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Need help! I take Allopurinol 300mg for the last 2 1/2 yr for Gout. In the last six weeks I have had the most severe pain in my ankle, knee, wrist, elbow. It started in both Achilles tendons 3 days after a cross fit workout. (I have been doing that for 1 1/2yrs???My uric level is 5.3 now, when it started it was 6.2 this is my norm. My Dr’s have run every test for arthritis they have tried to take fluid from my ankle but get nothing, and do not believe its gout do to my lack of history I have only had one attack that was 2 1/2 yrs ago. Could the Allopurinol be masking the normal gout symptoms? or is this a possible arthritis attack?? The pain is equally in both parts of my body if it hurts in my right elbow it hurts in the same spot on the left elbow ect…..? My stats are: 35 yr old white male active in sports and rec.? X-rays show no damage, kidney test are great, ESR & CRP are 5 times the normal high suggested.? The pain is NOT like what I had when I got gout the first time.? Need help the only band-aid is prednisone at the moment.
Have you seen a rheumatologist?
Allopurinol does not mask gout symptoms. It lowers uric acid, which is exactly what you need to do to control gout. Without evidence that some uric acid crystals remain in your body, I would tend to agree with the suggestion that it isn’t gout. It is very unusual to experience gout attacks with uric acid levels at 5.3. Very low temperatures could cause it, and test results are usually lower than normal during, or shortly after, a gout attack. Get a blood test a week or two after an attack to be sure.
It is impossible in a gout forum run by an amateur to advise anything other than to consult a rheumatologist. Your best hope here is that another reader recognizes your symptoms, and shares their experience.
I have no clue what ESR or CRP mean. What are they, and why might they be relevant?
Sorry, ESR ?& CRP are inflamation test. ?Thanks for the advise maybe the cold i live in the midwest of USA
It’s an interesting point about cold.
Medics are obsessed with assessing core temperature, which is OK for many health issues, but gout is different. We know that gout almost always starts in the extremities, especially toes and fingers, as these are the joints most exposed to gout.
For the perfect assessment, you should measure the temperature at the joints, as this will affect the point at which crystals form. I’ve just had a quick look at two gout studies: Studies of urate crystallisation in relation to gout and Factors affecting urate solubility in vitro. If joint temperature is 26° C, uric acid crystallization point falls to 4 mg/dL or less.
I think I need to modify my advice about 5 being the safe level for uric acid. 5 is safe at normal temperature, but not low enough if work or lifestyle leaves you exposed to cold for long periods.
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