Gout Treatments Effective If Patients Maintain Lifelong Adherence To Therapies
Although gout is one of the most effectively treated of all rheumatic diseases, it is among the worst-managed diseases long term, as shown by many studies. Treatments are excellent, yet are dramatically under-utilized, says Theodore Fields, MD, FACP, rheumatologist, Hospital for Special Surgery , New York. This is because some gout patients feel better between attacks and stop taking their medication, or they ignore or never fully assimilate the need for lifelong therapy.
You Might Also Like
Further, they focus on alternative therapies, such as diet, as a way to relieve symptoms. Diet alone is rarely sufficient to reach remission, Dr. Fields says. Patients may feel guilty about not adhering to dietary guidelines and, therefore, avoid discussing self-induced flares with their physicians.
Concerns about the side effects of gout medications may also play a role in patients not sticking to medication regimens, Dr. Fields continues. When a patient starts taking a urate-lowering therapy , they may get mobilization flares, conclude the medication is not working and stop taking itwhich is the wrong thing to do. Or because gout has been shown to have multiple co-morbidities, such as hypertension, kidney disease and diabetes mellitus, patients may decide they are taking too many pills and stop the gout-related medications.
Apple Cider Vinegar Lemon Juice And Turmeric Water
Apple cider vinegar for gout is an effective treatment, and when combined with lemon juice as well as turmeric, it becomes a perfect remedy for gout. They are useful in lowering your bloods uric acid level to a very significant level.
How does it work?
Apple cider vinegar, lemon juice, and turmeric all three have been seen to show good results in treating gout. Apple cider vinegar gives support to your kidney and help in balancing the uric acid level in your body. On the other hand, lemon juice combined with turmeric can effectively bring down the uric acid level.
How to use?
Take a glass of lukewarm water and squeeze some lemon juice into it along with 1-2 tablespoons turmeric powder and one tablespoon apple cider vinegar. Drink this water to get rid of high levels of uric acid in your blood.
How much to use?
Drinking a glass of apple cider vinegar, lemon juice, and turmeric water first thing in the morning daily can help you with your increased uric acid level and gout attack. Try this remedy regularly if you want some visible results.
Myth: Once You’ve Got Gout Lifestyle Changes Don’t Really Help
Truth: Lifestyle changes can reduce both the severity and frequency of attacks. For starters, when people lose weight, they often have fewer attacks, says Reveille.
Animal proteins have a higher level of purines, so it’s better to eat vegetable proteins like beans and peas.
In fact, a 2010 review in the rheumatology journal Current Opinion in Rheumatology notes that protein-rich foods such as dairy products, nuts, beans, peas and whole grains are healthy choices for people with gout, reducing the risk of heart disease and possibly lowering the risk of insulin resistance.
Baraf says that he asks patients to abstain from alcohol during the first six months of treatment, until medications have stabilized uric acid levels. After that, he says, it’s fine to drink in moderation.
Dorothy Foltz-Gray is a freelance writer who lives in North Carolina.Remember to go to the AARP home page every day for tips on keeping healthy and sharp, and great deals.
Also Check: How To Stop Gout From Recurring
Turmeric And Honey For Gout:
The compound curcumin found in Turmeric is loaded with excellent curative properties and helps get immense relief from the pain caused by a severe attack of gout. It helps reduce stiffness in the joints and the searing pain. Moreover, Turmeric helps in destroying the harmful germs in the body being an excellent antibiotic. It also enhances the immune system and helps the body to regain its strength by fighting against the inflammation and pain. Honey is also a great restorative and a powerful medicine with amazing curative effects. Both of these form a winning combination that is one of the best home remedies for gout. Mix 2 to 3 teaspoons of organic Turmeric and 3 tablespoons of pure, organic honey to make a paste. Apply the paste on the painful joints. Alternatively, this paste can be consumed orally.
Take Caution With Supplements For Gout
As for the many supplements and other purported home remedies available for gout, including turmeric and bromelain, there is no significant evidence backing them up as of now, and theres no adequate evidence showing that supplements have any effect even comparable to that of medicines.
From my point of view, says Dr. Fields, the home remedy concept to gout is often harmful because it keeps patients from taking medications that we know are effective.
Don’t Miss: Can You Eat Peanut Butter When You Have Gout
Treating A Gout Attack
As is true for many painful conditions, the first-line treatment for a gout attack is taking one of the nonsteroidal anti-inflammatory drugs , such as diclofenac, ibuprofen, or indomethacin. For people who can’t take NSAIDs, a drug called colchicine is an alternative. It’s been used for centuries maybe even longer specifically for gout. The trouble with colchicine is its side effects, especially the copious diarrhea. If neither an NSAID nor colchicine is an option, then gout attacks can be treated with an oral corticosteroid, such as prednisone, or with corticosteroid injections into the joints.
Natural Remedies For Gout
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.
Now here are my top six all-natural gout remedies to get rid of gout for good. If you follow these tips, you can get rid of gout in 24 hours or less. Yes, that fast, you can get rid of gout pain for good.
1. Celery Seed Extract
Step No. 1 is to consume celery seed extract and celery juice. Celery seed extract actually has been shown to decrease uric acid buildup in the body.
Researchers have identified over a dozen different types of antioxidants that are responsible for the benefits of celery these include such phenolic acids as caffeic acid and ferulic acid, plus flavaols like quecetin. This makes celery useful for treating a wide range of conditions that are made worse by inflammation: joint pain , gout, kidney and liver infections, skin disorders, irritable bowel syndrome, and urinary tract infections, just to name a few.
You can buy the supplement or celery seed extract. You can also use a vegetable juicer to produce celery juice or just eat celery throughout the day all of which are great for getting rid of gout.
2. Black Cherry Juice
4. Fish Oil
5. Proteolytic Enzymes
Don’t Miss: Difference Between Gout And Arthritis
The Role Of Diet In Gout Prevention
Dietary control may be sufficient in a patient with mildly elevated uric acid, for example, 7.0 mg/dL
For those with a higher level, for example, 10.0 mg/dL, diet alone will not usually prevent gout. For the latter, even a very strict diet only reduces the blood uric acid by about 1 mg/dL- not enough, in general, to keep uric acid from precipitating in the joints. The cutoff where patients with gout seem to dramatically reduce their number of attacks is when their uric acid level is taken below 6.0 mg/dL.4
Lemon Juice For Gout:
Lemon juice has an alkalizing effect and helps neutralize the effect of the uric acid of the patient suffering from gout. A mixture of fresh lime juice and baking soda also strengthens the body tissues and helps in the fight against infection. Consuming fruits and vegetables rich in Vitamin C along with the lemon juice can help the body getting the required nourishment.Squeeze the juice out of half the lemon of a lemon and mix it in a glass of water. Add a pinch of baking soda. Drink this mixture twice daily for 2 to 3 weeks.
Don’t Miss: Are Eggs Bad For Gout
When Is Surgery Considered For Gout
The question of surgery for gout most commonly comes up when a patient has a large clump of urate crystals , which is causing problems. This may be if the tophus is on the bottom of the foot, and the person has difficulty walking on it, or on the side of the foot making it hard to wear shoes. An especially difficult problem is when the urate crystals inside the tophus break out to the skin surface. This then can allow bacteria a point of entry, which can lead to infection, which could even track back to the bone. Whenever possible, however, we try to avoid surgery to remove tophi. The problem is that the crystals are often extensive, and track back to the bone, so there is not a good healing surface once the tophus is removed. In some rare cases, such as when a tophus is infected or when its location is causing major disability, surgical removal may be considered.
Since it is hard to heal the skin after a tophus is removed, a skin graft may be needed. For this reason, we often try hard to manage the tophus medically. If we give high doses of medication to lower the urate level, such as allopurinol, over time the tophus will gradually reabsorb. In severe cases, we may consider using the intravenous medication pegloticase , since it lowers the urate level the most dramatically, and can lead to the fastest shrinkage of the tophus.
Can Gout Be Cured
Cure is a very strong word, but we can certainly treat the gout and put it in remission by giving the treatment as mentioned, Dr. Meysami says.
Whether to use the word cure may be a matter of semantics: A patients gout tendency may never go away but can be well-controlled. Treatments for gout are extremely good, and the vast majority of gout patients can expect to be cured, Dr. Fields says. Cured is in quotes since it means that gout flares can completely disappear, but the person would need to stay on their medicine.
Gout progression, though, certainly isnt inevitable, which is close to the best news any gout patient can hear.
Read Also: Can You Die Because Of Gout
How Does A Doctor Diagnose Gout
If you have sudden or severe pain in a joint, you should talk to your primary care provider . Your PCP may send you to a rheumatologist, a doctor who specializes in gout and other kinds of arthritis.
Healthcare providers consider several things when confirming gout:
- Symptoms: The provider will ask you to describe your symptoms, how often they happen and how long they last.
- Physical examination: Your provider will examine the affected joint to look for swelling, redness and warmth.
- Blood work: A test can measure the amount of uric acid in your blood.
- Imaging tests: You may have pictures taken of the affected joint with X-rays, an ultrasound or MRI.
- Aspiration: The provider may use a needle to pull fluid from the joint. Using a microscope, a team member can look for uric acid crystals or a different problem .
Is There A Cure For Gout
Unfortunately, gout is a lifelongcondition, and there is no permanent cure for it. It can only be managed withmedications, dietary, and lifestyle changes. The medications involve usingsteroids and nonsteroidal anti-inflammatory drugs to manage the inflammation.Also, the blood uric acid level is managed by a combination of medicines,avoiding or eating less food containing purines, and drinking plenty of water.
If gout is left untreated, it canlead to joint damage, chronic pain, deformities, and immobility. Also, this canlead to the development of kidney stones due to excess uric acid levels, whichaffects renal function. The key to treating gout is to reduce uric acid levels so, you mustcheck it regularly.
On a final note, just like anyarthritic condition, early diagnosis and treatment is the best way to ensure abetter outcome from gout treatment.
Recommended Reading: Gout In My Big Toe Joint
Southern Cross Medical Library
The purpose of the Southern Cross Medical Library is to provide information of a general nature to help you better understand certain medical conditions. Always seek specific medical advice for treatment appropriate to you. This information is not intended to relate specifically to insurance or healthcare services provided by Southern Cross. For more articles go to the Medical Library index page.
Fresh Fruits For Gout
Fruits are as important as vegetables. Fresh fruits are packed with vitamins, minerals as well as healthy carbs and fiber. They play an essential part in the healthy growth of our body and keep health issues away from us.
How does it work?
Lower purine content in fresh fruits makes them perfect for a gout patient. Packed with vitamins and antioxidants, they can help you with inflammation as well as the overall healing process.
Cherries, specifically, are famous for treating gout due to the presence of an anti-inflammatory property named anthocyanin. They reduce the inflammation caused by this form of arthritis and offer you some relief.
How to use?
Daily 1-2 servings of fresh seasonal fruits can be a way out of gout-related issues. Include them in your breakfast diet, or you can have a bowl of your favorite fruits as your mid-day snacks. Also, try to have some cherries regularly if you have gout.
How much to use?
1-2 bowls of fruits can be consumed daily to fight gout. However, if you have some particular health condition like diabetes, then you should be cautious about choosing fruits and their quantities.
Recommended Reading: How To Treat Gout Over The Counter
Elevating The Affected Joints
Gout can cause pain and swelling, especially in the feet, hands, knees, and ankles.
One way to reduce swelling is by elevating the affected joints. This encourages blood and fluid to move away from the joint and back toward the heart.
A person can also use an ice-pack in combination with elevation to reduce their gout symptoms.
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
- starting urate lowering therapy, especially at a high dose, or not taking your treatment regularly each day.
Don’t Miss: Gin And Tonic For Gout
Gout Home Remediesno More Bouts Of Gout
The gout home remedies we selected here can take care of these gout pains youve been experiencing. We understand they are a true hell weve seen it a few times before. These natural remedies have been proven to be very effective in fighting the pains caused by gout
Let us be upfront straight away, gout can NOT be cured, yet. There is no miracle potion, but it CAN very easily be controlled. With slight life style changes, an adjustment in your food habits and your persistence you will be able to get on top of it
Treatment For Gout Or Uric Acid
I have often seen that patients get used to living with the pain and the excess uric acid. They start believing that there is no cure for this problem and they will have to live with it.
In some ways, they cannot be blamed for believing that it is an incurable problem. This mistaken belief is because of the limitation of the allopathic system in curing gout.
Painkillers help in relieving pain but are not at all a way of curing the problem permanently. These painkillers do not go to the root of the problem but provide just symptomatic relief. Even other so called natural treatments for gout are not able to completely cure the problem or keep uric acid in check.
Read Also: How Do You Get Rid Of Gout In Feet
Myth: If You Stay Away From Liver And Alcohol You’ll Avoid Gout Attacks
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.
Common Locations For Tophi
Gout results from uric acid buildup in your blood. Uric acid normally gets removed from your blood through your renal system in urine, but your diet or certain conditions can make it hard for your body to excrete uric acid. In this case, uric acid builds up around joints.
Tophi can form in any of the following body parts:
Types of tissues where uric acid most commonly builds up to form tophi include:
- tendons that connect joints to muscles
- cartilage around your joints
- synovial membranes that line your joint cartilage
- any soft tissues in your joints, such as fat or ligaments
- bursae, small sacs that create a cushion-like barrier between bones and other soft tissues
Tophi can also form in connective tissue that isnt found in a joint. Some of these locations include:
- sclerae, better known as the whites of your eyes
- renal pyramids, which are triangular-shaped parts of your kidneys made up of ducts and nephrons that help absorb nutrients before releasing waste as urine
- heart valves, such as the aorta
Read Also: Veggies To Avoid With Gout