If you've had it - well, you know. Fellow sufferers please discuss. But it's kinda like having a baby, if you're a man then maybe you shouldn't have an opinion.
I've dealt with occasional flares for the last 15-20 years, sometimes once or twice a year, sometimes with 1-3 years in-between. Once you've had it, you immediately know the feeling of it returning, even if it's just a tinge.
I researched it in the past, and finally came to the conclusion at the time that it's both poorly understood, treated, and researched. I went down the rabbit hole again in the last few days because I had another attack, and it's been 2 weeks of trying to put out the flames.
Last round of research and self testing has learned me the following.
The old song and dance about 'rich mans disease' is a bit worn out.
- Purines. The body naturally makes 2/3rds of the stuff. The other 1/3 rd is diet, and making dietary changes isn't a slam dunk for relief.
- Uric Acid. ULT (Urate Lowering Therapy) is the goal.
- Colchicine taken 1.2mg immediately, .6mg within the hour, and not to exceed 2.4mg in 24 hours helps.
- Indomethacin works better than Naproxen (or any other NSAID)., 50mg 4 times a day helps.
- Studies on Tart cherry juice are scattered and contradictory, however the majority that (in my limited opinion) have been conducted 'gooder' than the others, show uric acid/urate reduction.
I stopped drinking a month ago, and I would have thought that a gout attack was far from a possibility, and I haven't been gorging on red meat, organs, shellfish - or any other foods including fruit and vegetables in the now EXHAUSTING list of foods to avoid, so I'm now somewhat dismissive of the diet argument - given that it only contributes a third of the purines to the body.
Anybody else have any findings?
Gout
Discussion in 'Driver Health' started by blairandgretchen, Mar 7, 2026 at 6:18 PM.
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