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Gout problems - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Very Good Posted in: Bones, Muscles and Joints
Answered by

General & Family Physician
Practicing since : 2005
Answered : 2568 Questions
User :   Jus wondering if you know if Cyclothymia and Gout are related?
Doctor :   Hi
User :   hi
User :   nice to meet you, where are you from
Doctor :   Hi please proceed with your query.
User :   wondering if you know if Cyclothymia and Gout are related?
Doctor :   Hi, Cyclothymia and Cortisol levels are mor erelated than Gout.
User :   In other words and a small manic episode raise the uric acid
User :   ok so I need to keep the small manic episodes down
Doctor :   No.
Doctor :   That is totally different pathway and metabolism.
Doctor :   I mean to say that they are rarely or almost zero relation between both.
Doctor :   As far as the studies say or the research .
User :   well I keep myself close to even with natural remedies on the cyclothymia
Doctor :   Ok, That is very good.
User :   but I just had a bad gout attack, but after a small high
Doctor :   Ok.
User :   been eating the same for two months, but a change in diet
User :   more raw foods
Doctor :   Ok, Very encouraging.
User :   the manic was fueled by starting some yoga beathing
User :   I am not overweight, I do not drink or smoke,
Doctor :   Ok, That is quite astonishing, Was it due to Pranayama /
User :   yes
User :   They I was so high I quite drinking tea
Doctor :   What exactly was the type of pranayam ayou were practising ?
User :   close the nostrail, breath in, change nostrails, breath out than then in again and change
Doctor :   Ok.
User :   Then I went down into a small depression and then pow gout, very bad
User :   This is my 4th attack snice 2009
User :   the last one was 6 months ago
Doctor :   Are you on any medication for Cyclothymia.
User :   no
User :   I don't like western meds
User :   plus I am an international traveler, too difficult
Doctor :   Is this your first instance of high uricacid in blood/gout ?
User :   no meds for a long time know
Doctor :   Ok.
User :   no this is the 4th since 2009
User :   the last gout was 6 months ago
Doctor :   Ok.
Doctor :   Have you undergone any tests for gout ?
User :   but I think the gout attack is related with the high and low
User :   And, some food like very rich seafood, but not all food that produce uric acid
User :   no test for gout
User :   do you think it could be someother type of joint problem in the big toe, (just under)
Doctor :   Gout is not a psychological, but an organic problem which can be measured by running a few bllod tests.
User :   the big toe joint
Doctor :   The levels of uric acid in your blood rise until the level becomes excessive (hyperuricemia), causing urate crystals to build up around the joints. This causes inflammation and severe pain when a gout attack happens.
User :   I had the UA tested only 6.7
Doctor :   Ok, So do yu have problem in all your joints ?
Doctor :   small joints?
User :   no
Doctor :   any nodules or pain ?
User :   not at all
Doctor :   Then i feel , it must be some other arthritic probl;em other than gout .
Doctor :   The fluid is examined under a microscope to see if there are gout crystals or signs of a bacterial infection present. Sometimes other crystals can be found in the joint fluid, such as calcium pyrophosphate, which is caused by an entirely different condition called pseudogout ("like gout").
User :   ok
User :   I will continue the research
Doctor :   So you need to get a test of te joint.
Doctor :   i need more time to help you better.
User :   ok
Doctor :   Thank you for consulting me.
Doctor :   take care, bye for now.
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