hi i had a bad attack of gout 2 months ago
they xrayed my foot and said that there
where some bone fragments in my ankle they
also said that i had bi lateral club foot
in both feet but since i had the attack of
gout my foot hasnt been right the skin
around my foot has become very dry and is
cracking also i havent been able to walk
on my foot as normal as it is still
painfull and i have to put all my weight
on the outside of my foot i just wanted to
know weather the pain could be on ongoing
thing also because ive had a couple of
gout attacks would i be at high risk of
kidney stones and what sort of food i
should be avoiding or taking to reduce the
risk of further gout attacks if you have
any suggestions it would be very much
appreciated it thank you chris coombs 29yr
m warwickshire
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DoctorAnswer
Doctor Answer
Joined: 19 Dec 2005 Posts: 16777211
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Gout Answer A4017 Posted: 05-01-08 14:40pm
Acute attacks of gout are treated with:
1. NSAID, especially indometacin.
Indometacin also increases the elimination
of uric acid through the kidneys;
2. Aspiration of the fluid from the
affected joint and injecting
corticosteroids inside the affected
fluid;
3. Cold compresses and resting.
Prevention of further attacks of gout is
done by keeping the uric acid inside the
referent values. This can be achieved
with:
1. Dietary regime – patient should avoid
alcohol drinks (especially beer) and inner
organs (liver, kidneys etc.). Meat, fish
and some vegetables (bean, mushrooms)
should be eaten in moderate amounts. You
can freely eat cereals, milk and milk
products, oils, fruits and juices, eggs,
coffee, teas, chocolate, sugar, most of
the vegetables, spices etc. Reducing your
weight and drinking a lot of liquids is
also recommended;
2. Medicines – Alopurinol should be
taken after the third attack and if uric
acid in the blood stays higher than 400
µg/L besides the proper dietary regime.
Brobenicid is an alternative for
alopurinol but only if the kidneys are
functioning normally.
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