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Suggest Treatment To Manage Gout Flair Up While In Colchicine
Question: I have am having a gout flair up. I am taking colchicine twice a day. What else should I do to alleviate the attack quicker. Also, I have high cholesteral ad high tryglycerides. Could all this be related.
I am not overweight and exercise at least twice a week. I tend to have a falir up after a rich meal. i.e. steak
I am not overweight and exercise at least twice a week. I tend to have a falir up after a rich meal. i.e. steak
Brief Answer:
yes, there is a link
Detailed Answer:
HI, thanks for using healthcare magic
Purines are broken down to form uric acid and an increase in uric acid can result in an acute attack of gout.
Food with a high level of purine cause a acute gout attack in this way , steak ,as you mentioned is one of these foods.
In terms of the high cholesterol and triglycerides and gout, there has been found to be an association between these factors. In fact there is ongoing research in this area.
High LDL ('bad' cholesterol), triglycerides, total cholesterol have been found to be associated with high uric acid levels
Blood levels of uric acid have been found to be stronger predictor of stroke, heart disease.
The exact nature of the link is still being researched
Treatment of acute attack: (1) the meds that you are currently using are recommended- NSAIDs and colchicine
To be effective colchicine needs to be taken by 36 hours after symptoms start
If the advil is not working for you , you should try an alternative from this family of medication eg naproxen, cataflam, ketoprofen
(2)if the NSAIDs and colchicine are not enough then steroids can be injected into the joint space
(3)the levels of the uric acid itself are not addressed in an acute attack
I hope this helps, feel free to ask any other questions
yes, there is a link
Detailed Answer:
HI, thanks for using healthcare magic
Purines are broken down to form uric acid and an increase in uric acid can result in an acute attack of gout.
Food with a high level of purine cause a acute gout attack in this way , steak ,as you mentioned is one of these foods.
In terms of the high cholesterol and triglycerides and gout, there has been found to be an association between these factors. In fact there is ongoing research in this area.
High LDL ('bad' cholesterol), triglycerides, total cholesterol have been found to be associated with high uric acid levels
Blood levels of uric acid have been found to be stronger predictor of stroke, heart disease.
The exact nature of the link is still being researched
Treatment of acute attack: (1) the meds that you are currently using are recommended- NSAIDs and colchicine
To be effective colchicine needs to be taken by 36 hours after symptoms start
If the advil is not working for you , you should try an alternative from this family of medication eg naproxen, cataflam, ketoprofen
(2)if the NSAIDs and colchicine are not enough then steroids can be injected into the joint space
(3)the levels of the uric acid itself are not addressed in an acute attack
I hope this helps, feel free to ask any other questions
Note: For further information on diet changes to reduce allergy symptoms or to boost your immunity, Ask here.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Answered by
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