Hi there, I had a terrible time with excruciating gout, about 5 weeks ago, in my kneecap. The time before that was about 9 months ago which started in my big toe on my left foot. On my last visit to the Nephrologist I was told that my gfr was now at 14. Twelve months ago it was 26. I am hoping now that the decline has something to do with the gout. However, I am now being assessed for a transplant, but hoping that my gfr will maybe increase now that my uric acid levels are normal and the gout has cleared out. Does anyone else have problems with gout. I was diagnosed with Glomleronephritis 35 years ago.
CKD Stage 4 now Stage 5: Hi there, I had a... - Kidney Disease
Hello, I am at stage 5 with 10% eGFR. I too have gout which came on in October last year when my eGFR went to about 12% so I can empathise with you as I know how painful and debilitating it is. I don’t know that your eGFR will pick up even if the gout has subsided that certainly have not been my experience. I think it more a case of the low eGFR causing the gout rather than the other way around. What I can say is that eating cherries (even tinned) and drinking cherry juice had a huge improvement on my gout as has a spoon full of apple cider vinegar in warm water. My kidneys are as bad as ever but the gout is hardly noticeable. All the swelling and redness disappeared within a week of taking it.
Thank you rabbit01, I was hoping that it was the gout that caused the decline. I tend to agree with you about the low egfr causing the gout tho. I am eating cherries as I am replying to you but haven't tried apple cider vinegar, but will do. Thank you for the information you have given to me and I wish you well in the future.
Pleased you have got your cherries. Well I hope they work for you as they did for me. If not then try a drop of apple cider vinegar (ACV) twice a day in a glass of warm water with some lemon juice to take the taste away. I know how painful gout is and mine came on almost overnight but as I say I managed to get rid of it within week of starting the cherries and ACV.
I was surprised to learn that "about 40% of patients with gout have CKD."
I do not have gout in the normal sense. I have psoriatic arthritis, which often is thought to be gout. I have similar symptoms as gout like painful joints and redness. Another similarity is very high uric acid. I had uric acid kidney stones. I take a solution called sodium citrate ever night and have brought down my acid levels to normal. It is the same principal as the baking soda, which I could not tolerate.
Be careful with taking something without check with your doctor. Cherries are lovely for helping with uric acid, but they also have high potassium and sugar.
You said you are on allopurinol, as am I. Be careful with what you eat as there is a lot out there than can cause a flare of gout. Also have a review done of any medications to see if any are also causing your flare.
Good luck and let us know how your are doing.
Hi Bassetmommer, sorry to hear about your psoriatic arthritis but pleased to hear also that you have it under control. I don't have high uric acid any more so I suppose it must be the decline in kidney function that is causing it. I am having a ultrasound scan in March, not sure whether this will detect any kidney stones. I will mention to my Consultant about other solutions to take before I take anything else. I have in the past had high potassium so I should be careful then with cherries. I am careful in what I eat too, no red meat, no salt, low protein and drinking lots of water. Thank you for all your help and I will let you know how I am doing after seeing my Consultant in April. Best wishes
I had gout and now I do not. I stopped eating all drippings from meat including absolutely all gravy. When meat (any meat) cooks the uric acid in the meat comes out in the juices and settles on the bottom of the pan. As the drippings cook they loose water and become stronger. As you eat any of the drippings in the gravy or over the meat you are getting excess amounts of uric acid. I also take Sodium Bicarbonate tablets as per my doctor to help my kidneys get rid of acids in my blood stream. Look for a healthy gout diet on the internet and your problem will be solved, if you follow the diet.
Thank you JimVanHorn, If I eat any meat its usually Pork or Chicken in small does. I don't use the fat for the gravy but make my gravy from low salt gravy granules. Glad to hear you don't have gout problems now. Sodium Bicarbonate seems the way to go but I will have to speak to my Consultant first. Thank you for you reply.
I don't know about gravy granules, but pork is as bad as beef with uric acid. Please do not use "gravy granules" in any drippings from cooking meat. It is not the "Fat" that is the problem. The uric acid is in the meat itself not the fat, so cutting out the fat is not the problem, although the fat causes other problems like obesity and high cholesterol. Mayo clinic says to cut out fat, but that is to loose weight. It is good that you have cut back on pork and chicken proportions. Please check out a low uric acid diet on the internet and good luck. I also used a drug from my doctor called Allopurinol (Zyloprim). You understand that the joint pain is caused by long thin crystals of mono sodium urate that act like tinny swords inside your joints. They break and then they are more painful. Then white blood cells try to get rid of the crystals, but the crystals are so long they kill the white blood cell! Now there are dead cells also in the joints which cause swelling (Called gouty tophi). Watch the veges you eat and drink a lot of water!
Hi JimVanHorn, I am taking Allopurinol and have been for the last 10 months. I have had gout in my toe last April, then 6 weeks ago gout in the kneecap, even tho my uric acid levels are normal. Everything seems to have settle down for the moment. I also had a lump removed from my right foot down the side near my ankle and this was a gouty tophi. I was told 5 years ago that this was a ganglion and apart from getting in the way of my shoes I had no pain from it. Yes I do watch the vegges that I eat too as my pottasium has been high in the past. I also drink of lot of water. Thank you for replying to me.
You are quite correct in that gout can cause kidney damage. High uric acid levels can lead to renal damage. People with CKD tend to have a lot of uric acid in their blood so CKD is both a cause and an effect. I would discuss with your doctor further what the best medication may be for you at your stage of kidney disease. As other people have mentioned sodium bicarbonate can reduce the acidity of your blood and may even help prevent further kidney damage.