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  • Post your disgusting disease/illness here

    Had to go to the urgent care today, because out of the blue, my left big toe swelled up, hurt like a motherfucker, and was throbbing. Can't really walk on it. I thought maybe I dislocated it without noticing - I've heard that can happen sometimes.

    The doctor took one look, and asked me if I had a history of gout. I said no, and she said "Well, you do now." Gout is a build up of uric acid crystals around a joint, almost always the big toe (occasionally the fingers). It's not really dangerous, and I like the fact that it cannot be effectively treated by diet and/or exercise - the strictest diet is only 10-15% as effective as the normal drugs.

    So she gives me a dose of prednisone, mostly because that's what she has on hand, and writes me a scrip for Indomethacin, one of my all time favorite drugs (it's an uber-NSAID, it's almost impossible to have a headache with this stuff), which I have to fill tomorrow. She says gout attacks go away by themselves in about two weeks anyway. So I'm probably going to have to stay home on Monday because I won't be able to put on my shoes.

    Why is this illness disgusting? Because (a) it makes my foot swell up; (b) I've always thought of it as an old man's disease (my grandfather had it bad); and (c) I share it with Jesse Jackson, who apparently has frequent attacks. I'm outside the modern age range for it (in men, 30-45), but I guess I'm one of the lucky ones.

    What disgusting afflictions do you guys have? I know BFinSF has some goodies, and I suspect some of you could tell me abot things that'd put me off my dinner.

  • #2
    Just to make it disgusting, this is what completely untreated gout of the knee looks like in its final stages, when it has progressed to tophus:



    and this is what it can do to your fingers if left untreated:

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    • #3
      we used to think it was for old people because it is for old people.
      Sometimes elections have positive consequences!

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      • #4
        so you are a fat cat eh Airshark? drinking fancy wine and eating fancy food and acting all haughty?

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        • #5
          A buddy of mine's had the gout a few times... the doc said his diet was poor (too much red meat) and not enough exercise.


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          • #6
            Originally posted by cardinalgirl View Post
            we used to think it was for old people because it is for old people.
            ++

            My dad gets gout every once in a while...he started getting flare-ups once he hit 70.
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            • #7
              Shark, becoming old is nothing to be embarrassed about

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              • #8
                I'd ask for a different medication for the inflammation...

                I've been prescribed Indomethacin and it didn't do much for me (although I realize it's different for different people)...but the big hit for me was that it was $45 for two weeks worth...I don't believe it's a generic...

                I talked to my doctor, and he changed the prescription to Meloxicam...not sure if that's the generic for Indomethacin, but it's an anti-inflammatory all the same...
                " Look, forget the myths the media's created about the White House--the truth is, these are not very bright guys, and things got out of hand."

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                • #9
                  I have gout and take allopurinol everyday. Last flare up I had, I could have sworn I had a dislocated ankle. It hurts like a bitch. Haven't had a flareup since I have been on the medicine though.
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                  • #10
                    I had a flexible sigmoidscope inserted up my rectum. I got to see the inside of my sigmoid colon on a little TV. So did everyone else in the room.

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                    • #11
                      Stop eating so much meat and candy.

                      Moon

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                      • #12
                        Also (and I'm not insinuating this applies to Airshark at all), but alcohol, particularly beer, can be a big contributor to gout...
                        " Look, forget the myths the media's created about the White House--the truth is, these are not very bright guys, and things got out of hand."

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                        • #13
                          Originally posted by JK View Post
                          I'd ask for a different medication for the inflammation...

                          I've been prescribed Indomethacin and it didn't do much for me (although I realize it's different for different people)...but the big hit for me was that it was $45 for two weeks worth...I don't believe it's a generic...

                          I talked to my doctor, and he changed the prescription to Meloxicam...not sure if that's the generic for Indomethacin, but it's an anti-inflammatory all the same...
                          Indomethacin is the generic for Indocin™. On my insurance, a two-week supply is $5.

                          The doctor said that almost any NSAID will work, with the big exception of aspirin, which actually causes uric acid formation. Indomethacin is just one of the most powerful. If they upset your stomach too much, most steroids work too, thus the prednisone.

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                          • #14
                            Originally posted by ElviswasaBluesFan View Post
                            I have gout and take allopurinol everyday. Last flare up I had, I could have sworn I had a dislocated ankle. It hurts like a bitch. Haven't had a flareup since I have been on the medicine though.
                            The document I got on gout says that I'm likely to have my next attack sometime in the next two years, but for most people "prophylactic" therapy, like allopurinol, isn't warranted. I hate the idea of taking a medicine for the rest of my life.

                            EDIT: And sorry about your illness. Gout in the ankle sounds bad - it's quite bad enough just in my toe.

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                            • #15
                              Originally posted by JK View Post
                              Also (and I'm not insinuating this applies to Airshark at all), but alcohol, particularly beer, can be a big contributor to gout...
                              Yeah, the list I have (from UpToDate.com, a medical website with sections for professionals that my doctor uses directly for patient information), says the following are risk factors:

                              1) Obesity
                              2) High blood pressure
                              3) Injury or recent surgery
                              4) Fasting
                              5) Alcohol
                              6) Overeating
                              7) Very large amounts of meat and/or seafood
                              8) Taking medications that affect blood urate, particularly diuretics

                              My doctor heard that I had restarted on hydrochlorothiazide (HCTZ) for blood pressure, and she said that was almost certainly the trigger. As far as everybody here telling me I'm a fat bastard, well, point taken, but my diet hasn't really changed in decades, and the doctor says that getting an alternate, non-diuretic treatment for high blood pressure will probably let me avoid recurrences.

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