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Information About Treatment of Gout

Gout is a form of arthritis that usually affects the toe joints. It most often occurs in middle-age, overweight men who consume large amounts of meat, eggs and other foods high in nucleic acid. Men are more prone to gout than women. Women may be protected from gout by the female hormone estrogen. Men start building uric acid levels in puberty. However, uric acid does not start accumulating in women until after menopause. The painful bouts of gout are caused by too much uric acid (a waste product of the kidneys), which forms crystals in the joint fluid. Certain medicines may also cause gout, such as diuretics, niacin, low doses of aspirin, cyclosporine and some drugs used to treat cancer.

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Gout is a type of rheumatoid arthritis that causes pain and inflammation of the joints. The joints of the lower body seem to be affected the most. People with gout experience discomfort, swelling, local irritation and redness, itching sensations, pain, sometimes feeling a sensation of cold around the affected areas, the skin in those regions often looking stretched. Gout can also affect skin and soft tissue such as muscles and tendons, making them less flexible. Gout is known to be caused mainly by the presence in excess of crystallized uric acid deposits inside the body, which are difficultly eliminated by the kidneys. Improper diet can lead to more accumulation of uric acid in the body, as some foods that contain high levels of purine are synthesized by the body into uric acid.

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Life style changes such as weight control, limiting alcohol consumption, and limiting meals with meats and fish rich in purines can also be helpful in controlling gout.

What is uric acid? Uric acid helps protect blood vessel linings and serves as an antioxidant. Uric acid is created when purines are broken down by the body. Purines are found in all the cells of the body, and in virtually all food. Some food sources contain a much higher concentration of purines than all the others. Foods with very high purine levels include:

There is no sure way to determine if you will have gout, until you have your first flare up. If you have already had a gout attack, you know that you never want to have another one. There are a number of prescription medications available to treat gout, and you should discuss with your physician what you should take.

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The foods that are known to have high levels of purine are meats like pork, beef, lamb, poultry, organ meats (brain, kidneys, liver and heart), fish and seafood (sardines, mackerel, oysters, caviar, calamari and crabs) and fat dairy products such as cheese, milk and butter. Even some vegetables like spinach, beans and peas are known to conatin large amounts of purines. However, green vegetables are thought to have no malign effects to the body. Fruits not only have low levels of purines, (and they are strongly recommended in any gout diet) but they also contain vitamins and minerals that are vital in the proper functioning of the body. Vitamin C, contained by most fruits, is a powerful natural anti-oxidant which helps in easing the symptoms of gout.

To stop a gout attack quickly, your doctor can prescribe a large daily dose of one or more medicines. The doses will get smaller as your symptoms go away. Relief from a gout attack often begins within 24 hours if you start treatment right away.

Remember when you could sleep the whole night without a flare-up of gout? Do you remember what it was like to not have to wince with pain when you walk? Fortunately, gout is treatable and curable and these 6 suggestions will get you on the right path to treat your gout symptoms.

Though gout treatment is most often treated successfully and without complications, it becomes more of a challenge if other conditions exist along with gout or if there is poor patient compliance to recommended lifestyle changes or a medication regimen.

- Age. Men are most likely to develop gout between the ages of forty and fifty. Women generally develop gout after menopause. What can we do about gout?

Proper gout diet replaces the foods that are considered to cause gout due to their high levels of purine with healthy, better tolerated foods. Foods that are rich in saturated fats should also be avoided.

4. Avoid ice and heat. Unlike other types of pain, gout will often hurt more with exposure to heat or ice. 5. Drink water! Water will help the body flush excess uric acid thus decreasing your chance of gout. Drink 10-12 glasses of water per day.

- Obesity. Body weight has an impact on the bodies' ability to process uric acid properly, and puts a greater load on your joints. - Medical Conditions. High blood pressure, diabetes, high cholesterol and medicines used to treat such conditions increase the likelihood of developing gout.

A proper gout diet and a healthy lifestyle are the best means of preventing and easing the symptoms of gout. It is a fact that there is no specific cure for gout and the treatment often prescribed for the disease usually acts by controlling pain attacks and inflammation. There is little that medicines can do for the patients who suffer from gout, especially for those who have chronic forms of the disease. Proper gout diet can both ease the symptoms of gout and prevent injury and complications. It is known to be the best way of handling the effects of the disease.

Alcohol can reduce the release of uric acid by the kidneys into your urine, causing an increase of uric acid in your body. Beer, which is rich in purines, appears to be worse than some other beverages that contain alcohol.

Steroid medications, such as the drug prednisone may control gout inflammation and pain. Steroids may be administered in pill form, or they can be injected into your joint. Side effects of steroids may include thinning bones, poor wound healing and a decreased ability to fight infection. Steroids may be reserved for people who can't take either NSAIDs or colchicine.

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- Genetics. A family history of gout increases the chance of developing gout by 20 percent. - Gender. Men are much more likely than women to develop gout.

5 Tips to Treat Your Gout 1. Find a pair of shoes that fit comfortably. Try finding a wider shoe that will offer more room for your toe.

How Gout Works Gout is characterized with excruciating pain in the joint at the base of the big toe. In fact, about three-quarters of gout sufferers suffer from this excruciating pain affecting the toe. The other areas of the body gout might affect include: the elbows, shoulders, hands, wrists, knees and feet. The gout sufferer's joints will become swollen and inflamed and a fever could also develop. Most often, gout symptoms can last for days (2-5 days). Simply stated, gout is caused by higher levels of uric acid in the blood. There are several reasons for this happening including: overweight, too little activity, too much alcohol, various medications, genetics, or even a health disease (hypertension, etc). Whatever the cause, you can cure your gout if you begin your treatment today!

Avoid or restrict foods high in purine (a substance that produces uric acid when broken down). These foods include: sardines, anchovies, brains, liver, kidneys, tripe, sweetbreads, tongue, shellfish (mussels and oysters), fish roe, scallops, peas, lentils, beans and an excessive amount of red meat.

Cold hands and feet can precipitate an attack of gout. Try to keep your hands and feet warm, and take extra care to cover your hands and feet during cold winter months.

Drinking black cherry juice. Black cherry juice, available at health food stores, may prevent attacks and shorten acute attacks according to claims from others with gout. Black cherry extract is also available in tablet form. This is not the same as cherry drinks containing low percentages of cherry juice or artificial cherry flavor.

Foods with high and moderately high purine levels include: - All other meat - Other beans, such as kidney, lima, navy, lentil - Some vegetables, such as asparagus, cauliflower, mushrooms, and spinach

2. Keep your toe elevated when resting/sleeping. Allow gravity to reduce the inflammation on the gout inflicted joint. 3. Try to stay off the joint with gout. Any pressure exerted on the area will cause more pain and further damage to the area.

Also referred to as "the disease of kings", the occurrence and development of gout are strongly determined by improper diet. In the past, the disease predominantly affected nobles and royalty, due to their access to an abundance of foods that are known today to have high risks of causing gout. These days, many people are still confronted with gout, as they consume foods that interfere in the normal activity of the body. Mostly people living in developed societies are the ones who tend to be affected by gout. The consumption of some exotic foods like seafood (oysters, caviar, calamari, sushi) or improper diets that contain a lot of meats (pork, poultry, beef) are the factors that seem to facilitate the occurrence and the development of the disease. Statistics indicate that people who live in less-developed countries have a smaller chance of developing gout. Also, research results reveal the preponderance of obese people among those who are suffering from different forms of gout.

- Avoid Alcohol. As stated before, alcohol interferes with the body excreting uric acid. Definitely stay away from alcohol if you are experiencing a gout attack.

What causes gout? This question is still up in the air. The quick answer is that hyperuricemia, which is an elevated blood level of uric acid, is responsible for gout. With that said, not all patients with hyperuricemia develop gout, and some patients with gout do not have hyperuricemia. Although it is not clear how hyperuricemia relates to gout, one thing is clear; gout is associated with sudden changes in uric acid levels in the blood.

Self help! There are a number of things that you can do for yourself to decrease your chance of developing gout, or having a recurrence. I must state however that there is no guaranteed way to prevent a gout attack. Important Disclaimer; Many of the following suggestions are intended to decrease your blood uric acid level. Ultimately, this should be your goal, but a sudden drop in your blood uric acid level, may cause a gout attack. I suggest that all lifestyle changes be made at a moderate pace to decrease the risk.

- Drink plenty of water. Water helps to flush uric acid out of your body. - Lose weight. If you are overweight, losing weight will decrease your uric acid levels. Do not fast, or engage in a rapid weight loss program, because this will actually cause a temporary raise in uric acid levels.

Take a nonprescription anti-inflammatory. Inflammation causes swelling, which worsens pain. Both ibuprofen and aspirin are anti-inflammatory, but when taken at low levels, aspirin may actually make the pain worse, so reach for the ibuprofen when treating gout.

Among fruits and green vegetables, a proper gout diet can also contain some meats (chicken and low-fat meats) and low-fat milk. Cereals are also good for gout. A proper gout diet should contain: fruits, tomatoes, broccoli, soy (soy replacements of certain dairy products like milk and cheese are strongly recommended), brown rice, cereals, and bread. Drinking plenty of water (around two liters each day) is also important for easing the symptoms of gout, helping the kidneys to eliminate the surplus of uric acid.

What is gout? Gout is a form of arthritis resulting from deposits of uric acid crystals formed in the bodies' joints. A gout attack will usually attack only one joint at a time, the big toe being the most common. Other joints that may also be impacted by gout are the feet, ankle, knee, hand, and wrist. The pain will typically last five to fourteen days, at which point the crystals will leave the joint.

Apply an ice pack or a bag of frozen peas (both wrapped in a towel) to the joint for 20 minutes to help reduce the swelling, and then take it off. You should not apply ice directly to your skin as it can give you an 'ice burn'. You can reapply the ice pack after the temperature of the joint has returned to normal.

What are the risk factors? - Alcohol. Excessive consumption of alcohol is believed to inhibit the bodies' ability to dispose of excess uric acid.

- Organ meats, such as brain, kidney, liver, and sweetbreads. - Anchovies - Mackerel - Herring - Sardines - Gravies - Dried beans and peas

- Limit your purine intake. Uric acid is formed when your body breaks down purines.

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