Latest Gout Treatment Information
According to the latest data, obesity, caused by excessive consumption of fatty foods of animal origin, predisposes most strongly to gout at risk of lovers of sausages, meats, bacon, and hamburgers. It is an excess of proteins that lead to an excess of uric acid, and excess weight creates an increased load on the joints and, thereby, accelerates the development of the inflammatory process.
American scientists have also established a direct link between calcium deficiency and ascorbic acid and the development of gout. With age, these essential substances for the body begin to lack even those people who lead a healthy lifestyle and do not complain about excess weight. Therefore, after forty years, it is necessary to examine and take multivitamins prescribed by a doctor annually.
Recently, a new drug that inhibits the synthesis of uric acid, Benzbromarone, has been developed. Now active clinical trials are underway for this medication, and in some Western countries it has already been allowed and put on stream. But before the novelty settles in the domestic pharmaceutical market, it is likely that a long time will pass.
It is also known about the experimental development of new non-hormonal anti-inflammatory drugs that act directly on the protein interleukin, provoking gouty inflammation of the joints and tissues. However, the exact timing of the appearance of these medicines in the free market is difficult to call.
How To Prevent Gout Attacks
TO MINIMIZE THE RISK OF NEW GOUT ATTACKS, FOLLOW A FEW SIMPLE RULES:
If possible, do not expose the sore joint to any loads, periodically fix it in an elevated position and apply ice for 15-30 minutes 2-3 times a day until the pain subsides
Do not neglect aspirin, which can cause jumps in the level of uric acid in the blood and aggravate the symptoms of gout
Regularly assess the level of uric acid it should not exceed 60 mg.
Every day at least half an hour devote physical education: walk, ride a bike, jog, dance, swim. Do exercise in the morning. Regardless of age and weight, patients with gout should daily do whatever they can for themselves sport works when gout is more effective than any medication
Drink at least 2 liters of real water per day. For the kidneys to excrete uric acid from the body, they first need clean water. Without a sufficient amount of water, even healthy kidneys cannot cope with cleansing the body
Take a blood test to determine the level of the essential minerals and vitamins, and if necessary, supplement the diet with an excellent vitamin-mineral complex. It is especially important for patients with gout to provide themselves with vitamin C
Revise your diet in favor of vegetables, fruits, and cereals, eat no more than 120 grams of animal protein per day, avoid by-products and fatty sausages.
Fish Oil Supplements For Gout
Fish oil derived from fish contains omega-3 fatty acids. Your body has to rely on omega-3 fatty acids for proper functioning-
- Alpha-linoleic acid
- Docosahexaenoic acid
- Eicosapentaenoic acid
The best fish oil has DHA and EPA. Fatty acids are essential to maintain the function of your brain and immune system.
Most importantly, there must be a proper ratio of omega-6 and omega-3 fatty acids. Unsaturated fat has the potential to prevent inflammation problems in your body. However, do not take a high amount of fatty acids. Consumption of fish oil helps in fighting against inflammation. That is why you can decrease the swelling, pain, redness, and potential joint damage caused by gout.
The meat of the fish contains purines. However, the molecularly distilled fish oil does not have a high amount of purines. You can safely purchase pharmaceutical-grade fish oil supplements. Make sure that the supplement is molecularly distilled. But, it may not be safe for those having bleeding disorders.
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Here Is How To Prevent Gout Attacks
Nonetheless, to be on the safer side, preventive precautions are a must. Below are among the top recommended preventive measures for gout
If there is a family history stipulating the occurrence of gout in the family line, men, in particular, should limit or particularly avoid the intake of alcohol, fats, and purine-rich foods that are more likely to spark uric acid elevation in the joints. Such individuals should also cautiously watch their body weight to ensure they are not overweight. Drinking liquids in plenty can also help reduce the risk of kidney stones in susceptible individuals.
Immediate Relief Expert Care
Gout pain in your toes and feet can be extremely uncomfortable. While these home remedies may offer temporary relief, you might need professional care.
If you begin fevering, this is often a sign of infection. Dont wait to come in.
Weve got a full team ready to help, right away. Visit our contact page to make a quick appointment or give us a call today at 239.936.5400.
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How Does Food Affect Gout
If you have gout, certain foods may trigger an attack by raising your uric acid levels.
Trigger foods are commonly high in purines, a substance found naturally in foods. When you digest purines, your body makes uric acid as a waste product .
This is not a concern for healthy people, as they efficiently remove excess uric acid from the body.
However, people with gout cant efficiently remove excess uric acid. Thus, a high-purine diet may let uric acid accumulate and cause a gout attack (
Foods that commonly trigger gout attacks include organ meats, red meats, seafood, alcohol and beer. They contain a moderate-to-high amount of purines .
However, there is one exception to this rule. Research shows that high-purine vegetables do not trigger gout attacks .
And interestingly, fructose and sugar-sweetened beverages can increase the risk of gout and gout attacks, even though theyre not purine-rich (
For instance, a study including over 125,000 participants found that people who consumed the most fructose had a 62% higher risk of developing gout .
On the other hand, research shows that low-fat dairy products, soy products and vitamin C supplements may help prevent gout attacks by reducing blood uric acid levels (
Summary: Foods can either raise or lower your uric acid levels, depending on their purine content. However, fructose can raise your uric acid levels even though it is not purine-rich.
What Is The Dosage For Colchicine
The recommended dose of colchicine for acute gout is:
- 1.2 mg at the first sign of symptoms followed by 0.6 mg one hour later.
- The maximum dose over a one hour period is 1.8 mg.
- In clinical trials 1.8 mg of colchicine administered over 1 hour was as effective as 4.8 mg administered over 6 hours, and patients experienced fewer side effects.
- The recommended dose for preventing flares of gout in individuals older than 16 years of age is 0.6 mg once or twice daily.
The recommended doses of colchicine for FMF are:
- Children 4-6 years old: 0.3 to 1.8 mg daily
- Children 6-12 years old: 0.6 to 1.8 mg daily
- Adults and adolescents older than 12 years: 1.2 to 2.4 mg daily
Total daily doses may be administered in two divided doses. Doses should be increased by 0.3 mg daily as tolerated until symptoms are controlled or maximum daily doses are reached. Doses should be decreased by 0.3 mg daily if side effects occur.
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The Role Of Uric Acid In The Growth Of Gout
This disease greatly upsets the metabolism. Purines enter the human body with food but are also produced by themselves. Next, the purines are split into uric acid, which is excreted by the kidneys.
In people with gout, the content of this uric acid is much higher than usual. Excess uric acid is deposited in those tissues where there is no blood supply. There the crystals are the easiest to consolidate.
The joints, cartilage, and tendons are most affected. As a result of this disease, not only these places are affected, but also the kidneys. Most often, gout develops urolithiasis, with a lower percentage of the likelihood the patient may suffer from renal colic.
It can start for two reasons: if uric acid is produced too much and the kidneys do not cope with the amount of output, so it has to be deposited in the human body. So the second reason for which the amount of uric acid is reasonable, but the kidneys cannot remove it.
However, the high content of uric acid in the body is not the only cause of gout. Several other factors play a decisive role here: excessive nutrition, fatty foods, overweight, an inactive way of life, and hereditary predisposition.
Managing A Gout Flare
Gout flares are unexpected and painful heres how to get a handle on them.
Few things in life are more painful than a gout flare, so if youre awakened in the wee hours by a joint that is tender, swollen, red and radiating heat, youll want to act fast. Heres what you can do when a gout flare starts to ease the pain of and reduce the risk of others.
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Avoid Alcohol And Sugary Drinks
The heavy consumption both of alcohol and of sugary drinks â such as sodas and sweetened juices â correlates with an increased risk of developing gout.
Alcohol and sweetened drinks also add unnecessary calories to the diet, potentially causing weight gain and metabolic issues.
2010 analysis of data from female participants in the Nursesâ Health Study found that gout risk decreased as coffee consumption increased.
Women who consumed 1 to 3 cups of coffee per day had a 22% reduction in their risk of gout compared with those who drank no coffee. Women who consumed more than 4 cups of coffee per day had a 57% decrease in their risk of getting this condition.
A handful of studies have also linked coffee consumption to a lower risk of cardiovascular disease. A 2014 systematic review and meta-analysis of long-term coffee consumption found that people who consumed 3â5 cups of coffee per day had the lowest risk of cardiovascular disease.
As people with gout have a higher risk of cardiovascular disease, drinking coffee may help improve their overall health.
2011 meta-analysis of 13 randomized controlled trials found that vitamin C significantly reduced levels of uric acid in the blood.
Reduced uric acid levels could lower the risk of gout attacks. Research has not conclusively proven that vitamin C treats or prevents gout, however â only that it lowers uric acid levels.
Practice Mindfulness And Meditation
The good news: A gout attack is self-limited and will clear in time. In the meantime, according to the Arthritis Foundation, meditation, yoga breathing, mindfulness, and guided imagery can help you deal with the pain.
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Natural Home Remedies For Gout Pain In Feet Ankle & Finger
Gout is a variant of arthritis that can influence separate parts of the body, such as ear, small joints on the wrists, knees, ankles, and hands. When you are suffering from this disease, you will see symptoms, such as inflammation, intense tenderness, swelling, and acute pain in the joints. It is still not showed what factor is the root cause of gout but the presence of uric acid inside your body with a large amount maybe a the main reason. Some of possible causes may be too much stress, the excessive intake of protein, the lack of physical exercise, excessive consumption of alcohol, and heredity. There are many natural home remedies for gout pain in feet, ankle and finger that are proven to work, and today, I will present you 14 best remedies that you should not neglect.
But Aren’tgout And Gouty Arthritis Hereditary Conditions
I really love how the medical profession continues to blame gout on genetics . However, this flawed theory is nothing more than pure medical poppycock and has never actually been proven.
Their reasoning behind the theory is that more than one family member will usually suffer from gout, so of course, it must be genetic right? But this condition has now become so out of control and rampant amongst society, especially in the last 20 years that of course you can blame it on your family history.
Its very easy to do that when everyone is getting it!
But what about diet and lifestyle? And what about the persons weight or stress levels? These are the factors that really count rather than a persons family history.
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What Foods Are Good For Gout
Dietary management of gout focuses on reducing the amount of uric acid in the system and attaining and maintaining a healthy body weight.
Foods that may help keep gout in check are
- Fresh fruits and vegetables such as berries, oranges, bell pepper and pineapple
- Low-fat dairy products, such as yogurt and skimmed milk
- Nuts including nut butters such as almond butter and peanut butter
- Whole grains
- Potatoes, rice, whole-grain bread and pasta
- Oils such as olive oil
- Flax and other seeds
What Not To Eat
If you wish to keep your uric acid levels in check, it is essential that you minimize your intake of the following:
- Organ meats, which includes liver, kidney, and sweetbreads
- Red meat, particularly lamb and beef
- Certain vegetables, including mushrooms, asparagus, and cauliflower
- Seafood and shellfish, such as crabs, lobster, and sardines
- Foods with high sodium content, specifically sauces, and gravies
These dietary exclusions should be accompanied by proper dietary additions that include foods that are low in purines, such as cereals, vegetables, soya bean-based foods, and dairy products.
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Foods Herbs And Supplements
The following have shown at least some promise for gout.
Coffee. According to the Mayo Clinic, theres evidence that drinking a moderate amount of coffee a day can lower gout risk.
Antioxidant-rich fruits. Dark-colored fruits like blackberries, blueberries, grapes, raspberries, and especially cherries can help keep uric acid under control.
Vitamin C. Consuming moderate amounts of vitamin C is also connected to lower uric acid levels. However, very large doses of the vitamin can actually raise uric acid levels.
Other supplements. There are also herbal supplements that have been found to effectively reduce inflammation including devils claw, bromelain, and turmeric. These havent been specifically studied for gout, but they may help with the swelling and pain associated with an attack.
Are There Any Differences Between Nsaids
NSAIDs vary in their potency, duration of action, how they are eliminated from the body, how strongly they inhibit COX-1 versus COX-2 and their tendency to cause ulcers and promote bleeding. The more an NSAID blocks COX-1, the greater is its tendency to cause ulcers and promote bleeding. One NSAID, celecoxib , blocks COX-2 but has little effect on COX-1, and is therefore further classified as a selective COX-2 inhibitor. Selective COX-2 inhibitors cause less bleeding and fewer ulcers than other NSAIDs.
Aspirin is a unique NSAID, not only because of its many uses, but because it is the only NSAID that inhibits the clotting of blood for a prolonged period of time . This prolonged effect of aspirin makes it an ideal drug for preventing blood clots that cause heart attacks and strokes.
Most NSAIDs inhibit the clotting of blood for only a few hours. Ketorolac is a very potent NSAID and is used for moderately severe acute pain that usually requires narcotics. Ketorolac causes ulcers more frequently than other NSAID. Therefore, it is not used for more than five days. Although NSAIDs have a similar mechanism of action, individuals who do not respond to one NSAID may respond to another.
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Hot And Cold Compresses
Switching between a hot compress for three minutes and a cold compress for 30 seconds on the affected area can help reduce pain and swelling that occurs during a gout attack.
In most people, a first acute gout attack comes without warning, and there arent any other symptoms of high uric acid. Prevention efforts for gout are focused on preventing future attacks or lessening their severity.
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Dandelion Extracts of dandelion and dandelion teas have been in use for a long time in the improvement of both the kidney and liver health. Dandelion functions by lowering uric acid levels in those at risk of developing chronic gout and even kidney injuries. When using dandelion supplements or extract, always follow the labeled directions to the fullest.
Topical cold or even hot application Using ice-cold or somehow hot water to inflamed joints is also an effective remedy. The most effective and often recommended method among the two is soaking in cold water. The use of ice packs instead of soaking in cold water is also recommended. On the other end, soaking in hot water can only be recommended in case the inflammation is not very severe. The use of the two methods, that is, hot and cold water alternatively may also help to some degree.
Use of Epsom salts Epsom salts are magnesium-rich and thus are effective in lowering the risk of gout development. Most people always recommend taking a bath of the Epsom salts when you decide to go by the technique. The Epsom salts solution can also be applied only to specific joints or areas of inflammation to enhance relief.
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