If it’s a condition that you have- then maybe allopurinol, which is used as a prevention. Colchicine is largely used to diminish pain symptoms.

Diet management-Accounts for a lot. Vitamin C. Be careful with grapefruit though, if you take colchicine. The combination apparently has undesirable side effects.
Medications that you take can exacerbate an otherwise previously unknown condition.
I get occasional Gout attacks as a result of losing a kidney and being on a long term medication recommended by the specialists, as a result of losing the kidney. The medication results in elevated levels of Uric acid, and the loss of a kidney results in less uric acid being drained from the system.

Gout is caused by a build up of uric acid in the body, which can be due to a condition that you have, or as a result of another situation, as in my case. I’m not allowed to take allopurinol, though. It’s side effects are incompatible with professional flying.

Hydration is essential. Pee more. I understand that some issues that lead to gout can also result in kidney stones, too.

There’s a whole host of foods which should be taken in moderation, some of which are quite surprising. Foods high in purines result in elevated uric acid.
Cauliflower, Turkey, and many fish, which often appear in healthy diet lists, along with Game meats like venison, organ products- liver, kidney, and heavy meats like Beef. Strangely, counter intuitively, Lamb is supposedly fine.
Tomatoes apparently sit in both camps- good and bad. Good, because of their superfood properties. Bad, because of their higher sugars, being a fruit.

Avoid corn syrup. A sugar substitute which appears in just about every western processed sweetened food/liquid. From canned drinks to cough medicines.

I eat a fair amount of oranges. Vitamin C is apparently instrumental in breaking down the uric acid. Although, it’s also suggested to make things slightly more alkali.
Cherry juice, and unsweetened cherries are noted in some publications on the subject, as being a good thing to include in diet.
Dairy is suggested as part of the diet.

A blood test can identify if you have elevated Uric acid, which is a startling point in knowing what to do next.

Green tea is rated as a good natural means of managing acid levels, as prevention.

Activity. I’m convinced that if an attack occurs, once the swelling is being brought under control that mobility has a big influence in rate of recovery. This is a difficult thing to get going, though, as the pain is ridiculously disproportionate; just a simple tensing of a muscle can result in agony. Nevertheless, I’m sure (from purely a personal perception) that getting mobility back into the joint, without impact stresses, is essential.

But prevention is a must.

Among various medical establishments, gout and its causes seems to be a matter of much debate and controversy, with a lot of contradictory opinions, although there are some consistent areas.

Quack's advice my ass. The first time I had it around 15 years back I got out of bed one day and the pan in my foot was so excruciating I fell down. After a couple of days of this I headed to a clinic and the doc immediately said sounds like gout to me. 4 days later I was calling colchicine the wonder drug. I get 2-3 episodes a year and 3-5 days on colchicine knocks it back completely. Would not trade it for anything. I eat and drink what I want when I want and the only thing that would change my mind is if it stopped working. 15 years on and still going.

johnny lightning wrote: ↑Thu Oct 27, 2022 1:38 am Quack's advice my ass. The first time I had it around 15 years back I got out of bed one day and the pan in my foot was so excruciating I fell down. After a couple of days of this I headed to a clinic and the doc immediately said sounds like gout to me. 4 days later I was calling colchicine the wonder drug. I get 2-3 episodes a year and 3-5 days on colchicine knocks it back completely. Would not trade it for anything. I eat and drink what I want when I want and the only thing that would change my mind is if it stopped working. 15 years on and still going.

Don’t be so quick to dismiss. Colchicine is actually quite hard on the system, especially gastrointestinal, and needs to be taken with care. It’s also quite an old though established treatment. But it’s primary use is control of the symptoms- inflammation. It does not have a bearing on the cause of the problem, which is ultimately an excess of Uric acid.
Uric acid is essential in our system. but as with many problems, it’s the excess that is the problem.

Not everyone has the same root causes, nor responses. As mentioned, it seemed to be an issue with quite a broad range of opinions and debate. It’s also on the rise.
I wonder if the amount of processing in foods isn’t a major contributor.