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Tuesday, February 7, 2012
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Arthritis and Rheumatism |
Gout guidance01/30/2003 |
My father, 83,was doing very well, considering, until he developed gout in his wrist, 2 wks. ago. He is being treated for COPD(10 yrs.), glaucoma(2 yr.) (which I suspect resulted from some of the medications he was/is taking),and he is treated for prostate(5 yr.). Medications are aspirin, albuterol, atrovent, advair, travatan, flomax, singular, nitro, pravocol, digitek, unifil, furosomide, (he had the colichine sp? and it caused awful vomiting) allipurinol...and now naproset(sp?) and amoxycillin because he has the flu and the gout is flaring up again already... He has seen 2 doctors already and is not eating. Can you help? He tries so hard but this is really doing a number on him. I`m guessing the gout also comes from something he is taking. I don`t know what to do for him and the doctors seem to feel they are doing everything they can. The food do`s and don`ts (the few found on the internet) are anything but appealing...The dietician says there`s no diet. Do you have some suggestions? Is there a good chart? (please excuse the spelling) Thanks for any guidance here!!!
Treatment of gout varies dependent on the individual. NSAIDs, colchicine and allopurinol and low purine diets are all used but their use depends on different factors including the presence of other medical problems. Given the complexity of your father`s medical problems it is difficult to give specific advice without evaluating him. Cortisone injection may be a possibility. I would suggest that he see a rheumatologist.
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Anne-Barbara Mongey, MD Formerly, Director, Arthritis Clinic, Univerity Hospital Division of Immunology and Allergy Department of Internal Medicine College of Medicine University of Cincinnati |