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Thread: Gout

  1. #46
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    BEFORE YOU POP THOSE PILLS - PLEASE READ THIS:

    FDA Drug Safety Communication: FDA strengthens warning that non-aspirin nonsteroidal anti-inflammatory drugs (NSAIDs) can cause heart attacks or strokes

    https://www.fda.gov/Drugs/DrugSafety/ucm451800.htm
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  2. #47
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    Quote Originally Posted by currymee View Post
    BEFORE YOU POP THOSE PILLS - PLEASE READ THIS:

    FDA Drug Safety Communication: FDA strengthens warning that non-aspirin nonsteroidal anti-inflammatory drugs (NSAIDs) can cause heart attacks or strokes

    https://www.fda.gov/Drugs/DrugSafety/ucm451800.htm
    Yup... Sometimes , good intention but without the relevant competency can kill people ..
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  3. #48
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    All drugs has side effect. There is no such thing as a perfect drug except placebo. Of course when one takes the medication , we should be told of the risk factor. Honestly, how many doctors have told you about the risk factor. I have yet to come across one as far as I can remember. We have Google to thank for making our society more well informed.

  4. #49
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    Picture the most common drug prescribe by your doctors with all these possible adverse reactions with Panadol which is paracetamol.

    Hepatic
    Common (1% to 10%): Increased aspartate aminotransferase
    Rare (less than 0.1%): Increased hepatic transaminases
    Frequency not reported: Liver failure[Ref]

    Gastrointestinal
    Very common (10% or more): Nausea (up to 34%), Vomiting (up to 15%)
    Common (1% to 10%): Abdominal pain, diarrhea, constipation, dyspepsia, enlarged abdomen
    Frequency not reported: Dry mouth

    Hypersensitivity
    Postmarketing reports: Anaphylaxis, hypersensitivity reactions

    Hematologic
    Common (1% to 10%): Anemia, postoperative hemorrhage
    Very rare (less than 0.01%): Thrombocytopenia, leucopenia, neutropenia

    Dermatologic
    Common (1% to 10%): Rash, pruritus
    Rare (less than 0.1%): Serious skin reactions such as acute generalized exanthematous pustulosis, Stevens-Johnson syndrome, and toxic epidermal necrolysis
    Very rare (less than 0.01%): Pemphigoid reaction, pustular rash, Lyell syndrome


    Respiratory
    Common (1% to 10%): Dyspnea, abnormal breath sounds, pulmonary edema, hypoxia, pleural effusion, stridor, wheezing, coughing

    Cardiovascular
    Common (1% to 10%): Peripheral edema, hypertension, hypotension, tachycardia, chest pain

    Metabolic
    Common (1% to 10%): Hypokalemia, hyperglycemia

    Nervous system
    Common (1% to 10%): Headache, dizziness
    Frequency not reported: Dystonia

    Musculoskeletal
    Common (1% to 10%): Muscle spasms, trismus

    Psychiatric
    Common (1% to 10%): Insomnia, anxiety

    Genitourinary
    Common (1% to 10%): Oliguria

    Local
    Common (1% to 10%): Infusion site pain, injection site reactions

    Ocular
    Common (1% to 10%): Periorbital edema

    Other
    Common (1% to 10%): Pyrexia, fatigue
    Rare (0.01% to 0.1%): Malaise

    Imagine the doctor headaches where he may pop NSAID himself which is another pain relief to relieve the pain in the neck to explain side effects associated with each and every prescription drugs. BTW, the total side effects associated with NSAID has more strokes where it is contraindicated or may worsen gastro intestinal, renal and liver dysfunction, impaired cardiac condition, and photosensitivity .........as each different classes of NSAID has different set of side effects where the older generation consist of gastro intestinal incidences while newer ones may present higher risk of myocardial infarction and stroke. Adding to the confusion, each NSAID drugs have different actions and reactions.
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  5. #50
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    It's been 18 days , and without taking any medication as you all suggest ( maybe being a stubborn and don't like medication) i eat cucumber, pineapple, celery and lemon juice it works and i can say it's 95% recovery.Of course i try to abstain red meat.

  6. #51
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    Quote Originally Posted by jan tomaswaki View Post
    It's been 18 days , and without taking any medication as you all suggest ( maybe being a stubborn and don't like medication) i eat cucumber, pineapple, celery and lemon juice it works and i can say it's 95% recovery.Of course i try to abstain red meat.
    When you are at home, you can do trial and error to "treat" the symptoms.

    Although the symptoms disappear, the root cause can still be there. Once you don't have the convenience at home (like business travelling or overseas holidays), it is difficult to handle the symptoms when it strikes again.

    It is good to seek doctor's advice to understand more, and hopefully can handle the root cause with the right medications. Of course, the process to treat the root cause is not always smooth and straight forward, it is very much depend on the doctor or to be precise, whether can find the right doctor and this can be very subjective..
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  7. #52
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    Quote Originally Posted by opulant View Post
    This is a Taiwan made machine. I think they sell to US, so miles is still used.

    I used to jog fast but I slow down a lot now, I need to take care of my knees and joints.

    I am very comfortable with this routine which I run around 10km per week and burn away around 900 calories a week.
    WOW! You are really in good shape. Hubby(in his mid 60s) and i average 15.20 min/mile. Yesterday we did only 3.03miles (coz i was being lazy) and it took 46mins 23secs. According to Map My Walk app on my phone, we ...
    burned 212 calories,
    did 6195 steps and
    elevation gain was 170ft.
    Max pace was 9.43mins/mile.
    Yes, America still uses Miles and feet. (sheesh) We like going through the hilly areas to make it a bit more challenging or else i get bored. I don't like flat land walking. We don't run as our knees might suffer (I am not that young anymore, going to hit the big 5 OhMG!! end of the year) So our routes include a lot of me hitting his butt and complaining for making me huff and puff up the hills. hahahhaa...

    For some reason my left knee was feeling a bit of gout discomfort a couple nights ago but i don't recall eating anything that i should so i hv no idea what might have caused it. It only lasted some minutes and i fell back to sleep again so it wasn't bad.
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  8. #53
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    Quote Originally Posted by lady-o-leisure View Post
    We like going through the hilly areas to make it a bit more challenging or else i get bored.

    I don't like flat land walking. We don't run as our knees might suffer (I am not that young anymore, going to hit the big 5 OhMG!! end of the year)...
    I started jogging when I was a teenager. I run up and down the hill of bukit cina nearby my parents house. When I studied in KL, I jogged at titiwangsa lake. That was the time safety wasn't a big concern and is alright to jog outdoor.

    I seldom jog outdoor now, mainly due to safety and also because of mosquitoes as I usually exercise in the morning or evening.

    I think jog on treadmill is ideal when one gets older as the rubberized track cause less strain on knee and joints compares to harder and uneven surfaces outdoor.
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  9. #54
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    Quote Originally Posted by opulant View Post
    I am very comfortable with this routine which I run around 10km per week and burn away around 900 calories a week.
    The calories should be written as Calories.

    1 Calorie is equivalent to 1000 calories. 1 Calorie can be written as kilocalorie (kcal) also. It is the amount of energy required to raise the temperature of 1 kilogram of water one degree Celsius.
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  10. #55
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    I went for my yearly cardiologist appointment in a private hospital.

    Just about 10 minutes before my appointment time, the nurse told me the doctor is needed for an emergency procedure …,,and the delay would be around 2-3 hours !! So, I drove to a nearby mall for haircut and coffee, and went back to the hospital after 2 hours.

    It was HUGE crowd in front of this cardiologist clinic, likely caused by the backlog. I looked at some of them, many are young people (they look like 40-50) and some elderly folks. It is sad to see young people (irrespective of whether they can afford the medical bill) being diagnosed with this life-time condition.

    I waited for about 35 minutes before the nurse called my appointment number. I knew this cardiologist for long time, the yearly visit is more like a formality. I have a chat with him about the big crowd in front of his clinic and was told 80% of them can avoid being in this conditions if they do the right thing earlier. The right things are – 1) find out what are the causes from medical practitioner when there are symptoms, 2) don’t be you own doctor to try therapy from google or hearsay, 3) change your lifestyle

    The point is – earlier symptom is the signal from your body to ask you to seek proper treatment. Even though the symptoms go way after your goggle therapy, the root cause is still there and may become uncontrollable later.
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  11. #56
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    a post from other thread which I think is more relevant to provide answer here....

    Quote Originally Posted by Naka View Post
    …..You had already said I am 'AGED' ......fair enough......... I did not dispute that because in another 25 years from now, I sincerely hope you will be as alert & energetic as me…
    You are one of the very few exceptions that I reckon as “people who know how to enjoy life and know how to take care of themselves well in order to continue enjoying life ”. Longevity is a blessing only when one has the means and health, it would be a torture without means and meaningless without health.

    I don’t know whether I can match your level 25 years from now. It is not entirely my choice irrespective of what I can do. At my age, I am positive I am one of the rare exceptions too in terms of health parameters (you have seen some of the numbers). My parents are above 80 years old, they both are healthy, mobile and can take care of themselves. Maybe from hereditary point of view, I stand a chance to live long and healthy..

    Nobody knows what will happen 25 years later. At the end of the day, the guy upstairs decides.
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  12. #57
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    Quote Originally Posted by opulant View Post
    a post from other thread which I think is more relevant to provide answer here....



    You are one of the very few exceptions that I reckon as “people who know how to enjoy life and know how to take care of themselves well in order to continue enjoying life ”. Longevity is a blessing only when one has the means and health, it would be a torture without means and meaningless without health.

    I don’t know whether I can match your level 25 years from now. It is not entirely my choice irrespective of what I can do. At my age, I am positive I am one of the rare exceptions too in terms of health parameters (you have seen some of the numbers). My parents are above 80 years old, they both are healthy, mobile and can take care of themselves. Maybe from hereditary point of view, I stand a chance to live long and healthy..

    Nobody knows what will happen 25 years later. At the end of the day, the guy upstairs decides.
    Just had a BP taken yesterday...117/75mmHg....pulse of 72
    LDL is 1.1

  13. #58
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    Quote Originally Posted by Naka View Post
    Just had a BP taken yesterday...117/75mmHg....pulse of 72
    LDL is 1.1
    Very good... I think 30 years old young man can't even have such BP reading and LDL.

    My systolic pressure is around 120-125 mmHg. Diastolic pressure is like yours, around 75mmHg.

    It is amazing your LDL is 1.1 mmol/L !! My LDL is around 2.5-2.9 mmol/L , and triglyceride is less than 1.0 mmol/L.

    Talk about LDL, a cardiologist told me the followings:

    1. If you have very low cardio risk, LDL has less bearing on cardio health. The LDL spec is less than 4.1 mmol/L.
    2. If you have cardio risk (medium), the LDL spec should be less than 3.4 mmol/L.
    3. Once you have cardiovascular problem, you should control LDL to be less than 2.6 mmol/L.

    To determine whether you are in (1) or (2), do a CT angiogram to check the coronary artery calcium score and possible blockage of arteries. This is a CT imaging test that looks at the arteries that supply blood to your heart. The coronary artery calcium score is a measurement of the amount of calcium in the walls of the heart arteries. It is a good measurement of the degree of hardening of the artery wall.

    If calcium score is very low (almost zero), then can skip the CT scan for possible blockage because it is highly unlikely there is any blockage once the calcium deposits at heart arteries is zero. Do this every 5 years if above 50 years old for low risk group. My latest CT angiogram was done last year, the calcium score is zero.
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  14. #59
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    Quote Originally Posted by Naka View Post
    Just had a BP taken yesterday...117/75mmHg....pulse of 72
    LDL is 1.1
    Just took the reading, 40 minutes after my jog..

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  15. #60
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    20170918_201955_resized_1.jpg
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