether to continue with my omega 3 fish oil (capsule contains beef gelatin and glycerol) and calcium and vitamin D supplement. Thoughts?

                        Thanks for you help btw.

                        Comment


                        • #13
                          Originally posted by kgp11 View Post
                          While on the whole 30 it recommended staying away from fruit, and i did, also refrain from alcohol which i have. I Would eat alot of bananas, well tried to eat one every day or every 2 days, along with some mandrin oranges or satsumas every now and then. I would try and take maybe 1 piece of fruit a day, sometimes every 2 days but planning on cutting that out for the next week or so.

                          I thought maybe I had a problem with my joints build up of fluid (my dad has problems with that but likely because he was a bodybuilder and was caused by lifting too much) but the signs I have this last few days are typical of a gout flare up. Ironically enough i have started taking glucosamine sulphate (maybe 3 weeks ago) thinking it might be a problem with my joints but i have discovered that it is harvested from shellfish - so have stopped that. Fingers cross that could have been the culprit.

                          I will see the local nurse on wednesday who should refer me to a gp to properly diagnose the problem. I plan on buying a vitamin c supplement. Im not too sure whether to continue with my omega 3 fish oil (capsule contains beef gelatin and glycerol) and calcium and vitamin D supplement. Thoughts?

                          Thanks for you help btw.
                          Here's how my gout would present itself:

                          I would notice an achy feeling in the 'knuckle' of my big toe, right foot only. I'd think 'oh, that's just normal soreness--not a gout attack', then that night about 3am I would wake up in severe pain. Even the weight of the blanket would be too much. I could only get back to sleep by propping it up on a pillow and fighting through the pain. In the morning, I'd get up an try putting weight on it while getting ready for work. It was very, very painful. I'd slowly squeeze into my shoes and hobble off to work. I'd sit as much as I could, but the swelling would get worse as the day progressed. I would arrange for a day or two off.

                          Next 2 days would be sitting at home w/foot up. Feeling sorry for myself. The medicine I took, called Colchisine, was not fun, either. the directions were: Take 2 pills then 1 every hour until you get diarrhea, usually in 6-8 hours, then take 1 pill every 4 hours until pain subsides.

                          Nothing cuts the pain of a true gout attack! I eventually also started getting it in my heel and knee.

                          During that time, I was drinking heavily and eating crap. The docs said, 'cut the meat and seafood' I did, still got gout. i also had high blood pressure, fatty liver disease, high cholesterol, and pre-diabetes...all that went away when I started eating right.

                          Now, I'm eating seafood and liver several times a week. Not drinking at all, no sugar, little sugary fruit, but when I have eaten lots of sugary fruit, the gout didn't come back.

                          I had my uric acid level tested when I was having an attack, the normal range is like 4-8, mine was 12. I've had it tested since and it is around 8, still a little high.

                          Gout is also tied to poor liver function. Is your liver good?

                          Good luck!

                          Comment


                          • #14
                            Originally posted by kgp11 View Post
                            I plan on buying a vitamin c supplement. Im not too sure whether to continue with my omega 3 fish oil (capsule contains beef gelatin and glycerol) and calcium and vitamin D supplement. Thoughts?
                            I doubt it will help or hurt. Ask doc next week what he thinks, though.

                            Comment


                            • #15
                              cool will do cheers.

                              That synopsis is exactly what happened to me... I will get back to you when I find out from the docs! Thanks!

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