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Never or ever experienced gout? If so, of course, you know how it feels when the attack. For those of you who have never (and should not) got into high uric acid, maybe wondering why those pain come out of sudden and you suspect yourself being a victim of gout attack, this article can be informative for you to learn more about gout.
What is Gout?
Gout is a disease of high uric acid, which in medical term known as gouty arthritis. This disease resulting from the accumulation of uric acid in the body too much, either due to increased production or from excess purine containing foods, and the kidneys are unable to remove uric acid crystals accumulate in the joints.
What Causes Gout?
Gout is caused partly because the production of uric acid as nutrients, that eating foods with high purine levels. Purine bases is one of the organic compounds that make up the nucleic acid (the acid from the cell nucleus) and are included in the group of amino acids, the building-blocks of proteins. Increased production of uric acid can also be caused by drugs – drugs, obesity (obesity), hypertension, hyperlipidemia, and diabetes mellitus.
What are the symptoms?
- Joint pain may occur suddenly
- often arrive at night
- usually affects large joints of the big toe or ankle, knee, hand, and wrist
- Affected joints become swollen and reddish
How is Gout being diagnosed?
There are three types of tests to help diagnose gout, namely:
- physical examination –> upon the examination, very tender at the affected area with some swelling, analysis of joint fluid or synovial fluid
- laboratory tests –> blood test
- Radiologic investigation
The main goal of treatment is to relieve gout pain and inflammation, prevent another attack, and avoid complications. Several types of drugs commonly given for gout relief, including: analgesics, anti-inflammatory medications and injections.
In addition, patients with gout diet is recommended to perform the following:
- restrictions purine
- Calories as needed
- high carbohydrate
- low protein
- Drink 8-16 glasses (about 2-4 liters) a day
- Avoid alcohol
How to Handle a Midnight Gout Attack
You may be in so much pain that dashing off to the emergency room is unthinkable. That’s OK – the immediate goal is to relieve pain and to lessen swelling and inflammation. You can begin that process by taking nonsteroidal anti-inflammatory drugs (NSAIDs).
Commonly used over-the-counter NSAID such as ibuprofen (Advil), and naproxen sodium (Aleve) help relieve both pain and inflammation often within 24 hours and are usually the first line of defense. Unfortunately, when taken orally, they can have side effects such as stomach upset or ulcers, headaches, skin rashes, fluid retention, kidney problems or heart disease risk. That means people with gastrointestinal, kidney, or heart problems shouldn’t take them.
Most doctors suggest taking the highest recommended dose for at least the first 24 to 36 hours to handle the pain. Don’t take aspirin – although it is an NSAID, it can change uric acid levels, worsening a gout attack.
An ice pack wrapped in a dish towel and placed on the affected joint for 15 to 20 minutes at a stretch can also relieve pain and inflammation.
Prevention can be done:
- Healthy and balanced diet
- Limit the consumption of meat, fish, and poultry
- Keeping weight to prevent obesity
- Limiting sugary drinks, especially those sweetened with high fructose corn syrup
- Avoid alcohol
- Exercise regularly
- Drink plenty of water
Impact of Gout not being handled properly:
If gout is not handled properly or even the contributing life-style elements, such as diet plan, aren’t addressed, then the attacks turn out to be increasingly more regular. Ultimately they are able to get so close with each other that the body does not have any opportunity to recover itself between attacks. At this time the ache from gout is much more or less long lasting and the existence of the sufferer is absolutely nothing short of misery. Because the chance for therapeutic is decreased there is certainly a a lot bigger possibility of long lasting damage being carried out.
In serious conditions, the uric acid can group collectively a lot that they form visible lumps underneath the skin. They’re referred as tophi and will result in deformity and permanent damage.
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