Gicht bei normalen Harnsäurespiegeln

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1

Hi All,

Hoping for a little input with this, for the record I’m a reasonably fit male, late 40s, and not overweight with a healthy BMI, etc.

I first had what was considered to be a gout attack some 7-8 years ago in the stereotypical big toe joint, very painful and the GP prescribed Naproxen and basically to keep an eye on what they suspected was gout. I also had maybe 1-2 minor issues with pain in a couple of finger joints, though this was nothing compared with the foot.

After this initial attack I moved to a diet supposedly lower in purines and consumed vast amounts of water, this seemed to work and I was free of any further issues until 12 months ago, at which point I had another attack in my foot, again in the big toe. This attack was much worse and actually lasted several weeks, it eventually settled and I then had subsequent attacks in my other foot affecting several toe joints. The GP prescribed colchicine and Naproxen which helped. Since that attack 12 months ago I have had 3-4 further attacks which I have treated with colchicine. The colchicine does seem to halt things after a couple of days.

I will say that I do have sore feet much of the time, though not anything like the pain I experienced during these suspected gout flares. I do feel like I’m on the edge of an outbreak fairly regularly though, and certain things do seem to exacerbate this.

The GP has suggested moving onto allopurinol and I see the logic in this, but my uric acid levels do confuse the situation. 12 months ago my levels were tested a few weeks after my attack and were 380umol/l, and my most recent set of bloods a few weeks ago (again a few weeks after an attack) were just under 300umol/l. Both these results and especially the most recent set of bloods would suggest I am actually at the desired levels with regards blood urate, and Allopurinol would not be needed.

Has anyone experienced this before with having healthy blood urate levels yet still getting outbreaks? I would think at a urate level under 300umol the crystals would actually be starting to dissolve at this point?

Any input would be appreciated.

Thanks.

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I have the same issues. Gout attack while maintaining perfectly normal uric acid according to my uric acid blood test meter. I check my blood almost every day and have a strict diet. About five years with no attack and then suddenly a very bad one, starting in one foot initially and then the other one a couple of days later.

I am now investigating oxylates as the problem. Doctors have been basically useless other than to dispense colchicine.

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Another Gout sufferer. I am like you, with a sensible diet and not overweight. I get the occasional attack, mostly if I get dehydrated in summer.

I have found that rehydration drinks, tart cherry juice, and a Uric Acid reducer tablets taked together usually fix things.

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Were all your gout flares sudden, painful, red, and warm?