The Gout:
Purine in our foods breaks down into uric acid in our bodies, so reducing dietary purine helps reduce uric acid levels. Gout attacks usually peak after 12 to 24 hours, then slowly go away on their own, whether they’re treated or not. You may have only one gout attack in your lifetime or one every few years.
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”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. As a result, a doctor may recommend ways to reduce the buildup of this acid. Gout can often be challenging to diagnose, as its symptoms are similar to those of other conditions. Gout frequently develops in the joint at the base of the big toe ‘ one of the metatarsophalangeal joints. But it can also develop elsewhere at the front of the foot or in the ankles, knees, elbows, wrists, or fingers. The symptoms often begin during the night, which can interrupt sleep.
Gout affects more than 8.3 million people in the United States, and it is the most common form of inflammatory arthritis in males. Overall, it is less likely to affect females than males, but the chances of developing it increase after menopause. In addition to medications that a healthcare provider may recommend, lifestyle changes can help prevent the recurrence and progression of gout.
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Self-care strategies also help, including limiting the intake of alcohol and foods high in purines and staying well hydrated. If you have gout, your doctor can help you develop a treatment plan to manage your flares. This may include making changes to your diet and taking medications that can help prevent gout attacks (9). Urate comes from purines, which are found in your body’s tissues and many foods.
This is the most debilitating type and may result in permanent damage to the joints and kidneys. At this stage, people may have chronic arthritis and develop tophi in cooler areas of the body, such as the joints of the fingers. Common treatments include nonsteroidal anti-inflammatory drugs and corticosteroids, which also combat inflammation. These reduce swelling and pain in the areas that gout affects.
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Your doctor may recommend urine tests, blood tests, or even imaging to evaluate the health of your kidneys. A GFR number less than 60 may mean you have kidney disease. During this stage, progressive joint damage develops, so patients with gout should be treated before this starts happening. At this point, that sudden, unexpected nighttime attack of gout symptoms might occur.
It affects an estimated 9.2 million people in the US alone (1). Importantly, though these dietary modifications may help prevent gout, neither has proved reference as beneficial as uric-acid-lowering medication treatment. Its symptoms typically come on without warning and may persist for one to two weeks (or more).
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If you are experiencing sharp, sudden pain (particularly in your big toe) that arises out of nowhere, it is important to speak to a healthcare provider immediately. If your healthcare provider suspects this is the issue, they may also order an X-ray to definitively diagnose this potential long-term gout complication. Gout diagnosis is possible only during an acute flare-up of the condition.
People can develop high uric acid levels due to genetic predisposition and eating foods high in purines. High levels of uric acid can lead to the formation of microscopic, needle-like crystals (called monosodium urate). These crystals travel in the bloodstream and accumulate in the body’s joints, fluids, and tissues. When a crystal buildup occurs, it can irritate the affected area and lead to gout symptoms. If you think you’re experiencing a gout attack, see your primary care doctor or a rheumatologist to begin treatment for the disease. Identifying uric acid crystals in joint fluid helps confirm a gout diagnosis.
Joint drainage may relieve pain and pressure on a pseudogout-affected joint. A needle is used to remove the fluid and some of the crystals. The joint is then injected with a numbing drug and a corticosteroid to reduce inflammation. Blood and urine tests might be done to help your healthcare provider come up with a diagnosis. But, these tests are typically done to rule out other conditions, including RA. You should see a rheumatologist if you are experiencing ongoing joint pain, swelling, and stiffness.
Fortunately, there are treatment options available to reduce pain from gout. Many of the most successful treatments work to rapidly reduce gout pain by reducing inflammation around the joint. Gout pain is one of the most severe forms of joint pain that exists. With severe gout, even touching the affected joint may be unbearable.
There is no cure for pseudogout, but it can be treated with medications to ease symptoms and prevent future flares. If you are experiencing a pseudogout episode, take the time to rest and elevate affected joints, apply ice to bring down swelling, and take NSAIDs to manage pain and inflammation. Gout is a kind of arthritis caused by a buildup of uric acid crystals in the joints. Uric acid is a breakdown product of purines that are part of many foods we eat. Gout has the unique distinction of being one of the most frequently recorded medical illnesses throughout history.
Aside from your diet, there are several lifestyle changes that can help you lower your risk of gout and gout attacks. People with gout experience sudden and severe attacks of pain, see swelling and inflammation of the joints (2). Pseudogout is similar to gout but is generally less painful. It is caused by calcium pyrophosphate (CPP) crystals in the joints.
Your healthcare provider may suggest you follow a low-purine diet. A low-purine diet encourages you to consume fewer foods and drinks with high purine content. It also here encourages you to eat some select foods that may reduce your uric acid levels. Active research is ongoing in a variety of fields related to gout and hyperuricemia.