Gout & Colonoscopy: How are these related?

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Serenity Now
Veteran Member


Date Joined Jan 2009
Total Posts : 2017
   Posted 2/11/2012 1:58 PM (GMT -6)   
My husband was telling me his co-worker friend was off work yesterday to take her husband for a colonoscopy. According to him, co-worker said her husband had to have this because he had been previously diagnosed with gout... I can't make any sense of this. My husband admits it is possible he got the conversation wrong (he is very prone to doing this) but before I tell him he is out of his tree, I thought I'd see if anyone here (colonoscopy experts that we are) has heard of any relation. What I know of gout is that it is related to the urinary system and kidneys, rather than the digestive system.
Female, 45, Vancouver BC
Currently in remission

ItsAlwaysSomething
Veteran Member


Date Joined Oct 2011
Total Posts : 1414
   Posted 2/11/2012 2:08 PM (GMT -6)   
Copied from the European Journal of Cancer Prevention:

The incidence of cancers of the oral cavity and pharynx, colon, liver and biliary tract, pancreas, lung, skin (melanoma and nonmelanoma), endometrium and kidney, as well as of malignant melanoma was increased among gout patients.
Female, Retired
Diagnosed UC 2002, Colazal generic (balsalazide), Mesalamine and/or Colocort enemas as needed.
Benebiotic and Jarrow S Boulardii probiotics, vitamins, slippery elm bark, chia seeds, L-Glutamine and LDN.
Working toward a more organic, gluten-free, lactose-free diet.
Goal: REDUCE INFLAMMATION!

Serenity Now
Veteran Member


Date Joined Jan 2009
Total Posts : 2017
   Posted 2/11/2012 3:07 PM (GMT -6)   
Ah... so it's to check for colon cancer. Okay then maybe it does make sense after all. Thanks!
Female, 45, Vancouver BC
Currently in remission

quincy
Elite Member


Date Joined May 2003
Total Posts : 29502
   Posted 2/11/2012 4:33 PM (GMT -6)   
Firstly, is it gout? Secondly..what other symptoms does the person have gastro-wise?
Thirdly...how old is the person?

I can't see initially how someone with gout would be quickly zoomed for a c-scope without other symptoms to direct the GI to suspect something else is going on.

q
*Heather* I give suggestions, do with them what you will.
Status: ...Asacol 3 @ 2x daily; Salofalk enema @ 3rd night (nightly/ flares, tapered/maintenance)
~diagnosed January 1989 UC (proctosigmoiditis)
~Bentylol 20mg as needed; Zantac 150mg; Pulmicort/Airomir (asthma);Effexor XR 37.5 (depression)
~vitamins/minerals/supplements; Probiotics....(RenewLife Ultimate Flora Critical Care+Primadophilus Reuteri capsules @ bedtime)
~Metamucil capsules 6 twice daily with meals; Vitamin D 4500 IU
~URSO for PBC(or PSC?) 500mg X 2 daily (LFTs back to NORMAL!!)
My doc's logic.. "TREAT (FROM)BOTH ENDS" worth it !!!

Serenity Now
Veteran Member


Date Joined Jan 2009
Total Posts : 2017
   Posted 2/11/2012 4:58 PM (GMT -6)   
Well now I am wondering because after I emailed my husband (he is working today) with what ItsAlwaysSomething posted, he replied to wonder why our other friend who has gout has never had a c-scope.

It was mere curiosity on my part, so I don't think we'll ask this co-worker any further questions about it.

Oh, just had a thought - what if there was family history of colon cancer? Anyway. We'll likely never know.
Female, 45, Vancouver BC
Currently in remission

sherbear46
Forum Moderator


Date Joined Jun 2011
Total Posts : 3315
   Posted 2/11/2012 5:11 PM (GMT -6)   
My Dad has gout and has had one colonoscopy and he is due for one probably this year but I think he is getting them because they are routine for his age.
Co-Moderator UC

Sheri-39 years old

Diagnosed April 2009-suffered over a year prior to diagnosis

Currently taking Lialda 2 tabs in am, Protonix 40mg every day, Allegra, Zyrtec, Probiotics, Vitamin D3, Melatonin and Rowasa enema once a week.

Currently in Remission since June 2011. I seem to flare yearly Dec/Jan time frame. Hoping this winter to be different since I'm not working.

EZFIT4U
New Member


Date Joined Feb 2016
Total Posts : 1
   Posted 2/11/2016 9:48 PM (GMT -6)   
Consider this....
1. Propofol, an anesthesia often used for colonoscopy, is known to significantly increase uric acid excretion. http://www.ncbi.nlm.nih.gov/pubmed/9212138

2. Uric acid is essentially what causes gout.

3. I came down with my first gout attack some 7 years ago after a knee scope where I was sedated, I think it was with Propofol. No serious gout since that incident.

4. Two days ago I underwent a colonoscopy during which I was sedated with Propofol. I am now experiencing my first serious gout attack in 7 years.

This gout attack is not as serious as the first one and we hope it will stay that way.

quincy
Elite Member


Date Joined May 2003
Total Posts : 29502
   Posted 2/11/2016 10:01 PM (GMT -6)   
this original post certainly wasn't today.....Serenity, do you remember when you started the thread?

q
*Heather* I give suggestions, do with them what you will.
Status: ...Asacol 3 @ 2x daily; Salofalk enema @ 3rd night (nightly/ flares, tapered/maintenance)
~diagnosed January 1989 UC (proctosigmoiditis)
~Bentylol 20mg as needed; Zantac 150mg; Pulmicort/Airomir (asthma);Effexor XR 37.5 (depression)
~vitamins/minerals/supplements; Probiotics....(RenewLife Ultimate Flora Critical Care+Primadophilus Reuteri capsules @ bedtime)
~Metamucil capsules 6 twice daily with meals; Vitamin D 4500 IU
~URSO for PBC(or PSC?) 500mg X 2 daily (LFTs back to NORMAL!!)
My doc's logic.. "TREAT (FROM)BOTH ENDS" worth it !!!

ElpisUnbreakable
Regular Member


Date Joined May 2015
Total Posts : 468
   Posted 2/12/2016 7:32 AM (GMT -6)   
I remember having a conversation with my GI a few months ago that people with UC have problems with uric acid. I was having this convo because I periodically get kidney stones. not gout.

But I would think if the propensity for uric acid is higher in UC then the incidence of gout would also be higher?
Remicade every 4-5 weeks.

Past medications: Asacol HD 800mg, Pred, Uceris, Imuran,
Current: Remicade, Canasa
Aloe Vera Enemas
Gluten Free low carb diet, Green tea extract
VitD, Fish Oil, Grape Seed Extract, Adrenal Fatigue, VSL #3
Hope. Lots of Hope

TroubledTurds
Veteran Member


Date Joined Jan 2004
Total Posts : 7925
   Posted 2/12/2016 8:30 AM (GMT -6)   
i'm pretty sure that if you've been given the gift of UC, the likelihood of other bodily afflictions is almost guaranteed !
dx'd with pancolitis 12/21/03
current supplements:probiotics, vit D, cal/mag, Psyllium Seed powder/Heather's Acacia fiber/ L-Glutamine/Hemp powder slurry 1x/week - grain free/paleoish diet that includes 100% grass fed beef, raw goat milk, & local eggs, lots of all natural well water, exercise, sleep as much as possible & enjoy this great life that God has blessed me with :-)

Serenity Now
Veteran Member


Date Joined Jan 2009
Total Posts : 2017
   Posted 2/12/2016 9:48 AM (GMT -6)   
Quincy, it is weird how sometimes these old posts come up saying "Yesterday" or "Today". My sig on it says I was 45, and I am 49 now.
Female, 49, Vancouver BC
Pancolitis: Currently in remission

Coffeemate
Regular Member


Date Joined Mar 2012
Total Posts : 190
   Posted 2/12/2016 10:05 AM (GMT -6)   
For sure this thread was started on Feb 11th, God knows what year. Probably 4 years ago. The forum has always assumed that if the month and day match today's date, then it must be this year.

Serenity Now
Veteran Member


Date Joined Jan 2009
Total Posts : 2017
   Posted 2/12/2016 11:08 AM (GMT -6)   
Aha.... very observant Coffeemate!
Female, 49, Vancouver BC
Pancolitis: Currently in remission

ddelano
New Member


Date Joined Apr 2017
Total Posts : 2
   Posted 4/19/2017 4:25 PM (GMT -6)   
I am newly diagnosed UC (3 weeks) on Lialda and sup. for flare up treatment. I had a Colonoscopy on Monday, March 27th which is when I started UC treatment and UC diet (low residue). I had read that fish oil was beneficial and I needed a source of protein that was not red meat or high residue meat so I ate two tins of sardines and crackers for dinner on Friday the 31st (4 days after Colonoscopy) then woke up Friday night with extreme Gout pain in my right foot. It is now 2 1/2 weeks later and still some Gout pain in my right foot and also now (as of today) in my left foot. I had a Uric Acid test today as I had also had one as a part of a larger panel of tests in Feb, looking for the cause of my symptoms of UC and both then and now it is the same (7.4) which is 1.4 higher than 'normal' range for Uric Acid. I am looking to see what anesthetic they gave me for the Colonoscopy but whatever it was I opted to 'stay awake' and watch the procedure (will not do that again with UC! - Ouch) so it was a low dose of a 'drowsy' medication and would not account for the high Uric Acid levels in Feb. So, any correlation with the anesthesia for me seems unlikely. I am now on a low residue and 'gout' diet (low Purines) to try and help control both the UC and the Gout however I am having my doubts that the diet is having much (if any) effect on my Uric Acid levels as I have been on that diet since Saturday the 1st of April and my Uric Acid level today is the same as it was in February... I have heard that Lialda, which is an aspirin based anti-inflammatory treatment can increase Uric Acid levels. Aspirin can as well. I may have to stop the Lialda and cleanse from that to see if it helps the Uric Acid which is causing the Gout...

Any other thoughts / suggestions I am all ears. Thanks.

quincy
Elite Member


Date Joined May 2003
Total Posts : 29502
   Posted 4/19/2017 7:18 PM (GMT -6)   
Lialda is NOT aspirin based...it is a salicylate, however, topical, and a very low dosage would enter the bloodstream.

Unless you know your uric levels prior to c-scope and mesalamine, it may just be a coincidence.

q
*Heather* I give suggestions, do with them what you will.
Status: ...Asacol 3 @ 2x daily; Salofalk enema @ 3rd night (nightly/ flares, tapered/maintenance)
~diagnosed January 1989 UC (proctosigmoiditis)
~Bentylol 20mg as needed; Zantac 150mg; Pulmicort/Airomir (asthma);Effexor XR 37.5 (depression)
~vitamins/minerals/supplements; Probiotics....(RenewLife Ultimate Flora Critical Care+Primadophilus Reuteri capsules @ bedtime)
~Metamucil capsules 7 @ 2x daily with meals; Vitamin D 4500 IU
~URSO 500mg @ 2x daily for Primary Biliary Cholangitis
My doc's logic.. "TREAT (FROM)BOTH ENDS" worth it !!!

ddelano
New Member


Date Joined Apr 2017
Total Posts : 2
   Posted 4/19/2017 8:46 PM (GMT -6)   
Ok, I stand corrected and agree there appears to be a very low, remote possibility that the Lialda was the cause of gout. The common thread among both UC and gout is that they are both autoimmune responses, along with my allergic rhinitis I seem to have an over zealous immune response in several ways. I am trying very hard to avoid immuno-suppresion as a long-term plan due to the multiple possible side-effects and complications that can create.

If anyone has suggestions for how to safely suppress immuno-response, I would appreciate the help.

iPoop
Forum Moderator


Date Joined Aug 2012
Total Posts : 10319
   Posted 4/20/2017 4:48 AM (GMT -6)   
I've yet to experience a side effect from the immunosuppressive drugs. Side effects are very rare with thise meds. Nothing to fear.
Moderator Ulcerative Colitis
John
, 38, UC Proctosigmoiditis
Rx: Remicade @5mgs/kg/6wks; 75mgs 6MP, 4.8g Mesalamine DR, and rowasa

Gambling on a fart can result in shooting craps...
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