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A common cause of gout is the accumulation of a chemical called uric acid. Uric acid is a normal breakdown product of another chemical called purines. The treatment involves controlling the inflammation, which causes the pain and swelling and ultimately damage to joints. Also, lowering the uric acid level is a logical means to controlling gout.

There is some benefit to avoiding foods that cause gout but most people who get gout will need medication to prevent joint damage and also prevent future attacks which often happen sooner and are more severe. They can also cause permanent damage to the kidney and joints. The crystals can also deposit on the skin and are then called tophi.


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 Most of the time the symptom can be controlled by anti-inflammatory medications like naproxen or indomethacin. In severe cases steroids like prednisone may be needed. Some people even need injections into the joints. Fluid from the swollen joints can be removed and analyzed for the uric acid crystals.

The treatment includes medicines like allopurinol, which decrease the level of uric acid, or there are other medicines like colchicine, which decrease inflammation. Also there are medicines called uricosuric agents that increase the removal of uric acid in urine. Colchicine works best if taken really early in the attack and sometimes repeat does may need to be taken periodically such as every two hours or so till there is pain relief or a maximum dose is reached or there are side effects like gastrointestinal upset.

 
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The specific dose and the manner of taking these medicines are best discussed with your healthcare provider.

Common side effects of these drugs include stomach upset and ulcers from prednisone and ibuprofen type of medications, diarrhea from colchicine and sometimes gout can get worse from allopurinol especially if the person is not on colchicine first during an acute attack.

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Gout is certainly not a fun condition to have. It s a common rheumatic disease and it counts rheumatoid arthritis and osteoarthritis among its close cousins. Figures show that some 840 people out of 100,000 are afflicted with this disease, most of them men. Just what are the causes of gout, and are there any effective ways to avoid it? More often than not, gout is a result of lifestyle choices,...


Gout is a very painful inflammatory condition of the joints, caused by crystallized uric acid collecting around the affected joint. The most common joint affected is the big toe; however, gout can affect the ankle, instep, heel, knee, spine, elbow, wrist, and finger. In severe cases, gout can deform the affected joint. People prone to gout tend to have high uric acid levels in their blood....


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Gout is a form of rheumatic disease caused by uric acid deposits in the joints and it is marked by sudden attacks of painful, inflamed joints. It is caused by too much uric acid in the blood. It is the commonest inflammatory arthritis of men above 40 years old, and it is 20 times commoner in men than women; however, the number of postmenopausal women who have gout is increasing. Gout is...


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