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Joined: Jun 2008
Posts: 197
First_Degree_AS_Kicker
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First_Degree_AS_Kicker
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It is my understanding that gout is caused by alchol abuse or eating to much red meat?????? My brother had gout a month ago (he is and has been an alcholic for over 25 years) It was in his ankle. It was over fathers day. We had a cook out and he was there. His ankle was the size of a softball. He was in a lot of pain. He went to the doc the next day and was given meds for it and the pain and swelling went down by the next day.

Can gout be caused by other things such as hereditary?

Kell




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Very_Addicted_to_AS_Kickin
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the simple answer is yes, a number of things can cause gout.

This is from the MayoClinic Website: http://www.mayoclinic.com/health/gout/DS00090/DSECTION=risk%2Dfactors

Risk factors

You're more likely to develop gout if you have high levels of uric acid in your body. Factors that increase the uric acid level in your body include:

Lifestyle factors. Choices you make in your everyday life may increase your risk of gout. Excessive alcohol use — generally more than two drinks a day for men and more than one for women — increases the risk of gout.

Medical conditions. Certain diseases and conditions make it more likely that you'll develop gout. These include untreated high blood pressure (hypertension) and chronic conditions, such as diabetes, high levels of fat and cholesterol in the blood (hyperlipidemia), and narrowing of the arteries (arteriosclerosis).

Certain medications. The use of thiazide diuretics — commonly used to treat hypertension — and low-dose aspirin also can increase uric acid levels. So can the use of anti-rejection drugs prescribed for people who have undergone an organ transplant.

Family history of gout. If other members of your family have had gout, you're more likely to develop the disease.

Age and sex. Gout occurs more often in men than it does in women, primarily because women tend to have lower uric acid levels than men do. After menopause, however, women's uric acid levels approach those of men. Men also are more likely to develop gout earlier — usually between the ages of 40 and 50 — whereas women generally develop signs and symptoms after menopause.

sue

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boel Offline OP
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Hi Kell,

That is true, and I eat no red meat (haven't for 32 years)and whereas I do like a glass of wine or a beer with dinner I don't consume it to excess, but my doctor still decided it is gout. From what I understand there can be hereditary factors too, but I don't have it in my family either.

I intuitively think I don't have gout, and I am not sure this is AS related either, bot I guess without the tests I cannot know for sure.

For one thing there was no redness, which I understand typically goes with gout. On the other hand I have never had swelling with my AS before.

Boel

Joined: Dec 2005
Posts: 223
Second_Degree_AS_Kicker
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Second_Degree_AS_Kicker
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I have AS...or Reactive arthritis....or undifferentiated spondylorthropy....take your pick, it doesn't really matter how we label it, it is still whatever everyone on here has. mine is mainly in my hands and feet. when I had my first serious flare, the google detective in me decided I must have gout. I was wrong. If I remember correctly you can test for uric acid in the urine to rule out gout.

But AS can most definately attack hands and feet. the knuckle at the base of my middle finger in my right hand, and the corresponding joint in my right foot are the constant problems for me. other areas come and go. At times the hand or foot was bad enough to incapacitate me, amd other times, it barely affects me. No or Low starch diet helps, as does minocycline in pulsed dosing and zyflamend is helpful (an herbal anti-inflammatory mix).

Hope you get to the bottom of yours soon....god luck

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First_Degree_AS_Kicker
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Sue
I looked at that web site that you posted. thank you...
I was reading over it and some things popped my attention.

Advanced gout. Untreated gout may cause deposits of urate crystals to form under the skin in nodules called tophi (TOE-fi). Tophi usually aren't painful,

The reason it made me take notice was because of these nodules I have on my shine. As I have posted before in a past post that I have nodules on my shins. I had the bone scan and my ortho told me they were caused from inflamation. When I saw my new doc tuesday I told her about the nodules and how when I pushed on them that they felt like sand or crystals being released and spreading through my leg. One of the blood tests that she ordered was uric acid. I had no idea why she was wanting to test that but now I am wondering if she might think I have gout as well as AS. My older brother has had gout a few times but like I said earlier he is an alcohlic. I do not drink alcohol and I really don't eat much red meat. Mostly because I don't like to cook. hee hee. I will now be interested to find out why she did that blood test on me and how it came out. However if it was advanced gout I would think I would have seen more inflamation like my brother had. His ankle was as big as a softball and he said it hurt like bleep. He had to walk on crutches.
I think someone else in my family has had gout but right now I can not remember who. I was thinking my Grandfather who is also a alcoholic.

hmmmmmmmmmmmm??????

Oh the mysteries of our bodies.

boel
Are you saying that you have not had a diagnoses of AS yet? I don't know if AS goes to the fingers or not but my rheumy looks at my fingers everytime I go for a visit and he always askes me if I have had any pain in them. I never have had any pain in them but it is only my guess that if he is asking me that...that it might be that AS can effect the fingers.
Please forgive me if you have already said what tests were run....Have you had bone scan, MRI, blood work?? Or was your doc only going on symptoms?

kell




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boel Offline OP
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Hi Kell,

I do have a confirmed AS diagnosis, HLA B27 positive, xrays, bone scan + repeated iritis attacks.

Boel

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