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jgia t1_j1syauv wrote

No clue what your conditions are other than gout. Hopefully you are on something like allopurinol to lower your uric acid levels. I have suffered with gout for about 20 years, since my early 20s.i ended up having a toe amputated after the uric acid crystals ate away the bone in the toe. My gout was untreated for several years. After the amputation, I went to a rheumatologist and was put on indocin and allopurinol. The indocin was discontinued after the uric acid levels decreased. Now I just do 1 allopurinol a day and have not had a more serious attack than a slight soreness in 15 years.

In the words of my rheumatologist, there is no reason to suffer with gout. Indocin is used to treat acute attacks. Allopurinol is to lower uric acid levels and prevent attacks.

I am sure you have some other stuff happening too that complicates things, but please take care of yourself and see a rheumatologist about the gout. Uncontrolled uric acid levels can/will damage your joints and kidneys.

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Internal-Car8922 OP t1_j1tcclt wrote

This is a really thoughtful response. Thank you! I had my first gout attack over twenty years ago. I have mainly controlled it by diet. But I love fish and usually get in trouble by going overboard with it. But it is normally a mild attack and quickly resolved. This time fish was only one of the combined factors of stupid that have earned me the second worse attack I've ever had.

Maybe the concept of a "cheat month" was very poorly conceived....

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