Brief Answer: Life style modification, Allopurinol; stop attack Detailed Answer: Hi Thanks for writing After going through your suffering, you may have pain killer like naproxen along with short course of cortisone after discussion with your doctor. In addition to medication, the following suggestion may help your gout flare-up pain-- 1. Ice fomentation- If the pain is not severe, try cold packs or cold compresses on the joint to lessen the inflammation and help the pain. Ice the joint for 20 to 30 minutes several times a day. 2. Rest the joint.-. Raise the joint if you can on a pillow or other soft object. 3. Plenty of water -A lack of water in your body can makes your uric acid levels raise even higher than they already are. Drinking water will help your body stabilize uric acid to a normal level. 4 Dietary advice- Foods that are high in purines (seafood, organ meats like liver, and even some vegetables) can increase the uric acid in your blood even more. So can fructose-sweetened drinks and alcohol -- especially beer. To prevent gout attack from occurring, my suggestion would be- 1. Try to keep serum uric acid level below 6mg/decilitre. 2. Drink plenty of water and increase it proportionate to your physical work and weather condition. Follow the dietary advice as written above. Take citrus fruit /tab.Limcee to have your daily dose of vitamin C. 3. Try to avoid stressful situation by better planning, weight control and regular exercises helps. 4. If an attack of Gout occurs while on allopurinol, you should increase the dose besides taking pain killer. You may change to febustat if have side effects to allopurinol. 5. Do not discontinue (allopurinol) until and unless advised by your doctor to do so. 6. Avoid drugs which may raise the uric acid level like-aspirin, drugs which causes increased urination (Diuretics). Hope this information suffices and I shall be glad to answer any further query. Take care and wish you good health Regards Dr.chugh http://bit.ly/drmchugh

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