definition of gouty arthritis - Gout symptoms and treatments
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Gout symptoms and treatments

Gout attacks occur suddenly in most of the cases. The first attack is surely going to develop at night, people getting to wake up feeling an extreme joint pain. During gout attack people usually develop the following symptoms: sudden and severe joint pain, swelling, reddish skin around the affected joints and extreme sensitivity in those areas.


Alcohol News flash: Drinking alcohol increases the risk for Gout! There is a proven and direct association between alcohol consumption and the presence of Gout. Therefore, if you are an avid drinker, there's no way you can avoid Gout. The risk is greatest for beer drinkers followed by those indulging in liquor, but wine (in moderation) does not seem to have much of an effect on the incidence of Gout.


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 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.

There has always been a battle between myths and facts when it came to gout. This battle has been fought over the cause and treatments of the gout. Some said that your gout can only be treated with medications and gout is caused mainly by your poor diet, whereas others strongly believed otherwise. The fact is that there are many steps that one can take to relieve his/ her gout symptoms and diet is maybe one of the last reasons for developing a gout.

Since our bodies rely heavily on the urinary system to rid us of excess Uric Acid, it is easy to understand why good hydration and fluid balance is so important. The balance of fluids in our systems plays an integral role in Gout prevention, cure and Gout treatment.

The uric acid tests are used to evaluate the blood levels of uric acid for gout and to assess uric acid levels in the urine for kidney stone formation. The urine test is used most often to monitor patients already diagnosed with kidney stones, but it can also be used to detect disorders that affect the body's production of uric acid and to help measure the level of kidney functioning.

You can prevent Gout. Follow the steps and tips listed here. To avoid Gout or hasten the process of curing Gout avoid Purine rich foods and beverages such as organ meats, poultry, seafood and products containing yeast.

In the other case, where the myth states that gout can only be treated with medication, let me prove otherwise. Loss of weight can be very beneficial in your gout case. People that have a few extra pounds are more at risk of developing a gout. Furthermore, loosing of weight can relieve your gout symptoms. Changes in your diet can also relieve the gout symptoms and even prevent gout. Try to avoid ant foods containing purine, alcohol and sugar. Cherry juice is also known for preventing a gout attack.

Elevated levels of Purine present in the body at any given time, whether due to genetics or a high protein diet, may give rise to elevated amounts of Uric Acid in the blood stream.

Gout is a problem that definitely needs treatment. Many ways of easing the pain or avoiding the severe attacks are known. Doctors recommend the patients in most of the cases good rest and to increase the amount of fluids that they drink. This is recommended for the easy forms of gout. Acute gout has to be treated with medicine therapy in order to decrease the pain and inflammations in the joints. The drugs usually prescribed for acute gout are non-steroidal anti inflammatory drugs (NSAIDs) such as indomethacin, ketoprofen, oxaprozin, diclofenac, ibuprofen and others.

Coffee Studies have been conducted that connect the drinking of coffee - and the more of it the better - with marked prevention of Gout in significant numbers of participants. Experts conclude that there is a correlation between elevated insulin levels and the presence of higher Uric Acid levels in the bloodstream. The researchers believe that drinking coffee lowers the level of insulin, and with it decreases the Uric Acid levels. Drink another cup of java and help yourself avoid Gout!

The Internet Guide: Gout - http://gout.smartadsscrets.com The Internet Guide: Purines - http://gout.smartadssecrets.com/purines

Description

The uric acid blood test is performed on a sample of the patient's blood, withdrawn from a vein into a vacuum tube. The procedure, which is called a venipuncture, takes about five minutes. The urine test requires the patient to collect all urine voided over a 24-hour period, with the exception of the very first specimen. The patient keeps the specimen container on ice or in the refrigerator during the collection period.

All these symptoms might be a cause of an unhealthy diet or even the cause of too much alcohol drinking. Beside these factors that may lead to gout we also need to mention that gout may occur after a surgical intervention, after a sudden and severe illness or after chemotherapy. An injury to a joint might also lead to development of gout.

Increased production of uric acid may result from eating foods that are high in purine. Increased uric acid levels due to overproduction may also be caused by gout, by a genetic disorder of purine metabolism, or by metastatic cancer, destruction of red blood cells, leukemia, or cancer chemotherapy.

During one 12-year study, it was concluded that the risk for developing Gout was significantly increased in participants that drank at least six servings of sweetened carbonated soft drinks per week (these were non-diet sodas).

Urine test

Reference values for 24-hour urinary uric acid vary from laboratory to laboratory but are generally found within the following range: 250-750 mg/24 hours.

The laboratory should also be notified if the patient has had recent x-ray tests requiring contrast dyes. These chemicals increase uric acid levels in urine and decrease them in blood.

Sweetened Drinks Americans are drinking more sugary soft drinks than ever, but is there a coincidental rise in occurrence of Gout as well?



Normal results

Blood test

Reference values for blood uric acid vary from laboratory to laboratory but are generally found within the following range: Male: 2.1-8.5 mg/dL; female: 2.0-6.6 mg/dL. Values may be slightly higher in the elderly.

In addition to preventing Gout's acute attacks, the effects of good hydration helps keep joints lubricated, flushes Uric Acid out of the body and away from the poor great toe and other inflicted joints and prevents or helps kidney stones pass through if present. The kidneys cannot function optimally in a dehydrated state, nor does any system in the body.

Key Terms

Fanconi's syndrome
A rare disorder caused by vitamin D deficiency or exposure to heavy metals.
Gout
A metabolic disorder characterized by sudden recurring attacks of arthritis caused by deposits of crystals that build up in the joints due to abnormally high uric acid blood levels. In gout, uric acid may be overproduced, underexcreted, or both.
Hyperuricemia
Excessively high levels of uric acid in the blood, often producing gout.
Purine
A white crystalline substance that is one of the building blocks of DNA. Uric acid is produced when purine is broken down in the body.
Uric acid
A compound resulting from the body's breakdown of purine. It is normally present in human urine only in small amounts.
Uricosuria
Increased levels of uric acid in the urine.
Wilson's disease
A rare hereditary disease marked by the buildup of copper in the liver and brain, causing loss of kidney function.

Further Reading

For Your Information

    Books

  • Laboratory Test Handbook, edited by David S. Jacobs. Cleveland, OH: Lexi-Comp Inc., 1996.
  • Mosby's Diagnostic and Laboratory Test Reference, edited by Kathleen Deska Pagana and Timothy James Pagana. St. Louis: Mosby-Year Book, Inc., 1998.
  • Springhouse Corporation. Handbook of Diagnostic Tests, edited by Matthew Cahill. Springhouse, PA: Springhouse Corporation, 1995.

Bio



Beer carries the most risk, not only contains alcohol, which can cause dehydration, but it contains Purine as well. As discussed earlier, the higher amounts of Purine roaming in the body, the more Uric Acid will answer the call. And it is the Uric Acid crystals that cause the excruciating pain associated with Gout!

Abnormal results

The critical value for the blood test is a level of uric acid higher than 12 milligrams per deciliter (about 3.4 ounces).

Look closer at our every day consumption of liquids and their up close and personal relationship with Gout. Prevention of Gout is not that difficult. What you need is proper knowledge to treat Gout.

Decreased excretion of uric acid is seen in chronic kidney disease, low thyroid, toxemia of pregnancy, and alcoholism. Patients with gout excrete less than half the uric acid in their blood as other persons. Only 10-15% of the total cases of hyperuricemia, however, are caused by gout.

 
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Certain foods that are high in purine may increase the patient's levels of uric acid. These include kidneys, liver, sweetbreads, sardines, anchovies, and meat extracts.

If you wish to learn more about Steve or to request training or nutrition information, please check out his website: http://www.bodybuiltbyvictoria.com

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

Tip: Counter the ill effects of dehydrating liquids you consume, by drinking more water or decaffeinated teas and low sugar juices. Water is the key to good health. It is the cheapest medicine known to man. And it can take a commanding role to successfully treat Gout.

Definition

Uric acid tests are tests that are done to measure the levels of uric acid in blood serum or in urine.

Purpose



To be more sure of these facts, here are some useful gout information. First of all, gout is actually another from of arthritis. Crystals are formed in your joints. The main gout target are people whose bodies produce a bigger quantity of uric acid of do not eliminate as much of this acid as they should. So, as you can see, uric acid is the main culprit in a gout case. The most common area for a gout is the joint in your big toe , although all your other joints can be affected by a gout as well.

Steve Warshaw - Certified Personal Trainer and Nutritionist With over 15 years expereience developing training and nutrition programs for top level executives from companies such as Microsoft, Boeing, and Symetra Corp, Steve has established himself as a health and wellness expert.

Preparation

The uric acid test requires either a blood or urine sample. For the blood sample, the patient should be fasting (nothing to eat or drink) for at least eight hours before the test. The urine test for uric acid requires a 24-hour urine collection. The urine test does not require the patient to fast or cut down on fluids. Some laboratories encourage patients to drink plenty of fluids during the collection period.

Urine test

Patients should be checked for the following medications before the urine test: diuretics, aspirin, pyrazinamide (Tebrazid), phenylbutazone, probenecid (Benemid), and allopurinol (Lopurin). If the patient needs to continue taking these medications, the laboratory should be notified.

Learning what it takes to successfully cure or treat Gout is as important as knowing the root causes behind it. First you need to understand what causes Gout so that you can avoid Gout as well as treat Gout.

Read on... Water The most abundant home remedy to prevent Gout on the planet is at our fingertips. Water! There is no cheaper alternative to treat Gout. An individual seeking to prevent Gout or curing Gout it would be wise to drink as much as 96 ounces of water per day to maintain hydration and dilution of Uric Acid crystals in the bloodstream.

In conclusion, there is some truth in myths, but when it comes to gout, better believe the facts.

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 treatments and gout diet.

Risks

Risks for the blood test are minimal, but may include slight bleeding from the puncture site, a small bruise or swelling in the area, or fainting or feeling lightheaded.

In the beginning of the disease rare episodes are happening. In that phase episodes do not last a long period of time. More than that after an episode everything seems to be going back to normal and between episodes no symptoms occur. It is recommended for the disease to be treated with medication in order to prevent the more often occurrence of these episodes. If gout is not treated the episodes might last longer and might occur more often too. The repeating episodes might lead to a damage of the affected joints, causing limited mobility after any attack.

The cycle of Gout begins with the presence of a substance called Purine, which is formed during the normal decomposition of protein molecules in our cells. A by-product of Purine is a crystalline substance called Uric Acid.

But it goes further. Sugary fruits and juices such as apples and oranges appear to carry an increased risk of Gout as well. For the person trying to avoid Gout flare-ups, the ill effects of sweetened soft drinks proved to be worse than hard liquor and almost as negative as beer. Fructose appears to be the culprit, having been found to raise Uric Acid levels.

As I have said before, the main reason that causes a gout is uric acid in larger quantities than needed. This chemical breaks and builds up food and tissues. Now, you are maybe wondering what causes this uric acid excess. well, to break down the myth, here are some of the main causes: - an increased production of this acid can lead to a gout; - a poor elimination of this acid is also another cause that lead to gout; this poor elimination is cause by your kidneys; - and last eating foods that contain purine; So, as you can see, diet is not the main culprit of a gout, but as in any myth there is some truth, it is one of the causes.

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.

Abnormally low uric acid levels may indicate that the patient is taking allopurinol or probenecid for treatment of gout; may be pregnant; or suffers from Wilson's disease or Fanconi's syndrome.

Precautions

Blood test

Patients scheduled for a blood test for uric acid should be checked for the following medications: loop diuretics (Diamox, Bumex, Edecrin, or Lasix); ethambutol (Myambutol); vincristine (Oncovin); pyrazinamide (Tebrazid); thiazide diuretics (Naturetin, Hydrex, Diuril, Esidrix, HydroDiuril, Aquatensen, Renese, Diurese); aspirin (low doses); acetaminophen (Tylenol); ascorbic acid (vitamin C preparations); levodopa (Larodopa); or phenacetin. These drugs can affect test results.

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.

If you wish to learn more about Gout, Purines, or Uric Acid, check out Steve's s The Internet Guides. The Internet Guide: Uric Acid: http://gout.smartadssecrets.com/uric_acid

Uric acid is a waste product that results from the breakdown of purine, a nucleic acid. (Nucleic acids are the building blocks of DNA.) Uric acid is made in the liver and excreted by the kidneys. If the liver produces too much uric acid or the kidneys excrete too little, the patient will have too much uric acid in the blood. This condition is called hyperuricemia. Supersaturated uric acid in the urine (uricosuria) can crystallize to form kidney stones that may block the tubes that lead from the kidneys to the bladder (the ureters).

We expect that approximately two-thirds of the Uric Acid to be removed from the body through the kidneys and urinary system. Gout occurs when the Uric Acid is not metabolized properly enough to send it into the urinary system, so the blood levels reach higher proportions. Once there, the crystals may find a cozy joint (usually at the site of a big toe) to gather and collect and proceed to wreak havoc by means of intense, sudden pain and off-the-charts inflammation.

To treat and prevent Gout effectively, switch to water, low sugar juices or diet sodas and drink plenty of them.

Got beer? In order to prevent Gout, treat Gout or cure Gout, you already know the answer!

Betty Roberts is the author of Gout-Info.com, a website dedicated to Gout sufferers.


 
 
     
 
 





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