Mayo Clinic: Big Toe Isn't Biggest Culprit in Gout Flare-Ups; Other Joints Tied to Higher Risk, Gout as a warning light that is alerting us to other problems

Mayo Clinic: Big Toe Isn't Biggest Culprit in Gout Flare-Ups; Other Joints Tied to Higher Risk

http://www.mayoclinic.org/news2013-rst/7511.html

A new Mayo Clinic study shows that patients whose gout starts in joints other than the big toe – such as the elbows or knees – are more likely to have recurrent flares than patients whose gout starts in the traditional site. The findings, recently presented in Madrid at the 2013 Annual Congress of the European League Against Rheumatism (EULAR), may help doctors determine which patients should be put on drug therapy to reduce their risk of a subsequent flare, as opposed to being treated with lifestyle changes alone.

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Dr. Bongartz adds that the implications of the study may extend beyond painful joints. “Gout is often associated with other diseases such as obesity, hypertension and hyperlipidemia [high cholesterol and triglycerides],” he says. “I like to refer to gout as a warning light that is alerting us to other problems.”

8 Gout-Causing Foods

From health.com

DON'T  

Asparagus

DON'T

Beer

DON'T

Herring

DON'T

Liver

DON'T

Red Meat

DON'T

Scallops

DON'T

Sweet Soft drink

DON'T

Turkey

Chicken is fine for gout BUT not KFC Chicken

My major meat intake is chicken. I feel totally fine to eat chicken for quite a long time. (more than a year).
Today, my pain level goes...up. The only suspect is I had KFC Chicken for lunch...

As you all know, the doctor advise is to control your diet....there is a food table for gout(Purine table)...
http://www.acumedico.com/purine.htm or table everywhere.

In fact, inside your body, many organisms have metabolic pathways to synthesize and break down purines. http://www.purineresearchsociety.org/
I agreed "WHY WE AREN'T WHAT WE EAT","THE BODY'S ANSWER --- METABOLISM"
But not to accept the simple but mysterious reason...Genetic

Anyway, you cannot really avoid Purine by just not taking food with purine...

The real problem, I believe should be what cause your body METABOLISM malfunction.

We were surrounded by "unknown" "SAFE" food enhancers, especially in your fast food, package food...KFC, McDonald...

MY ADVICE to gout patient:
Have healthy fresh meat. No more KFC, McDonald, ...,  FAST FOOD

My reading: New therapeutic options for gout here and on the horizon

New therapeutic options for gout here and on the horizon

By ARYEH M. ABELES, MD MICHAEL H. PILLINGER, MD | March 8, 2010

Dr Abeles is assistant clinical professor in the department of medicine, division of rheumatology, at the University of Connecticut Health Center in Farmington. Dr Pillinger is associate professor of medicine and pharmacology in the department of medicine, division of rheumatology, at the New York University School of Medicine/NYU Hospital for Joint Diseases in New York and attending physician at the New York Harbor VA Health Care System, New York Campus.

ABSTRACT: No new drug was FDA-approved for gout for close to 45 years, but new drugs are on the market now and others are in development. Established treatments often are effective, but each has limitations. In 2009, the FDA approved a nongeneric colchicine for acute gout. Investigators are exploring anti–interleukin-1β therapy. Anakinra has been studied off-label for acute gout. Rilonacept is being investigated for treatment and prophylaxis of gouty inflammation and canakinumab for acute gout attacks. Clinical trials of a novel urate transporter 1 inhibitor, RDEA594, are under way. Reducing the production of uric acid may be achieved with allopurinol. Febuxostat gained FDA approval in 2009 for managing hyperuricemia in patients with established gout. Rasburicase and pegloticase have been developed for uricase replacement. (J Musculoskel Med. 2010;27:93-100)

http://www.musculoskeletalnetwork.com/gout/content/article/1145622/1533314

Gout - Wikipedia, the free encyclopedia

en.wikipedia.org/wiki/Gout‎

My prescription medicine

I asked the doctor to give a "double shot"... to relief my pain.

Very very typical advise for Gout patient,
"control your diet, eat less meat, drink more water, weight control, don't try to catch bus, ..."

Piroxicam 10mg, 1 tablet daily, after meal, Anti-inflammation, Pain
Etodolac 200mg, 1 tablet, 2 times daily, day and night, after meal, Anti-inflammation, Pain

Omeprazole 20mg, 1 tablet, 2 times daily, day and night, after meal, Stomach
Diclofenac sodium 25mg, 2 tablet, 4 times daily, every 4 hours, after meal, Anti-inflammation, Pain
Acetaminophen 500mg, 1 tablet, 4 times daily, every 4 hours, after meal, Pain

Cimetidine 200mg, 1 tablet, 4 times daily, every 4 hours, after meal, Stomach

At least, these tablets works. My pain decrease 80% after 1 day of medication.

Starting the very very simple diet...bread, rice, non - red meal, chicken, egg, milk...

Gout Fight continue!!!!!!

Why this blog of gout and "Avoid Curry food"

It is 4am, "gout attack", as you may image the pain. I started this blog.

My last servious attack was about 4 months ago. I was in the middle of recovery. This time, I should say this lunch, I used my body to find our what food are likely to cause the gout attack on me.

I always keep an eye on my food, my weight and my activities and investigate on the gout attack pattern on me. I read book, search a lot on Internet, of course listen to doctors and diet advises. But nothing more important than monitoring my body .

I have a strong feeling that I will recovery from Gout. I have some my personal experience to share here.

SO, What I had on lunch that cause "GOUT ATTACK"?"Curry chicken rice"