How To Keep Gout Under Control

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.

Exercise Regularly And Properly

Engage in a moderate form of exercise that does not push your body too much but keeps it active enough to avoid unnecessary weight gain. As gout can render your joints achy and feeble, subjecting them to a rigorous workout will only add to the strain and will worsen your condition.

Ask your doctor to recommend exercises that are appropriate for your condition.

How To Prevent The Next Gout Attack

If youve ever experienced a gout attack, you’re not likely to forget it. The sudden, severe inflammatory pain may have woken you up in the middle of the night or even sent you to the ER.

You may be at high risk for another attack if you havent made any changes to your diet, lifestyle, or medication regimen. Taking precautions against future attacks can spare you from gout pain and limit long-term damage to your joints.

If you’ve had a gout attack, your likelihood of having another is unpredictable. That’s why it’s important to take preventive steps. SeeGout Prevention

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How To Manage Gout Attacks

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Gout attacks, also called flares or flare-ups, can come on suddenly and be extremely painful. During a gout attack you may have pain, swelling, and/or redness in your affected joint.Gout attacks can last anywhere from a few hours to several days. When you have acute gout, you may only have attacks once or twice a year. When you have chronic gout, attacks happen more regularly, with shorter breaks in between attacks.There are things you can do to manage your symptoms during gout attacks. The main goal of treatment during an attack is to decrease joint pain and swelling. If you already take a medicine to lower uric acid at the time of an attack, you should continue your regular treatment. If you do not already take a medicine to lower uric acid at the time of an attack, you should not start treatment during an attack, but rather start treatment afterwards, on your doctor’s advice.Some ways to manage gout pain and swelling during an attack are:

If the pain during a gout attack does not get better at all within 48 hours, call your doctor to ask about other treatments you can try.Treatments are also available to prevent gout attacks from happening in the first place. Having gout attacks more often can increase your chances of having even more attacks in the future, so controlling the condition from the start is important. Talk to your doctor about whether medicines to prevent gout attacks are right for you.

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What Is The Fastest Way To Get Rid Of Gout

Medications for acute gout attack: These medications are usually prescribed to treat an acute attack of gout:

• Nonsteroidal anti-inflammatory drugs : These can quickly relieve the pain and swelling of an acute gout episode. They can shorten the attack, especially if taken in the first 24 hours.
• Corticosteroids: These drugs can be taken by mouth or injected into an inflamed joint to quickly relieve the pain and swelling of an acute attack. Corticosteroids usually start working within 24 hours after they are taken.
• Colchicine: An anti-inflammatory medicine that works best if taken within the first 24 hours of a gout attack.

Medications for reducing uric acid levels: These are usually prescribed after an acute attack ends to reduce uric acid levels in the body to prevent future attacks.

• Colchicine: Regular and low doses of colchicine may be given along with other medications below to prevent flare-ups.
• Allopurinol: It reduces uric acid production in the body.
• : It reduces uric acid production in the body.
• Probenecid: It acts on the kidneys to help eliminate uric acid.
• Pegloticase: This is a medication that is injected every 2 weeks. It reduces uric acid quickly and used when other medications fail.

Lifestyle and home remedies to treat acute gout and can prevent recurrent attacks:

• Limiting or avoiding alcohol consumption and drinks sweetened with fructose
• Limiting intake of foods high in purines, such as red meat, organ meats, and seafood
• Drinking plenty of fluids

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Causes Of Gout Flares

Gout, a type of inflammatory arthritis, happens when levels of uric acid a normal byproduct of metabolic reactions in your body become too high, says Kenneth Saag, MD, professor of medicine in the division of clinical immunology and rheumatology at the University of Alabama at Birmingham. When this substance cant be sufficiently dissolved and excreted in the urine, it starts to crystallize, and those crystals deposit themselves in joints where they cause severe inflammation.

Certain risk factors, such as having a family history/genetic predisposition or having chronic kidney disease, can affect the development of gout over time. Taking certain medications , a high alcohol or sugar intake, or eating high-purine foods can trigger a gout flare. Read more about what causes gout here.

If youre new to gout, your doctor will need to confirm the diagnosis, as it can sometimes masquerade as other ailments that impact the joints . Your doctor will likely use a needle to remove some fluid from the swollen joint, then examine it under a microscope to confirm that it contains uric acid crystals.

Treatments And Home Remedies For Gout

One important thing you need to know is the fact that gout is not curable. However, it can be successfully managed with some restrictions and a good understanding of its internal workings. Here are a few ways of keeping your gout under control and making sure that when it does strike, its not as painful and doesnt last as long as without treatment.

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What Are The Symptoms Of Gout

Now that you know the answer to your question, What is gout? the next step is recognizing gout symptoms. Gout flares generally occur at night, out of the blue. The affected area will become hot, swollen, red, and very tender when having a flare.

Some folks describe a gout attack as feeling like ones toe is a volcano that is about to erupt. Pain in the big toe is the most common gout symptom, but gout can occur in other body parts.

The next most common site for gout is the ankle or foot, followed by the knee, finger, elbow, and wrist. Gout can also occur at more than one site at a time, although it is not common.

Juicing To Help Keep Your Uric Acid Under Control

• JUICING TO HELP KEEP URIC ACID UNDER CONTROL

  As mentioned in my POST, Gout for 36 years and still counting I have been using a vegetable juicing that has assisted in reducing my UA levels.

  Some years back my Naturopath started me on a juicing regime for some other reason but I noted over the months of use that my Gout attacks became fewer, so I have persevered for some years. The trouble is I was a little lazy and made up enough each time for 2 days. What I didn’t realise is that the second portion stored, lost most of its beneficial goodness.

  For a variety of health reasons, I have been on various diets for many years and my wife purchased a copy of Laugh with Health- Manfred urs Koch, which has pretty much been our manual for keeping us both well.

  It was discovered from my reading that:-

• Celery was very good for arthritic conditions and combination of carrot and celery juice is very good as an eliminator of toxins.
• Lettuce is very good for the eliminations of Uric Acid. Especially the darker outer leaves that you normally give to the chooks or throw away.
• Cos Lettuce has a higher alkaline level than other lettuces

Bearing in mind that on the GP Site only Dec 2, 2009 on the POST, Gout for 36 years and still counting we rediscovered that 22/30% of UA is removed by the gastric system.

It’s all in the mind, you know.Neddie.

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How To Get Rid Of Gout Pain Fast Home Remedy

Stay Hydrated to Treat Gout Attacks

You should be doing it anyway, but the likelihood of gout coming around as often is limited when you make sure to stay hydrated with lots of water. Eight glasses of water a day is the recommended amount, but if you are susceptible to getting out, you should try and drink even more. Twelve is a nice amount to strive for. When you do have an attack, the water can also help flush the uric acid out of your system faster getting the pain levels back under control.

Along with drinking water, if you are going through a gout attack, you can soak the inflamed area in cold water. Do not use ice to treat gout. Its proven to be ineffective, and it can cause damage to your skin.

Celery Seeds for Gout

The kidneys are stimulated with celery seeds. As mentioned, this is where the uric acid needs to go through to leave the body. It will cause you to urinate more, but it keeps pushing the uric acid through like it should prevent gout attacks.

There are several different ways to consume celery seed. You can get it in supplement form or an extract. If you are someone that enjoys making fruit and vegetable smoothies, toss a few stalks into your mixer every morning. The easiest way might be just snacking on some stalks of celery throughout the day.

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Treating The Pain At Home

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How To Stop Gout Pain Now

Few words are more capable of striking fear into a traveler than gout flare. Imagine feeling as though you have ground glass in your joints with every move you take? Traveling with gout in the foot can feel as though the tender tissue is being stabbed by thousands of tiny needle-sharp knives with every step. The pain of gout can bring a grown man to tears and seriously hamper a good vacation. There are many gout treatments and gout medications to sift through when all you want is the pain to stop. Read below for ways to keep gout out of your life as well as treatment options for quickly minimizing the down-time if an attack occurs while youre traveling.

Epsom Salt As A Remedy For Gout

Epsom salt is another important ingredient for home treatment of gout. It is also effective in other forms of arthritis. Epsom salt contains a high amount of magnesium, which help improve the condition of the heart and lower high blood pressure.

Directions to Use Epsom Salt to Treat Gout Symptoms:

• For a leisurely bath, Take 2 cups of Epsom salt and mix it in warm bath water.
• Soak your body in it until the water starts to feel cool.
• Repeat this once in a week.
• If you are suffering severe gout, you can try it 2 or 3 times a week.
• Soaking helps relax aching muscles and gives relief from pain.

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Enjoy Sugary Beverages And Snacks In Moderation

Sweets abound during the holidays. Cookies, fruit punch, and other common party staples often contain high amounts of sugar, which can increase blood sugar levels. High blood sugar is linked to high uric acid, particularly in adults who are overweight or obese.

Avoiding soda, fruit juices, and other beverages and foods with high sugar content may help prevent gout flare-ups as you navigate the holidays this year.

Pathophysiology And Risk Factors

• References

Genetic mutations may be associated with overproductionor more often underexcretionof uric acid because of defects in the renal urate transporter system.6 The prevalence of gout increases with age and peaks at more than 12% in persons older than 80 years.1 Because female sex hormones increase urinary excretion of uric acid, pre-menopausal women have a substantially lower prevalence of gout compared with men .6 Black persons have a higher risk.7 Consuming alcoholic drinks , meat , some seafood , fruit juice, and beverages sweetened with high-fructose corn syrup increases the risk of gout.8,9 Purine-rich foods such as nuts, oatmeal, asparagus, legumes, and mushrooms do not seem to increase the risk.10 Consumption of dairy products appears to confer slight protection from gout10 .

Diuretic use*

*Adjusted for age.

Adapted with permission from Roddy E, Doherty M. Epidemiology of gout. Arthritis Res Ther. 2010 12:223, with additional information from reference 12.

Diuretic use*

*Adjusted for age.

Adapted with permission from Roddy E, Doherty M. Epidemiology of gout. Arthritis Res Ther. 2010 12:223, with additional information from reference 12.

Hard nodules on distal digit.

• References

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How Gout Treatment Prevents Disease Progression

Fortunately, in part because of its long history, gout is one of the most well-understood and most medically treatable forms of arthritis. The progression of gout is preventable by starting appropriate treatment as soon as possible, Dr. Meysami says. Uric acid-lowering agents, such as allopurinol , can decrease uric acid levels and prevent gout attacks.

During flares, gout patients can take NSAIDs or corticosteroids to calm the attack. Local steroid injections may also be given. A medication called colchicine is also often used to stop acute attacks, but its given now at a much lower dose in order to avoid side effects, including stomach upset.

After a flare ends, long-term treatment can begin. Almost all people with gout will need medication to control their urate, Dr. Fields says. To get a good outcome, people with gout need to get their blood urate level below 6.0 mg/dl and keep it there. By doing that, the body will gradually pull the urate crystals out of their joints, and the flares can stop. Tophi will also gradually disappear.

Medications called xanthine oxidase inhibitors limit the amount of uric acid your body produces. These include allopurinol and febuxostat . Colchicine, which decreases the inflammatory response to gout, may also be given along with allopurinol at the start of long-term treatment after a flare subsides.