Painful gout attack

How to Stop a Gout Attack

What do you do during a gout attack?

It’s the holidays and temptation comes calling, saying “eat me, eat me” or “drink me, drink me” and since you are human and not perfect, you stumble and cave in to temptation, only to find yourself suffering from a gout attack at 3 o’clock in the morning. Now comes the hard part of how to deal with this attack and how to stop the pain. Well lucky for you, I’ve been around the block a few times so here are my tips.

First of all, gout attacks come with warnings in the form of a burning, itching or a tingling feeling in the joint and this occurs usually an hour or two before the gout flare-up begins. But I’ve experienced those feelings a day or two before as well, so pay attention to your joints where gout attacks keep reoccuring and learn your body’s signals. Your joint may feel a bit sore or a little stiff and when the gout attack strikes, you’ll most likely have severe pain, swelling and redness in the affected joint, usually the big toe but can also be your knee, elbow, wrist or ankle. It hurts so much that anything that touches the joint feels so painful that you can’t even bear the pain of your bedsheets touching the inflamed joint. A gout attack can last anywhere from hours to days if treated quickly but left untreated can last for weeks. To best mitigate the pain, it’s best to get your gout treated within 36 hours! Some of you may also suffer from high fever and chills.

Make sure to have these handy!

What you need handy at home is some colchicine and/or some ibuprofen like Advil or Motrin. I tell my doctor to always prescribe me colchicine and have it ready during a gout attack, cause you don’t want to be stuck with your doctor being away during the holidays or away on vacation. If you are on allopurinol or febuxostat, chances are you are taking a certain dose daily as a long-term uric acid lowering therapy, so you always have that medication handy but not colchicine, since it’s widely used to treat gout attacks and then the medication is stopped after you feel better.

Tart Cherry Extract for Gout

Colchicine is effective when taken within 12 to 24 hours after your gout attack. Colchicine can be a cause to major gut problems if taken in a high dose and is important to follow your doctor’s recommended dose. For most people, this means taking no more than two to four tablets a day. Got no colchicine? Then ibuprofen is a must since it’s available at your local pharmacy over-the-counter. Take it to remove the edge off your pain, it makes it much easier to walk around while you wait to visit your doctor to prescribe you colchicine, NSAIDs or provide you with other advice and medication depending on the severity of your gout. Whatever you do, do not take aspirin since it can affect your uric acid level by worsening your attack.

Some other tips

You got no colchicine and no ibuprofen? Ouff! Make sure to rest that joint as much as possible until the pain lessens. Use some cold compresses or cold packs and place it on the affected joint to lessen the inflammation for about 20 to 30 minutes several times a day. Drink lots of water, by drinking more water it will stabilize your uric acid levels, flushing the excess. Make sure to read my post on water to understand its many benefits for us gout sufferers. Aim for 8 to 16 cups of water daily. Watch what you eat, that means avoiding all of the forbidden gout foods like organ meats, seafood, alcohol especially beer, foods or beverages with high fructose corn syrup or high in purines and limit your meat intake as much as you can. I also suggest if you’re going to walk, to walk with a cane, to keep pressure off of your affected joint. I’ve done this before and helps tremendously. There are many other home remedies listed in many different posts on my website that you can check out as well.

Whatever the case may be, make sure to let your doctor know as soon as you can and if this is your first gout attack you’re gonna need to visit your doctor to run some blood tests and suggest a urate lowering therapy. If your symptoms don’t somewhat improve within 48 hours, then it’s best to call your doctor and may suggest a different treatment.

Posted by Spiro Koulouris

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14 Comments

  • Edmund A.

    Reply Reply November 19, 2016

    Hi I’m currently suffering a gout attack as of the moment and I’m wondering if taking naproxen can help? I haven’t taken any medicines yet to ease the pain. What else fan you suggest? Thank you!

    • Spiro Koulouris

      Reply Reply November 19, 2016

      Unfortunately Edmund I am not a doctor and I don’t give any medical advice since I do not even know enough about your health. Best to consult your doctor.

      Cheers!

  • Paul

    Reply Reply November 7, 2016

    Hi!

    Just wanted to ask if exercising like riding a bike will make it worse when I am suffering from gout? I rode my bike yesterday and just endured the pain, but I think I made it worse. What do you think? Thanks

    • Spiro Koulouris

      Reply Reply November 7, 2016

      Hi Paul!

      When suffering from a gout attack it is best not to inflame the joint any further by doing exercise cause it may push your pain and inflammation to last longer. If you want to heal quickly best to avoid exercise until you are 100% pain free.

  • kaleem mohammed

    Reply Reply October 7, 2016

    In the case of gout, exercise naturally helps reduce uric acid levels by normalizing insulin. In general, exercise is a ‘prevent-all’ when it comes to any health issues.
    Though gout is said to partly genetic and may not be completely preventable, you can absolutely reduce the occurrence and severity of flare-ups with these natural treatments.

  • Beth

    Reply Reply June 27, 2016

    I am very interest in purchasing some of these products for gout. However, I have a question. I take medicine for high blood pressure along with a diuretic. I read some where that a diuretic can contribute to gout. I wonder if anyone knows anything about this. Thank you so much for all the information on this site.

    • Spiro Koulouris

      Reply Reply June 27, 2016

      Hi Beth!

      Yes it can and you can read more about it on my post about Gout and Diuretics.

      • Beth

        Reply Reply June 28, 2016

        Thank you very much for your reply. Your site is a treasure of knowledge. I will continue to read and learn and will soon be purchasing your products.

  • Ady Saxman

    Reply Reply March 3, 2016

    Take a teaspoon of apple cider vinegar in a glass of water before every meal, and add a daily dose of bicarbonate of soda. Absolutely marvelous for gout sufferers! I know because I’m one myself.

  • vinz

    Reply Reply January 19, 2015

    My Father suffering from gout since four years,at first attack we brought him to a doctor,after we discharged him from the hospital,he feels more pains to his body a severe pains to his joints,w/c bring him to trauma not to go back in the hospital because he notices that his gout makes even worse,,now still his suffering in gout,his ankle having puss already,sometimes he has fever becoz of his inflammation,and now we are so confuse of what we are going to do bcoz he really dont want to go to a doctor anymore,what he only want is to have a home effective remedy to his severe ill.Could someone give any advice’s of what some other remedies can effectively cured to my father’s gout??plzz,,more advices….God bless..

  • Donna

    Reply Reply January 7, 2015

    Excellent article Spiro!

    I just got diagnosed with gout..me an in shape athletic type, who eats healthy, but apparently not healthy enough! I have book marked your site and will be reading your recommendations.

  • Atul Sinha

    Reply Reply January 3, 2015

    Iam at the age of 58 years. The first gout attack on one of my ankle happened in the year 1999. After that I use to be affected with Gout pain very often and sometimes it use to effect my left ankle and sometimes to right ankle.Now a days if I am effected with Gout pain it last atleast for three days. Normally I use to take Zyloric in normal course but when the severe pain occurs I use to Colchincine and Butaproxivon as a pain killer.I avoid taking protiens food. Please suggest what else I do to avoid such pain.

    • Spiro Koulouris

      Reply Reply January 3, 2015

      Atal just read all my posts on my website, you’ll get plenty of tips on home remedies, foods to eat and avoid, etc…You can also check out my ebook which explains my philosophy of what a gout diet should consist of and what foods you should eat more and what foods you should eat less and why.It’s great that you are avoiding foods high in protein, make sure to limit your meat intake and protein should never be more than 10% of your daily calories so about 200 calories should come from protein on daily basis. Drink plenty of water at least 8 glasses a day, you’ll notice a difference and cut out any alcohol, juices and soft drinks.

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