Gout: Visual Explanation for Students

This video contains a detailed and simplified explanation of gout. We discuss the pathophysiology, presentation, features, investigations and management of gout.
Written notes and diagrams about gout are available on the website at zerotofinals.com/gout.
Zero to Finals Medicine book:
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Zero to Finals Paediatrics book:
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Zero to Finals Obstetrics and Gynaecology book:
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US: www.amazon.com/dp/B08K4K2WQB
Website: www.zerotofinals.com
Notes: www.zerotofinals.com/learn
Multiple Choice Questions: www.zerotofinals.com/test
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DISCLAIMER: This video is for education and entertainment only, and is not medical advice. This video should NOT be used for medical advice or to guide clinical practice. The Zero to Finals content should not be used in any way to guide medical decision making. Zero to Finals takes no responsibility for any actions taken or not taken based on the information provided. Local and national guidelines and senior clinicians are there to help you make decisions, not KZbin videos. If you need medical advice or information, seek it from an appropriately trained and licenced doctor or healthcare provider that can address your individual needs. Zero to Finals cannot guarantee the accuracy of information in this video. Please highlight any errors you notice in the comments below - thank you.

[@HappyHammer55]

Tip from a long term sufferer of GOUT. Treat gout as a food allergy. Keep a diary of everything you eat and identify what foods are your triggers. I found my main culprit was ''wholemeal products.'' Examples are wholemeal bread/biscuits/cookies/pasta and meat products that bulk out with bread crumbs - such as burgers and sausages. I eliminated these from my diet and have been attack free for over two years. I am no expert, just a fellow sufferer and this worked for me. Stay safe and well people.

[@megaman91646]

Wait, not barbecue and tomato sauce.

[@bitteroldman2714]

Increase your vitamin C intake. I've had no further flare ups since I have. No more meds needed for me.

[@sobizzr]

Just stay away from wheat. I was hospitalized for 4 days due to gout. 4 days in hospital ? Due to gout ? O course it is rare. During the lockdown 12 months ago, I mainly eat canned sardines wheat bread sandwiches for 4 months. This video don't tells you no good Very amateur.

[@admitdomain7918]

Thank u. God bless u

[@brucejones1788]

THANKS A MILLION

[@petersutherland3739]

Very well done. Great teaching tool and quick update for all providers. You definitely have a knack for teaching.

[@jacksonkoo7336]

Dehydration is my most common trigger, which no one really talks about. Advice from my doctor is to drink plenty of water to dilute and flush out the uric acid to prevent built-up. If I go through a few days when I am not drinking enough fluid, a flare up usually follows.

[@xTalvi]

Good point. I don't drink a lot of pure water, mostly green tea and mint and I'm wondering if that's the root of my problems. Everybody seems to talk about sugar and that doesn't help me - I never liked anything with sugar, not a fan of fruit either.

[@perlogalism2167]

True enough. My doctor talks about Summer being "Gout season". People don't drink enough and lose fluid through sweating. I know I'm guilty of it. My warning sign now is dark urine: When I see that it's time to drink loads of water and make sure that my Arcoxia is still in date 😉

[@pencilcheck]

Seems to be the case here as well I usually have flare annually around Feb and that time I am usually dehydrated due to weather

[@squidmonster3251]

Started getting gout a couple of years ago, stayed away from sugar and that was the answer. Haven't had it since.

[@tonig3373]

Took me too long to work out reducing sugar was the key. Increased intake of water & green tea & no gout in long time

[@cartman19892]

got some month ago, i never hd such a pain i my life. I was unable to walk for days. What helped me was reduction of food that triggers it like meat, fish, alcohol basicly the good stuff :(

[@surfinmuso37]

Funny how that is not mentioned. If doctors really cared for patients this would be the first advice-doctors get more money from promoting harmful drugs that cause even more problems, instead of simply advising changing the diet.

[@tonig3373]

@@cartman19892 im lucky that i still get to enjoy that diet 😀

[@morten1]

Could be. Lately I've been eating a bit chocolate and jam on bread, and I just got a new gout flare. Aarrgh

[@Zoovfam]

Gout is so painful. Once you have it, a short trip to the bathroom can be so difficult.

[@glove3014]

This is very seriously TRUE 2000%! In more than two accounts I had to crawl on my knees to go 10 feet to the bathroom. The pain is scary.

[@ashiqhussain873]

Although I am no more practising clinician I am in teaching human Anatomy but I enjoyed and loved your content its of great great help to medical students and doctors thank you very much

[@andrewarmstrong5248]

No it’s not he’s wrong don’t eat foods that make your body inflammatory .wheat cooking oils sugar

[@kimlipslips1982]

This is informative. I'm 28-years-old and was recently told my uric acid levels are high. I'm still kind of in shock, since I've had a few blood tests over the past 2 years and only recently has this been brought to my attention. I used to have a drinking problem from Jan 2019 to June 2019, stopped drinking every day and only drank maybe once every 2 weeks, until I fully started binging in January 2020. Went to the hospital because the withdrawal symptoms were extremely terrifying. Replased again in March for a few weeks, but then I stopped drinking completely a year ago today. 1 months ago I was told of the high uric acid, so I've been trying my best to avoid seafood, mushrooms, and red meats; I've also been trying to hydrate more as well as take vitamin C supplements. Honestly, this is pretty scary.

[@antoinettenovella1630]

Sorry to hear that Kim. My mother has been diagnosed with gout as well which is why I am here. Please, stay healthy, sounds like you have and continue to research ways to do this. My mother loves all of the above foods but is incredibly self-disciplined. Try not to be scared. You are doing all that you can to be informed to reduce the risk, that is what is important.

[@arnoldbenitez7884]

You and me are in the same place I'm 24 this Is scary I you know I feel like I ill forever,

[@martinzepeda2671]

@@arnoldbenitez7884 I’m 25 and I think I have it , I woke up and it randomly hurt to step , did this happened to you?

[@arnoldbenitez7884]

@@martinzepeda2671 no, i start to feel my feet hot,like it was on hot water, not like burning, but something hot , also only my finger of the foot

[@Dr_Dank710]

@@martinzepeda2671 sounds like you and i may be having similar symptoms. I have been getting flare ups at the base of my big toe this past year and had zero clue why. Chiropractor says i possibly have gout, and as i am writing this, i am struggling to step with my left foot today. Just going to wheel around on the chair i guess. lol

[@drasjkakar8181]

Highly Appreciable lecture about Gout disorder.

[@elizabethgarrity6849]

Thank you for a clear concise explanation on gout. I am a first year complementary therapy student.This information proved invalulable as one of my case studies suffers from gout . Many thanks once gain

[@borninvincible]

I am just finishing up a 5 day gout flare. Haven’t been able to walk.

[@andrewarmstrong5248]

He’s wrong

[@ediesmiles1]

Just became a SUBBIE! Preparing to take my NCLEX AGAIN due to inactive license for 8 years! I do plan to take a refresher course before seeking employment! Great Videos; keep educating others!

[@karviahamilton689]

Real briefly and straightforward. GOOD

[@RobPetty622]

While in the hospital being treated for suspected kidney disease and heart issues, my Dad had an extreme flare up of gout in the knees. He was so weak and the staff constantly tried to take him to physical therapy. He’d scream and howl anytime someone tried to move his legs. It was very unlike him, so I imagine the pain was unbearable. None of the doctors could correctly diagnose his pain. My Mom went home, Googled the symptoms, and came back and informed the nurses that, “Hey, I thinks it’s gout!” He was an alcoholic, smoker, and had heart disease and most likely kidney disease, but he refused the tests. It puzzles me why none of the various specialists had a clue about this. For this reason and others, he refused to go back to the hospital and spent the remaining months at home before his passing.

[@bluandmelyn6710]

I'm so sorry he had such a terrible experience before passing. May he rest in peace.

[@RobPetty622]

@@bluandmelyn6710 Thank you very much for saying that. In the end, he got his wish for passing at home and with Covid keeping families away from loved ones at hospitals, it was a blessing in disguise.

[@harrycurrie9664]

I know someone who had a similar situation, the symptoms were exactly like gout but in fact caused by a lack of vitamin B12 which leads to Pernicious anemia.

[@dericmederos1514]

honestly the pain in my toe is severe, like it hurts but my biggest fear is what causes gout which is high uric acid levels which can cause my biggest fear; kidney stones. I rather have gout once a year until i die than ever get KS.

[@RobPetty622]

@@dericmederos1514 I’ve heard that they have treatments that can pulverize kidney stones so that they aren’t as painful as in the past.

[@SM-sy5cd]

I had gout a lot in my big toe joint. The first time Inexperienced it I went to emergency because I thought I broke my toe, it hurt that bad. I had three things on your list, I had kidney transplant , was on diuretics, and loved wine. They put me on the medications you mentioned and really helped shorten times between flair ups. The thing that helped end gout for me was weight loss. Haven’t had gout for 6 years now. Great video.

[@mikedameron602]

I'd like to offer something that has saved me a lot of discomfort for almost two years; since April 2019. This is admittedly anecdotal information, I discussed with my family doctor. His response was if I think it's helping, keep doing it. I don't drink alcohol nor do I smoke. I'm about 10 pounds overweight and 75 YOA. I'm active; fishing, kayaking, yard work and bicycling. I eat very little red meats, more chicken and occasional fish and sea food (I do live in Florida, after all). My gout usually presented in the ball of my foot. I was diagnosed in the late 80's while still on active duty with the USAF. I was in my early 40's. I was given Indocin and took it, as needed, for occasional flairs until about 1.5 (now almost 2) years ago; so 20 years or so. My current doctor recommended I take large doses of Naproxen instead of the Indocin. In short, he explained that Indocin was bad for me but the Naproxen wasn't quite as bad. That sure made me feel good. It did work, but I still had occasional flairs if I drank too much caffeine or ate too much fried food, the two things that caused me problems. I was having a flair, enough to cause a limp, about 4-5 times a year, and an occasional achy foot at least once a month. My uric acid was always a bit high. During a flair, I happened to see an East Indian acquaintance at his place of business (Indian Market and Restaurant). He asked about my limp and I explained. He told me about himself and his father's experience with chronic arthritis. His father, and he, used Methe (Fenugreek) seeds daily to control arthritis and said that the seeds were also effective to treat gout. I asked the obvious questions. I was somewhat familiar because my wife uses the seeds in Indian dishes. He said to eat a small amount (NFI) daily and I wouldn't have the problem. He told me to soak the seeds in water to soften them if I wished. When I returned home, I looked them up on-line and asked about them in two health-food stores. The information was positive...”it couldn't hurt!” For over a year (now almost 2) I've taken a rounded 1/2 teaspoon of softened (soaked) Fenugreek seeds every day (pretty much) with other meds that old men take. I've had no real attacks of gout since. Seems like I may have had an ache or two right after I started, but nothing like I had before. I have a plastic dry container (sealed), I soak the seeds overnight and, then I pour the softened seeds into a glass, and put another amount (1/2 teaspoon) into a small glass bowl with water to soak for a day. I drink the liquid and the seeds. No bad taste and my blood tests haven't changed and uric acid is in normal range. I've passed this info to a number of gout sufferers. I don't know if the info is common knowledge, this side of India, that is, but I'm convinced! The seeds are cheap and available on-line and cheaper in Indian or Asian food stores. My doctor said he was going to research it, but never mentioned it again. I'd be interested if you've heard of it before. Michael S. Dameron, USAF, Retired

[@shofarsogood7504]

Glad to hear your free of it for so long. I feel your pain I thought my toe was broken first time too!

[@adobemastr]

@@mikedameron602 Thanks for the info.

[@chi_fonseca701]

Yeah man the pain is almost unbearable..feels like you're foot toe is on fire and u cant move it at all

[@thechatpion9040]

@@chi_fonseca701 stay away from all that red meat

[@fara.r.8181]

Should have found your channel when I was in undergrad years.

[@chandrashekharsharma5800]

Thanks....You are doing good job for many medicos and students of medicine to understand the basic concept better...

[@ZeroToFinals]

Glad to get back to making videos. Thanks for the encouragement

[@cliffordtan8799]

Wonderful explanation. Very clear with diagrams.

[@Ad-zk8nz]

Drink plenty of water and add baking soda, apple cider vinegar or lemon..I have never drunk enough water and when I fast, my body has become even more acidic. As a result, I now have gout attacks on my fingers. I started drinking a lot of water and now I feel much healthier.

[@kevoneone]

I've tried all that and I still come back I've suffered from gout for 20 year tried different diets tablets even stopped drinking alcohol it was always sore but really bad 2 or 3 times a year. I started smoking cannabis totaly cured and back on the alcohol

[@TommyAloha.]

Water. The rest us junk

[@danielbradford5556]

How much of each mate?

[@chrismcgowan5180]

Really brilliant, espcecially love listening to your podcast when I have a car journey, thanks!

[@ZeroToFinals]

Great to hear! Thanks

[@shay2569]

You are awesome! Thank you so much!

[@warrenpuckett4203]

Been dealing with it for 25 years. The preventative measure is when using tools with lots of repetitive action drive water or any kind of liquids early and often. Got misdiagnosed as it was arthritis and stopped working as a boiler maker. Had I had a blood test done the ph would have shown what was up. Ten years later a old doctor just looked at my swelling above the knee and asked were you jogging yesterday? He said you got gout. Prescribed colchicine and said drink more water. Oh and the don't drink coffee is bull. I drink black coffee. All day. Caffeine is a different kind of purine so is aspirin. Cola ( CokE, PEPsi) is not good, it dehydrates you. The thirst quenchers actually increases your thirst.

[@pencilcheck]

Totally agree with you. My diet now consists of buk Choy and tofu to reduce sugar intake and lots of non sweetened green tea and water

[@warrenpuckett4203]

@14ALL41OK Nope just cut out shell fish and cat fish. Calamari and shrimp are the worst for me. I really like gumbo. My father also could not eat that either. Salt water fish is no problem, in moderation. Roasted beast no problem even in mass quantity. Must be something I inherited.

[@HappyHammer55]

@14ALL41OK Agree - What you have done is cut out the foodstuff that your body reacts badly too. This can be a single food - a drink or just an ingredient. While you avoid foods that the body dislikes you will avoid a not suffer too badly.

[@buffalosouljah6282]

Black cherry juice all you need.

[@pram9832]

@@warrenpuckett4203 do you take any medicine? What is the dosage?? What is your diet? Do you eat meat, chicken, egg etc.. Please reply.

[@georgealderson4424]

Thank you for your very interesting video sir. I am not/was never a doctor (sadly - for me/NOT for any potential patient!) My late, beloved uncle suffered from gout and died from Parkinson's disease and I am fascinated by medical things hence my interest here. I am pleased to say that I was aware of quite a bit of the information you gave but "bio-refringement" was something new! Anyway once again my thanks for all your work. Blessings and peace

[@sagewilson1056]

I loved your video. Very informative. Thanks!

[@terrynobles1102]

I am 52 I was 50 when, I went into the hospital with painful swollen feet! I could not stand for a sheet to even touch them! I would cry like a baby if a sheet would touch my feet. This is coming from a woman that had three children with no pain medication until the third child just before she was born! So y’all know the pain in my feet had to be very, I mean very painful! The Dr.’s in the E.R. could not figure out what was wrong until I told them my dad had gout so they tested me for gout and they found out that’s what was going on with my feet! Now they have me on Allopurinol 100mg and I have to be careful what I eat! So I pray for anyone that goes though the pain of gout!

[@coriknight9073]

This is a really neat explanation! Thank you! I am one of those rare folks that meets absolutely NONE of the risk factors but had my first flare in 2019 at 35. My doc explained it well, but this was a slightly different approach and quite helpful!

[@Fistfullofpizza]

I found that over indulging on sweets tend to induce a flare up. I've heard that certain gut flora can have an impact as well.

[@gregbrown9647]

2022 take flax seed and grind it up sprinkle over your food a table spoon or two drink plenty of water with the food ..do this everyday.. for a week.. your gout will disappear or at least you feel like you are free.. don't just swollow the flax seed..it's just going to come out seed when you go to restroom, you need to grind the seed to get what is inside it... Respect

[@pravinakolkar7218]

Thanks for video .Daily suitable exercise keep away from gout but not ignore of disease. 👍👍

[@kinantatantrasogata7081]

hello doctor, could you please tell me the best timing we consume the allupurinol after gout attack?

[@lina_luay]

Thank you so much! Great explanation as usual

[@ZeroToFinals]

Thanks!

[@Jchillin757]

Thank you as someone who has gout about 2 times a year

[@StayCoolKeto]

*Awesome video mate thanks a lot* 👍👍💪

[@chanezfettel4142]

Amazing please keep it up 🤩🤩

[@alexadmin3998]

What about scleritis (red eyes) due to gout? Isn't that a symptom too?

[@paulelliott7373]

Had a patient who had an idiopathic (unknown source) anemia and the pharmacist sourced it to the long term use of allopurinol which causes bone marrow suppression.

[@ferdouspsyche7692]

chemotherapy has the same side effect. anything long term has a side effect, docs don't tell you.

[@moonmagnolia7]

Thank you for this info.

[@A22DNAL]

Impressive way to educate here!

[@gustavelaughnowcrylater5309]

This put me out of work for 2 weeks. This is no joke

[@rishekkumar_]

Thank you This video make me learn more easily about this topic Again thanks a lot

[@AAUN]

Really a very good style of presentation.Really impressive

[@ZeroToFinals]

Thanks

[@nivedha4793]

Good video! Love ur way of explanation! 💙

[@ZeroToFinals]

Thank you!

[@QR_Code]

very informative. i randomly stumbled upon this video

[@ter131]

Thank you. This video is so helpful.

[@SanaKhan-uu4kd]

As always there is no compromise on quality. Please keep it up.❤

[@ZeroToFinals]

Thanks, getting back into making videos feels great.

[@SanaKhan-uu4kd]

@@ZeroToFinals welcome☺❤❤

[@davidbea3711]

@@ZeroToFinals CAN GROIN SWELLING BE RELATED TO MVP OR HEART CONDITION ?

[@yirehmiyahmagsayo361]

what a great video sir,,😇😎very easy to understand everything sir

[@ZeroToFinals]

Glad to help!

[@Vinaykumar-ug4gm]

Very informative video, you can also try a gout care pack along with a diet chart for effective treatment.

[@sandibass5895]

This is an excellent resource

[@zahirahghazaly2685]

Im currently a food science student and there is one assignment that need to be done regarding this specific topic. Since my father was diagnosed with gout since 6 years ago, Im eager to know more about this topic and I found this video are very informative and helpful. It is so relatable with my father's symptoms and all. Thank you so much from Malaysia :)

[@ZeroToFinals]

Glad to help. All the best with your studies!

[@zahirahghazaly2685]

@@ZeroToFinals Thank you ;)

[@mircas1964]

What about pseudo gout, had it for two months! In my knee, very painful...followed by trigger finger, ugh!

[@duocphamtruongtho4462]

Thank you for your very interesting video sir

[@enriquenadal3711]

Thank you so much it was very helpful

[@loisliu3372]

Thanks for ur great work. 3:38 needle-shaped crystals negatively birefringent of polarized light. Maybe birefringent, not birefringement? Thanks again~~

[@lolitafernandez1831]

I enjoyed watching this Zero to final is there special diet of GOUT deases please help thank you

[@aleottobre2031]

I deeply appreciate you.

[@fernandofierro8834]

Made me cry.. extremely painful

[@footyball66]

I think I may have gout, but I am not obese, don't drink alcohol, don't eat foods high in purines. I am a Postman/Mailman so I walk long distances regularly and i recently had the covid booster vaccine. I am not sure either of these 2, vaccine, or excessive walking, can cause gout? as I don't understand what could have caused it in me....

[@1213mashTA]

Very helpful information. Thank you very much. Drink enough water.

[@bebelimeback4245]

What about following a keto diet?

[@casodreyfuszola]

Great. Excellent.

[@m.z9679]

Thank you , great video

[@user-tx9sd7vq5d]

Thanks for this video 🎉

[@user-cs4wu7ew7m]

Great work

[@annettehall1569]

Awesome. Thank you.

[@chochee07]

Great vid thanks!

[@brianosullivan4740]

I accidentally discovered cutting coffee from my diet totally eliminated all my symptoms. Had severe pain for 20yrs+ big toes, carpel tunnel, 15yrs tennis elbows and then 2yrs of 1 knee ridiculously swollen. I cut coffee out just because I was drinking a stupid amount everyday, also my son kept telling me I only 'need' coffee because I drink coffee. HE'S RIGHT! Not sure how long it took for symptoms to disappear because I hadn't considered I was doing anything but saving some money. All symptoms completely disappeared. I have started drinking coffee again just to confirm link. It's been 9mnths and everything bar swollen knee have returned and progressively getting worse. No other diet or lifestyle changes have been made at all.

[@brainbox8361]

Loved your videos and the site. Thanks for spending much time for students like me(who has prof who fails to clarify the topic even after spending 2 lec straight.) I really really appreciate your efforts. Thanks.

[@JT-xd9uc]

Good to u. Last 2017 I had these uric problem n even my left legs is swollen I went in the Philippines n see bone Doctor. He removed my uric acid in my left knee. After that I feel alone better till now. My question where n who's Doctor can removed uric acid in America .

[@agnosia6253]

This is a perfection !

[@moka100original2]

Thank you so much.

[@saritajoshi1944]

How long to continue allopurinol

[@marcj3682]

Started getting gout over 10 years ago; recently been taking uric acid cleanse every day - seems to have helped.

[@pm1111]

Please have cupping therapy done. Will help surely.

[@Rdelrio19]

What does your diet look like? Do you watch what you eat? I'm curious of what you eat because I think I have gout myself, thank you.

[@pram9832]

@ Marc J hello sir, Do you take medicine daily? What is your dosage? What is your diet ? Do you eat meat, chicken, eggs etc.. Please reply.

[@marcj3682]

@@pram9832 Hello sir I do not take medicine for anything Yes, I eat meat, such as beef, chicken, lamb, pork. I have a varied diet, including boiled, fried, roasted, grilled etc I drink alcohol, tea, juices, coffee, soda etc I find that grapefruit juice, uric acid cleanse, cherry juice, cherries tend to keep gout at bay I avoid excessive red meat, dark alcohol such as red wine and port, though I have the occasional stout beer, but usually lager. I go for a daily walk, one mile. Hope this helps

[@pram9832]

@@marcj3682 sir, uric cleans is a tablet, where can i get it. Please tell. Your advice helps me

[@howtomedicate]

I am happy to see a new video! Keep them coming 👍

[@ZeroToFinals]

Going to get making again now I have more time. You're videos keep coming - keep up the good work!

[@howtomedicate]

@@ZeroToFinals Thanks! If you would be interested we could make a video together. That could be great!

[@maheedhararavi8145]

Thanks a lot. It helps.

[@TesterAnimal1]

I had a flare up of gout in my big toe. It was horrible. But my diet is healthy. It was after I’d moved to a hot climate. I wonder if that affected it.

[@coreybroche3762]

Drug wise, Indomethmacin and cottage chesse

[@chasleask8533]

Sugar is the cause . It's in everything. Fructose is particularly bad . Nearly all processed food has 'high fructose corn syrup' , a nasty cheap additive , used in 'lo fat' products . Medications exaggerate the condition . I've experimented with this 'purine' theory ,and found it has no effect on gout . I think you'd have to eat massive amounts. Branston pickle , shop bought coleslaw , and Marmite , caught me unawares and gave me unexpected attacks . I've told my doctors . Their lack of interest was not a surprise.

[@keithg1628]

I always wanted to know what that was on my ear

[@Dejnyt]

Gout is the most painful pain ever!!

[@BN-hy1nd]

Will the prescription of Allopurinol bee for life?

[@poojatedjai2673]

THANK YOU!

[@ronaldkobbo7347]

Very informative. Thank you so much

[@harleyrdr1]

Eliminating “High Fructose Corn Syrup” stopped my flair-ups. You never realize but that crap is in everything!!! 😡

[@mysize2]

You’re absolutely right!

[@selenepasiphae2067]

the SAME thing happened to me. That crap is legit poison!

[@MaritaCodilla]

what are the side effects of apullorinol tablets

[@kameragelapid7256]

Excuse me, why if we use allopurinol and nsaid simultaneously ? Thankyou

[@lemueljohnurbano3705]

it is hard on the liver

[@pencilcheck]

I was told to not take them together because they will interact chemically with each other which you don’t want

[@cincokees631]

Thank you for sharing

[@mlt6322]

I have gout in my big toes due to uric acid buildup from my kidney disease. Meds to control uric acid (Allopurinol) keeps mine in check. When I do have a rare flair up 1 (Colchicine) clears it up within 24 hrs. When it does hit just dropping a kleenex on my foot is like getting stung by a hornet, it's that bad. When I lived in Farmville VA we had 2" hornets that ate apples off the trees.

[@garyanderson6173]

I have gout, it ate my knee to where I had to replace one. Colchicine is crazy expensive. Only pill you take is allopurinal. And I drank too much on top of everything. But take the allopurinal and that will be all you need.

[@coreybroche3762]

Drug wise, Indomethmacin

[@genegoodwin8925]

You're lucky, I'm allergic tp allopurinol and can't take it... I just have to suffer.

[@toothrestorer6588]

@ Garry Anderson. True colchicine has become extremely expensive. It used to be a cheap generic that has been around for many, many years. The FDA changed its rules so that medications that were not approved because they were around before the FDA and had been grandfathered in , had to submit for approval. Only one company did this in the US and they have exclusive use for a while. They can basically charge what they want because there is no competition. Colchicine is available in Mexico and other countries for literally pennies. This is unfortunate because it works very well for an acute flare up of gout

[@Tiburon9123]

Hi, my uncle got diagnosed with gout. But his blood tests show normal levels of uric acid. Should he still follow a gout diet since the diet is about eating less purine rich foods?

[@coreybroche3762]

yes you need to eat clean and let clear out of you body.

[@pencilcheck]

Sometimes it is about purine spike that triggers our body self immune system to flare

[@sravanthit8525]

Hii even my uric acid level is normal now after 3 months medication but still feeling pain while walking and also by lifting objects plzz any one suggest me how to get rid out of this im only 28 yrs old plzz help me

[@pram9832]

@@sravanthit8525 Hello madam, which medicine are you taking?? What is your diet. Once message me. I help you surely.

[@nav5897]

Thanks for sharing

[@EdgarLopez-il9gb]

Remember to check out for levels of uric acid in serum

[@Liam-bi6lm]

Sugar is not mentioned as a risk factor in the video. Is it a risk factor or not?

[@chasleask8533]

It's THE factor.

[@Srt3D01-db-01]

Got gout recently but I dont really think the generic answer from my doctor as if my red meat or beer consuption was the cause. I have dishes with red meat/ chicken often but its not like I eat bbq every sunday . I barely drink beer as well ( perhaps 1 small size , once per month even less ). I got a uric acid test and it came normal as well. The one thing is consume often is sodas . I got a sweet tooth for candy as well. Is nothat I eat lots of candy but generally a high intake of sugar may detonate my gout.... Im currently experimenting reducing my soda intake and see it happens to be a major factor

[@BigStacks100]

Let me just give a quick explanation on how gout feels. It's like a car accident to your big toe and then it gets lit on fire. The worst pain I've ever felt in life!

[@lemueljohnurbano3705]

Why shouldn't allupurinol be taken while the acute attack is still active?

[@chasleask8533]

It stops the production of uric acid , which you need for your immune system . Cut out sugar.

[@rjgona5104]

After i do jogging, i can feel my ankle is like gout is going to attack, i have high uric acid. What to do? I still want to do jogging everytime

[@askdeefaircommonsense1014]

I started intermittent fasting and was prescribed allopurinol took a year to get years of build up out of my system...now gout free..totally..

[@Jason-zr6om]

I don't consume red meat, alcohol, and only minimal table sugar. I am healthier than anyone I know but it has been concluded that gout runs in my genetics. I have been taking 100mg of allopurinol per day for about a year and think that it has been helping control my uric acid levels.

[@pram9832]

@ Jason hello sir how are you now? Do you take medicine daily? Wha is your diet? Do you eat red meat, chicken, eggs etc.. Please reply.

[@Jason-zr6om]

@@pram9832 lol

[@pram9832]

@@Jason-zr6om sir, can you please help me about diet and medicine

[@rileypup9971]

Many comments by others, but gout is mainly caused and triggered by the type of food and drinks that you consume. Change in diet will more than likely be required to stop flare ups. Or just eat and drink in moderation. In many cases there may be certain foods that trigger flare ups... ie meat, seafood, beans...etc. Sugary drinks, should be moderated (ie Soda, Beer, Wine, Sport Drinks...) Don’t need to stop cold turkey on certain food and drinks but moderate the intake. Gout can flare in any joint, such as the big toe... but it can also flare in a larger joint such as the knee which is extremely painful and debilitating.

[@nicolasspecht3233]

Why can’t u start using allopurinol during an acute attack but ones u use it u can continue to do it? I don’t get it.

[@edwardherrera846]

It can take a real long time to normalize uric acid levels using allopurinol. So it’s not used for an “acute” attack. Basically it won’t make things better during acute phase. Colchicine will help acutely. Steroids more long term also but can start to help alleviate symptoms.

[@jarredclarke5789]

I’ve had gout twice,what worked for me was what my doctor prescribed ,was colgout for about a week then allopurinol for 3 months

[@tonig3373]

@@jarredclarke5789 shouldnt have colgout more than 2-3 days

[@edwardwong654]

Taking allopurinol can make the flareup feel worse at first, which is why it is not recommended to start once the attack has started. But if you were already on it PRIOR to the attack, then you should continue. However, some rheumatologists believe that you should be on allopurinol regardless. I had an attack, was not on any meds and my doctor prescribed allopurinol, along with 3 other meds right away. It did not get better right away but instead took about 2 weeks for the pain threshold to go down from 10 to 5. You should talk to your doctor, but I like the idea of taking it regardless.

[@223shellback]

Gout is caused by the combination of sugar/carbs in the presence of fat.

[@martintaper7997]

So a normal diet?

[@pencilcheck]

@@martintaper7997 I think he meant diet consists of eating out a lot since restaurant outside uses lots of sugar/trans fat and carbs to pull you in

[@djohnson3910]

Thank you Fam

[@bitteroldman2714]

Increase your vitamin C intake. I've had no more problems since I did. No need for meds now.

[@espikala1]

very helpful!

[@nancysloan3731]

Eat more fruits and vegetables. My brother had gout as a young man. He hardly ever ate fruit or vegetables, just lots of red meat. I believe this doctors recommendations are really good.

[@arthurdrosario4246]

An Eight thousand years old Indian medicine for Gout , eat two hand full a Red cherry's every months for a year. I have done it ! It worked ! Nine years have passed ! so far so GooD !

[@coreybroche3762]

two hand full of red cherry and alot more then gout will pass, but also I herd the same for Black cherry - juice more bang for the buck.

[@mongsingswemarma1518]

How can i get ur book??

[@ZeroToFinals]

It's available on amazon, just search "Zero to Finals"

[@mummyd1990]

Know all about gout had it since I was 32,started in my toe then spread to my foot,then my knees,proper painful.

[@harrycurrie9664]

Do you still get it ?

[@mummyd1990]

@@harrycurrie9664 I still get it but not nearly as used to I get the odd pain about once a year since been taking allopurinol medication.