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Keith,
I am disappointed that the uric acid was not checked.? I like my doctor and find that he listens and discusses things with me, however…? When i see him again I plan to suggest that I see a rheumatologist to manage my gout issues.
Well, its turns out that the blood work done in December did not include uric acid test.? I'll be having blood drawn tomorrow morning for that test.? Also, was advised by the physician's assistant that I could take Indomethacin with the Prednisone.
Now, I've been reading a number of posts both here and elsewhere about foods to take and foods to avoid and let me tell you that there is a lot of contradictory information around.? For example, I've read that coffee is good for gout and I've read that coffee should be avoided, spinach should be avoided in one article and another article specifies only to avoid cooked spinach (or is it the other way around), another article states that green, leafy vegetables are good.? So, what does a guy believe and what does a guy not believe?? I'll continue to drink lots of water, gatorade after exercising, avoid red meat, avoid beer and I've cut way down on the wine consumption (although I read once that only red wine was bad) and I'll start to consume more oranges, grapefruit, blueberries, etc.? Any other additions or deletions from my diet will be researched carefully both here and elsewhere.? Any comments?
Additionally, I would not feel so frustrated if I saw some continuing improvement with the current attack but I am not sure that the Prednisone is doing what it should.? And I don't know if I should resume the Indomethacin.
He may be a little cautious with the Colchicine and that is why he prescribed the prednisone.? Further, I am reluctant to try Colchicine without doctors endorsement.? I have not researched? for any confirmatory data.? I asked the doctor last week about increasing Allopurinol but he told me that 300mg was the maximum dose.? I've learned otherwise since then.
I am overweight – 5' 6″ and 224 pounds but I am in fairly good physical condition for 61 years old.
I don't understand why after feeling better last night (took prednisone in the morning) why I am having such pain this morning.? Took prednisone an hour ago and pain is subsiding somewhat.
I am unable to take colchicine.? I have had a possible allergic to an antibiotic called Clindamycin.? When the physicians assistant prepared to write the order for Colchicine her computer system told her that due to the Clindamycin allergy I cannot risk Colchicine.? At that point the doctor prescribed prednisone.
I am on 300mg of Allopurinol.? After I returned home last February during that attack my uric acid was somewhere beyond the high end of the range although I do not presently know the exact number.? On May 6, after I was on Allopurinol for several weeks it was down to 4.9.? It was taken again this past December but I do not know the number and have placed a call to my doctor to find out.? But, I was told by his physicians assistant 2 days ago that I could experience a flare/attack just from a spike in the uric acid level even though it may still be within the normal range.? So, it has only been checked 3 times in the past 10 months.? Right now I have been on prednisone for 5 days.? Last night I finally felt some relief and was elated.? However, by 5:00 am my foot was throbbing with pain.? I do not understand how that can be.? I also want to ask the doctor if I should resume the Indomethacin even though I am on the Prednisone.? The pharmacist has told me there is no problem between the two.? Adding to my frustration is the fact that in less than 2 1/2 weeks we are planning to fly to the Caribbean for 2 weeks and I'm beginning to have my doubts about that.
