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Gout symptoms and treatment
Gout is a common and complex form of arthritis that can affect anyone. It’s characterized by sudden, severe attacks of pain, swelling, redness and tenderness in the joints, often the joint at the base of the big toe.
An attack of gout can occur suddenly, often waking you up in the middle of the night with the sensation that your big toe is on fire. The affected joint is hot, swollen and so tender that even the weight of the sheet on it may seem intolerable.
Gout symptoms may come and go, but there are ways to manage symptoms and prevent flares.
My challenge with GOUT !!
Well, back in 2002,when i showed up at the hospital .
It was really hard to figure out gout symptoms and treatment for the pain i got on my left foot (especially the big toe area).
I could not walk, have a shoe on..even sleep with a sheet over my foot. Got all kind of diagnostics with weird names that i can not repeat, but nothing sounded like “GOUT”!
Went Back home, with some pain prescription that were not effective.
Next day, pain and sensitivity were very diminished, i started to walk again slowly putting weight on my leg.
Third day, No more pain, my foot was brand new! What happened ???
Some more flare-ups later!
After a couple of months experiencing the same issue,being more and more painful each time. i was out for days in pain from my big toe to my knee now, I could not continue like that.
Back to the Clinic again but this time i got the right doctor,she diagnosed me right away .
“GOUT it is”, gave me some meds for pain… Trust me those one were the good stuff.
Sent me for blood works, to get an update of what was going on in there.
Results: Uric acid level out of wack and a kidney function that was 90% efficient ( not a dangerous level ) unless it continues to go down.
She told me about all the diet rules (no red meat, no alcohol and i had to lose some weight…OUCH!) Time to get in shape!
And gave me , all the documentation from the UK gout society!! (Down Below)
My dosage of allopurinol was readjusted after 3 months and new blood works. i am on it since, no flare-up for years.
I am going for blood works every 90 days, upon medication renewal. So far so good level are perfect!.
Here are some fun facts that i got in my research !
Gout usually becomes symptomatic suddenly without warning, often in the middle of the night. The main symptoms are intense joint pain that subsides to discomfort, inflammation, and redness.
Gout frequently affects the large joint of the big toe, but can also affect the forefoot, ankles, knees, elbows, wrists, and fingers. The pain can be excruciating. IT IS, TRUST ME !!!!
In some cases, gout can develop into more serious conditions, such as:
- Kidney stones: If urate crystals collect in the urinary tract, they can become kidney stones.
- Recurrent gout: Some people only ever have one flare up; others may have regular recurrences, causing gradual damage to the joints and surrounding tissue.
There are many lifestyle and dietary guidelines that can be tried to protect against flares or prevent gout from occurring in the first instance:
- maintain a high fluid intake of around 2 to 4 liters a day
- avoid alcohol
- maintain a healthy body weight
- red meat on rare occasion
Individuals with gout can manage flare-ups by moderating their diet. A balanced diet can help reduce symptoms.
Decreasing foods that are high in purines, to ensure that the levels of uric acid in the blood do not get too high, is reasonable to try.
Here is a list of high-purine foods to be wary of:
- beef kidneys
- game meats
Asparagus, beans, some other plant-based foods, and mushrooms are also sources of purines, but research suggests that these do not trigger gout attacks and do not impact uric acid levels.
Various epidemiological studies have shown that purine-rich vegetables, whole grains, nuts and legumes, and less sugary fruits, coffee, and vitamin C supplements lower blood uric acid levels, but do not decrease the risk of gout.
The role of uric acid in gout has been clearly defined and understood. As a result of this and the wide availability of relevant medications, gout is a very controllable form of arthritis.
There are a number of factors that can increase the likelihood of hyperuricemia, and therefore gout:
Age and gender: Men produce more uric acid than women, though women’s levels of uric acid approach those of men after the menopause.
Genetics: A family history of gout increases the likelihood of the condition developing.
Lifestyle choices: Alcohol consumption interferes with the removal of uric acid from the body. Eating a high-purine diet also increases the amount of uric acid in the body.
Lead exposure: Chronic lead exposure has been linked to some cases of gout.
Medications: Certain medications can increase the levels of uric acid in the body; these include some diuretics and drugs containing salicylate.
Weight: Being overweight increases the risk of gout as there is more turnover of body tissue, which means more production of uric acid as a metabolic waste product. Higher levels of body fat also increase levels of systemic inflammation as fat cells produce pro-inflammatory cytokines.
Recent trauma or surgery: Increases risk.
Other health problems: Renal insufficiency (The main issue for me) and other kidney problems can reduce the body’s ability to efficiently remove waste products, leading to elevated uric acid levels.
Other conditions associated with gout include high blood pressure and diabetes.
If ever you are suspecting having a “GOUT” issue,
Consult your doctor, Don’t stay in pain!!!
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The Content is not intended to be a substitute for professional medical advice, diagnosis, or treatment.
Always seek the advice of your physician or other qualified health provider with any questions you may have regarding a medical condition.
It is only informational !
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