What will immediately stop the intense pain of a severe gout attack?

What will immediately stop the intense pain of a severe gout attack?My friend has been in the throes of an acute gout attack affecting his left big toe, some of the foot and into his ankle. The pain is so severe that he wishes he could cut off his foot. We have tried an activated charcoal/flaxseed poultice, pain relievers, hot packs, cold packs, turmeric powder. Nothing seems to even lessen the pain. He can't sleep, can't walk, and can hardly think. An help would be appreciated.
The preparation H had not effect. He started colchicine yesterday and has started to feel just slight relief after 24 hours. He knows all the diet restrictions. He prefers herbal or natural solutions to health problems. I have ordered an herbal gout supplement and should receive it Monday. I think his main problem is that he wants no health effects from eating and living whatever way he chooses. Hopefully, after enough pain, he'll learn to modify his eating habits and lifestyle. Thank you to all of you.

cathrine h
Acutely, first line treatment should be pain relief. Once the diagnosis has been confirmed, the drugs of choice are indomethacin, other nonsteroidal anti-inflammatory drugs (NSAIDs), or intra-articular glucocorticoids, administered via a joint injection.

Colchicine was previously the drug of choice in acute attacks of gout. It impairs the motility of granulocytes and can prevent the inflammatory phenomena that initiate an attack of gout. Colchicine should be taken within the first 12 hours of the attack and usually relieves the pain within 48 hours. Its main side-effects (gastrointestinal upset such as diarrhea and nausea) can complicate its use. NSAIDs are the preferred form of analgesia for patients with gout.

Before medical help is available, some over the counter medication can provide temporary relief to the pain and swelling. NSAIDs such as ibuprofen can reduce the pain and inflammation slightly, although aspirin should not be used as it can worsen the condition. Preparation H hemorrhoidal ointment can be applied to the swollen skin to reduce the swelling temporarily. Professional medical care is needed for long term management of gout.

Ice may be applied for 20–30 minutes several times a day. There are concerns that uric acid crystallization is accelerated by low temperature, but in a 2002 study in the Journal of Rheumatology[9] patients who used ice packs had better relief of pain with no negative side effects. Keeping the affected area elevated above the level of the heart may help as well.

Due to swelling around affected joints for prolonged periods, shedding of skin may occur. This is particularly evident when small toes are affected and may promote fungal infection in the web region if dampness occurs; it is usually treated in a similar fashion to athlete's foot.

Orinoco_W
analgesics and prednisolone

Take analgesics like a combination paracetamol(acetaminophen) with codeine

And maybe a NSAID if you are able to have it

And then a good dose of prednisolone - you'd have to go to the doctor and get a prescription for this one, usually.

*sigh* I wish Catherine H would quote her references. What she posted was plagiarised from the wiki page given by the link below.

arb7762
change the diet and see results. it all starts
with the diet. i gave my dad fresh cherries
but if he is going to keep eating the same
unhealthy foods. the attacks of pain will
continue. you have to love your body and
want the best for it. i wish you well

Cinta
Professional medical care is needed for long term management of gout.

For immediate relief. Some over the counter medication can provide temporary relief to the pain and swelling. NSAIDs such as ibuprofen can reduce the pain and inflammation slightly, although aspirin should NOT be used as it can worsen the condition. Preparation H hemorrhoidal ointment can be applied to the swollen skin to reduce the swelling temporarily.

Ice may be applied for 20–30 minutes several times a day. There are concerns that uric acid crystallization is accelerated by low temperature, but in a 2002 study in the Journal of Rheumatology patients who used ice packs had better relief of pain with no negative side effects. Keeping the affected area elevated above the level of the heart may help as well.

Due to swelling around affected joints for prolonged periods, shedding of skin may occur. This is particularly evident when small toes are affected and may promote fungal infection in the web region if dampness occurs; it is usually treated in a similar fashion to athlete's foot.

Hope this helps!

Susie L
There is no miracle cure to stop gout attack instantly.

Know better? Leave your own answer in the comments! Gout - information, symptoms and treatments. Googout.info health information factsheet - advice on gout and its symptoms, causes and treatment, plus prevention through diet.

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