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(The Atlantic)   Gout doubles in prevalence in the U.S. This is not a repeat from 1782   (theatlantic.com) divider line 46
    More: Interesting, King Henry VIII, kidney stones, great apes, skin diseases, rheumatoid arthritis, female hormones, Han Chinese, metabolic syndrome  
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3229 clicks; posted to Geek » on 10 Jun 2012 at 10:21 AM (2 years ago)   |  Favorite    |   share:  Share on Twitter share via Email Share on Facebook   more»



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2012-06-10 09:15:26 AM
This is good news for the Big-pharma. Uloric pills cost about $5.50 each. Take one a day for a year and that really adds up.
 
2012-06-10 10:54:01 AM
amazingasset.com
 
2012-06-10 10:58:11 AM
The difference:

If you had gout back then, you were rich.

content.artofmanliness.com

Fun fact, he even debated with his gout.

If you have gout today, you are a poor.

2.images.theweek.com

Fun fact, the latest GOP talking point is that if you have gout you can't be poor.
 
2012-06-10 11:08:24 AM
I carry around a big flask full of green liquid all day, so I'm getting a real kick...
 
2012-06-10 11:16:58 AM
Today's GOP: the poor are rich. But the people making $250k a year aren't.
 
2012-06-10 11:25:57 AM
I was unaware that it was that painful. I mean I knew it hurt but this article seems to indicate that it ranks as some of the worst pain you can imagine.
 
2012-06-10 11:31:00 AM
I blame salt.
 
2012-06-10 11:42:58 AM

randomjsa: I was unaware that it was that painful. I mean I knew it hurt but this article seems to indicate that it ranks as some of the worst pain you can imagine.


A friend of mine suffers from it, and from his descriptions, the article understates things if anything.
 
2012-06-10 12:08:20 PM
Does this thread make anyone else hungry?
www.mainlinetoday.com
 
2012-06-10 12:10:10 PM

CheatCommando: randomjsa: I was unaware that it was that painful. I mean I knew it hurt but this article seems to indicate that it ranks as some of the worst pain you can imagine.

A friend of mine suffers from it, and from his descriptions, the article understates things if anything.


I have it. I've pulled ligaments in my knee, had burns, had crippling cramps, and had a toenail ripped out in a bicycling accident as a child.

All of those are way preferable.
 
2012-06-10 12:10:37 PM

randomjsa: I was unaware that it was that painful. I mean I knew it hurt but this article seems to indicate that it ranks as some of the worst pain you can imagine.


A friend of mine had it. Yes, its that painful. When trying to sleep, just the touch of bedsheets on your foot produces excruciating pain.
 
2012-06-10 12:10:42 PM
My anecdote:

Diagnosed with gout in 2004 when I was 26. Yes, it hurts that bad. Like can't walk bad / can't sleep bad. That's actually one of the questions the doc asked in diagnosis - "has it ever woken you up at night?" He also asked "Do you eat a lot of smoked meats?" Yes to both of those... When it's inflamed, you can't even lay a sheet over whichever joint has the inflammation. The best way I came to describe the pain was as if someone had slammed the ball joint of my big toe with a hammer, but instead of the pain being sharp and then diminishing, it was more like the hammer was still there, right on the joint putting more and more pressure. Either that or like you know how water can freeze and crack a sidewalk? It feels like there's expanding frozen water inside your joint, like the whole thing is going to explode.

So fast forward to 2011 - decided to get my act together and change my diet. Avoided salt, sugar, pop, fried foods, bread, and ate lots of meat, beans, and veggies. Lost 20 lbs in 8 weeks, about 30 pounds over the course of 16 weeks. From 2004 - 2011, I was having gout issues in my toe joints and knees ever 6-8 weeks or so.

I haven't had a single gout flareup in over a year and a half since getting into what you would call an average weight range for my height.
 
2012-06-10 12:12:21 PM
1782? Who thinks gout ever went away?

Also, alcohol and eating meat (from what I understand) helps gout form. So its most likely *more* prevalent today.

Its not an ancient disease like polio or what have you.
 
2012-06-10 12:51:22 PM

vygramul: CheatCommando: randomjsa: I was unaware that it was that painful. I mean I knew it hurt but this article seems to indicate that it ranks as some of the worst pain you can imagine.

A friend of mine suffers from it, and from his descriptions, the article understates things if anything.

I have it. I've pulled ligaments in my knee, had burns, had crippling cramps, and had a toenail ripped out in a bicycling accident as a child.

All of those are way preferable.


As the article pointed out, the increase in uric acid levels can also cause kidney stones, regarded by some as the pain index index.

/I've had some that caused only momentary discomfort and others that caused me to rank my pain at "9", because I assumed that I'd pass out at "10".

//This is going to suck badly if the dilaudid shortage continues....
 
2012-06-10 12:57:02 PM
1.bp.blogspot.com

/First thing I thought of
 
2012-06-10 01:15:15 PM

randomjsa: I was unaware that it was that painful. I mean I knew it hurt but this article seems to indicate that it ranks as some of the worst pain you can imagine.


The (fortunately very infrequent) cluster headaches are worse. Significantly so. But gout is an easy 2nd, in my experience. It's not like any pain you've felt before. Fortunately, though, the gout has (so far...) been easy to control with simple diet changes, as others have mentioned.

/first time it hit me it was in the ankle/tarsus joint, not the more traditional metatarsal area
//doc said "well, you're toe is normal color" and insisted it was tarsal tunnel syndrome despite it being obviously a joint issue instead of nerve problems
///prescribed icing the joint, which just make it get *way* worse O.O
 
2012-06-10 01:37:05 PM
This is why I laugh at the people who laud ideas like the paleo only diet
 
2012-06-10 01:43:03 PM

downstairs: randomjsa: I was unaware that it was that painful. I mean I knew it hurt but this article seems to indicate that it ranks as some of the worst pain you can imagine.

A friend of mine had it. Yes, its that painful. When trying to sleep, just the touch of bedsheets on your foot produces excruciating pain.


Had one gout flare, and yes I had to sleep with my foot on top of the covers. Freaky painful.
 
2012-06-10 03:29:21 PM
But hey, good new gout sufferers. In the last year, big pharma has done the right thing by only raising the price of colchicine by 5400%. We assure you, 175 dollars a month is MUCH closer to the actual price of colchicine than the 4 dollars you were paying for the last decade. It has nothing to do with the fact that the FDA issued a brand-only patent to a single company for a drug that has been around for centuries.

/sometimes I hate being a pharmacist.
 
TKM
2012-06-10 03:42:39 PM
Correlation is not causation.

Guess what the rich folks back in the day used for a seasoning?

Lead acetate.

Yum.
http://www.articlesbase.com/diseases-and-conditions-articles/lead-poi s oning-and-the-gout-connection-986975.html
 
2012-06-10 03:50:55 PM
If you have gout, a sleep study might indicate sleeping with a CPAP. If your gout was caused by sleep apnea, a cpap could lower your need for gout medication.

/something about how your body sends out DEFCON 5 alarms to all systems (when you stop breathing), including purines, to joints.
 
2012-06-10 03:54:13 PM
I have it too, and I'm the youngest person any of the docs I've seen have ever seen with it. It feels like there are dwarves standing above your foot with hot pickaxes constantly slamming them home into your foot. Fun stuff. Fortunately after I figured out what was going on I've been following the docs' recommendations to the letter and haven't had much of a problem since.

As far as alcohol goes wine is actually fine if you stay hydrated. Too bad I hate the stuff.
 
2012-06-10 03:56:34 PM

Gough: //This is going to suck badly if the dilaudid shortage continues....


I took one of these during my worst attack. Didn't do squat. That's when you know it's bad
 
2012-06-10 04:09:51 PM

omnimancer28: But hey, good new gout sufferers. In the last year, big pharma has done the right thing by only raising the price of colchicine by 5400%. We assure you, 175 dollars a month is MUCH closer to the actual price of colchicine than the 4 dollars you were paying for the last decade. It has nothing to do with the fact that the FDA issued a brand-only patent to a single company for a drug that has been around for centuries.


See! Government *can* help out private industry screw consumers to make jobs and help the economy!
 
2012-06-10 04:18:05 PM

BigJake: Gough: //This is going to suck badly if the dilaudid shortage continues....

I took one of these during my worst attack. Didn't do squat. That's when you know it's bad


My experience with kidney stones has been that it usually takes several rounds of it IM before it does the job. As the ER doc told me, "we don't want to snow you" (=depress respiration).
 
2012-06-10 04:46:11 PM
The sad thing is that I got it when my weight was on its way down. I was running 15 miles a week. I had lost 30 pounds. Then gout struck my feet and knees (oddly, the knees weren't painful - just swollen like melons), and it effectively ended my running. I miss running, but the doctors said I needed to lost the weight first because trauma also triggers it, so running means I'll get attacks despite the Allopurinol. But nothing worked like running.

/Have I mentioned how bad this sucks?
 
2012-06-10 04:56:59 PM
My Father had a touch of the gout years ago. Too much beef, a drink or two after work, and a bit of extra weight probably triggered it. Fortunately he had the willpower to cut back. It wasn't a very acute attack and he's pretty hale for his age.

This seems just another warning that I shouldn't drink so many soft drinks as they may have high fructose corn syrup in them. I did manage to get my weight stable at the low end of its range for the last year or so, but it'll take some work to get it down another five or ten pounds.

I think I'll try to be more physically active and to take Vitamin C, as well as eat more dairy products, as the article suggests.
 
2012-06-10 05:03:04 PM

vygramul: The sad thing is that I got it when my weight was on its way down.


I've actually seen some discussion that speculates that *during* weight-loss might be one of the more likely times for a gout attack. Something about one of the strongest sources of purines being... your own body. So losing weight (the act itself) causes some of that storage to be metabolized, dumping purines into your blood the same as if you ate [certain meats, beer/brewer's yeast, sugars, etc]. It was significant enough that to recommend doctors start treatment (including the diet changes) only *after* the immediate gout attack subsided, or you'd just make the attack worse.

**

Speaking of diet - do any of you know of anything actually *recommended/beneficial* to eat for gout? Medical pages always seem to list the known _bad_ things, but I'm really not clear on what the opposite of that would be.
 
2012-06-10 05:04:05 PM
Drink some damn water. Nobody does.
 
2012-06-10 05:11:16 PM

pdkl95: vygramul: The sad thing is that I got it when my weight was on its way down.

I've actually seen some discussion that speculates that *during* weight-loss might be one of the more likely times for a gout attack. Something about one of the strongest sources of purines being... your own body. So losing weight (the act itself) causes some of that storage to be metabolized, dumping purines into your blood the same as if you ate [certain meats, beer/brewer's yeast, sugars, etc]. It was significant enough that to recommend doctors start treatment (including the diet changes) only *after* the immediate gout attack subsided, or you'd just make the attack worse.

**

Speaking of diet - do any of you know of anything actually *recommended/beneficial* to eat for gout? Medical pages always seem to list the known _bad_ things, but I'm really not clear on what the opposite of that would be.


The list of bad things is a list of my favorite foods, too - even the ones not in the "meat" category (mushrooms, asparagus, lentils...)

But the only thing I've heard in the realm of "good" was that cherries alleviated the pain of attacks. I can't tell if it was placebo effect, but it did seem to work, though not as well as Colchicine.

/Placebo - so powerful it is the standard against which all other medications are measured
 
2012-06-10 05:12:41 PM

cryinoutloud: Drink some damn water. Nobody does.


Hi, Dr. Nick!
 
2012-06-10 05:26:30 PM

pdkl95: vygramul:
Speaking of diet - do any of you know of anything actually *recommended/beneficial* to eat for gout? Medical pages always seem to list the known _bad_ things, but I'm really not clear on what the opposite of that would be.


I swore by pure cherry juice before I got my weight under control. Old wive's tale one of my parents' friends heard and passed on to me. I'd drink a whole 32 oz bottle of black cherry juice in a day and most of the it time would help within a day or so.
 
2012-06-10 06:07:11 PM

breitkreutz: pdkl95: vygramul:
Speaking of diet - do any of you know of anything actually *recommended/beneficial* to eat for gout? Medical pages always seem to list the known _bad_ things, but I'm really not clear on what the opposite of that would be.

I swore by pure cherry juice before I got my weight under control. Old wive's tale one of my parents' friends heard and passed on to me. I'd drink a whole 32 oz bottle of black cherry juice in a day and most of the it time would help within a day or so.


I've been told that cabbage and things from that family are good.
 
2012-06-10 06:16:46 PM
I had an attack in my knee about 18 months ago. I seriously considered shooting my knee off with a shotgun after a few days. Worst. Pain. Ever.
 
2012-06-10 07:45:36 PM

EZ1923: If you had gout back then, you were rich.


His name wasn't Rich it was Benjamin! You must be a total maroon!

Johnny Swank: I had an attack in my knee about 18 months ago. I seriously considered shooting my knee off with a shotgun after a few days. Worst. Pain. Ever.

I cut the horse sh*t and started losing weight.

/20lb lighter than i was 1/1/2012
 
2012-06-10 07:47:38 PM

breitkreutz: cherry juice


Cherry farmers in Cali were threatened by the FDA to change their advertising because what they were claiming -- antioxidants [in cherries] protecting against free radicals -- the FDA claimed they'd have to regulate their cherries.

/yeah
 
2012-06-10 07:48:22 PM
Or uh, DEA, I meant.

/i think
//therefore i am...unsure
 
2012-06-10 08:58:42 PM

r1chard3: breitkreutz: pdkl95: vygramul:
Speaking of diet - do any of you know of anything actually *recommended/beneficial* to eat for gout? Medical pages always seem to list the known _bad_ things, but I'm really not clear on what the opposite of that would be.

I swore by pure cherry juice before I got my weight under control. Old wive's tale one of my parents' friends heard and passed on to me. I'd drink a whole 32 oz bottle of black cherry juice in a day and most of the it time would help within a day or so.

I've been told that cabbage and things from that family are good.


Brassicaceae FTW!
 
2012-06-10 09:30:04 PM
I have had really bad gout attacks a few times and I can attest to their excruciating pain.

I have tried to control my gout attacks via diet and though I haven't had a bad attack in years, I do have pain in my joints fairly regularly. I think my problem is that I am not willing to give up beer.
 
2012-06-10 09:39:28 PM
I was diagnosed with gout when I was 22. I eat very little food that is high in purines. Either my body produces more uric acid, or it's less able to filter it out than it should be.

About ten years ago I had an attack so bad on my big toe that the accumulation of tophus (look it up) became so great that my skin split open - a "gouty ulcer" The only remedy is having your big, highly sensitive toe subjected to a podiatrist who scrapes the tophus out with what look like dental instruments. This every two or so weeks. It took a couple of years for my toe to close up.

Not pleasant.
 
2012-06-11 12:38:30 AM

Lionel Mandrake: Either my body produces more uric acid, or it's less able to filter it out than it should be.


It's almost always the second. I'm taking part in a clinical trial for a drug that helps this - under-excretion is the cause of most gout.
 
2012-06-11 01:35:05 AM
I suffer from it and the best way I can tell you how it hurts is it's like glass in your foot joints twisting,and forget sleep,so much as a fan breeze and your ready to kill.
No more beer or anything pork for me.
 
2012-06-11 04:38:42 AM

cryinoutloud: Drink some damn water.


I dunno, sounds expensive.
 
2012-06-11 06:47:02 AM

randomjsa: I was unaware that it was that painful. I mean I knew it hurt but this article seems to indicate that it ranks as some of the worst pain you can imagine.


On a scale of 1-10 where 10 is having your testicles smashed between two bricks; gout is about a 37.

/Suffers
//and how.
 
2012-06-11 10:58:24 AM

urban.derelict: [amazingasset.com image 266x400]


fap?
 
2012-06-11 01:27:29 PM

breitkreutz: pdkl95: vygramul:
Speaking of diet - do any of you know of anything actually *recommended/beneficial* to eat for gout? Medical pages always seem to list the known _bad_ things, but I'm really not clear on what the opposite of that would be.

I swore by pure cherry juice before I got my weight under control. Old wive's tale one of my parents' friends heard and passed on to me. I'd drink a whole 32 oz bottle of black cherry juice in a day and most of the it time would help within a day or so.


I drink the concentrated Cherry juice in the morning (usually) due to gout. The recommended dose is 2 tbsp 3x/day w/water. I've heard another tbsp of vinegar (with the 'mother') is good too. Can't stand the vinegar though.
You gotta watch the Cherry juice - a couple times I mixed 3 tbsp concentrated cherry juice with 8oz of Pomegranate/Cherry juice, and while it tastes better than mixing with water, it'll flush you out with a vengeance.
 
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