Quote from: Questat on December 25, 2019, 08:01:44 AM

I have a gout, can you help me how to treat it.
When I drink too much alcohol especially beer, the next day I would feel so much pain, I am still at my 30's now.

What can you recommend to me to live a healthy life and to eliminate this problem?

This kind of pain are named Gout flares. Its important to know when was the alst time you checked your uric acid levels.
If they are over 6.8 mg/dl the uric acid easly precipitates and becomes crystal. And those are the one who causes the pain. https://www.ncbi.nlm.nih.gov/pubmed?term=5027604
Long-term success in achieving and maintaining subsaturating serum urate levels ( <6.0 mg/dl) is attended by clinical benefits that include cessation of gout flares, resolution of tophi, and improvement in patient physical function and health-related quality of life.

Important things to know
1 Gout can lead to

Recurrent flares of inflammatory arthritis (gout flare)
A chronic arthropathy
Accumulation of urate crystals in the form of tophaceous deposits
Uric acid nephrolithiasis
A chronic nephropathy that, in gouty patients, is most often due to comorbid states

2 About the alcohol intake

In patients with established gout maintaining goal range serum urate levels(<6.0 mg dl) on pharmacologic urate-lowering therapy, small amounts of alcohol intake are unlikely to trigger flares or promote disease progression.
Beer, liquor, and wine were all associated with an increased risk of gout flare in patients with established gout and at least one gout flare in the prior year BUT A significant dose-response relationship was found between the amount of alcohol (beer, liquor, or wine) the bigger the dose the higher the risk
Some studies suggest Wne has lower risk to develop gout flares but the best thing its to avoid it until your serum urate level reach 6.0 mg/dl

About Hypertension medication

About Diet
Dietary purine restriction has proven to be an impractical means to manage gout, despite urate being the end product of purine metabolism. Furthermore, with the availability of potent antihyperuricemic drugs, this dietary approach is rarely necessary and infrequently employed, except in individuals with severe renal insufficiency or intolerance of pharmacologic therapy.

About the Gout flare
The treatment of a gout flare is based on 4 key aspects

serum urate lowering drug (allopurinol or febuxostat)
Colchicine 0.6 mg twice its important to prevent gout flares can be taken up to 6 months
Nsaids Like indometacin 50 mg every 8 hours helps inflamation and pain relief
Hidratation

https://www.ncbi.nlm.nih.gov/pubmed?term=23098865

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