Gout relief and gout and diabetes - Gout Poster

Managing a Gout Flare Cycle

Few things in life are more painful than a gout flare up.  So if you wake up in the middle of the night with symptoms of gout (a joint that is tender, swollen, red and radiating heat), you’ll want to act fast for gout relief. Here’s what you can do when a gout flare starts to ease the pain of and reduce the risk of others and hopefully get immediate gout pain relief.

Take medicine you have on hand
Start treatment immediately with over-the-counter ibuprofen (MotrinAdvil) or naproxen (Aleve), but never take aspirin, which can worsen a flare. If you have had a flare before and your doctor has prescribed an anti-inflammatory medication to take in the event of another, take your prescribed medication as your doctor directed. If you are already taking a uric acid-lowering drug to reduce the risk of flares, continue to take that drug.
Ice down

Applying an ice pack to the painful joint may help ease pain and inflammation. Wrap a pack (a bag of crushed ice or frozen peas will also do) in a dish cloth and apply to the area for 20- to 30-minutes at a stretch several times a day.

Call your doctor. Let your doctor know what is going on right away. She may prescribe a new medication, or have you come to the office for a joint fluid test (to confirm the gout diagnosis) or an injection of a corticosteroid to start relieving inflammation quickly. Getting treatment within the first 24 hours of the start of a flare can lessen its length and severity.

Drink, Drink, Drink
Staying hydrated helps flush out uric acid (the cause of your joint pain) and prevent kidney stones, another possible problem associated with high uric acid levels. Aim for eight to 16 cups of fluids a day, at least half of them water.
While your water intake should be plentiful, be sure to cut out the alcohol.  Although it may be tempting to have a drink to relax when you’re in pain, it’s important to avoid alcohol, especially beer, which contains high levels of purines. The body creates uric acid when it metabolizes purines. Furthermore, alcohol inhibits the excretion of uric acid from your body.
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