Si vous avez suivi mes comptes de médias sociaux où je publie les dernières nouvelles sur la goutte à travers le monde, vous remarquerez comment la goutte augmente chez les jeunes à partir de la fin de leur adolescence. J'ai également écrit un article à ce sujet sur ce site que vous pouvez consulter également. Dans cet article, j'interviewe Alexander, un jeune adulte qui a été diagnostiqué avec une hyperuricémie dès l'âge tendre de 19 ans. J'espère que vous apprécierez cette interview.
Alexander, quand avez-vous développé un taux élevé d'acide urique et comment l'avez-vous découvert ?
Bien que ma première crise soit survenue en 2011 lorsque j'avais 19 ans, je n'avais absolument aucune idée qu'il s'agissait de la goutte à l'époque. J'étais à l'université et les médecins du campus pensaient tous qu'il s'agissait d'une blessure sportive de quelque sorte et m'ont référé à des physiothérapeutes. Ils ont ensuite diagnostiqué une fasciite plantaire en 2014, avec des crises se produisant ~3-4 fois par an. Mon médecin de famille a finalement réussi à me faire faire un test sanguin, révélant que les niveaux d'acide urique étaient à 14 mg/dL, plus du double de la limite supérieure de la plage de référence!
Parlez-moi un peu plus de l'historique de votre famille avec l'hyperuricémie et comment votre mère y fait face ?
En ce qui concerne l'historique de ma famille souffrant d'hyperuricémie, je ne savais rien à ce sujet jusqu'après avoir été diagnostiqué avec la goutte. Le frère aîné de ma mère et leur mère (ma grand-mère) avaient tous deux des degrés variables d'hyperuricémie, mais aucun d'entre eux n'avait de crises de goutte, je soupçonne donc que ce n'est pas excessivement élevé.
Est-ce que votre mère, votre oncle et votre grand-mère ont pris quelque chose pour gérer leur hyperuricémie?
Aucun d'entre eux n'a rien fait pour essayer de la corriger. Ils n'ont jamais eu de symptômes de goutte comme moi.
Quels médicaments prenez-vous actuellement?
Je prends actuellement de l'allopurinol 300 mg et de la colchicine 0,6 mg une fois par jour. J'ai commencé à prendre cela il y a environ 3 mois, après que le rhumatologue l'ait recommandé. Il y a également de l'indométhacine en réserve pour calmer les crises lorsqu'elles surviennent, mais je n'ai pas eu de crise depuis que j'ai commencé la combinaison de médicaments.
Avez-vous des effets secondaires avec l'allopurinol comme des éruptions cutanées et de la colchicine comme la diarrhée ? ou autre chose ?
Aucun effet secondaire jusqu'à présent avec l'un ou l'autre.
Quels sont vos réflexions sur le régime alimentaire et de quoi se compose votre alimentation ?
Mon régime alimentaire a beaucoup changé depuis mes jours en banque d'investissement. Les protéines proviennent des blancs d'œufs, des glucides enrichis, des produits laitiers pauvres en matières grasses, du blanc de poulet et du saumon. J'ai arrêté la viande rouge du jour au lendemain. La plupart de mon régime alimentaire se compose de glucides et de légumes. Mon médecin m'a également fait passer des tests sanguins mensuels et ma concentration d'acide urique est maintenant d'environ 9,8, j'ai donc encore du chemin à parcourir.
Avez-vous fait des expériences alimentaires ?
Nous soupçonnons que la betterave / le jus de betterave aide à réduire l'inflammation, mais nous ne pouvons pas en être sûrs. J'ai essayé du jus de citron dans mon eau mais cela a entraîné une inflammation désordonnée où mon genou a grossi comme un ballon. Aucune autre expérience que celle-ci. Les gens ont tendance à condamner certains aliments lorsqu'ils pensent que cela est associé à une inflammation, mais la plupart du temps, il s'agit simplement d'une corrélation et non d'une causalité... Je ne bois plus d'alcool de quelque nature que ce soit.
Quel âge avez-vous maintenant ? Et parlez-moi davantage de votre régime alimentaire pendant vos jours en banque d'investissement. De quoi se composait votre régime alimentaire ?
J'ai maintenant 24 ans. Le régime alimentaire pendant les jours en banque d'investissement était beaucoup plus mauvais, beaucoup de viande (surtout du steak), de la consommation d'alcool agressive 2+ fois par semaine ! Parfois, nous essayions de manger sainement, mais en raison des longues heures de travail, l'équipe prenait presque toujours tous les repas au bureau (c'est-à-dire des plats à emporter), mangeant parfois 4+ fois par jour car nous travaillions jusqu'à 3-4 heures du matin.
Faites-vous encore de l'exercice ? Que comprend votre routine ?
Je fais toujours de l'exercice, je nage deux fois par semaine, je fais du vélo tous les matins en semaine. J'ai arrêté de soulever des poids car le rhumatologue a dit que cela serait mauvais pour les articulations (déjà détériorées).
Merci Alexander d'avoir pris le temps aujourd'hui de répondre à quelques questions et j'espère que cela sera utile aux jeunes adultes du monde entier pour réaliser à quel point de bonnes habitudes alimentaires sont importantes dès le plus jeune âge. De nombreux jeunes adultes se sentent immortels à la fin de leur adolescence et dans la vingtaine, tout comme moi, et les conséquences sont assez graves lorsque l'on pense à ce qui peut arriver à votre santé à long terme.
6 replies to "Interview avec un jeune souffrant de la goutte."
Carlos
janvier 26, 2018
Reading this lying in bed suffering from my most recent flare up on my right foot and on the side of my pinky toe. My first gout attack was when I was 23. I am now 31. In between my first attack ever and now it rarely happened. Maybe twice in between. But now, I’m getting flare ups every other week. It’s terrible.
I’m glad I found this site and learning more about gout and hearing everyone out there and their stories gives me confidence that I too can make the change in my life required to stop this. Thank you all!
Wow 19 is really young. My first attack was 5 months ago when I was 31 which was in my left big toe. I did a big cut on sugar, have pretty much cut beer except the occasional one and the rare glass of wine.
I have been taking celery seeds and a Alfalfa supplement daily which seemed to be working great for 5 months. I had mostly not been taking the supplements and just got an attack in my right ankle. So its hard to say for sure as I had 1 beer a few days prior but might link it more to the fact I stopped taking the supplements.
This time around I will have to stay diligent with the supplements and continue working on a healthy diet. I did as well start to exercise more the last few months which had not caused any issues.
I am not sure if it is due to my age but my doctor did not seem to take my complaints too seriously. I did a blood test and they failed to even report back to me on the results. When I pushed them for another appointment they noted my levels where high but not crazy to which I asked for another test, however they declined and said wait till you have another one. I was disappointed they didnt want to at least come up with a plan, I got the feeling they didn’t know much about gout. They seemed to be much more concerned that my blood pressure was a little elevated.
My first gout flare was at age 59 which was seven years ago. It was in my left big toe. I continued to get them in increasing frequency over the years, always in my left foot, usually that big toe. I took NSAIDs (Ibuprofin) and toughed it out.
In the Spring last year (2016) I got an attack in my right ankle. The pains and discomfort lasted about a month then it migrated to my left ankle and then back to the right ankle. I suffered with it for over two months, taking Ibuprofin for the pain, especially before going to bed at night.
I had quit all alcohol about a year before hoping that would alleviate matters, since I had been drinking far too much beer and wine. I had also reduced my intake of meat and seafoods by more than half. It didn’t work and I refuse to take medications.
What worked was becoming a lacto/ovo vegetarian, greatly increasing the amount of water I drink and taking 1/2 teaspoon of baking soda dissolved in 4-6 ounces of water just before I go to bed every night.
The last couple of years the attacks had increased to one at least every other month. I have now been gout free for nine months and I do not take any pharmaceuticals at all.
This latest attack occurred 2 weeks ago, migrating from the side of my right ankle to the back of my ankle, to the base of my right big toe where it settled, and then has recently flared in the side of my ankle again. Finałly my PCP referred me to a rheumatologist; she told me she was going to hav to inject my joint. She did an ultrasound before and revealed tophus as well as bone loss due to the crystals. Prior to this latest attack, I would treat the flares with endomethecin with some success and occasionally Prednisone. My wife has been very supportive in my diet and we both eat minimal red meat, shellfish and drink little alcohol (the month prior I had maybe one beer and a glass of wine); no organ meat. We try to stick to a Mediterranean type diet. Since this attack, I will not consume another beer (I am a home Brewer [ex]). I have been consuming tart cherry extract, tart cherry juice, turmeric, and vitamin C, all without relief. I think now that the attack has subsided, maybe the supplements will provide some sort of protection against future flares. Time will tell. I want to merge into a vegetarian diet.
I’m practically a vegetarian now. Chicken maybe once a week. No alcohol. No flares in almost a year now since going vegetarian. No alcohol in ten years. I was flaring fairly regularly before that with a very severe attack in my right knee last May. That’s when I started on the plant based diet.
6 replies to "Interview avec un jeune souffrant de la goutte."
Reading this lying in bed suffering from my most recent flare up on my right foot and on the side of my pinky toe. My first gout attack was when I was 23. I am now 31. In between my first attack ever and now it rarely happened. Maybe twice in between. But now, I’m getting flare ups every other week. It’s terrible.
I’m glad I found this site and learning more about gout and hearing everyone out there and their stories gives me confidence that I too can make the change in my life required to stop this. Thank you all!
Wow 19 is really young. My first attack was 5 months ago when I was 31 which was in my left big toe. I did a big cut on sugar, have pretty much cut beer except the occasional one and the rare glass of wine.
I have been taking celery seeds and a Alfalfa supplement daily which seemed to be working great for 5 months. I had mostly not been taking the supplements and just got an attack in my right ankle. So its hard to say for sure as I had 1 beer a few days prior but might link it more to the fact I stopped taking the supplements.
This time around I will have to stay diligent with the supplements and continue working on a healthy diet. I did as well start to exercise more the last few months which had not caused any issues.
I am not sure if it is due to my age but my doctor did not seem to take my complaints too seriously. I did a blood test and they failed to even report back to me on the results. When I pushed them for another appointment they noted my levels where high but not crazy to which I asked for another test, however they declined and said wait till you have another one. I was disappointed they didnt want to at least come up with a plan, I got the feeling they didn’t know much about gout. They seemed to be much more concerned that my blood pressure was a little elevated.
My first gout flare was at age 59 which was seven years ago. It was in my left big toe. I continued to get them in increasing frequency over the years, always in my left foot, usually that big toe. I took NSAIDs (Ibuprofin) and toughed it out.
In the Spring last year (2016) I got an attack in my right ankle. The pains and discomfort lasted about a month then it migrated to my left ankle and then back to the right ankle. I suffered with it for over two months, taking Ibuprofin for the pain, especially before going to bed at night.
I had quit all alcohol about a year before hoping that would alleviate matters, since I had been drinking far too much beer and wine. I had also reduced my intake of meat and seafoods by more than half. It didn’t work and I refuse to take medications.
What worked was becoming a lacto/ovo vegetarian, greatly increasing the amount of water I drink and taking 1/2 teaspoon of baking soda dissolved in 4-6 ounces of water just before I go to bed every night.
The last couple of years the attacks had increased to one at least every other month. I have now been gout free for nine months and I do not take any pharmaceuticals at all.
This latest attack occurred 2 weeks ago, migrating from the side of my right ankle to the back of my ankle, to the base of my right big toe where it settled, and then has recently flared in the side of my ankle again. Finałly my PCP referred me to a rheumatologist; she told me she was going to hav to inject my joint. She did an ultrasound before and revealed tophus as well as bone loss due to the crystals. Prior to this latest attack, I would treat the flares with endomethecin with some success and occasionally Prednisone. My wife has been very supportive in my diet and we both eat minimal red meat, shellfish and drink little alcohol (the month prior I had maybe one beer and a glass of wine); no organ meat. We try to stick to a Mediterranean type diet. Since this attack, I will not consume another beer (I am a home Brewer [ex]). I have been consuming tart cherry extract, tart cherry juice, turmeric, and vitamin C, all without relief. I think now that the attack has subsided, maybe the supplements will provide some sort of protection against future flares. Time will tell. I want to merge into a vegetarian diet.
I’m practically a vegetarian now. Chicken maybe once a week. No alcohol. No flares in almost a year now since going vegetarian. No alcohol in ten years. I was flaring fairly regularly before that with a very severe attack in my right knee last May. That’s when I started on the plant based diet.
Good to hear Dave! Keep it up!