Yes. Gout rarely stops a hernia repair. A planned operation is set for a time when your gout is calm.
The stress of surgery, fasting and drinking less water can bring on a gout flare in the first few days after the operation.
Daily gout tablets usually carry on around surgery. Never stop them on your own, as stopping can itself trigger a flare.
Gout causes sudden, painful swelling in a joint, often the big toe, ankle or knee. It happens when uric acid builds up in the blood and forms crystals in the joint.
Gout is common, and so are hernias. This page explains how gout is planned around a hernia repair, and what to do if a flare comes after.
Why surgery can bring on a flare
An operation puts the body under stress. You also fast before it and may drink less water for a day or two. All of these can raise uric acid and trigger a flare.
A flare often comes in the first few days after surgery. Knowing this helps you spot it early and tell the team.
Your gout tablets
Many people with gout take a daily tablet to keep uric acid low. These usually carry on around surgery. Stopping them suddenly can itself bring on a flare.
Bring your full medicine list to the first visit. Your surgeon tells you which tablets to take on the day.
Gout around a hernia repair
Gout around a hernia repair
What is planned
Why it matters
What helps
Timing
A calm joint makes recovery easier
Plan the date between flares
Daily gout tablets
Stopping them can bring a flare
Usually carry on, as advised
Water
Fasting and less water raise flare risk
Drink well once allowed
Painkillers
Some do not suit kidneys or stomach
Take only what is advised
A flare after surgery
Pain makes walking harder
Tell the team early
Have gout and a hernia? Bring your recent blood reports and full medicine list to the first visit.
Some painkillers used for gout do not suit weak kidneys, a sensitive stomach or certain heart conditions. Do not take any painkiller from a shop without asking.
The team gives you a pain plan that fits both the repair and your gout. Your recent kidney blood tests help them choose.
If a flare comes after surgery
Tell the team early if a joint becomes hot, red and painful. A flare can be treated, and it does not harm the hernia repair.
Keep walking gently as advised, as walking helps you recover. Drink plenty of water once you are allowed, and take your usual tablets as advised. Call at once if the wound becomes red or leaks, or if you get a fever.
Frequently asked questions
Can I have hernia surgery if I have gout?
Yes. Gout rarely stops a hernia repair. A planned repair is done at a time when your gout is not flaring.
Can surgery bring on a gout attack?
Yes. The stress of surgery, fasting and less water can trigger a flare in the days after.
Should I stop my gout tablets before surgery?
Not on your own. Daily gout tablets usually carry on. Ask your surgeon about each one.
Which painkillers are safe for me?
Take only the ones your surgeon advises. Some suit gout but not weak kidneys or the stomach.
What if my foot swells after the operation?
Tell the team early. A gout flare can be treated, and you can still walk gently as advised.
Dr Harsh Shah, MS, MCh (Surgical Gastroenterology), DrNB (Surgical Gastroenterology) Dr. Jivraj Mehta Hospital, Vasna, Ahmedabad Bring your reports. Second opinions are welcome.