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  |  |  | | From:   Brisky2692  (Original Message) | Sent: 5/25/2004 5:06 PM | 
 | After having 5 gout attacks in two months, I did some deep researching and found the diuretic my husband is taking is causing this overproduction of uric acid!  He had an appt. with our family doctor the next morning, so he took a print-out of the website.  Dr. S said he knew that, but he cannot take hubby off the diuretic!!!  I can't believe it is so necessary that they will keep giving it to him, knowing it is producing uric acid to the point that he has gout about every two weeks!  This is incapacitating him!   We don't go back to his neph until August, and he won't let me change the appointment.  He is so stubborn about this and keeps trying to hold down a job.  He is taking one drug to produce the acid, one to counteract it!   My question to the group is:  are you ALL on a diuretic?  I will ask the neph as soon as I can get there, if it is NECESSARY for him to take this drug.   I sympathize with all you caregivers.  My career as a caregiver has just begun (less than two years) and it's the mental anguish that's the worst part!   Hugs, Colleen | 
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  |  |  | | Colleen, sometimes I think the caregiver's role is just as challenging as 
the sick person.  It's so hard watching a loved one suffer.  Although 
I feel you should follow your dr's advice, you should never just accept 
anything.  Research, research, research.  This site has so many 
informed people about this disease, and each one has a dr. behind them with 
differing information.  Hang in there.  You'll be able to look back at 
your life and know you meant something important to someone.  
Liza 
  -----Original Message-----From: Brisky2692 
  [mailto:[email protected]]
 Sent: Tuesday, May 25, 2004 9:07 
  AM
 To: Polycystic Kidney disease chat & 
  community
 Subject: DIURETICS AND GOUT 
  W/PKD
 
 
 
 DIURETICS 
    AND GOUT W/PKD
 
 
      
      
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              | From: Brisky2692 |  
              | 
 After having 5 gout attacks in two months, I did some deep 
                researching and found the diuretic my husband is taking is 
                causing this overproduction of uric acid!  He had an appt. 
                with our family doctor the next morning, so he took a print-out 
                of the website.  Dr. S said he knew that, but he cannot 
                take hubby off the diuretic!!!  I can't believe it is so 
                necessary that they will keep giving it to him, knowing it is 
                producing uric acid to the point that he has gout about every 
                two weeks!  This is incapacitating him!   We don't go back to his neph until August, and he won't let 
                me change the appointment.  He is so stubborn about this 
                and keeps trying to hold down a job.  He is taking one drug 
                to produce the acid, one to counteract it!   My question to the group is:  are you ALL on a 
                diuretic?  I will ask the neph as soon as I can get there, 
                if it is NECESSARY for him to take this drug.   I sympathize with all you caregivers.  My career as a 
                caregiver has just begun (less than two years) and it's the 
                mental anguish that's the worst part!   Hugs, Colleen |  |  View other groups in this 
    category.
 
 
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  |  |  | | From:   cah-1 | Sent: 5/25/2004 8:50 PM | 
 | 
I am on a diuretic but I wasn’t for a while too. My
previous neph said he preferred to avoid diuretics in PKD patients.  So it
is clearly an  opinion that he MUST have this diuretic. There are more
than one type as well.  Also, a natural remedy for gout is cherries, preferably
without the sugar in pie cherries. Be forewarned that I am telling you this
would be recommended for typical gout. PKD changes things so if your husband
has restrictions check it out first.  I do know a number of people who have
used this cherry thing successfully though. Good luck to you, no doubt that caregiver is one of the
hardest people to be. Chris | 
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  |  |  | | <HTML> Dear Colleen and all-
 There are two  different types of diuretics.  Both remove excess water, but one kind removes postively charged  electrolytes (sodium and potassium) with the excess water while the other kind removes negativelycharged electrolytes (I think chloride, but I'd have to double check.)
 Maybe you can ask the docor if  keeping  a diuretic but changing the type used might have a different and possibly less severe impact on the gout.  There are alos several different mechanisms of action of each type (loop diuretics etc.)  If a diuretic is medically necessary- it seems that maybe at least changing the one currently being used- the type, the mechanism of action, the brand chosen- is an option.
 Good luck wtih that.
 Thanks,
 -jeanne
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