Here is my quick introduction to this website for 2020.

In the past, Gout-Pal.com has been the interactive face of GoutPal.com. So you will still see lots of personal gout discussions. Which support the facts I publish on my main gout information website.

But since I learned how to manage gout properly, I’ve had to reorganize how my sites work. Because I’m changing GoutPal.com to be a resource for you. So this website will become my personal gout space. Where I will…


Keith’s GoutPal Story

  • Describe key points in GoutPal history.
  • Explain my personal approach to some gout management choices.
  • Review old discussions with respect to my latest gout support services

Please note that my main priority is GoutPal.com. Because I want that to be the best resource for all gout sufferers. So you can learn general gout facts there. Then we can work together on personal gout learning projects.

In future, I’ll add some personal highlights. And maybe some humor from the world of gout. But I prefer to focus on how I can help you. So please use the Feedback form on each page to tell me your gout stories.


Remember that this website still contains some interesting and useful gout discussions. So before I move them to the new gout forum, here are some topics that remain very popular…

High Altitude Gout June 29, 2020High Altitude Gout

32 year old male.  I’ve had Gout since I was 19.  My mum has it, so the odds were never in my favor. I am lying on the couch at the moment with it in my elbow.  I have pretty much got it under control with Allopurinol. But still have the odd attack (1-2 per year).  ...

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Should I buy a home Uric Acid tester? June 28, 2020Should I buy a home Uric Acid tester?

I’ve read the different posts about people using the test meters.  I have good insurance and get a uric acid test about monthly with my rheumatologist. So it’s not a question about money. I just wonder if I should be doing more frequent testing. To see if I can understand if different activities are changing ...

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Where did you get pain after taking Allopurinol? June 16, 2020Where did you get pain after taking Allopurinol?

Pain after taking Allopurinol?

Hi, I am new to this forum and new to gout. I am 47 years old and had bunion surgery about 8 weeks ago; the surgeon and I were surprised that he found a lot of uric acid crystals in my foot. He said this is a positive identification of tophaceous gout and put me on 300 mg/day allopurinol and gave me a prescription for indomethacin for flare-ups after starting the treatment, this started 6 weeks ago. Incidentally, the surgeon showed me a photo of the gout and the crystals were not only in the joint, but all along the bone also. He showed me permanent damage to the toe joint and said I may have to have a joint replacement in the future because of the gout damage. For these reasons, I will not stop taking allopurinol. About 3 weeks after starting allopurinol, I had a major flare-up at the toe I had surgery on and took 3 indomethacin a day for 3 days and have continued with 2/day since. Since the first major flare-up after surgery, I have had pain increase in many parts of my body and would like to know if this is caused by my gout crystals dissolving? I have pain at times in both feet and it runs up the back of my leg about 6 inches, in both knees, my hands and elbows; I would expect all of these. I also have pain in my lower back and once or twice in my shoulders, these I am unsure if it is gout related. I had a major flare-up at week 5 after starting allopurinol and had major pain at all of the joints listed above. I have had more pain at my big toe in the past but with it being localized to one area (say a 7 out of 10 on the pain scale), the pain in multiple locations (say 5 out of 10 on the pain scale in many locations) was worse because of all the different places that hurt.

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Can hot spicy food affect gout? June 11, 2020Can hot spicy food affect gout?

In a diet for gout sufferers, are hot peppers good or bad? Do spicy peppers increase gout? How does hot spicy food effect gout diet? Discuss gout & spices now.

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A BEGINNERS GUIDE TO GOUT (GOUTY ARTHRITIS) June 10, 2020A BEGINNERS GUIDE TO GOUT (GOUTY ARTHRITIS)

A BEGINNERS GUIDE TO GOUT (GOUTY ARTHRITIS)    Some of the recent pleas on this Site, for people desperate for some immediate help with newly diagnosed Gout, have got to me and I have put this piece together as a summary of my own observations. The intention is to simply let them know that they are not ...

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I want ice cream but I have gout June 9, 2020I want ice cream but I have gout

I'm in the middle of a gout attack right now and it hurts. When I'm in pain I want ice cream. Is ice cream bad when you're having a gout attack? Thanks, -Ken

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Cherries, Strawberries and Uric Acid June 8, 2020Cherries, Strawberries and Uric Acid

Please note: this is an old discussion about strawberries being good or bad for gout. You can read about cherries, strawberries, and gout below and follow links for more information. If you still have questions about the effect of strawberries on gout, please start a new topic. You can also see related discussions in What ...

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Gout and White Blood Cell Count June 6, 2020Gout and White Blood Cell Count

Hello, I am new to this and just had my first gout experience. I am pretty healthy 29 year old male. I have had many sports injuries (3 ACL tears) and turned my ankle countless times. My diet is I guess normal for my age as is my drinking. I don’t drink ...

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Liver And Allopurinol Side Effects May 31, 2020Liver And Allopurinol Side Effects

Allopurinol side effects worry many people. It's perfectly safe for most people. To be certain you should get regular check-ups and advice from a qualified rheumatologist.

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Can you get gout in your baby toe? May 28, 2020Can you get gout in your baby toe?

Can you get gout in your baby toe? Certainly, as this picture of a tophus shows. You can also see symptoms of gout in the second toe. Discuss gout in your toes.

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Can I Stop Taking Allopurinol? May 23, 2020Can I Stop Taking Allopurinol?

For the latest information about stopping allopurinol, see Is Allopurinol A Lifetime Drug? in the allopurinol pages. Also view Allopurinol for Gout video for the wrong way to stop uric acid treatment. You will find related information in the gout medications pages within the Gout Treatment Help Section.

Somebody asked me the other day, "Can I stop taking allopurinol?" The short answer is, "Maybe." Not very useful, so read on for the long answer. First of all understand how allopurinol works.

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Any “bad” long-term effects of Allopurinol? May 21, 2020Any "bad" long-term effects of Allopurinol?

So the consensus from nearly everyone is that this drug has been around forever and is very safe “long-term.”  Is there any statistical information that shows it can cause damage?  Or what are the cons of long-term usage?  I’m also curious as to why, if this drug is so safe, people still refuse to take ...

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Achilles Tendon Destroyed By Gout May 21, 2020Achilles Tendon Destroyed By Gout

Uric acid crystals attack bone, cartilage, and tendon. The Achilles Tendon is a common gout target. Have you ever felt like your ankle was broken? Or your heel won’t bear your weight. Then it turns out to be another gout flare. Achilles Tendon Gout

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Walking With Gout May 21, 2020Walking With Gout

Will walking with gout make it better or worse? Mobility is usually best, but you need to keep joints warm dry and safe. Discuss how exercise affects your gout.

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Is Minced Meat Food To Avoid With Gout? May 20, 2020Is Minced Meat Food To Avoid With Gout?

If you take allopurinol, is there any food to avoid with gout? Surely allopurinol allows you to eat anything. But even if it does, you must still eat wisely to provide your best chance of good general health.

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7 Weeks of Pain & swelling, Can this still be gout? May 20, 20207 Weeks of Pain & swelling, Can this still be gout?

This started some 7 weeks ago, woke up with what I thought was a typical gout attack as I have had them before. After some 10 days of swelling & pain I decided to see my PCP. He didn’t suspect it was gout and ordered UA Level test along with an X-ray. UA Level was ...

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How Fast Does Colchicine Work? May 20, 2020How Fast Does Colchicine Work?

This discussion about Colcrys and indomethacin is now closed. I will summarize the key points here, with links to relevant gout topics. Please follow these links, or continue reading the original discussion below. The main gout questions covered in this discussion are: How long does it take for Colcrys (colchicine) to work/take effect? This is ...

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Gout Diet, Climate & Alcohol (especially cider) May 20, 2020Gout Diet, Climate & Alcohol (especially cider)

This cider and gout topic is now quite old. Please see the cider and gout guidelines for new information. You can start a new discussion if you still have questions.


Having just found this very useful site I thought I?d share my own experiences. Background: I?m a 56-year-old male, three years (early) retired, 6 foot tall, weighing 75 kilos (not overweight, then). I?ve been experiencing gouty arthritis for the last five to six years; the attacks on my feet and knees, and occasionally elbows and shoulders, more frequent during the winter months than the summer. The pain has been crippling and I now possess a fine collection of lumpy bones and joints. Treatment has thus far been limited to doctors? pain management prescriptions (Naprosyn and Co-dydromol).

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Tophi vs Bone spur. Or is it gout? May 18, 2020Tophi vs Bone spur. Or is it gout?

Hello all, My brother may be following in my gouty footsteps. I am attempting to help him diagnose his condition and chart a plan of action, using all the good information here. Yes, we are testing his UA. He has a small lump on his foot that gets the flares. He claims to have had it x-rayed ...

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Coming off Allopurinol? May 17, 2020Coming off Allopurinol?

Good afternoon, and hello – My name is Sam, and I am a 35-year-old recovering alcoholic. Began taking allopurinol and indomethicin when diagnosed with gout approx 8 years ago(?). I’ve been sober and alcohol-free for going on 7 years. Earlier, I was drinking about a half gallon of vodka a day.? I’m sure that was the ...

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Also see Most Helpful Gout Discussions.