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  1. #1
    Thailand Expat
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    Gout...How to Treat

    The wife and I were called back last year due to MIL health problems.

    First it was an enlarged heart, then it was liver cancer, and several hospitals and doctors later it turned out to be gout. She gets some very painful bouts; foot, ankle and knee swelling making it impossible to stand up sometimes, let alone walk.

    Apart from the wife, the rest of the family just ignore her when she gets an attack and come back when it's over. Doctor gives her a cortisone injection if we take her to the hospital but no tablets or advice on diet. Local gossip tells her not to eat chicken and that's about it.

    So, I ask TD members if they have any advice. What diet do you recommend to alleviate the symptoms. What over-the-counter tables are available to lessen the pain of an attack?

    All and any advice welcome, although popping off the MIL is not an option.

  2. #2
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    Davis Knowlton's Avatar
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    ^I get hit a few times a year. Usually big toe, once or twice knee. Hasn't hit in more than a year now. For me, ice works. Ice it down immediately, and keep it iced down at least once an hour.

  3. #3
    Thailand Expat Pragmatic's Avatar
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    Quote Originally Posted by Troy
    First it was an enlarged heart, then it was liver cancer, and several hospitals and doctors later it turned out to be gout. She gets some very painful bouts; foot, ankle and knee swelling making it impossible to stand up sometimes, let alone walk.
    Sorry I can't help but if Thai doctors got it wrong before how come you've now accepted the 'gout' diagnosis? Just a general interest.

  4. #4
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    Quote Originally Posted by Troy View Post
    What over-the-counter tables are available to lessen the pain of an attack?
    Arcoxia 120mg (pronounced Ahh-kosha) are the BOMB for quick pain relief and reduced swelling from gout. Available at most larger pharmacies in Thailand like Boots or Fascino. About 280 Baht for 5 pills but I would have paid USD $280 to have some on hand when a gout attack kicked in.

    It's probably unrealistic for your MIL but I stopped getting attacks entirely after dropping weight, eating healthier, easing up on the booze, and exercising daily.

  5. #5
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    I've been a long term gout sufferer for over 20 years, when I feel the twinge I throw down a couple of colchicine tabs, my gout attacks are usually self inflicted when I haven't been drinking any water , just beer, gout in women is unusual as far as I know, there's no magic bullet unfortunately and certain foods can also trigger it, excessive beer drinking seems to set my gout attacks of , but I'm not about to stop excessive drinking, while the colchicine and ibuprofen keep it in check


    Fook you stroller ( pre empt)

  6. #6
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    Quote Originally Posted by Headworx View Post
    Quote Originally Posted by Troy View Post
    What over-the-counter tables are available to lessen the pain of an attack?
    Arcoxia 120mg (pronounced Ahh-kosha) are the BOMB for quick pain relief and reduced swelling from gout. Available at most larger pharmacies in Thailand like Boots or Fascino. About 280 Baht for 5 pills but I would have paid USD $280 to have some on hand when a gout attack kicked in.

    It's probably unrealistic for your MIL but I stopped getting attacks entirely after dropping weight, eating healthier, easing up on the booze, and exercising daily.
    Thanks for the heads up on the arcoxia headworks, I will be scouring Vientiane pharmacys tomorrow, I recall you sent me a PM a while ago with some similar good advice

  7. #7
    Bretzel stroller's Avatar
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    Ah, my personal stalker loves me, can barely make a comment without declaring his affection.

    One theory is that gout can be treated with an alkaline diet. Yes, alcohol is one of the worst offenders for creating acidity, but there are a few other foods to avoid, too. Ph test stirps are useful, I have a special alkaline powder mix made by a pharmacy in Germany, of which I used to take a spoonful with breakfast (not for gout but another now cured condition).

    Ask your local Apotheke, Troy. But it isn't cheap.

    The advice not to eat chicken originates from a popular understanding of Chinese medicine: chicken, specially the skin, is a heat (fire element) creating food, furthering infections and swelling.

  8. #8
    Thailand Expat Pragmatic's Avatar
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    Top 10 Home Remedies to Reduce Uric Acid Level





  9. #9
    Thailand Expat
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    Quote Originally Posted by Headworx
    Arcoxia 120mg (pronounced Ahh-kosha) are the BOMB for quick pain relief and reduced swelling from gout.
    Thanks I'll check this out on Monday when I'm down in Bangkok.

    I will also try and get some Ice treatment for her when the attacks happen, thanks DK.

    Quote Originally Posted by Pragmatic
    Sorry I can't help but if Thai doctors got it wrong before how come you've now accepted the 'gout' diagnosis? Just a general interest
    No idea if it really is gout but it fits the bill with the symptoms she has better than an enlarged heart or liver cancer.

  10. #10
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    ^ Heh...You'd think they'd notice it's her knee that's "enlarged"...

  11. #11
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    Quote Originally Posted by stroller View Post
    The advice not to eat chicken originates from a popular understanding of Chinese medicine: chicken, specially the skin, is a heat (fire element) creating food, furthering infections and swelling.
    The pharmacies where I use to buy gout pills always harped on about not eating chicken. Personally I think it's bullshit, and still eat 1 or 2 whole roast chickens each week. Red wine, beer, tomatoes, shellfish, red meat, all possibly contribute according to medical sources though.

  12. #12
    ENT
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    Magnesium chloride liquid rubbed onto the affected area reduces gout swelling and pain.

    Also increasing one's magnesium intake (take the magnesium chloride internally, tastes horrible, but very effective) is a recommended cure.

    Eat more greens, magnesium rich.

  13. #13
    RUSH HER TODAY
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    My dad had it , it's a real pain, he did however get advice and treatment from a Dr not his pals in the lounge

  14. #14
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    A little baking soda mixed in water. Start with a small dose, as too much can have an unintended laxative impact.

    https://goutandyou.com/gout-and-baking-soda/

    Baking soda (bicarbonate of soda) is a gout remedy, but use it carefully.

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    Bretzel stroller's Avatar
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    ^
    Yep, better still potassium instead of sodium, my alkaline mix contains a high %.
    But then, baking soda costs next to nothing.

  16. #16
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    20 year gout sufferer myself, I understand her pain.
    Different drugs suit different people of course but one thing that seems to work for everyone is tart cherry juice drank daily. Will do no harm even if it doesn't help.
    I take allopurinol but that is a drug to stop gout, very bad to take if you are already suffering an attack.
    Check out trigger foods if possible, spinach, shellfish, smoked salmon almost guarantee an attack for me.

  17. #17
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    Baked beans on toast 'can ease pain caused by gout'




    Beans on toast should be eaten by gout sufferers to combat pain caused by the condition, new research has revealed.

    Experts from the University of Minas Gerais in Brazil found diets high in fibre contained in beans, wholemeal bread, rice and potatoes can cut arthritis pain.

    The findings were published in the Journal of Leukocyte Biology on Wednesday.

    Baked beans on toast 'can ease pain caused by gout' | London Evening Standard


  18. #18
    Member John Lennon's Avatar
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    Step 1 - Get off the booze.
    Step 2 - Stay off the booze.

    I am confident that you are thrilled by me suggestion.

  19. #19
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    Quote Originally Posted by adam03 View Post
    Step 1 - Get off the booze.
    Step 2 - Stay off the booze.
    Too bad it's not that simple. I have flare-ups a few times a year, and I don't drink. Neither do I eat trigger foods in excess, nor is my uric acid count high.

    But, nevertheless, there I am on my back with an ice pack.

    Never been overweight; worked out my whole life. Doctors all agree it's gout; none has an explanation of cause.

  20. #20
    Member John Lennon's Avatar
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    In that case, have a diet of booze only.

  21. #21
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    My eldest Brother has been a non alcoholic his whole life and has suffered periods of gout.
    I drank like a fish and have never had gout.
    It's just the way it is, I've no explanation.

  22. #22
    Thailand Expat HermantheGerman's Avatar
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    Quote Originally Posted by Davis Knowlton View Post
    Quote Originally Posted by adam03 View Post
    Step 1 - Get off the booze.
    Step 2 - Stay off the booze.
    Too bad it's not that simple. I have flare-ups a few times a year, and I don't drink. Neither do I eat trigger foods in excess, nor is my uric acid count high.

    But, nevertheless, there I am on my back with an ice pack.

    Never been overweight; worked out my whole life. Doctors all agree it's gout; none has an explanation of cause.
    What do you consider uric acid count not high ?

  23. #23
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    Quote Originally Posted by HermantheGerman View Post

    What do you consider uric acid count not high ?
    Within mid-normal range.

  24. #24
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    ^I have colleagues who have had gout & they had difficulty in walking during their gout attacks. They are sisters, working in diff depts. Both are overweight. They were advised to eat less legumes (beans, peanuts, etc) and less innards (intestines of pig or chicken - they're commonly eaten here).

    Interesting abt the baked beans in the recent article, since it contradicts the advice given to my colleagues. Btw, both are still overweight & are teetotalers. They were also advised to lose weight.

  25. #25
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    Allopurinol worked well for me when I had a inflamed knee that fluctuated in size and pain levels. I used to take allopurinol daily years ago and it did a great job of stopping attacks.
    In my case, it certainly seems to be inflicted by the drink; but I still had a few twinges of pain even during a four months long teetotal stint.
    Thanks for your video post, Pragmatic.

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