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Dr. Andrew Rynne
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Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Does My Blood Test Report Indicate?

I have gout and was suffering almost 2 months before blood tests showed higher than normal uric acid. I am on allpurinol 2x daily and have been doing better. had smaller attacks in my toes and ball joints, but tolerable. Lst Friday night my wrist and hand started to hurt badly. no redness and slight swelling on top of wrist. St could hardly move my wrist or bend my fingers. Went to my doctor on Tuesdy a.m. He said he believes it is gout, but could be arthritis. He gave me pain relieving gel to use 4x daily and said he might increase the allpurinol to 3x daily. Since I have only been taking it for 6 weeks, it can cause more attacks for a few months. I am in agony, it hurts so badly and now it hurts across the bend in my re by the elbow too. Is this right? He is out of town until Tuesday. I m 70 years old. Is there anything I can do? ice, wet heat, or heat? Can you please help me? I do take 80 mg feurocimide and potassium daily due to swelling.
Wed, 3 Oct 2018
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Ayurveda Specialist 's  Response
Hello,

1. As the doctor is out of town and the case is diagnosed.

Consult a rheumatologist for the condition since stopping/changing or decreasing the drug without first consulting with your attending physician may result in the flare-up of the disease.

PS. He/She must be well versed with any simultaneous joint conditions and will prescribe a safer alternative accordingly since raised uric acid could also be due to:

being overweight, having high cholesterol or any ongoing inflammatory disease.

Any use of medicines taken for high blood pressure. Having a sedentary lifestyle and taking food rich in proteins like meat, wine, pulses.

In some patients due to some kidney problem, there is seen a rise in uric acid, thus please check with your kidney function test (urea & creatinine).

2. Take old rice, moong-arhar-masoor dal, white gourd, carrot, light exercise, lukewarm water,garlic-ginger mixed buttermilk.

Avoid horse gram, peas, radish, curd,spicy-sour and heavy food, mushroom, turnip, daytime sleeping, excess physical exertion, black gram, sesame, meat, alcohol, excess grief.

PS. although loop diuretics [frusemide] doesn't have a tendency towards hyperuricemia but may precipitate an attack of gout [Specific Precaution is warranted].

Thus your physician will decide whether it is safe or any other suitable diuretic is essential.

Hope I have answered your query. Let me know if I can assist you further.

Take care

Regards,
Dr Munish Sood, Ayurveda Specialist
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What Does My Blood Test Report Indicate?

Hello, 1. As the doctor is out of town and the case is diagnosed. Consult a rheumatologist for the condition since stopping/changing or decreasing the drug without first consulting with your attending physician may result in the flare-up of the disease. PS. He/She must be well versed with any simultaneous joint conditions and will prescribe a safer alternative accordingly since raised uric acid could also be due to: being overweight, having high cholesterol or any ongoing inflammatory disease. Any use of medicines taken for high blood pressure. Having a sedentary lifestyle and taking food rich in proteins like meat, wine, pulses. In some patients due to some kidney problem, there is seen a rise in uric acid, thus please check with your kidney function test (urea & creatinine). 2. Take old rice, moong-arhar-masoor dal, white gourd, carrot, light exercise, lukewarm water,garlic-ginger mixed buttermilk. Avoid horse gram, peas, radish, curd,spicy-sour and heavy food, mushroom, turnip, daytime sleeping, excess physical exertion, black gram, sesame, meat, alcohol, excess grief. PS. although loop diuretics [frusemide] doesn t have a tendency towards hyperuricemia but may precipitate an attack of gout [Specific Precaution is warranted]. Thus your physician will decide whether it is safe or any other suitable diuretic is essential. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Munish Sood, Ayurveda Specialist