Tuesday, October 4, 2022

How To Live With Gout

Expert Tips For Exercising When You Have Gout

TIPS FOR LIVING ALONE WITH GOUT

Having gout doesnt mean you cant be active or even run on a regular basis, the key is to increase your workout intensity gradually, Dr. Iversen recommends, adding that you should consult your physician and physical therapist before starting any exercise routine.

She suggests these five gout-friendly workout tips to start and keep moving with gout:

Free Prescription Drug Discount Card

Whether you have prescription drug insurance or not, the free Travel Pharmacist Discount Prescription Card from WellCard may save you money. Simply put in the name of the medication and see what the discounted price will be at your local pharmacy. This is especially helpful if you dont have any prescription medicine insurance as the savings can be quite significant. This prescription discount card also includes 24/7 TeleHealth Access telephone consults with nurses and doctors who can diagnose your gout from the comfort of your home or hotel room. TeleHealth options are especially convenient for anyone who is traveling with gout.

Prescription Discount Card

Build Muscle With Strength Exercises

Having strong muscles can protect your joint from wear and tear, especially for joints affected by gout. Beyond weight training, simple resistance exercises can be effective to build muscle. For example, try an elastic resistance band by holding each end and putting your foot in the middle, then repeat your flexibility exercises while pushing against the force of the band.

The key with any exercise after a gout flare is to go slow and listen to your body, Dr. Iversen stresses.

Read Also: Does Gout Cause Foot Swelling

What You Can Do

If you think your condition is getting worse, talk to your doctor. They will give you medicine to keep your uric acid levels low and to try to prevent future attacks and complications.

Allopurinol treats chronic gout by lowering the uric acid produced in your body.

also lowers uric acid production but would be used with caution if you are at risk for heart or blood vessel disease.

Once you start taking these medicines, youâll need to take them for life so that your uric acid stays at the right levels.

Probenecid and lesinurad help the body get rid of more uric acid in your urine. Pegloticase and rasburicase can break down uric acid into a substance that your body can get rid of. They are only for very severe gout that doesnât get better with usual treatments.

Scientists are also testing new treatments for chronic gout. At the same time, researchers are getting a better understanding of how the body makes and breaks down uric acid. Insights from this research could lead to new treatments in the future.

Otc Remedies For Gout

Living with Gout

Over-the-counter anti-inflammatory medicines like ibuprofen and naproxen sodium are often very helpful in bringing down inflammation and easing joint pain. But check with your doctor or pharmacist first to be certain these wont interfere with other medications youre currently taking. Avoid taking aspirin for pain relief during a flare as this may raise uric acid levels and make it worse.

Recommended Reading: What Is A Home Remedy For Gout

Are Some Types Of Alcohol Better Than Others

It seems that gout attacks are more common in beer and spirits drinkers than in people who drink wine. Many beers contain large amounts of purines, which can lead to elevated uric acid levels in the blood. However, there is no scientific proof that only certain types of alcoholic drinks can lead to gout attacks.

Changing To A Diet Low In Purines

Although purines occur naturally in your body, they also occur in food. Eating food high in purines can cause a gout flare up. You need to reduce or cut out eating red meats, organ meats, fatty foods, and certain types of fish and shellfish to reduce the level of purines in your diet. Talk to your doctor about the right diet for you.

Read Also: Uric Acid Level Gout Flare

If You Are Having Repeated Attacks See Your Doctor

Some patients can go a long time between attacks. In fact, for 62 percent of patients the next attack will be more than a year away, and some won’t have another attack in the next 10 years. However, if you begin to have more frequent attacks, talk to your doctor about escalating treatment. People think its normal to have flares every now and then, but its not. The gout can be doing damage to your joints. It means you still have too much uric acid, says Shakouri. In particular, ask about allpurinol. It wont help with an acute attack but will help prevent future attacks by reducing uric acid production.

Myth: If You Stay Away From Liver And Alcohol You’ll Avoid Gout Attacks

Living with Refractory Gout

Truth: Alcoholic drinks especially beer and organ meats such as liver and some fish, including anchovies and sardines, are very high in a class of natural substances known as purines. When the body breaks down purines it creates uric acid, so eating a lot of purine-rich foods does increase the risk of an attack. But while avoiding these foods may reduce attacks, it won’t halt them, says Reveille.

Gout can be life threatening if left untreated.

Read Also: How To Lower Uric Acid For Gout

Should I Drink Lots Of Water

Dehydration may be a risk factor for gout although this is not well proven in research. Drinking 1 1.5 litres of fluids a day is recommended for general health benefits. However if you are taking diuretics or have heart or kidney problems, talk to your doctor about the right amount of fluids for you to drink.

How Can I Manage My Gout And Improve My Quality Of Life

Gout affects many aspects of daily living, including work and leisure activities. Fortunately, there are many low-cost self-management strategies that are proven to improve the quality of life of people with gout.

For gout in particular:

  • Eat a healthy diet. Avoid foods that may trigger a gout flare, including foods high in purines , and limit alcohol intake .

CDCs Arthritis Program recommends five self-management strategies for managing arthritis and its symptoms. These can help with gout as well.

  • Talk to your doctor. You can play an active role in controlling your arthritis by attending regular appointments with your health care provider and following your recommended treatment plan. This is especially important if you also have other chronic conditions, like diabetes or heart disease.
  • Lose weight. For people who are overweight or obese, losing weight reduces pressure on joints, particularly weight bearing joints like the hips and knees. Reaching or maintaining a healthy weight can relieve pain, improve function, and slow the progression of arthritis.
  • Protect your joints. Joint injuries can cause or worsen arthritis. Choose activities that are easy on the joints like walking, bicycling, and swimming. These low-impact activities have a low risk of injury and do not twist or put too much stress on the joints. Learn more about how to exercise safely with arthritis.
  • Read Also: What’s The Best Diet For Gout

    Lifestyle Tips For Gout

    How to Live With Gout

    Although you cant predict when a gout attack will occur, there are several things you can do to try to prevent an attack. Developing a healthy lifestyle is one of these things.

    The lifestyle tips below play a major role in preventing a gout attack. As an added bonus, they may also help prevent some complications of gout such as kidney disease and heart disease.

  • Limit alcohol and foods rich in purines. When you have gout, you should avoid purine-rich foods such as fatty meats and shellfish. Also, limit alcoholespecially beerbecause it can increase your uric acid levels. The good news is thateatingcertain foods, such ascherries, coffee, and foods rich in vitamin C, can help prevent gout attacks. Read our in-depth article for more on a diet for gout.

    Also, as part of any healthy diet, you should drink plenty of water. This is particularly important if you have gout since staying hydrated can help flush out uric acid and prevent uric acid crystals from forming.

  • Cut out the stress in your life. Stress may trigger a gout attack, and it can exacerbate symptoms of a gout attack. While its impossible to completely eliminate all of your stress, there are a number of ways to help minimize it. If youre experiencing a gout attack, reducing your stress can also help you focus on things other than the pain.
  • Gout Symptoms
  • Does Fructose Cause Gout

    Pin on Living with gout

    Fructose is a sugar that is found in fruits and vegetables. It is also found in high levels in foods sweetened with corn syrup, such as bread, cereal, soft drinks and fruit juices. An American study found that men who drank five to six servings of fructose-sweetened soft drinks per week were more likely to have gout. However there is no research showing that fructose actually causes gout. Cutting down the amount of food artificially sweetened with high fructose corn syrup may be beneficial for your overall health. However naturally occurring fructose in fruit and vegetables also provides general health benefits and should not be completely avoided without advice from your doctor or dietitian.

    Read Also: Gout Like Symptoms In Knee

    Gout Symptoms And Complications

    Gout is not gout until symptoms occur. When they do, they usually come on suddenly and, at least initially, affect a single joint. Within hours, that joint becomes red, swollen, hot, and painful they’re called gout attacks for a reason. It’s easy to mistake a gout attack for a localized infection of a joint. The metatarsophalangeal joint at the base of the big toe is often the site of the first attack, but the knees, ankles, and joints between the many small bones that form the foot are also common sites. People who already have osteoarthritis the most common form of arthritis often experience their gout attacks in the joints of the finger

    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.

    RELATED: Why You Want to Elicit the Relaxation Response If You Have Rheumatoid Arthritis

    Recommended Reading: Gout In My Big Toe Joint

    Additional Tips For Treating Gout Naturally

    Studies show that many of the dietary items we consume lead to gout as well as other health problems. Changing your diet and lifestyle may be the easy solution to beating gout. One of the first things to do is eliminate certain foods and beverages from your diet to beat gout.

    1. Eliminate or reduce sugar intake

    As many studies are now illustrating, gout is common in people with excessive sugar intake, especially high fructose corn syrup Its wise to read the labels of all your food and drinks. If you find HFCS then eliminate that from your diet. In addition, look for sugar added under the guise of other common names for sugar look for cose at the end of words and these are probably types of sugar you dont want to be consuming.

    2. Eliminate grains

    Grains in the body are converted to sugars so again you want to limit or avoid grains altogether. They are also very inflammatory to your body.

    3. Limit alcohol consumption

    Again, alcohol becomes sugar once ingested so eliminate this completely unless you have a healthy body already. Any substance that will be converted to one or another type of sugar by the body should be avoided at all costs. In order to get your uric acid levels down you must consistently avoid sugar in your diet.

    4. Eliminate soda and diet soda

    5. Consume cherries and strawberries daily

    6. Exercise

    If you want to learn more natural remedies and natural cures, subscribe to my YouTube channel.

    Read Next: The Arthritis Diet & Supplementation Plan

    The Gout Show Audio Guides

    GOUT: Living with Gout Problems…

    Want to learn more about managing gout? Our Patient Audio Guides provide the latest science-backed from leading gout experts so you can be more informed and take better care of yourself or a loved one. Check them out below and wherever, be sure to subscribe for access to future episodes.

    10/13/2020

    Read Also: How To Alleviate Gout Pain In Big Toe

    Patients With Gout Need To Stay Active To Maintain Cardiovascular Health And Protect Joints From Long

    Should I walk or engage in any exercise when I have gout? Many people with gout ask themselves this question. And the answer is yes except during a painful gout flare, according to Maura Daly Iversen, PT, MPH, DPT, SD, FAPTA, a physical therapist and behavioral scientist/clinical epidemiologist with a primary focus in rheumatology and Dean of the College of Health Professions at Sacred Heart University in Fairfield, Connecticut.

    When in a gout flare, even the pressure of a bed sheet can be extremely painful, Dr. Iversen says. Most patients feel better by elevating their feet and resting and thats okay.

    Home Remedies For Gout

    Non-drug and home remedies for gout include paying attention to what triggers your gout to flare. If you know large amounts of alcohol cause pain, alternate a glass of water with every cocktail at the wedding reception. Seafood feasts and heavy steak dinners might have to be limited to ensure a pain-free visit. In fact, a healthy, low-fat diet may be one of the best ways to find welcome long-term relief from gout pain.

    Gout Treatment Cherries!

    Munching a big handful of cherries has shown to be effective for many in lowering the frequency of gout attacks at least 20 cherries a day seems to be the magic number to decrease inflammation and relieve pain. If you dont have fresh cherries available, choose a supplement like Tart Cherry Extract for Uric Acid Support.

    Many have found relief from gout pain by taking advantage of the anti-inflammatory properties found in turmeric capsules. Turmeric is a natural product supplement that reduces the activity of xanthine oxidase, the enzyme involved in the production of uric acid. However, it may take several weeks before the anti-inflammatory effect reaches its peak, so this wont be a first choice for acute pain.

    Also Check: Are Oranges Bad For Gout

    Type 2 Diabetes And Diet Affect Gout Risk

    Leonard also has type 2 diabetes, another condition that raises gout risk. Diet can also play a role: Gout tends to strike people who eat foods with higher levels of purines , such as steak, organ meats, and seafood drinking sugary drinks and alcohol can also raise uric acid. Along with obesity and high blood pressure, other risk factors can include certain medications, a family history, recent trauma, getting older, and being male.

    People with gout can help reduce their gout symptoms by eating a low-purine diet.

    Lifestyle Changes To Reduce The Risk Of Gout Attacks

    How to Live with Gout: 13 Steps (with Pictures)

    Lifestyle measures, such as dietary changes, can help lower levels of uric acid, the chemical that deposits in joints and causes gout. However, for most people, changes in diet alone are not enough to prevent gout. To reduce uric acid levels enough to stop attacks, medication is usually needed. Still making changes in what you eat can lead to fewer gouty flares.

    In the past, doctors often handed their patients a list of foods high in purines and instructed them not to eat those foods. By itself, that hasn’t been shown to be particularly helpful.

    More recently, experts have begun thinking about diet differently. Instead of trying to figure out which individual foods you should avoid, the focus is on following a healthy diet and trying to lose weight if you’re overweight or obese. Just losing weight can lower uric acid levels. Drinking plenty of fluids is also helpful. But limit sweetened drinks and alcohol, which can increase uric acid levels.

    In general, a healthy diet emphasizes plant-based foods, such as vegetables, fruits, and legumes. Whole grains are preferred over processed grains. Intake of fat, especially saturated fat , should be reduced. Lean sources of protein, including chicken, turkey, fish, and tofu, are better choices than beef or pork.

    To learn more about the causes of gout and ways to prevent it, read , and online guide from Harvard Medical School.

    Read Also: Does Gout Only Affect The Feet

    When Gout Becomes A Long

    When uric acid levels in your blood stay too high, more and more crystals form around your joints. It can turn into a long-term condition, leading to painful and damaged joints.

    Gout will happen differently for everyone. But signs that it may be getting worse include:

    • Flares happen more often and last longer. Over time, the inflammation causes lasting damage to bone and cartilage.
    • Flare-ups in other parts of your body. About half of people with gout have their first attack in the joint at the base of the big toe. When gout gets worse, it can affect other joints, including the ankle and knee.
    • Bumps form under the skin. Uric acid crystals may start to collect in soft tissue, forming lumps called tophi. They often appear on the hands, fingers, elbows, and ears, but they can show up almost anywhere on the body.
    • Kidney problems. Your kidneys normally get rid of uric acid in your body. But too much of it can also damage the organs. Kidney problems linked with gout — and signs that gout is getting worse — include gouty kidney, kidney stones, and kidney failure.

    How Is Gout Treated

    Gout can be effectively treated and managed with medical treatment and self-management strategies. Your health care provider may recommend a medical treatment plan to

    • Manage the pain of a flare. Treatment for flares consists of nonsteroidal anti-inflammatory drugs like ibuprofen, steroids, and the anti-inflammatory drug colchicine.
    • Prevent future flares. Making changes to your diet and lifestyle, such as losing weight, limiting alcohol, eating less purine-rich food , may help prevent future attacks. Changing or stopping medications associated with hyperuricemia may also help.
    • Prevent tophi and kidney stones from forming as a result of chronic high levels of uric acid. Tophi are hard, uric acid deposits under the skin. For people with frequent acute flares or chronic gout, doctors may recommend preventive therapy to lower uric acid levels in the blood using drugs like allopurinol, febuxostat, and pegloticase.

    In addition to medical treatment, you can manage your gout with self-management strategies. Self-management is what you do day to day to manage your condition and stay healthy, like making healthy lifestyle choices. The self-management strategies described below are proven to reduce pain and disability, so you can pursue the activities important to you.

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