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Hello all,?
This is my first post on this forum. ?I've been dealing with gout for about ten years, and have only recently gone on ap for it.
Last month I purchased the UASure meter, and have had mixed results with it. ?I'm currently having a pretty sever attack in my right knee, and just took a reading that had me at 3.8, which should be fairly low. ?Is it common to have low readings during an attack?
Each time I tried to take a reading before, it always said it was too low to even read. ?This is the first time I've actually gotten a reading that didn't say it was “low.” ?Except for the first time which had me at over 14.
Hi there Gary. Good to have?SUA figures. The 14 must have been? error- not hard to do.
What AP ?dose gets you 3.8?? [and for how long]
Have you considered that you may have psuedo gout due to calcium build up. Just as painful as gout but, if you've only?just gone on AP, your figures do seem low and knees are?prone to this by preference.
The big toe is more for gout- in many cases.
I've been at three hundred with the ap, and that's after going from 100 to 200 (both for a week). ?I've been on it for a month or so now.
I doubt it's pseudo gout, it started in my big toes ten years ago, and then a couple of years back started to travel to my left knee. ?I've had my uric acid tested at the doctor before, and it was fairly high.
I've been getting it hard and heavy in more than one place for about two or three months now, but thought the ap was finally working until two days ago.
Gary, I don't think the two conditions exclude each other- or arthritis come to that. I had what I think was reactive arthritis due to an insect?bite, in my leg calf,?last year?which was very gout like and occured in my knee- [but I'm quite discerning after many attacks?!?]
Knees do puff up more readily with fluid [for me] and look, sizewise, worse than more painful feet areas.
Gout specialists are very hard to come by- and likely have gout?-or someone close with it, I reckon.
If this? co-condition scenario?doesn't appeal, then remember that dropping your SUA suddenly [and far] can trigger attacks very readily. In my experience these are shorter and less intense -and yours don't match this either.
I suspect you'll have to be patient or maybe [oddly] ease off the AP a bit, say to 200, to see if things stabilise around a less challenging 5mg/dl SUA. You also may be over the worst, already!
Fluid testing from joints?can discriminate between both gouts and could help decide, in the long run.
I'm also having an acute gout attack right now and my SUA is at 4.3 ?My Dr is as confused as I am. I've been talking 300mg of Allopurinol for about 9 months now and I'm in almost constant pain from gout in my great toe on each foot, mostly my left foot. Because of a liver condition (NASH), I'm not able to take most meds, but the Dr gave me a shot of Tramolol yesterday and 1pm and I felt sleepy until 9pm. I'm trying to just take 220mg of Aleve every 12 hours to hold off the pain.?
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I tried Colchicine last month and it almost killed me! My brother also has gout and he can't take Colchicine either.
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Why would our gout be flaring up even when our SUA is low? I understand that you can have pain when you start alliopurinol, but I've been taking it for quite awhile now and it seems to be working.
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Sorry, didn't mean to hijack this thread.
The reason why: there is still uric acid deposited in your joints that is being dissolved and carried away, which triggers your immune system.
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The six-month guideline for experiencing gout attacks after starting Allopurinal is, I am sure, some sort of average number with a statistical distribution around it. As such there are people that will experience attacks for less than six months, and some that will experience them for longer. So smile, you are above average!
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Andrew
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