Next Steps For Managing Gout And Gout Symptoms
All these drugs are great. However, you shouldnt be relying on medicine alone. Prevention through eating a gout-friendly diet and healthy lifestyle changes are always better than any pill.
No matter how many medicines you take, if you are not taking care of your health, gout symptoms will continue to haunt you. Wouldnt you want to address the root cause of the problem and enjoy the long-term benefits instead of using band-aid remedies that only treat the symptom?
Now over to you. What symptoms have you experienced with gout? How did you manage it? Share your stories in the comments below.
Treatment For Tophaceous Gout And Tophi
Treatment for tophaceous gout typically involves long-term therapy with one or more uric-acid-lowering medications.
Achieving and maintaining a uric acid level of 6 milligrams per deciliter of blood or below can help reduce the risk of future gout flares. These medications will also cause tophi to dissolve and disappear.
Uric-acid-lowering medications take time. It may take several months of treatment before uric acid levels start to go down.
Drinking plenty of water, exercising, maintaining a healthy weight and avoiding foods and beverages that trigger gout attacks can also help lower uric acid levels.
What Are Future Possible Treatments Of Gout
Fortunately, present medications are successful in the vast majority of gout patients. But some patients cannot tolerate our present arsenal of gout medications. For others, these agents are not sufficiently effective. Therefore, new treatments are continually being sought. Some of the more promising include anakinra, rilonacept, canakinumab, BCX4208 and arhalofenate.
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Our Bodies Get Used To The Constant Temperature
As I have just said, our bodies will get used to the constant temperature. This also refers to the uric acid, which will stay constant during the entire summer or the entire season. Now, when weather changes, our body is literally changing with it. It means that it cannot adapt so fast to the temperature change, so it will increase the level of uric acid and therefore at risk of a gout attack.
It is a common thing that most gout sufferers, including myself, suffer from frequent gout attacks through the summer or at the end of it. Yes, it is a severe issue but there is something you can do and I will reveal it later on.
Keep in mind that you should drink plenty of fluids during the summer and when the weather is changing. Also, you should make some adjustments to your lifestyle in order to decrease the risk of a gout attack. If you live in an area where temperature changes occur frequently, you are at a higher risk of frequent gout attack, so you will have to change the place where you live or to make significant lifestyle changes.
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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.
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Applying Ice To Affected Joints
Applying a cloth-covered ice pack to the joint can help reduce gout-related inflammation.
Try applying an ice pack wrapped in a thin towel for 1015 minutes at a time to help relieve pain.
If gout is affecting the feet, a person can also use a pack of frozen vegetables covered with a washcloth, as this may drape more easily over the feet.
Heightened stress can worsen a persons gout symptoms. While it is not always possible to eliminate all sources of stress, the following tips might help:
- exercising, such as taking a brief walk, if the pain does not limit movement
- asking for time off from work
- journaling or reading a favorite book
- listening to music
Drink Plenty Of Water
This wont likely provide immediate relief, but inadequate hydration is known to contribute towards the creation of urate crystals.
Drinking water may flush uric acid crystals out of your system.
Preliminary research suggests that adequate water consumption during the 24-hour period before a gout flare can decrease recurrent gout attacks.
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Five Ways To Ease A Gout Attack
If you have gout, you know what its like to suffer from a flare-up. Also known as gouty arthritis, a gout attack begins with a burning or itching feeling in your joints. The next sign is redness, swelling, or severe pain in the joint. This is caused by a buildup of uric acid around the joints, which forms uncomfortable uric crystals. This condition can be so painful that anything touching the jointeven a bedsheetcan cause severe pain.
If you are suffering from a gout attack or flare-up, you dont need to agonize alone or in silence. There are a few things you can do to ease the pain and prevent future flare-ups.
Several over-the-counter treatments can help relieve the pain caused by a gout attack. These nonsteroidal anti-inflammatory drugs can lower uric acid levels and treat episodes of inflammation. Some good choices include Aleve, Motrin, and Advil, and, when taken in prescription doses, can be very effective.
Contact Carolina Arthritis for guidance and to learn more about this strategy for your gout attacks.
Change your diet.
Many dietary and lifestyle changes can assist in recovery. Foods high in purines can increase the uric acid in your blood and trigger a gout flare-up. Some of these foods include:
- Some seafood
- Organ meats like liver
- Fatty foods
Ice, elevate, and relax.
Make an appointment with Carolina Arthritis.
How To Get Fast Relief From Gout Attacks
Gout pain can be debilitating, and can prevent you from performing routine activitieseven walking or standing can hurt.
Thats because many attacks start at the base of the big toe.
Pain and inflammation in this region can make walking or standing for long periods of time excruciating.
There are a few home remedies that may provide quick relief for a gout flare-up.
But if your pain is severe, sudden, or worsening, contact a healthcare professional before attempting any remedies at home.
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How To Ease Into Walking After A Gout Flare Up
Following an acute gout attack, you might not feel much like moving. You are probably worried that the instant you try to move the affected joints, you will feel the sting of uric acid crystals. The good news is that your body has the ability to recover. There are a few steps that you can take to ease into walking again following a gout flare-up. These include:
Are The Any Possible Complications
Sometimes, gout spreads from the knee and affects more than one joint at a time, such as the big toe or hands.
There is also a risk of the uric acid causing crystals to form in the kidneys which can lead to inflammation, scarring and kidney stones.
This video from Healthline talks about the symptoms, diagnosis, treatment and prevention of gout if you want to know even more.
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Baking Soda Increases The Bloods Ph Levels
Baking soda has numerous applications even outside the kitchen. Baking soda is a known alkalizing agent. It increases the pH levels of your blood, and it makes it easier for your kidneys to flush uric acid. Moreover, your blood can hold more uric acid without crystals forming.
When your blood gets alkalized, the same happens with your urine. This means that more uric acid will be excreted.
- Mix the baking soda with the water.
- Stir until the baking soda dissolves completely.
- Drink the mixture several times a day.
- If you are over 60, dont drink it more than three times a day.
- Continue drinking the mixture up to two weeks.
Around 85 % of gout sufferers report that baking soda has a positive effect on their symptoms. But before you try this home remedy, talk with your doctor. Baking soda has side effects, including increased blood pressure, nausea, vomiting, and loss of appetite. Moreover, if you take prescribed medicine some of them might not interact well with baking soda.
How To Prevent Bursitis In The Knee Joints
To keep your small fluid-filled sac healthy, avoid kneeling for long periods of time. Frequent pressure on the bursa is the most common cause of bursitis.
Here are a few other tips to help prevent bursitis:
- Avoid repetitive activities. Or, try to do them differently to reduce the friction on the bursa.
- Do some exercise. This will keep your joints healthy and may prevent a knee replacement.
- If your BMI is above > 25, a 10% decrease in weight can reduce knee pain and improve overall health.
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What Is The Fastest Way To Get Rid 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
The Role Of Physical Activity In Prevention Of Gout
Along with diet, physical activity can help with weight loss, and gout has been associated with being overweight.7 in patients with well-established gout, especially if X-rays have demonstrated joint damage in the foot, a low-impact exercise program is reasonable. An exercise program combined with diet in gout can reduce risk for attacks.7 If an attack seems to be coming on in the lower extremity, patients are well-advised to try to get off their feet, since impact seems to worsen gout attacks. Clues to an attack of gout coming on include local swelling, heat, redness, and tenderness in a joint, especially in the foot, ankle, or knee. Some patients have fever and chills as the first warning that an attack of gout is coming on.
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Take Care Of Yourself
Get other health conditions under control. Gout is linked with high blood pressure, diabetes, metabolic syndrome, heart disease, and kidney disease. If you have any of those problems, get treatment.
Ask your doctor if you need to make changes to the medications you take. Aspirin, diuretics for high blood pressure, and drugs for people whoâve had an organ transplant can trigger gout. Your doctor can help you find other alternatives.
Drink more fluids. You may lower your odds of gout if you drink at least eight glasses of fluids a day. Make sure that at least half of that is water.
About Dr Stuart Weisman Md
Rheumatology Department Boulder Medical Center
Dr. Weisman opened his rheumatology practice at Boulder Medical Center in 2002. Rheumatology is a sub-specialty in internal medicine that is devoted to diagnosing and treating arthritis and other musculoskeletal conditions and autoimmune diseases. Dr. Weisman treats the full range of rheumatic conditions including:
- Rheumatoid arthritis
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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.
What Are The Symptoms Of Gout In The Knee
The main symptom of gout in the knee is pain and discomfort in the surrounding area. Keep in mind that gout is often unpredictable, regardless of the joint its affecting. You might go weeks or even months without any symptoms, only to wake up with a burning pain in your knee.
In some cases, gout starts out in one of your big toes before moving on to other areas, such as your knee. Over time, these flare-ups may last longer than previous episodes.
Other symptoms you might feel from gout in your knee include:
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What If I Dont Get Treatment
If you dont get treatment, a gout attack can last for days or even weeks. If you keep having more attacks, more joints will be affected, and the attacks will last longer.
If you have gout attacks for many years, you may develop tophi . These are soft tissue swellings caused by uric acid crystals. Tophi usually form on the toes, fingers, hands and elbows. You may also get kidney disease or kidney stones. Over time, the bone around a joint may be destroyed.
The Link Between Gout And Chronic Kidney Disease
Theres a relationship between gout and chronic kidney disease.
Chronic kidney disease is a condition in which you slowly lose kidney function over time. The kidneys are important because they help remove waste products and urine from the body.
People with chronic kidney disease are at an increased risk for gout, and people with gout are at an increased risk for chronic kidney disease, says the National Kidney Foundation.
If the kidneys arent working properly, uric acid can build up in the body. Thats why kidney disease sometimes leads to high uric acid in the blood. High uric acid can cause gout.
One way that gout may contribute to chronic kidney disease is through kidney stones. People with recurrent kidney stones are at an increased risk for chronic kidney disease.
The National Kidney Foundation recommends that people with gout get checked for chronic kidney disease. Your doctor may take blood and urine samples to test for it.
Doctors commonly use two tests to help diagnose the condition. A simple blood test, called a GFR, measures how much blood your kidneys filter each minute. A urine albumin test, or ACR, can help detect kidney damage.
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What Are The Symptoms Of Gout
As we said, it takes time for gout symptoms to develop. Sometimes it may even take more than ten years. Heres what you should be looking for:
- Pain, warmth, swelling and tenderness usually in a big toe joint. The pain starts suddenly, and it may continue for hours. Sometimes even a light pressure on the affected area will be intolerable. Gout may affect the feet, ankles, hands, wrists and knees
- Red or purplish skin around the join.
- Peeling and itching of the skin when the swelling goes down.
- Lingering discomfort. After the pain starts to subside, you might still feel some joint discomfort for a few days or a few weeks
- Lumps might develop under the skin around the joint due to the built up of uric acid crystal.
- Symptoms might appear as a result of an illness or trauma
Goat attacks usually:
- Develop over a few hours.
- Last 3-10 days.
- Become more frequent if left untreated. In this case, the attacks will probably last longer and affect other joints
However, you should know that symptoms may vary. Some people might not experience gout attacks, but feel the pain nearly all the time. This is called chronic gout.
If you dont get proper help, gout might lead to joint, tendon and tissue damage. Your doctor usually will prescribe you nonsteroidal anti-inflammatory drugs, colchicines or corticosteroids.
However, anti-inflammatory drugs have side effects like stomach pain, bleeding, and ulcers. Corticosteroids might lead to mood changes and increased blood sugar and high blood pressure.