Recurrent Gout Attacks and High Uric Acid
Lifestyle Disorders Balakrishnan K.•Gender: Male•Age: 52 years (Adult)• Chronicity: 2 years
Presenting Complaints & History
- Sudden, excruciating pain in the big toe joint
- Joint swelling, redness, and extreme heat
- Stomach gas and slow post-meal digestion
- Morning joint stiffness in the feet
Clinical Assessment
A 52-year-old bank manager from Chavakkad presenting with recurrent gout attacks. High purine intake. Previous treatments involved daily uric acid-lowering drugs (allopurinol) and NSAIDs, which caused liver enzyme elevation and stomach pain.
Diagnostic Investigations: Elevated serum uric acid (8.4 mg/dL); ALT: 68 U/L (elevated).
Homeopathic Therapeutics & Management
Constitutional analysis focused on his metabolic profile, joint swelling modalities (worse for touch, worse for warmth), flatulence patterns, and chilly thermal profile. After 1 Month: Swelling reduced; liver enzymes normalized. After 3 Months: Uric acid dropped to 6.2 mg/dL; joint pain resolved. After 6 Months: Allopurinol discontinued; zero gout attacks. One Year Follow-up: Uric acid stable.
Selected Constitutional Remedies: Colchicum Autumnale and Lycopodium Clavatum
Lifestyle & Nutritional Support
Restricted red meat, shellfish, and alcohol; high daily hydration; low-glycemic index meals.
Clinical Outcome
Follow-up Period: 1 year- Uric acid levels normalized and stabilized (5.4 mg/dL)
- Normalized liver enzymes (ALT: 24 U/L, AST: 20 U/L)
- Complete resolution of sudden, painful gout flares
- Healthy digestion with zero gas or bloating
✓Medically reviewed by Dr. Navaneeth K. Unni
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