I have gout in toes and knee – gout forum – ehealthforum hip fracture surgery

i am a 52 year old female. I was diagnosed with polycystic kidney disease in 1997, I was 37 at the time. I don’t know if your kidney disease is the same kind? – mine is inherited from my dear old dad’s side of the family. I got my first gout attack in my toes in 2009. I thought my foot was going to fall off it was so painful. they reckon it was brought on by one of my hypertension meds (bendrofluazide). yes i am also overweight! and sometimes can stick to a diet and other times not. the only good thing for me is that I don’t seem to react to food products like some of our other sufferers but reckon i am noticing reactions to acids and other chemicals in drinks.

the best advice I can give you is to please don’t panic and take each day as it comes. you are young, the more you look after yourself now means the longer the worst case scenario will take to kick in.

Drink plenty of fluids to flush out the system and try the many other cures (one at a time!) that have been posted on this site. keep a journal – this way you can judge better what is setting off your attacks, what you have done about stopping the attacks and how long it is between attacks. it will also help with the kidney thing. you may be lucky like me – so far I just have one renal specialist appointment per year, the gout is reasonably new and I have many good things going on in my life.

I sympathize with what you are going through; I’ve been there myself. I too never wanted to begin a lifelong regimen of allopurinol, or any drug, but I was about to agree to it when other events led to the discovery that I had sleep apnea (frequent periods during sleep when breathing stops for many seconds at a time). Once I figured out how to prevent my sleep apnea, my frequent gout attacks ceased immediately and completely. Your remark that your most recent attack developed while you were sleeping leads me to suspect that sleep apnea may be the root of your gout also.

There is strong medical evidence that the lack of oxygen in the body, which occurs with sleep apnea, leads to elevated uric acid in the blood. I am sure that in many gout patients the uric acid in the blood from sleep apnea is high enough to precipitate as the monosodium urate crystals which cause gout which develops while they are sleeping. Don’t ask me to explain why medical science hasn’t connected the elevated uric acid from sleep apnea with gout, but it just isn’t there yet. It just hasn’t occurred yet to gout experts that they should explore this connection. In the mean time, you and many other gout sufferers are faced with the difficult choice of a lifelong regimen of drugs, or a lifelong regimen of gout pain.

Gout is an early indicator of the presence of sleep apnea, and should initiate diagnosis and treatment for sleep apnea, which is readily treatable. If left untreated, sleep apnea will greatly increase your risk for developing life-threatening diseases, some of which have been found to be prevalent in people with gout — cardiovascular diseases, diabetes, high blood pressure, kidney disease, etc. You need to insist on having a sleep study to see if you have sleep apnea, and then follow the prescribed regimen to overcome it. Not only can it cure your gout; it also can add good quality years to your life.