Get your health question answered instantly from our pool of 18000+ doctors from over 80 specialties
135 Doctors Online

By proceeding, I accept the Terms and Conditions

Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

HCM Blog Instant Access to Doctors
HCM BlogQuestions Answered
HCM Blog Satisfaction

What Causes Gout Attack After A Rotator Cuff Surgery?

60 year old male, takes atorvastatin, allopurinol, alprazolam prn, cialis prn, recently started 5 mg norvasc with great bp s around 120/70 s. Recent flare up of gout and taking Indomethicin, tapering dose. He had rotator cuff surgery approx 7 weeks ago which may attribute to the gout flare. Today he has bil lower extremity edema almost past his knees. Relatively active despite surgery. No other indicators of dvt. Can this wait until Monday?
posted on Wed, 20 Apr 2016
Twitter Sat, 14 Mar 2020 Answered on
Twitter Mon, 16 Mar 2020 Last reviewed on
Report Abuse
General Surgeon,  's  Response
Hello,

* The surgery itself is a great precipitating factor for many of the immune mediated disorders one of which is gout.

* There is altered homeostasis of urea clearance from the kidneys via multiple level factors to precipitate gout during this period of early post operative era.

However, currently available reports of blood, urine and others would give me better idea to guide accordingly ahead as per your need.

Hope I have answered your query. Let me know if I can assist you further.

Take care

Regards,
Dr. Bhagyesh V. Patel, General Surgeon
I find this answer helpful
Disclaimer: These answers are for your information only and not intended to replace your relationship with your treating physician.
This is a short, free answer. For a more detailed, immediate answer, try our premium service [Sample answer]
Share on
 
Loading Online Doctors....
What Causes Gout Attack After A Rotator Cuff Surgery?

Hello, * The surgery itself is a great precipitating factor for many of the immune mediated disorders one of which is gout. * There is altered homeostasis of urea clearance from the kidneys via multiple level factors to precipitate gout during this period of early post operative era. However, currently available reports of blood, urine and others would give me better idea to guide accordingly ahead as per your need. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr. Bhagyesh V. Patel, General Surgeon