Êtes-vous dans la vingtaine ou la trentaine et souffrez-vous de la goutte?
Quelques articles ont attiré mon attention la semaine dernière et c'est une information importante pour les personnes souffrant de la goutte partout!
Surprise, surprise, surprise! La goutte est en augmentation et les médecins dans les hôpitaux à travers le Royaume-Uni disent maintenant qu'ils voient une forte augmentation de la goutte chez les jeunes de 20 et 30 ans! Pour ceux qui suivent mon blog, vous savez tous que j'ai été diagnostiqué avec la goutte dans ma vingtaine aussi.
Les médecins pensent que l'augmentation de l'obésité l'obésité et des personnes diagnostiquées avec le diabète de type 2 sont les principales raisons de la hausse de la goutte chez les jeunes. Le ministère de la Santé du Royaume-Uni indique clairement que le nombre de personnes diagnostiquées avec la goutte a doublé au cours des 10 dernières années! En 2014, il y a eu un record de 5 810 rendez-vous liés à la goutte dans les hôpitaux britanniques, contre 2 658 il y a dix ans.
Une Une étude britannique de 2019 a révélé que les patients atteints de goutte présentent un risque accru de 25% de développer un caillot sanguin dans les veines au cours de leurs 10 premières années après le diagnostic. Mais le risque était de 79% plus élevé pour ceux dans le groupe d'âge des moins de 50 ans!
Depuis 2012, les rendez-vous à l'hôpital liés à la goutte ont augmenté de 30% pour les jeunes de 20 et 30 ans, dépassant tous les autres groupes d'âge! Au cours des 5 dernières années, il y a eu une augmentation de 26% des prescriptions d'allopurinol pour normaliser les niveaux d'acide urique chez les personnes atteintes de la goutte.
Pendant cette même période, il y a eu une augmentation de 80% des prescriptions de colchicine pour traiter les premières crises de goutte. Tout cela pour dire que le NHS doit de plus en plus assumer ce coût croissant pour traiter tous ces nouveaux patients atteints de la goutte à 1 million de livres sterling par mois. La UK Gout Society croit que si l'obésité peut diminuer, cela aiderait à stopper cette montée abrupte du nombre de nouveaux cas de goutte.
Goutte et Josh Ozersky
Cette histoire a également attiré mon attention : la mort de Josh Ozersky, écrivain culinaire et blogueur pour de nombreuses publications, est décédé à l'âge de 47 ans. Le pauvre homme avait assisté à un gala de bienfaisance à Chicago et a été vu pour la dernière fois dans le salon de karaoké vers 4 heures du matin. Il a été retrouvé mort quelques heures plus tard dans sa chambre d'hôtel.
Ce qui est intéressant chez Josh, c'est qu'il a été diagnostiqué avec la goutte en 2009, mais a promis à son public et à ses lecteurs qu'il ne changerait pas du tout son mode de vie. Autrement dit, il continuera à manger des cochonneries, peu importe sa santé.
Il est également célèbre pour avoir déclaré cette citation : "Telle est la perversité des végétariens - vous ne pouvez pas dire si c'est un cadeau ou une insulte. Ma viande préférée est la graisse d'agneau. Ma philosophie est que la graisse est la viande et que la viande est le légume." Il aimait donc évidemment manger beaucoup de graisses, ce que mon livre électronique vous enseigne strictement à ne même pas toucher.
Lorsque Josh Ozersky a écrit pour le magazine Esquire, qui était sa dernière pièce, il a été cité en disant ceci à propos du bacon : "Le bacon est un goût étrangement personnel, peut-être plus que tout autre aliment... J'ai mangé du bacon de porcs de commodité qui m'a rendu plus heureux que le bacon de porcs pure race Duroc ou Berkshire. J'ai mangé du bacon de joue qui était meilleur que du bacon de ventre. Le bacon ne se soucie pas de vos idéaux, aspirations ou position sociale. C'est un objet de fétichisme pur et dur, et en tant que tel, il n'est pas soumis à une fonction cérébrale supérieure."
Encore une fois, je vous enseigne à ne pas manger de porc, qui est l'une des pires viandes à manger sur le plan de la santé, et vous savez également que trop de viande n'est pas bon pour nous, les personnes atteintes de la goutte. Il est évident d'après les citations de Josh qu'il était un grand amoureux de la graisse animale et des protéines. Si j'étais un parieur, je parierais que toute cette consommation de viande au fil des ans et la manière dont il l'a mangée ont causé sa détérioration de santé à un tel point qu'il est mort à un si jeune âge.
Je remarque ces gros titres de temps en temps, comme l'auteur de régime paléo Seth Roberts, qui s'est effondré et est décédé lors d'une randonnée l'année dernière à l'âge de 60 ans. L'autopsie a révélé plus tard qu'il avait une maladie coronarienne qui a causé sa mort. Tout cela ne vous fait pas du bien, c'est certain.
C'est triste de constater que la goutte est en augmentation chez les jeunes, et encore plus triste de voir des jeunes mourir subitement. Mais les leçons de santé sont là pour vous apprendre que si vous consommez trop de viande en général, des choses néfastes arriveront à votre santé.
Si vous êtes obèse, vous courez un risque accru de développer la goutte même dans la vingtaine et la trentaine. Si vous êtes jeune dans la vingtaine ou la trentaine, et que vous mangez mal, ne faites pas d'exercice et buvez beaucoup d'alcool chaque week-end avec vos amis, vous courez un risque accru.
Ceci est un appel à la vigilance, venant de moi qui étais en surpoids dans la vingtaine car j'adorais mes burgers et mes frites. J'aimais faire la fête et boire beaucoup de whisky et de bière. J'ai abandonné le sport et l'exercice pour me concentrer davantage sur mes activités sociales, ce qui a fini par détériorer ma santé. Croyez-moi, cela ne vaut pas le coup, vous devez payer le prix tôt ou tard.
Ne laissez pas la goutte entrer dans votre vie. Bien que si vous lisez ceci, il y a de fortes chances que vous ayez trouvé cet article ou ce site Web parce que vous voulez en savoir plus sur la goutte car vous avez récemment été diagnostiqué avec la maladie. Quoi qu'il en soit, faites un changement de santé et de style de vie aujourd'hui. La décision vous appartient.
17 replies to "La goutte et les jeunes"
Hi, I’m Kayra and 23 years old. Actually when I was 18 years old, I did a full blood test and noticed that my uric acid was very high. But I did not know it needed to be treated. Last year (I was 22 years old), I started to have acute pain near my toe and I could not even walk.
I had been to hospital, did X-rays and everything was fine. I even went to consult different doctors, but none of them could guessed that I was having gout attack. Only few months later, I met a friend who, after telling him about my story, he suggested me to go for a uric acid test. To my great surprise, my uric acid was very high and I immediately went to a doctor and he prescribed me with Puricos 300mg which I had to take twice a day and ultimately, the high dose of puricos causes damage to the stomach.
My parents and I, we are all surprised by this high uric acid as I am still young, I don’t consume alcoholic drinks, I don’t even consume seafood and red meat. Moreover, my parents, siblings nor my grandparents have gout problem.
Hi Kayra!
Yes in your case it is genetic like mine and not induced by bad diet.
I am a 21 year old female, I don’t drink a lot of alcohol, eat a lot of fatty foods,I’m not excessively over weight, and I was still with gout. It scares me horrendously. I’ve never had any major health problems. I don’t know how to cope with this. It scares me.
The pain is the worst pain I’ve ever experienced. I changed my diet became a vegan and still get flare ups where I’m not able to walk. It’s affected my work life as well as home life. I also take medication for it but nothing seems to be working. (32 year old male)
Hey Spiro,
Thanks for your great website, I am considering buying your book but I would like to share my story first and what you have to say about it.
I am 33, my first gout attack happened in summer 2015 and I thought I had somehow injured my thumb… but boy was I wrong. I tried to cool it before going to bed but it didnt help so I drank alcohol to be able to sleep and that made it even worse. Then I was going through hell for 2 weeks before it calmed down… little did I know I was up for more fun.
One and a half years passed and all was good, then last christmas my toe of the left foot began hurting like hell and it quickly spread over my whole foot, making me question if maybe I should just chop the whole thing off and learn to walk on prostheses.
During this attack I learned I have gout through blood tests and my doctor prescribed me allopurinol – at a very high dose (300). I didnt take it because I was extremely scared of side effects and it was all good until… late july this year. That’s when the party really started going.
At first my toe was flaring up again and it was bad. Really bad. But I tried to distract myself playing video games – that worked for a day. The next day my thumb on the right hand flared up too as if gout was having a party with several body parts invited and let me tell you the party they had made me question my sanity.
I am still suffering from the attack from late July – it is better now but the joints are still kinda stiff and while I can walk and use my hand they are still not 100 % functional.
I still do not take allopurinol because I am still scared of the side effects, especially after I read that you start on a small dose instead of the maximum dose allowed here (in Germany) as prescribed by my doc. I started changing my diet completely after the last attack, avoiding meat, animal fats and I cut beer completely. I also drink lemon juice every day and try to live more alkalic but it goes to the point where I am paranoid and it even affects my social life. Thank god I have an understanding wife!
Anyway, my wall of text basically only has one meaning – I read a lot of your website and felt so at home with what you wrote I just wanted to share my story. Plus I have a question: Do you think gout is managable without taking allopurinol? I know gout can lead to serious health issues like heart disease and strokes and since I am only 33 and only married last year I plan on living a little longer but I am really scared of the medication.
Thanks for reading and a possible answer, keep up your great blog!
Hi Matthias!
Thank you for sharing your story!
To answer your question about the medication, it all depends. If your body meaning your kidneys and liver which product uric acid are impaired in any way, then diet alone might not be able to help you, you will require medication. Diet works on some but not others. Best to do a blood test and check your uric acid number and seek advice from more than one doctor and also visit a rheumatologist who is specialist in arthritic related diseases like gout.
From there you can work with your doctor to start you off on a lower dose of allopurinol and see how your uric acid reacts. Many doctors will follow recommendations from the book and just prescribe you 300 mg where you really need is only 100 mg maybe.
Now diet is something you have to do regardless. You have to eat better and change your eating habits and lifestyle. You need to be your ideal weight and have a healthy blood pressure and heart rate etc…If you eat healthy you will lower uric acid but we don’t know if it will be enough or not depending how your kidneys function. You can also ask your doctor to monitor you more closely if you want to experiment with diet alone first and take no medication and monitor the results via the blood tests (uric acid levels). The choice is yours to make and a personal one.
Good luck!
Spiro
[…] notice how gout is increasing amongst young persons starting in their late teens. I’ve also written a post about it on this site that you can check out as well. In this post, I interview Alexander Banham, a […]
I don’t know if I have gout. I have tremendous burning pain in both the tops of my feet, kind of stemming from the 2nd toe. My dad has gout. I went to a podiatrist and he did steroid shots- helped for about 3 months. Pain is unreal. My Dr is testing my uric acid to see if it is gout. I am a 48 year old female, pain has been going on about 9 months. 7 months ago my uric acid was on the high side of normal range. Thanks for the good article!
Hello, I am only 23 years old and I think I have gout.. I know it runs in my family, Typically on males. 5 months ago i went to the doctors because my toe became swollen and I couldn’t walk. I got an x-ray and everything but there was no problem. Now the same pain is happening on my (big) toe and I’m really worries that I have the gout now..
Hello Justin! Almost the same as you, at the beggining of the year I was diagnosed with gout and since then my life it´s differente. Not only the food but also It damage your joints… I used to be very sportie guy.
I hope than soon I can find a treatment that works for me.
God bless you.
Hello- i am 26 years old, it’s been more than 4 months I am suffering from pain in both of my foot, ankles and left wrist, I took all the test and found Uric acid was too high in my blood, doc prescribed me febuxostat tablet and within 2 weeks it came down to 2.2, it’s been more than 3 weeks since I lowered my Uric acid, but still pain is not going away and both if my foot and left wrist have swollen and stiff, I drink 2 litres of water, have lowered my food intake,especially meat, chicken, alcohol and dairy products,
Just to add, in the first week of Jan2016 I met with an accident, had stitches on my right knee, that took approx 2 months to cure, but that time there were no pain in my foot, pain started in my foot when I got a new shoes in feb 2016, I thought it might go away with time as this was just because of new shoes, also I started taking protein x powder without any exercise, I knew it was a big mistake that I made.
My question is,
1- Based on my above comments is there anything else causing pain as my uric acid is down?
2- is it possible any of my nerves misplaced due to the accident or new shoe and causing pain and swelling?
3- is there any kind of infection causing the pain due to accident?
Thank you
Really hard to say. The accident can have an effect for sure but I am not a doctor and don’t have enough information to give you an opinion unfortunately. Best advice I can give you is to seek a second opinion. Best of luck!
[…] Young Men suffering from Gout […]
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Dear Spiro,
Fantastic article that really gets to the point. I had no idea young people were suffering from gout at a rapidly increasing rate. I’ve been thinking of it as an elder disease, possibly from kidney disfunction that sets in with age. But I know it has been increasing dramatically in both England and the USA.
What bugs me the most is that there are no goutologists. The best we get is a rheumatologist, and if EVER there was a disease that deserves and requires a specialist, it’s gout. Treating it like a second cousin to arthritis is an absurdity.
Worse, there’s a resistance to even treating or discussing gout. I’ve discovered it’s a four-letter word to many doctors who want to change the subject, climb out a window and run away. I think it’s because the medications don’t work well. Handing people a little booklet with wrong info in it (!) doesn’t help either.
I am sorry to hear so many young people are experiencing gout attacks. We must stay active and REALLY watch what we eat. It’s wonderful to have meatless meals from time to time. You can really tell the difference. When I cheat from time to time with a little pork, I’m thankful for apple cider vinegar. For the most part, I try to be sensible in my eating. That’s the smart and enjoyable way of life. Again, thanks for the update and keep um coming!
thanks for all the interesting tips and story’s i am 48 and have gout since i were 24. what about the Banting diet n friend of mine who suffers bad gout as well is on the diet for 8 months eats lots of meat and veggies, lost a lot of weight and says the gout attracts is much better ? my problem i drink at least one bottle of whisky every weekend and with that lots of lamb and rump steak on the braai and through the week normal meals. i use a gout cocktail once or twice a week. my knees get very sore and stiff and sometimes in my wrists that is very painful. regards from Zambia.