BLOG 464 GOUT
Gout is a form of arthritis that typically affects the
big toe area. Warning signs include pain, redness, swelling, and the area feels
hot. A gout “attack” can strike swiftly, even waking someone up during the
night. The joint becomes extremely tender to even the slightest touch. Although
it is most commonly occurring in the big toe joint, gout can take its toll on
any joint it decides. Then moving that joint becomes difficult. The first 12
hours are the worst feelings of pain reported by sufferers. The pain can last
for a few days or for a few weeks.
This condition occurs when urate crystals start to
accumulate in the joint. These crystals come from high levels of uric acid in
the body. The body has to break down purines that are found both naturally in
the body as well as in foods like steak and seafood and alcoholic beverages. A
bi product of this breaking down process is uric acid. Typically, uric acid
dissolves in the body, passes through the kidneys, and is excreted through
urine. However, if the body is on uric acid overload and the kidneys aren’t
passing the biproduct through, this uric acid builds up. Soon, sharp crystals
start to form in a joint and pain sets in.
It is important to take note of what can cause uric
acid to build up in the body. As mentioned, eating too much meat or seafood can
cause accumulation. This is true for alcoholic beverage consumption as well in
excess, especially beer. Obesity is also a cause due to this body type
producing more uric acid for the kidneys to struggle to push through. High
blood pressure and diabetes are also uric acid culprits. Gout is genetically
related. Men tend to experience gout more than women. However, after menopause,
women’s uric acid levels seem to rise.
There are medications to treat gout, especially if one
experiences this condition repeatedly. It is important to treat gout at early
onset in order to prevent kidney stones. Drinking plenty of water can help the
kidneys do their work. A doctor might test the fluid of the affected joint for crystals.
An ultrasound can also detect urate crystals. Luckily, there are medications to
treat and prevent gout attacks. NSAIDs are nonsteroidal anti-inflammatory drugs
such as ibuprofen or Aleve that a doctor might prescribe in a higher dose. Corticosteroids,
such as prednisone, can come in pill or shot form to help alleviate pain. Colchicine
is a pain reliever that specifically reduces gout pain. Xanthine oxidase inhibitors (XOIs) actually block uric acid
production. Uricosurics help the kidneys remove uric acid.
Pain anywhere in the body should be addressed. This is
certainly the case when any sign of gout arises. Pay attention to what triggers
an attack. Your body and kidneys will thank you for taking care of your health.
Uric crystals mean the near fortune is not good, so be sure to hydrate, watch
your diet, and manage your weight.
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