Gout is a form of acute arthritis that causes severe pain and swelling in the joints. It most commonly affects the big toe, but may also affect the heel, ankle, hand, wrist, or elbow. It affects the spine often enough to be a factor in lower back pain. Gout is often a recurring condition. An attack usually comes on suddenly and goes away after 5–10 days. Gout occurs when there are high levels of uric acid circulating in the blood, and the acid crystallizes and settles in the body.
Classification–
- Acute gout
It is a painful condition that typically affects one joint.
- Chronic gout
It is repeated episodes of pain and inflammation, which may involve more than one joint.
CAUSES––
- Uric acid (High production and low excretion)
- Hereditary (male gender)
- Alcohol(especially beer)
- Obesity
- Diets (red meats, internal organs, yeast, oily fish)
- Menopause(women)
- Trauma
- Dehydration
- Starvation
- IV contrast dyes
- Chemotherapy
- Medications
- diuretics
- aspirin
- nicotinic acid
- cyclosporin A
Symptoms And Signs–
A. Asymptomatic stage
- Urate levels rise in the blood
- No symptoms
B. Acute stage
- Symptoms usually lasting 5-10 days
- Sudden attack of joint pain
- Swelling
- Joints feel hot, tender
- Joint looks dusty red or bruised
C. Inter-critical stage
- Symptom-free intervals between gout episodes.
- 2nd attack from 6 months- 10 years.(varies from person to person)
D. Chronic stage
- Persistently painful joints with large urate deposits in the cartilage, membranes between the bones, tendons and soft tissues
- Skin over the deposits develop sores and release a white pus
- Joint stiffness
- Limited motion of affect joint
INVESTIGATIONS—
- Synovial fluid analysis
- Uric acid – blood
- Joint x-rays
- Synovial biopsy
- Uric acid – urine
TREATMENT—
- Nutritional supplements
- Vitamin E
- Selenium
- Folic acid (inhibit xanthine oxidase)
- Amino acids (daily)
- Bromelain(effective anti-inflammatory
- Quercetin(bioflavonoid)
2. Ayurvedic Medications
- Capsule Sanoric
- Capsule Vednapil
- Tablet Tinifat
- Sanoric oil
- Mahayograj guggul
3. Surgery
Required for un-dissolvable Tophi
COMPLICATIONS—
- Chronic gouty arthritis
- Kidney stones
- Chronic kidney failure
Prevention —
- Reduce weight
- Avoid alcohol(especially beer)
- Switch over to another anti-hypertensive, if taking diuretics
- Avoid consumption of saturated fats and refined carbohydrates
- Drink 10 to 12 eight-ounce glasses of non-alcoholic fluids daily.
- Avoid Vitamin C
- Avoid or restrict foods high in purine
- Sardines
- Anchovies
- Brains
- Liver
- Kidneys
- Sweetbreads
- shellfish (mussels and oysters)
- fish roe
- scallops
- peas
- lentils
- beans
- Excessive amount of red meat.
very helpful post. Thanks again.love the blog. very interesting. sincerly, Kristine,WB
Ive learned so much online in the past four years. The majority of my knowledge I attribute to reading great blogs like yours. Thank you!
Thanks for taking turns that good written content on your site. I discovered it on the internet. I will check to come back after you post extra aricles.
I really enjoyed your post. However, it is not properly displaying in my monitor. I recommend you make sure your webdesign is compatible with all browsers. Otherwise, Three thumbs up
Hey 🙂 Just between, are some totally uncorelated websites blogs to ours, however, they are ultimate worth checking order out..
These kind of post are always inspiring and I prefer to check out quality content so I happy to find many good point here in the post, writing is simply great, thank you for the post
Fantastic page design, even better page. The only thing is, I have been having a bit of trouble bringing up this page, not sure if it’s my connectivity or what. Seems like other responders might be having the same issue. Thanks for the info anyway! Cheers, Mate!