chronic gout - Detailed Information on Gout
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Detailed Information on Gout

Gout is sometimes called the "disease of kings" because it has long been associated with the wrong kind of excess in food and wine, only the rich and powerful could afford. Gout is one of the most common forms of arthritis (inflammation). Gout is the state resulting from uric acid crystals in the filing of body tissues. Gout is characterized by an overload of uric acid in the body and recurring attacks of inflammation (arthritis). The chronic gout can lead to hard nodule deposits of uric acid in and around the joints, decreased renal function and kidney stones. Gout affects about 1 in 100 people and less than 6 to 7 per cent of older men. Men are more likely to find that women are the drop, but women are becoming more sensitive to the drop after menopause.


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Gout attack means a rapid onset of joint inflammation and pain that usually occur over night. A high number of persons develop gout. Only in America not less than one million people are suffering from recurrent gout attacks. It is well to know that men are more prone to develop gout than women. It is believed that gout is nine times more common in men than in women. Men are prone to develop gout right after puberty while women are at risk only at menopause.

Gout, when referred to in this way, is usually an extremely painful arthritic attack with a rapid onset of joint inflammation. The deposits of uric acid crystals in the joint fluid that helps to facilitate proper motion precipitate this inflammation. When this occurs, this fluid is unable to correctly do its job because the crystals are in the way. Because of this, the joints are not able to move properly, and movement becomes very painful.

People with high uric acid can develop lumps under the skin and they are often found in or near joints previously attacked by gout and also on the elbow, over the fingers and toes, and in the outer edge of the ear, additionally, its increasing degenerative changes may make aging joints vulnerable, with cartilage fragments acting as seeds for crystal formation. Experts say the concentration in the blood is so high that the uric acid settles in the joints of people with gout, a leading cause of gout attacks.

The first sign of gout is usually an intense pain during the night. The attack is commonly brought on following a day or evening of excess in alcohol, food, some drugs, or surgery. If the attack progresses, fever and chills will follow. Recurring attacks are common (90%), mostly occurring in the first year. While chronic gout is quite rare, gout sufferers do have a higher risk of kidney dysfunction and kidney stones.

Gout symptoms may vary from case to case. In some cases gout symptoms may occur after an illness or after a surgery. Cases of people developing rare painful attacks are known but it is also known that people might develop chronic gout even if they do not experience often painful attacks.

You probably already know gout is caused by high levels of uric acid in the blood. However, did you know that four stages of gout exist and each stage has very unique characteristics of this painful infliction?

It is believed that a relation between gout and hyperuricemia exists but it is unclear. We are certain that many patients with hyperuricemia do not develop gout. We are also certain about the fact that some patients with repeated gout attack have normal or low blood uric acid levels. About 10 percent of the male population has hyperuricemia and a small percentage of them will actually develop gout.

Colchicine is also used because it eases the pain cause by gout. The problem with this medicine it's its side effects that can not be tolerated by any patient. Its side effects include diarrhea, nausea, vomiting and abdominal cramps.

For more information about gout symptoms please review http://www.gout-info-center.com/gout-treatments.htm or even http://www.gout-info-center.com/gout-diet.htm

Conventional treatment for the symptoms of gout is the anti-inflammatory drug colchicine. Isolated from the autumn crocus, colchicine has a strong effect to combat inflammation (though it has no effect on uric acid levels!). This provides most sufferers relief within the day, although the drug may be difficult for many to tolerate due to digestive side effects.

If you don't want to take medication, due to possible and serious side effects, you have another alternative that can be better then medication - eating the right food.

Gout is a form of arthritis that's characterized by sudden, severe attacks of pain, redness and tenderness in joints. The cause of gout is a high blood level of uric acid (hyperuricemia), which can accumulate in joints and lead to inflammation. Uric acid is a waste product formed from the breakdown of purines ??? substances which are found naturally in your body as well as in certain foods.

Now that you know a few of the foods to avoid here are few suggestions on what foods to eat. Here a brief list of foods that are low in purines and you should incorporate them into your diet. These foods include peanut butter, oatmeal, eggs, cereals, fruits and milk.

The deposit of uric crystals is one of the complications that you can have when suffering from gout. These tophi get formed in the joints of your hands and feet. This gout complication usually causes deformities, damage the tissue that surrounds the area of the gout. As a result you might suffer from destruction of your joint, constant pain and more worse, compression of your nerves. This is just one of the many gout effects. It takes about ten years for a gout patient to develop a chronic gout stage. At this stage, the gout has already cause serious damage to your joints. Of course, we are talking about the joints that have been affected by the gout. Furthermore, at this stage, some damage to your kidneys may have also been cause by the gout. More than half of the gout patients that have reached this stage also suffer from tophi, which are crystals of uric acid. Studies show that a number of three gout patient out of four suffer from tophi by the time they have reached the twentieth year of their gout. However, having some joints problems may happen sooner than expected in many gout patients.

Here is a brief list of foods that are high in purines and should be avoided since high purine food contributes to the gout. These foods include alcohol, seafood, beans, scallops, and sweetbread.

For the long-term, you may be advised to take moderated daily doses of either NSAIDs or oral colchicine to stave off future attacks. To reduce uric acid levels, tophi formation, and sudden attacks, allopurinol or probenecid may be prescribed. Proper treatment may allow you to control gout symptoms and live normally. It will work better if you also undergo physical exercise and alter your dietary patterns to reduce uric acid levels.

We also have to mention that pseudogout is a problem that affects the joints too. It is a disease in which calcium deposits in and around the joints. The symptoms like swollen, painful knee, ankle or wrist are similar to symptoms developed in gout. Acute septic arthritis can damage joints too.

Responsible for gout development might be an impropriate diet or high alcohol intake. Gout can also occur after a surgical intervention or after a severe illness. Joint injury might also be a cause of gout development. Specialists also noticed that medicines like aspirin and diuretics can lead to gout attacks because they stop in one way or another the excretion of uric acid from the body.

Gout: A Foe for your Toe Gout is a misunderstood malady. Despite the intense pain that gout can bring, it is a condition that is rarely makes the glossy pages of a magazine. If you are ever personally hit with the sudden onset of gout, classically (50% of the time) seen as a sudden and excruciating pain in the big toe, you will have a newly found interest in the following information.

While hyperuricemia and gout often occur together, there is currently not medical evidence that shows their exact relationship. Some patients with hyperuricemia do not develop gout, while others with repeated gout attacks show normal or low blood uric acid levels. Still, it continues to be a common problem, and should be treated to keep other more serious conditions from occurring. Because it is painful, and, therefore, very distinguishable, it can usually be easily diagnosed and quickly treated.

The most commonly medicines used are NSAIDs (non-steroidal anti inflammatory drugs) and colchicine. Both treatments help ease the pain and have an anti-inflammatory effect. The difference between these two possible ways of treatment is that colchicine may develop unpleasant side effects such as diarrhea, nausea, vomiting or abdominal cramps.

Gout is a disease that may lead to purplish skin around the affected joint. It may look as an infected area. Fever is another possible symptom developed because of gout. Another problem surely is the limited mobility of the affected joints.

We know two types of gout. Acute gout is treated using different medicines such as non-steroidal anti-inflammatory drugs (NSAIDs), colchines and corticosteroids. The NSAIDs are drugs that help easing the pain and have an anti-inflammatory effect. As NSAIDs we have to mention indomethacin, ketoprofen, oxaprozin, diclofenac, ibuprofen, etodolac, naproxen and sulindac. This type of treatment has proved to be the best in preventing gout attacks and easing the symptoms. NSAIDs are recommended for as long as the patient has symptoms and are taken by mouth three or four times a day. NSAIDs assure the easing of symptoms by suppressing the production of fatty acids called prostaglandins that cause the inflammation and pain in gout sufferers.

Left untreated can cause permanent joint gout and kidney damage. You can treat gout with drugs. The first line of treatment should be pain relief. NSAIDs may control inflammation and pain in patients with gout. NSAIDs include over-the-counter options such as ibuprofen (Advil, Motrin, others) and naproxen (Aleve, others), as well as the most powerful prescription NSAIDs. Corticosteroids, such as prednisone, given in short courses, are powerful anti-inflammatory agents for the treatment of acute gout. The ice can be applied for 20-30 minutes several times a day. Weight reduction may help to lower the risk of recurrent attacks of gout. The best solution is to reduce dietary fat and calorie intake combined with a programme of regular aerobic exercise. Alcohol consumption should be reduced or stopped.

Septic arthritis also known is Pyogenic arthritis. Septic arthritis is infection, usually bacterial, in the joint cavity. Septic arthritis usually affects just one joint, though occasionally it may occur in more than one joint at a time. It is the most dangerous form of acute arthritis. The joint cavity is usually a sterile space, with synovial fluid and cellular matter including a few white blood cells. Many different types of bacteria (germs) can cause septic arthritis. Infection with a bacterium called Staph. aureus is the most common cause. Septic arthritis is inflammation of a synovial membrane with purulent effusion into the joint capsule, usually due to bacterial infection. This disease entity also is referred to in the literature as bacterial, suppurative, purulent, or infectious arthritis. The most common bacterial isolates in native joints include gram-positive cocci, with S. aureus found in 40% to 50% of the cases. Septic arthritis is uncommon from age 3 to adolescence. Children with septic arthritis are more likely than adults to be infected with group B streptococcus and Haemophilus influenza. Young children and older adults are most likely to develop septic arthritis. As the population ages, doctors are finding that septic arthritis is becoming more common. Symptoms of septic arthritis occur suddenly and are characterized by severe pain, swelling in the affected joint along with acute pain. Chills and fever are also common symptoms. Chronic septic arthritis (which occurs less frequently) is caused by organisms such as Mycobacterium tuberculosis and Candida albicans. The knee and the hip are the most commonly infected joints.

 
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In the first phase of gout, nodules, also known as tophi, appear on the hands, elbows or ears but afterwards different symptoms may develop in each case.

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Gout Treatment and Prevention Tips 1. Drinking alcohol should be reduced or stopped. 2. Try to keep your weight down. 3. Use helpful devices such as a cart to carry your grocery bags.

Gout is a condition that results when crystals of uric acid are deposited body tissues, and is characterized by an overload of this acid. It causes joints to become inflamed and is often very painful. Chronic gout can lead to deposits of hard lumps in and around the joints.

Corticosteroids are also used but not as often as NSAIDs or colchicine because they do not have the same effect. Chronic gout is usually treated with xanthine oxidase inhibitors or uricosuric agents that help the kidneys to eliminate the excess of uric acid produced in the body.

Specialists are able to advice humans how to prevent gouty arthritis. Obesity in youth, high alcohol intake and unhealthy diets may lead to gout attacks. Also aspirin and diuretics could be a cause for developing gout attacks. Of course injury of the joints could lead to a gout attack. Gout attacks are also related to some diseases such as leukemia, lymphoma and hemoglobin disorders.

Gout treatment should be started as soon as possible. An acute gout case can be treated with nonsteroidal drugs that also prevent inflammation, such as ibuprofen or indomethacin. If you suffer from a kidney problem or a peptic ulcer besides gout, then these drugs can not be used because they can make the other conditions worse. Another drug that can be used in gout is colchicine. However, this medication causes diarrhea, that only goes away after you stop using the drug. Corticosteroids can also be given to treat a gout case. They can be given orally or injected directly in your joint. The main thing that you have to remember is that aspirin or drugs that are closely related to it should be avoided in gout cases, because they can only make the condition worse.

6. Vitamin C, taken in high doses, can help decrease blood uric acid levels.


7 NSAIDS such as indomethacin (Indocin) and naproxen (Naprosyn) are effective anti-inflammatory medications for acute gout.

As a result, patients with gout can experience decreased kidney function and kidney stones, which are also very painful. When these problems occur, they must be treated immediately.

Stage #1: Higher levels of uric acid begin to form. This first stage is called Asymptomatic Hyperuricemia. In this stage, you will probably not feel any symptoms. Catching the gout at this stage is vital so you don't experience the pain of the gout.

There are two main types of gout, primary and secondary. Most (90%) of gout sufferers fall into the 'primary' category. This is a pattern with a cause that is generally unknown (idiopathic), although there are some genetic patterns that can lead one to tend toward elevated uric acid. Secondary gout is identified when uric acid is elevated in response to some other disorder (such as kidney disease). Some medicines (such as aspirin and diuretics) can lead to the onset of gout attacks because they decrease the excretion of uric acid from the body.

Gout is one of the most painful types of arthritis. Gout was once incorrectly thought to be a disease of the rich and famous, caused by consuming too much rich food and fine wine. Gout is a disease due to a congenital disorder of uric acid metabolism. Uric acid is produced when purines are broken down by enzymes in the liver. Purines can be generated by the body itself (via the breakdown of cells in normal cellular turnover) or can be ingested in purine-rich foods (e.g. seafood, beer). Gout usually attacks the big toe (approximately 75% of first attacks), however it can also affect other joints such as the ankle, heel, instep, knee, wrist, elbow, fingers, and spine. In some cases the condition may appear in the joints of the small toes which have become immobile due to impact injury earlier in life, causing poor blood circulation that leads to gout. Chronic gout can lead to deposits of hard lumps of uric acid in and around the joints, decreased kidney function, and kidney stones. An acute attack of gout is a highly inflammatory arthritis often with intense swelling, redness and warmth surrounding the joint. The inflammatory component is so intense, an acute attack of gout is often mistaken for a bacterial cellulitis. Gout is mainly treated with anti-inflammatory drugs. Corticosteroids (also called steroids), may be prescribed for people who cannot take NSAIDs. Steroids also work by decreasing inflammation. Steroids can be injected into the affected joint or given as pills. Colchicine is often used to treat gout and usually begins working within a few hours of taking it.

Stage #3: This stage is Intercritical gout. This is when an gout attack has subsided. This is the stage the body begins to stabilize itself and fights the uric acid crystals in the joints. Getting treatment is vital at this stage if the individual wants to control the gout.

The problem with gout is that in most of the cases it is a misunderstood disease. Gout is caused by the increase of the uric acid crystals in the joints or in the surrounding tissues. Gout develops various symptoms that usually involve pain. These symptoms may include warmth, swelling and extreme sensitivity of the affected joints. In more than 50 % of the cases big toe joint affection is seen in gout patients. This is the most common problem when it comes to gout.

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One of the most common problems that can be associated with gout and kidney function is blockage of these organs. This blockage occurs in the tubular filters that allow the kidneys to rid the body of unwanted materials. When they become clogged with uric acid crystals, the kidneys are unable to perform their proper function. When this happens, kidney failure can occur. This condition must be treated right away in order to restore proper function to the kidneys, and to the body.

Gout symptoms occur in three phases. The first phase refers to the sudden onset of a joint pain, especially in the big toe, that lasts more than 5 days, going in some cases up to 10 days or even more. The second period is believed to be a period with no symptoms or attacks. This is the period between episodes. The third phase refers to the untreated cases of gout. In this last phase persistent symptoms develop. During this phase episodes occur more often and cause severe pain.

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To treat a chronic gout cause actually means to prevent the reoccurring of an acute gout case. This is mostly done by decreasing the levels of uric acid.

Apple Cider Vinegar : 1 x tablespoon mixed with a table spoon of filtered water, make sure it is organic with "Mother" still in it , add honey to taste and take about an hour after a meal 3 times a day..this will regulate your pH levels and reduce them...clean your teeth also after using this as it stains..then after an attack reduce this to once a day. Medical Treatment

There are known two types of gout, primary and secondary. The first category includes more than 90 % of the gout sufferers. When uric acid is elevated in response to some other health problem such as kidney disease we can say that it is a case of secondary gout.

If you are intersted in finding more information about gout you can click on this website http://www.gout-info-center.com. Also you will find there valuable information about gout symptoms and causes of gout.


 
 
     
 
 





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