Tuesday, May 17, 2022

How Would You Know If You Have Gout

Common Symptoms Of Gout

How do you know know if you have gout?

Some people may only have gout attacks periods of acute pain and swelling in joints once or twice in their lifetime, while others with chronic gout may have frequent attacks, several times a year, that don’t fully heal in between episodes.

Some of the most common symptoms of gout are:

  • Intense pain in joints: The pain is strongest in the first 4 to 12 hours, but discomfort can last for days or even weeks. Your joints may also be very tender to the touch.
  • Redness and swelling: Your joints can become swollen, red, and even warm, much like an infection.
  • Difficulty moving joints: Over time, as gout worsens, you may start to have trouble moving your joints normally.
  • Large, painless lumps under your skin: These lumps can develop when you have chronic gout and without treatment, they can cause damage to your joints.

The symptoms of gout usually come and go, says Choi, “although patients can have chronic joint pain if the gout is severe or longstanding.”

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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.

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Which Joints Are Involved In Gouty Arthritis And Why Is It Most Common In The Foot

As with all other known types of arthritis, Gout has particular joints it tends to attack, and the foot is its most common location. Gout especially favors the bunion joint, known as the first metatarsophalangeal joint , but the ankle, midfoot and knee are also common locations, as is the bursa that overlies the elbow.

The bunion joint is the first joint involved in 75% of patients and is ultimately involved in over 90% of those with this condition. . It is thought that this joint is especially involved in gout because it is the joint that receives the highest pounds per square inch of pressure when walking or running.

Late in gout, if untreated, multiple joints can be involved, including the fingers and wrists. The shoulder joint is very rarely involved by gout and the same is true of the hip.

Figure 5: Location of Gout Attacks

The Ultimate List Of 14 Foods To Avoid With Gout

Foods You Can Eat If You Have Gout : Home Remedies for ...

You may have come across the word Gout quite frequently in your life, but never really understood what it refers to. Gout is in fact an agonizing form of arthritis which aim at and attack any joint of a persons body and cause trouble, mostly the joints of the feet. What happens is that uric acid crystals tend to grow and form a home in the joints which is one of the primary causes since it calls for swelling as well as an unbearable pain.

What may cause the birth of such an unimaginable situation would be certain foods that carry a higher concentration of purine in them ultimately causing your uric acid level to shoot up. This, as a result leads to gout, a condition caused due to intake of certain nutrition.

Even if you are suffering from this condition or you happen to digest certain foods that have gotten you close to gout being a part of your life, you can still make some necessary changes in your life right now that help you fight this disease in no time without having to go through any trips to the doctor.

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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.

    Who Is Affected By Gout

    Gout can affect anyone. It usually occurs earlier in men than women. It generally occurs after menopause in women. Men can be three times more likely than women to get it because they have higher levels of uric acid most of their lives. Women reach these uric acid levels after menopause.

    People are more likely to get gout if they have:

    You are also more likely to develop gout if you:

    • Consume a diet high in animal proteins
    • Consume a significant amount of alcohol
    • Are on water pills .

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    What Is Gout Exactly

    Gout is a condition where excess deposits of a crystalline form of uric acid cause medical problems, says Theodore R. Fields, MD, a rheumatologist at the Hospital for Special Surgery in New York City. Uric acid is a normal byproduct of metabolism you produce it all the time and excrete it through urine. But when your body produces too much uric acid medically termed hyperuricemia it can crystallize and accumulate in your joints, causing gout symptoms including joint pain and kidney stones.

    The most common problem is gouty arthritis, where a person suffers from inflammation in a joint, Dr. Fields says. Uric acid crystals can also form in the kidney and cause kidney stones, and can also build up in various locations, such as below the skin. These large, visible bumps below the skin are known as tophi.

    As with most conditions, early diagnosis and prompt treatment are key for feeling your best and preventing any complications, including permanent bone and joint damage as well as an increased risk of many other health problems.

    If you put off seeing your doctor, your gout flares can become more frequent and start to affect other joints. Youll also increase your risk of developing chronic gouty arthritis, which can lead to permanent joint damage, joint deformity, and persistent pain. Read more here about how gout can progress over time.

    What Can Increase Your Risk

    How Do I Know If I Have Gout?

    A high level of uric acid in the blood is the main factor that increases your risk of developing gout. However, it’s still uncertain why some people with a high level of uric acid in the blood develop gout, while others with an equally high level don’t.

    Other factors that may increase your risk of developing gout are outlined below.

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    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.

    How To Know If I Have Gout: What You Need To Know

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    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 Can A Gout Attack Be Prevented

    If You Have Gout and Take This Medicine

    Diet plays a key role diet in gout prevention: Since foods can directly set off gout attacks, patients with gout should receive counseling as to which foods are more likely to induce attacks. Losing weight is often also helpful. However, as important as diet is in gout, for most people with gout diet, and even weight loss, are not enough, and medications will be needed to get to their uric acid goal.

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    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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    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

    What Is Gout How To Know If You Have It And Recommended Treatment

    Do you have gout?
    • Gout is the most common type of inflammatory arthritis and causes pain in the joints, particularly the big toe.
    • It is caused by a buildup of uric acid, which is produced when your body digests purine, a chemical that is concentrated in foods like shellfish, red meat, and alcohol.
    • To treat gout, you may need to take anti-inflammatory medications, avoid foods with purines, and lose weight.
    • This article was reviewed by Melissa Rifkin, MS, RD, CDN, owner of Melissa Rifkin Nutrition LLC.
    • Visit Insider’s homepage for more stories.

    Gout is an intensely painful form of arthritis that affects over 8 million Americans. As our diets change to include more processed foods, and with the increase in popularity of high protein diets, gout is on the rise, especially for older men. Here’s what you need to know about the causes, symptoms, and treatment for gout.

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    Is This Information Right For Me

    This information is right for you if:

    • Your health care professional* has said that you have gout.
    • You are age 18 or older. This information is from research on adults.

    * Your health care professional may include your primary care doctor, nurse practitioner, physician assistant, rheumatologist , orthopedist , or emergency room doctor.

    This summary will answer these questions:

    • What is gout?
    • How is a gout attack treated?
    • What have researchers found about medicines to treat a gout attack?
  • What can I do to help prevent future gout attacks?
  • What have researchers found about medicines to help prevent future gout attacks?
  • What are possible side effects of medicines for gout?
  • What should I think about when deciding about gout treatment?
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    The Role Of Medication In Prevention Of Gout

    Table 3: Medications to pevent attacks of gout

  • Colchicine: to decrease the ability of uric acid crystals to cause inflammation.
  • Allopurinol and febuxostat: to decrease production of uric acid
  • Probenecid and lesinurad: to increase the excretion of uric acid
  • Pegloticase: to increase the breakdown of uric acid
  • Standard medications in preventing gout attacks

    i. Colchicine : using the matches analogy discussed above1, using colchicine can be seen as dampening the uric acid matches. Colchicine does not lower the bodys store of uric acid, but it decreases the intensity of the bodys inflammatory reaction to these crystals. Recent studies have shown that at least one mechanism of colchicines action is by acting to prevent a cascade of reactions that lead to the production of interleukin 1-beta, which is an inflammatory protein , which is important in gouty inflammation.8

    ii. Allopurinol: This agent is presently the most commonly used drug for the prevention of gout. Allopurinol blocks the enzyme xanthine oxidase, which blocks the breakdown of purines, thus decreasing the bodys total amount of uric acid. Allopurinol is effective in preventing gout no matter what the mechanism of the elevated uric acid was. Whether a person is making too much uric acid, or has difficulty excreting it via the kidney, allopurinols decrease in uric acid production leads to the same goal: a decreased total body uric acid.

    Table 4: Reasons to use medication to lower uric acid

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    Gout In Shoulder: Can Gout Affect Your Shoulder

    For many people, the first symptom of gout is unbearable pain and swelling in the big toe which often occurs after a trauma, such as an illness or injury. Later attacks may occur in other joints, typically the feet, ankles, knees, hands, wrists, and elbows.

    Attack on shoulder is less common but can happen.

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