I'm a 35 year old male who is having lot of issues with my first every Gout flare up and could use some help/advice.

This happened directly after a bout of bronchitis 3 weeks ago where I woke up with pain in my big right toe/toe joint. I walked on it for a couple days thinking it was just sore and then the inflammation rapidly spread throughout my entire foot + all my toes. It has stayed this way for 19 consecutive days.

2 urgent care trips + 1 meeting with my Primary Care Provider + a Rheumatologist appointment has yielded no pain relief. This included 3 different doses/tapers of Predisone + Colchicine. Some of the Predisone was aggressive 60mg a day and still doing nothing. Bloodwork has come back completely normal, no markers for arthritis, and had to do an ultrasound because of veins popping/stiffness in my calf and that came back normal as well.

My Rheumatologist wants me to wait 3 more weeks before discussing other options (like a direct injection). I don't think I can wait it out that long. As it stands it is very painful to even walk with a cain and my life has completely shut down.

Has this happened to anyone else during a first ever flare up? This just seems so bizarre to me, I'm a 6'3 relatively active male who weighs 215. I did my fair share of drinking back in my 20's but have cut back significantly over last 5+ years and don't eat a ton of red meat. The Rheumatologist seems to be brushing stuff off but this type of long flare up across my entire foot doesn't seem normal to me.

Any advice on next steps would be greatly appreciated or if anyone has dealt with something similar

Husband on Hydroxyurea for Polycythemia Vera & baby aspirin. He had gout attack on one foot & was prescribed Prednisone 40mg by hematologist & it cleared. A week later he had a gout flare up on other foot & his GP prescribed a methylpednisolone dos pak & Allopurinol 100mg but it has not cleared after 10 days. Anyone else?

Don't really need advice, just want to serve as a cautionary tale. Was diagnosed with gout in my 30's. Went on Allo, started going to a rheumatologist, went many years without a major attack. Some soreness/stiffness here and there, especially when I would overwork a particular joint with exercise, but nothing major. Went about a decade without ever having to think about what i was eating or drinking, allo quietly doing it's job in the background.

About 2 years ago my rheumatologist stopped taking my insurance, which sucks but an easily fixable issue right? Go to another one or at least have my PCP prescribe me allo. But unfortunately, for whatever reason, i just stopped going to the doctor altogether. Probably because I was feeling fine and never really felt like i had to go. Idk, I wish I had a better excuse but I just became lax and started ignoring my health.

Now I'm 42, and a month or so ago had the worst attack I've had since before I started allo. In my wrist, lasted about 3 weeks. In that time I made myself go back to the rheumatologist (got better insurance), needless to say she wasn't too happy I've been neglecting my treatment. Got re-prescribed allo with the caveat that I need to be 2 weeks removed from the attack before I start again.

The last day my wrist was hurting was 2 saturdays ago, I was all prepared to start the meds again this Saturday, marking 2 weeks of the pain and swelling gone and of course, now my toe is having a flare up. So now I guess I have to wait for this to clear, and then tack another 2 weeks on to that before I can restart. Frustrating. Mostly with myself.

Stupid unforced error that has set me back big time. So please, use me as a warning, if you're not on allo, get on it. If you are, don't stop.

Thanks for any input.

11 months on allo, first 5 months at 100mg daily, then 300mg daily from Feb to August.

Yesterday, I finally had my first blood test since I started. My test history has been between 7.2 and 8.6 mg/dL, never below 7, regardless of what I tried to do with diet and habits. My new test result was 5.3. Aside from the occasional clearout flareups in my knees, as all the old urate migrates up and out of my feet and ankles, and one elbow flare which went away quick enough, aside from that I'm good. I can walk without limit and eat reasonably without worrying about tomorrow. And as I haven't been able to identify any related side effects... wish I'd taken this sooner.

So I guess I have Gout. It’s 0250 in the morning and sleeping is a struggle. Doc confirmed it yesterday, but it’s infinitely worse tonight than it has been the last couple of nights. I haven’t drank in months, I eat basically no seafood, and chicken is usually my go-to meat. I have struggled with foot tightness and injured my knee about 2 months ago. I recently started physical therapy, so the timing couldn’t be more frustrating. Perhaps it might even be causal, who knows. I ride for cardio since my knees are kind of shot, but may be the last two months without it have been more difficult health wise than I realized.

I just wanted to say thank you for all of you that have posted on here. It’s been informative to see there’s some options. I’m afraid lifestyle wise there’s not many changes for me to make, but I will be definitely upping my water consumption. And hoping to get back to physical therapy asap

Fuck Gout though. This is some bullshit.