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Gout, 24 hour urine tests and 90% misdiagnosis?

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Gout, 24 hour urine tests and 90% misdiagnosis?

Posted by
Dean G on May 26, 2001 at 22:35:06:

I have been reading some of the postings on gout and what Dr. Walt has to say. I am a little surprised at reading that 90 % of suspected gout is not gout. Joint pain (big toe,ankle etc) that comes on suddenly, what else could it be. And what the heck is a 24 hour urine test. My doctor has never mentioned anything about it. I have been a gout sufferer for the last 10 years, my dad for close to 20 (he has it bad)He went on colchrcine for a year and was a new man, then the affects wore off, and the gout returned. He took allupurinol for 2 years and it did not seem to do anything. He has changed diets ( low protein diet that he went on caused him to lose a lot of muscle) don't do it.He does not know what to try anymore. He does not drink alcohol, moderate intake of meat (chicken,fish,beef etc.)I know what affects me for sure. Beer, pickles, coffee, soft drinks with caffine (coke,pepsi,etc) Processed sandwich meats a lot of which contain organ meat, dry ribs and caesar salad meal. I do not eat or drink any of this anymore.
If someone could answer my two questions. Why are 90% of gout diagnosis wrong and what is a 24 hour urine test.

Thanks Dean G.




Re: Gout, 24 hour urine tests and 90% misdiagnosis? (Archive in goute.)

Posted by Walt Stoll on May 28, 2001 at 13:00:20:

In Reply to: Gout, 24 hour urine tests and 90% misdiagnosis? posted by Dean G on May 26, 2001 at 22:35:06:

Hi, Dean.

ANY medical textbook will say what I have said. IF it is goute, allopurinal will always resolve it so long as the allopurinal is taken in sufficient doses every day. There are other things that can cause these symptoms that are also congenital. Before believing in a diagnosis of goute, which conveniently stops the doc from looking for the REAL diagnosis, I would insist on a 24 hour urine uric acid.

Colchicine is an antiinflammatory and so works for other things than goute.

Goute is a very specific condition and a lazy doc will diagnose it just to go on to the next patient.

Let us know what you learn.

Walt

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