10/02/2017
C24/7 for GOUT!
Signs, Causes and Symptoms.
Share if you care to your LOVED ONES.
◘ Definition of GOUT:
Gout is characterized by sudden, severe attacks of pain, redness and tenderness in joints, often the joint at the base of the big toe.
Gout — a complex form of arthritis — can affect anyone. Men are more likely to get gout, but women become increasingly susceptible to gout after menopause.
An acute attack of gout can wake you up in the middle of the
night with the sensation that your big toe is on fire. The affected joint is hot, swollen and so tender that even the weight of the sheet on it may seem intolerable.
Fortunately, gout is treatable, and there are ways to reduce the risk that gout will recur.
◘ Symptoms:
The signs and symptoms of gout are almost always acute,
occurring suddenly — often at night — and without warning.
They include:
Intense joint pain. Gout usually affects the large joint of your big toe, but it can occur in your feet, ankles, knees, hands and wrists. The pain is likely to be most severe within the first 12 to 24 hours after it begins.
Lingering discomfort. After the most severe pain subsides, some joint discomfort may last from a few days to a few weeks. Later attacks are likely to last longer and affect more joints. Inflammation and redness. The affected joint or joints become swollen, tender and red.
◘ Causes:
Gout occurs when urate crystals accumulate in your joint,
causing the inflammation and intense pain of a gout attack.
Urate crystals can form when you have high levels of uric acid in your blood. Your body produces uric acid when it breaks down purines — substances that are found naturally in your body, as well as in certain foods, such as organ meats, anchovies, herring, asparagus and mushrooms.
Normally, uric acid dissolves in your blood and passes through your kidneys into your urine. But sometimes your body either produces too much uric acid or your kidneys excrete too little uric acid.
When this happens, uric acid can build up, forming
sharp, needle-like urate crystals in a joint or surrounding tissue that cause pain, inflammation and swelling.
◘ Risk Factors.
You're more likely to develop gout if you have high levels of uric acid in your body. Factors that increase the uric acid level in your body include:
○ Lifestyle factors. Choices you make in your everyday life may increase your risk of gout. Excessive alcohol use — generally more than two drinks a day for men and more than one for women — increases the risk of gout.
○ Medical conditions. Certain diseases and conditions make it more likely that you'll develop gout. These include untreated high blood pressure (hypertension) and chronic conditions such as diabetes, high levels of fat and cholesterol in the blood (hyperlipidemia), and narrowing of the arteries (arteriosclerosis).
○ Certain medications. The use of thiazide diuretics — commonly used to treat hypertension — and low-dose aspirin also can increase uric acid levels. So can the use of anti-rejection drugs prescribed for people who have undergone an organ transplant.
○ Family history of gout. If other members of your family have had gout, you're more likely to develop the disease.
○ Age and s*x. Gout occurs more often in men than it does in women, primarily because women tend to have lower uric acid levels than men do. After menopause, however, women's uric acid levels approach those of men. Men also are more likely to develop gout earlier — usually between the ages of 40 and 50 — whereas women generally develop signs and symptoms after menopause.
◘ Complications:
People with gout can develop more-severe conditions, such as:
○ Recurrent gout. Some people may never experience gout signs and symptoms again. But others may experience gout several times each year. Medications may help prevent gout attacks in people with recurrent gout.
○ Advanced gout. Untreated gout may cause deposits of urate crystals to form under the skin in nodules called tophi (TOE-fi).
Tophi can develop in several areas such as your fingers, hands, feet, elbows or Achilles tendons along the back of your ankle. Tophi usually aren't painful, but they can become swollen and tender during gout attacks.
○ Kidney stones. Urate crystals may collect in the urinary tract of people with gout, causing kidney stones. Medications can help reduce the risk of kidney stones.
◘ Prevention:
During symptom-free periods, these dietary guidelines may help protect against future gout attacks:
○Keep your fluid intake high. Aim for 8 to 16 cups (about 2 to 4 liters) of fluid each day, with at least half being water. Limit how many sweetened beverages you drink, especially those sweetened with high fructose corn syrup.
○ Limit or avoid alcohol. Talk with your doctor about whether any amount or type of alcohol is safe for you. Recent evidence suggests that beer may be particularly likely to increase the risk of gout symptoms, especially in men.
○ Eat a balanced diet following the Dietary Guidelines for
Americans. Your daily diet should emphasize fruits, vegetables, whole grains, and fat-free or low-fat milk products.
○ Get your protein from low-fat dairy products. Low-fat dairy products may actually have a protective effect against gout, so these are your best-bet protein sources.
○ Limit your intake of meat, fish and poultry. A small amount
may be tolerable, but pay close attention to what types — and how much — seem to cause problems for you.
○ Maintain a desirable body weight. Choose portions that allow you to maintain a healthy weight. Losing weight may decrease uric acid levels in your body. But avoid fasting or rapid weight loss, since doing so may temporarily raise uric acid levels.
◘ Alternative medicine:
If gout treatments aren't working as well as you'd hoped, you
may be interested in trying an alternative approach. Before trying such a treatment on your own, talk with your doctor — to weigh the benefits and risks and learn whether the treatment might interfere with your gout medication. Because there isn't a lot of research on alternative therapies for gout, however, in some cases the risks aren't known.
Certain foods have been studied for their potential to lower uric acid levels, including:
○ Coffee. Studies have found an association between coffee
drinking — both regular and decaffeinated coffee — and lower uric acid levels, though no study has demonstrated how or why coffee may have such an effect. The available evidence isn't enough to encourage noncoffee drinkers to start, but it may give researchers clues to new ways of treating gout in the future.
○ Vitamin C. Supplements containing vitamin C may reduce the levels of uric acid in your blood. However, vitamin C hasn't been studied as a treatment for gout. Don't assume that if a little vitamin C is good for you, then lots is better. Megadoses of vitamin C may increase your body's uric acid levels. Talk to your doctor about what a reasonable dose of vitamin C may be. And don't forget that you can increase your vitamin C intake by eating more fruits and vegetables, especially oranges.
○ Cherries. Cherries have been associated with lower levels of uric acid in studies, but it isn't clear if they have any effect on gout signs and symptoms. Eating more cherries and other dark- colored fruits, such as blackberries, blueberries, purple grapes and raspberries, may be a safe way to supplement your gout treatment, but discuss it with your doctor first.
Other complementary and alternative medicine treatments may help you cope until your gout pain subsides or your medications take effect. For instance, relaxation techniques, such as deep- breathing exercises and meditation, may help take your mind off your pain....
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