Anyone know what a person can do to get relief from gout in feet?

Thanks in advance !

Get a doc to prescribe some allopurinol. I took it for my last bad attack until it got better. My rheumatologist now has me on it all the time.

Fun fact: people with gout have to get their uric acid levels below the average range for people without it. Hence, allopurinol.

Avoid colchicine if at all possible. Unless you stay within easy walking distance of a bathroom.

Allopurinol reduces your uric acid, colchicine is an anti-inflammatory that reduces the pain that causes gout. You only take colchicine during a gout attack, but you can also take Aleve or Advil for pain.

I used to be on allopurinol until I was able to reduce my numbers to average, the doctor then pointed me towards Tart Cherry supplements which have helped stave off gout attacks. Something similar to this:


I've been gout attack free for a while now, I can't remember the last time I had one. They used to be so bad that I couldn't sleep bc the pain was so intense.

Edit to add that colchicine didn't affect me negatively at all; I only used it initially as a suggestion when I first started taking allopurinol, but that's about it. I also tweaked my diet a little bit including no alcohol/avoid red meat and other rich triggering foods for a little while until I could get a good baseline for my lowest uric acid level. Then I slowly went back to a reasonable diet that included foods/drinks (beer) that I like while still maintaining a low uric acid level.

Based off your posting history I think you just need to see a regular primary care doctor and get an actual physician to figure out what's going on. Then let them figure out what specialist, if any, you need to get seen by.

But to answer your question, gout falls under the domain of rheumatology, but it's usually managed by a regular primary care doctor.

My wife gets it from time to time. She takes celery juice and tart cherry juice (liquid but probably not any different than Gray's post). When it flares up bad, she will go get an IV. I'm not sure that really works, but it passes the sniff test (more water to flush out the acid).

About all we the protein we eat anymore is chicken or fish. It sucks, but it seems to stave off her gout. It doesn't help with your current flare up, but it should help prevent future ones.

Thanks for the posts.

Visited with a primary care physician who said that part of the problem was my skipping b12 injections, prompting a return of neuropathy. Not something I planned. The holiday schedule and changes in insurance provider resulted in skipping for 75 days.

My guess looking back over the past three months is that I significantly increased consumption of pork. Love pork sausages of all types and many days have it for two of three meals.

In addition, I discovered these individual slices of cheesecake. My glucose level was right at the high end of the acceptable range.

And, of course, it would be great to drink more water.

I've had it for at least the last 5 years. Here is what has helped me in order of my effectiveness.

Lose weight, I went from 250 - 210
Drink less alcohol, from 5x week to 1-2x week
Exercise, almost zero to 3-4x week
Drink more water

This got me about 70% better but ultimately I still had to get on 300mg daily allopurinol as the above resolved the flaring but I still had occasional joint pain in my toes, feet, knee and didn't want to be causing any long term damage. Going on 2-3 years now with basically zero issues or symptoms. Routine blood tests show it is under control.

Curing gout is a marathon not a sprint.

BCOBQ98 said:

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Curing gout is a marathon not a sprint.

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This right here.

My bugaboo was beef, which I quit eating in 2007. Still would get flares from time to time. My uric acid level is just naturally high. Genetics.

My spouse takes uric acid control supplements and drinks tart cherry juice every day which keeps the gout attacks at bay. We also limit alcohol and beef consumption which makes me very sad.

I went back through my blood testing results from over the past year.

Had a test on 12/20/2022 and it showed uric acid at 4.7, right at the middle of the range.

Beginning about 1/10/23 is when I started having pain. By 1/28/23, it was full blown.

As I look back, I had doubled (sometimes tripled) my pork sausage intake daily and began to eat a piece of cheesecake nightly beginning 1/10/23.

It has taken a full 8 days to rid myself of the worst of the pain.

My plans for the future include:

1. Lowering pork intake to 3oz or less daily.
2. Eating a full sugar dessert only once a week. All others will be light or no sugar.
3. Incorporate 2% cheeses into my selection of cheeses.
4. Have a glass of tart cherry juice or tart cheery supplement on a daily basis.

I haven't had an adult beverage of any type or amount since August of 2021. Therefore, its not a contributor.

Any thoughts on the impact of the proposed changes?

My uric levels spiked years ago as a result of a pretty good weight loss from just cleaning up my act - of course all of my favorite things are considered triggers (beer, wild game, red meat, shellfish)

Have had a few absolute sideliner attacks, but have learned to reasonably cut back while still enjoying some naughtiness from time to time, knowing I'm dancing with the devil.

I keep colchicine on hand to take as a preventative (i know its not truly, but doc says to slam one on a beer/meat night to help divert).

water, water, water - all of my worst ones come on the heels of eating terribly and being dehydrated.

I've had gout for a decade but only get a few flare ups a year. I always knock them back with a couple Indomethacin. Usually one when I first notice it and another 12 hours later and it's gone. I already drink a gallon of water a day and it's usually after a carnivore weekend where I ate a lot of meat that the big toe will start to ache.

Doc has offered allopurinol but I'd rather not be on another pill every day if not necessary. If you only have an occasional incident you might ask about Indometh.

Tailgate88 said:

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Doc has offered allopurinol but I'd rather not be on another pill every day if not necessary. If you only have an occasional incident you might ask about Indometh.

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This has been my thought - i know allo can be good, but i really dont want a daily.

Careful with Indocin. That stuff made me really hazy, bad enough that I couldn't drive while taking it (so I stopped pretty quickly). I imagine sensitivity differs, though.

BCOBQ98 said:

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I've had it for at least the last 5 years. Here is what has helped me in order of my effectiveness.

Lose weight, I went from 250 - 210
Drink less alcohol, from 5x week to 1-2x week
Exercise, almost zero to 3-4x week
Drink more water

This got me about 70% better but ultimately I still had to get on 300mg daily allopurinol as the above resolved the flaring but I still had occasional joint pain in my toes, feet, knee and didn't want to be causing any long term damage. Going on 2-3 years now with basically zero issues or symptoms. Routine blood tests show it is under control.

Curing gout is a marathon not a sprint.

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I've, thankfully and knocking on wood, never had consistent issues with gout but did have hell with it the day after certain events. For example a tailgate where I'm drinking beer and eating meat all day.

The bold above helped me tremendously.

Went from 235 to around 180, similar cut backs with alcohol and increased exercise as well. And I haven't had an episode of gout since then. I still have the occasional tailgate where I'll drink too many and eat too much, but no longer get gout the next day like I used to.

I have heard of gout but have no idea what it is
what are your symptoms?