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Thanks for your insights. I’m fairly new to this, I didn’t put the old flares down to gout until I got the high uric acid diagnosis.
Thankfully my flares are usually closer to years apart as opposed to months or weeks and the last was triggered by a night of heavy beer drinking after fasting most of the day so I think if I keep my hydration up and avoid alcohol which will be easy as I’ll be on Everest. Anyway, I’ll se what the Dr says tomorrow and take it from there… but I think I’ll take the strongest anti-inflammatory meds I can get with me and there’s plenty of strong painkillers to be had there.
Of interest, not sure if you’ve heard any anecdotes about this but this last flare was preceded by random muscle and joint aches from the exact day I got COVID and lasted a few weeks afterwards. I’ve seen others mention this and the sudden onset of tophi after COVID vaccination too.
The Dr hasn’t suggested anything in particular for now, he’s sceptical about Keto and low/no carb diets as he admits he doesn’t fully understand the effect this will have on cholesterol (good/bad or oxidised). My wife is Italian who has been pushing the Mediterranean diet for years, but I had my first ever gout flare whilst I was a vegetarian (gave up due to feeling lousy and not understanding all the supplements required). The Dr has talked about upping my hydration and replacing animal fats with more vegetable fats seeing as I want to remain relatively low carb. I’m due to be mountaineering in the Himalayas from mid-March to end of May so I’m reluctant to start any new medication, especially allopurinol, i admit I’m ignorant about it’s effectiveness, I’ve just heard the horror stories… but as with all of these things nobody tells the story when the drugs work… just when they go wrong… but I do tend to avoid medication anyway, however permanent joint damage or organ damage vs taking a pill everyday may be a small price to pay.
I have an appointment with the dr tomrrow so I’ll update afterwards
UPDATE.
Got a uric acid blood test and it came back as 10.1 so really quite high. The creatinine and urea were both within range so Dr suspects it’s diet… I have been doing Keto for last 6 months… although this doesn’t explain the flare ups I’ve had previously.
He has asked me to control my diet for a month then he will retest me. 🤷🏻♂️