Wednesday, May 18, 2022

Can You Tell Me About Gout

What Should I Think About When Deciding About Gout Treatment

The BEST Video About Gout Ever Made

You and your health care professional can decide what might be best to treat your gout attacks and help prevent future gout attacks. Here are some things to think about. Be sure to share your thoughts with your health care professional.

  • How often do you have a gout attack?
  • How do you feel about taking medicine to treat a gout attack?
  • How do you feel about taking a medicine every day to help prevent future gout attacks?
  • Which possible side effects concern you?
  • How do you feel about trying other things, such as exercise, drinking plenty of water, and changing your diet to help prevent future gout attacks?

Ask Your Health Care Professional

  • What problems can gout cause if not treated?
  • Which medicine might be best to reduce pain and swelling when I have a gout attack?
  • How can I help prevent future gout attacks?
  • Might a medicine to lower the amount of uric acid in my blood help? If so, which one might be best?
  • How long would I have to take the medicine?
  • What side effects of the medicine should I watch for?
  • Should I make any changes to my diet and alcohol use? If so, what specific changes should I make?
  • Are there other things I can do that may help?

Treating Gout With Medications

Certain medications reduce the pain and inflammation of gout attacks, such as anti-inflammatory drugs , colchicine, and corticosteroids. Other medications decrease the level of uric acid in the blood and prevent the deposit of uric acid in joints , the kidneys , and in tissue , helping to prevent further attacks and complications. These drugs include allopurinol, febuxostat, lesinurad, and probenicid.

Myth: Women Aren’t Afflicted By Gout

Truth: Men and women alike can develop the disease, although men are more vulnerable earlier in life. “Gout is 10 times more common in men than in women, until women reach menopause. The incidence of new cases of gout in men and women tends to equal out after age 60 or so,” says Herbert Baraf, M.D., clinical professor of medicine at George Washington University Medical Center in Washington, D.C.

Throbbing pain on the tip of your big toe? You might have gout.

Also Check: Gout Foods To Avoid Cheese

Signs And Symptoms Of Gout

Any joint can be affected by gout, but it usually affects joints towards the ends of the limbs, such as the toes, ankles, knees and fingers.

Signs and symptoms of gout include:

  • severe pain in one or more joints
  • the joint feeling hot and very tender
  • swelling in and around the affected joint
  • red, shiny skin over the affected joint

Symptoms develop rapidly over a few hours and typically last three to 10 days. After this time the pain should pass and the joint should return to normal.

Almost everyone with gout will experience further attacks at some point, usually within a year.

Read more about the complications of gout.

What Is The Prognosis Of Gout

Understanding Signs Of Gout

Gout is a chronic condition. Left untreated, patients may suffer from recurrent painful and disabling acute attacks of gout. Joint damage and other complications of gout may occur. However, excellent treatments for gout are available, and most patients respond very well to gout treatment with a good prognosis.

Read Also: How To Treat Gout In Toe

Can You Please Tell Me About Some Great Treatment Options For Gout

Ask U.S. doctors your own question and get educational, text answers â it’s anonymous and free!

Ask U.S. doctors your own question and get educational, text answers â it’s anonymous and free!

HealthTap doctors are based in the U.S., board certified, and available by text or video.

Myth: Gout Pain Always Attacks The Big Toe

Truth: Gout occurs when uric acid builds up in the blood, forming crystals that lodge in and inflame joints. It’s true that gout often first attacks the joints of the big toe, but it can also occur in the knees, ankles, feet and hands. In women with osteoarthritis, for example, gout pain commonly starts in the small joints of the hands. Although the first attacks often involve only one or two joints, over time multiple joints become affected. If the disease isn’t treated, it can cause permanent damage.

Avoiding alcohol may reduce your chance of getting gout attacks.

Also Check: What Foods Can Cause Gout Flare Ups

How To Tell If Carpal Tunnel Or Gout: What You Must Know

Gout is becoming more and more common and its one of the worst issues to have

So I fully understand why youre interested in How To Tell If Carpal Tunnel Or Gout.

Nonetheless

Im working on a brand new video to go over How To Tell If Carpal Tunnel Or Gout in detail!

So I apologize for the delay.

Please however, this post may be really beneficial to you because well be going over

  • What is Gout & can you get rid of it?
  • How thousands of people have stopped gout pains

So lets get into it. Sound good?

Perfect.

Why Do Gout Attacks Happen More At Night

How Do I Get Rid Of This GOUT PAIN?! TheGoutKiller.com

Gout attacks happen more at night and in the early morning rather than during the day. You may have an attack start during your sleep. The reasons this happens are not entirely known, but some of the leading ideas are dehydration, lower body temperature, and changes in hormone levels during sleep. Talk to your doctor about ways to prevent gout attacks during your sleep.

Also Check: Make Gout Go Away Fast

What Happens When You Drench You Metabolism With Fructose

It enters the metabolic pathway of carbohydrate below its main control step and is immediately converted to fructose-1-phosphate. Quite why evolution has arranged things this way is a mystery, but my suspicion is that evolution does not like free fructose in human metabolism. So drinking a small bucket of cola will put 100gm of fructose in to your liver. This will require a large input of phosphate to for the fructose-1-phosphate, leaving very little for the generation of adenosine tri phosphate , the primary energy currency of our cells. A lack of ATP triggers activity of the degradation system for adenine and the production of, guess what, uric acid! Gout, and not a serving of kidneys in sight. Until 100 years ago only the rich could afford enough sugar to get gout, now it is a feature of metabolic syndrome and available to all.

Incidentally the fructose has to be put somewhere, and that is in to fat for storage, via elevated triglyceride levels in the blood. It causes insulin resistance too. Even the full metabolic syndrome!

In fact, probably the truth is that fructose causes insulin resistance, which may cause gout. The hyperuricaemia and the fact that the joints produce uric acid crystals do not have to be causally related. Id say theyre not.

I hope you enjoy this blog!

The Role Of Uric Acid

Uric acid is produced when your body breaks down purines, which are substances naturally found in your body, as well as in protein-rich foods. At normal levels in your blood, uric acid is a powerful antioxidant and does not cause any damage. The body keeps uric acid at a set level by excreting it through the kidneys and in urine.

It is possible to have hyperuricemia and not develop gout. About two-thirds of people with elevated uric acid levels never have gout attacks. It is not known why some people do not react to abnormally high levels of uric acid.

You May Like: Home Remedies To Help With Gout

What Can Trigger A Gout Attack

Several things can cause the crystals to shake loose into your joint cavity, triggering an attack. These include:

  • a knock or injury to the joint
  • an illness that may make you feverish
  • having an operation
  • having an unusually large meal, especially a fatty meal
  • drinking too much alcohol
  • dehydration
  • starting urate lowering therapy, especially at a high dose, or not taking your treatment regularly each day.

    Treating A Gout Attack

    Beetroot and gout in 2020

    Treating an attack of gout doesnt lower your urate levels or stop future attacks. The treatment helps you to manage your symptoms when an attack happens.

    The most commonly used drug treatments for attacks of gout are:

    Some people will be better suited to NSAIDS, while others will be suited to colchicine. But your preference is also taken into consideration many people with gout quickly learn what works best for them.

    In cases where one drug doesnt seem to be working on its own, your doctor might suggest a combination of NSAIDs with either colchicine or steroids.

    Non-steroidal anti-inflammatory drugs

    Attacks of gout are often treated with NSAID tablets, which can help with pain and reduce some of your inflammation. Ibuprofen, Naproxen and diclofenac are three NSAIDs you could be given.

    If youve been prescribed NSAIDs to treat an attack, you should start taking them as soon as you notice signs of one coming on. Your doctor may let you keep a supply so you can start taking them at the first signs of an attack.

    The earlier you start treatment, the better.

    NSAIDs arent suitable for everyone, so talk to your doctor about them first if you have any other conditions. They can also interact with other drugs, so make sure you talk to a doctor before starting on any new medication.

    Colchicine

    Colchicine isnt a painkiller, but can be very effective at reducing the inflammation caused by urate crystals.

    Colchicine tablets can cause diarrhoea or stomach aches.

    Steroids

    Don’t Miss: Does Having Gout Make You Tired

    How Will Gout Affect Me

    Attacks can vary from person to person. Some people only have an attack every few years, while others have attacks every few months.

    Without medication attacks tend to happen more often and other joints can become affected.

    Having high urate levels and gout for a long time can lead to other health problems, including:

    • narrowing of the arteries – which can lead to an increased risk of stroke or heart attacks or other heart problems
    • osteoarthritis, which occurs when the urate crystals and hard tophi cause joint damage.
    • an increased risk of developing kidney disease or worsening of the condition if you already have it
    • kidney stones
    • an increased risk of some cancers, especially prostate cancer
    • mental health problems, including depression
    • underactive thyroid
    • erectile dysfunction in men.

    If you take medication to lower your urate levels, and have a healthy diet and lifestyle, most of the damage and complications caused by gout can be stopped.

    Treatments for gout are incredibly successful. There are two main parts to treating gout, which are:

    • treating the acute attack
    • treatments to prevent future attacks.

    How Are Gout Attacks Prevented

    Maintaining adequate fluid intake helps prevent acute gout attacks and decreases the risk of kidney stone formation in people with gout. Alcohol is known to have diuretic effects that can contribute to dehydration and precipitate acute gout attacks. Alcohol can also affect uric acid metabolism and cause hyperuricemia. It causes gout by slowing down the excretion of uric acid from the kidneys as well as by causing dehydration, which precipitates the crystals in the joints.

    Read Also: What Cream To Use For Gout

    Points To Remember About Gout

    • Gout is a type of arthritis that causes pain and swelling in your joints, usually as flares that last for a week or two, and then go away.
    • With early diagnosis, treatment, and lifestyle changes, gout is one of the most controllable forms of arthritis.
    • The most common symptom of gout is pain in the affected joint, such as the big toe.
    • Your doctor may recommend taking medications to manage the cause of your gout and treat active gout flares, and making changes to your diet and lifestyle.

    What Are The Causes And Triggers Of Gout In The Ankle

    GOUT CURE VIDEO – Is There Really Such a Thing as a #Gout Cure?

    The buildup of uric acid in the body is known as hyperuricemia. Your body produces uric acid when it breaks down purines. These are compounds found in all your cells. You can also find purines in several types of food, especially red meat and some seafood, as well as alcohol and some sugar-sweetened drinks.

    Usually, uric acid passes through your kidneys, which help to eliminate extra uric acid in your urine. But sometimes theres too much uric acid for your kidneys to handle. In other cases, the kidneys cant process a typical amount of uric acid due to an underlying condition.

    As a result, more uric acid circulates throughout your body, ending up in your ankle as uric acid crystals.

    4 percent of adults in the United States. It tends to be more common in men because women usually have lower levels of uric acid. But after menopause, women start to have higher uric acid levels. As a result, women tend to develop gout at an older age than men do.

    Experts arent sure why some people produce more uric acid or have trouble processing it. But theres evidence that the condition is often genetic.

    Other things that may increase your risk of developing gout include:

    • consuming a lot of high-purine foods
    • consuming foods and drinks, especially alcohol, that increase uric acid production
    • being overweight

    You May Like: How To Live With Gout

    How To Tell If Knee Pain Is Gout

    Im incredibly sorry for the delay.

    The full detailed video on How To Tell If Knee Pain Is Gout is now out:

    How Thousands Of Individuals Have Stopped Gout Pains Eating Specific Foods

    I acquired Shelly Mannings gout program just over two years ago.

    And it do for me just what it says for the take care of.

    Because I longer put up with those excruciating gout attacks simply no.

    And I dont need to cancel strategies because I have already been kept by a flare-up efficiently.

    Im never going to experience any of that ever again.

    And thats because I today learn how to ensure the fitness of my pleasant gut bacteria. And how exactly to not supply the unfriendly types.

    Im therefore happy I made a decision to deal with gout myself.

    Shellys program provided me everything I needed to know about how and why her approach functions so fantastically effectively.

    She goes into some fine detail about your gut, it is bacteria and just why scientists realize that recovering the gut heals the body right now.

    However you can skip all that should you want to.

    You can move right to this program itself basically. And begin getting healthy again.

    However you do it, youll be happy that you performed.

    What Are Risk Factors For Gout

    There are many risk factors for gout. Having high blood pressure is a risk factor for gout. Gout is more common after surgery, trauma, and dehydration. Certain medications such as diuretics , which treat high blood pressure, that raise the level of uric acid in the bloodstream are risks for gout. Surprisingly, medications that lower the level of uric acid in the bloodstream, such as allopurinol , can also initially cause a flare of gout. This is because anything that raises or lowers the uric acid level can cause a gout flare by causing uric acid crystals to deposit in a joint. Low-dose aspirin can precipitate gout attacks. The treatment of certain types of cancer can cause gout because of high levels of uric acid released when the cancer cells are destroyed. Degenerative arthritis also makes affected joints more likely to be the site of a gouty attack.

    You May Like: How To Stop A Gout Attack

    Acute Attack Pain Management

    Home remedies. Reducing inflammation during an acute gout attack will provide pain relief.

    • Ice. Apply ice to the affected area to reduce swelling. Do not apply ice directly to the skin. Use an ice pack or wrap a towel around the ice. Apply ice for about 20 minutes at a time.
    • Elevate. Frequently raise and keep the affected area above the level of the heart.
    • Rest. Move the affected area as little as possible while symptoms are present.
    • Over-the-counter non-steroidal anti-inflammatory medicines. If the gout attack is mild, anti-inflammatory drugs available without a prescription may relieve pain. Because there are serious side effect of using non-steroidal anti-inflammatory drugs even the over-the-counter strength be sure to check with your doctor before taking them.

    Prescription medications. Your doctor may recommend a prescription-strength non-steroidal anti-inflammatory medicine such as indomethacin.

    Colchicine is also given to reduce inflammation during an acute gout attack. This drug has recently been approved by the Federal Drug Administration for treatment of gout. Like all medications, colchicine has side effects that you will need to discuss with your doctor.

    Your doctor may also prescribe corticosteroids for acute gout attacks. These are strong anti-inflammatory medications that can be taken either in pill form, intravenously, or injected into the painful joint. Cortisone may improve the severe inflammation very quickly.

    Signs Your Pain Is Likely Gout And Not Something Else

    Home Remedies for Gout

    If you develop sharp sudden pain in a single joint or a couple of joints, if the pain is so debilitating that it is hard to walk or wear shoes, and if you have risk factors for gout , theres good reason to suspect gout as the culprit. However, its important to see a doctor for a thorough exam and proper diagnosis.

    Dr. FitzGerald cautions that issues unrelated to gout can cause an angry, inflamed joint. Gout may be confused with several other conditions that can cause similar symptoms, including:

    • Pseudogout
    • An infected joint
    • Bacterial skin infection
    • Rheumatoid arthritis
    • Psoriatic arthritis

    Pseudogout is caused by a different kind of crystal, calcium pyrophosphate. A flare of pseudogout can resemble gout, but it more often affects your wrist and knee, and is unlikely to involve the big toe. Like gout, pseudogout is also considered a form of inflammatory arthritis. Its more likely to affect people over the age of 40 and those who have a thyroid condition, kidney failure, or disorder that affects calcium, phosphate, or iron metabolism, according to the Cleveland Clinic.

    Its also possible to have gout without the classic presentation of red, hot, sharp, burning, sudden pain in the big toe, foot, ankle, or knee. Some patients may have joint pain that is less acute.

    People can also have high levels of uric acid but not develop symptoms of gout.

    Recommended Reading: What Is Used To Treat Gout

    Popular Articles
    Related news