Gout (podagra) – type of arthritis caused by general metabolic disorders associated with the precipitation of uric acid salts in the body and their joints, under the skin and elsewhere. Gout most commonly affects joints around the big toe, but it also can affect another big, medium and small body joint.
In the most cases, gout gets men after 40 years of age, who are prone to be overweight. Women suffer from gout less than men. It also is unlikely to appear gout in young people as their metabolism is more active. Gout is often associated with other metabolic disorders – such as metabolic syndrome (which increases the chance of developing cardiovascular diseases and diabetes).
Uric acid works like a caffeine, in particular it is a brain stimulator. Unfortunately, its crystals start to settle in joints, kidneys and other organs.
- joint pain
Mostly, gout pain attacks during the night. They develop very rapidly, and already after few hours joint becomes red, is swelling and painful. This can happen in one or more joints, the most common foot thumb joint. Pain can be both sharp and burning, even a gentle touch to it can be unbearable. The mentioned pain can be in the combination with increased body temperature, vomiting and nausea.
Acute gout attack can last for 5-7 days, then it might be followed by periods of remission or peace, when the problems go away or reduce fully (especially after the first attack). There also can develop an inflammation of many joints, which leads to deformation of the joint. Attacks are becoming more frequent and longer.
Gout is a metabolic disease. It can be caused by different dietary habits, alcohol use, stress and other excesses:
- alcohol use (especially beer)
- increased level of uric acid in the body
- food rich in purine
- kidney disease
- a long-term use of few medicine
- other diseases
Particularly dangerous is the excessive use of meat (also smoked) and fat fish in the combination with a large amount of alcohol and stress.
How to manage gout
Gout can be considered a whole body disease. If you do have a suspicion about developing a gout, you should visit doctor as soon as possible. Furthermore, remember, that you must not heat an inflamed toe. For pain relief, you can use one of the non-steroidal painkillers and urgently need to go to the doctor.
Nowadays, gout is being successfully treated and in the most cases do not lead to severe complications, however, only if the patient goes to the doctor, and is not trying to treat himself. The treatment can succeed only if you are prepared to comply with special treatment, in the light of all the doctor’s recommendations, including a special diet. The treatment period is relatively long it can take from several months to several years, which means that it is very important to be patient.
Generally, the treatment includes the change in eating habits, you need to say “no” for food that contains a large amount of purine, such as meat, pilchards, beans, peas, lentils, spicy hard cheese, mushrooms, coffee, cocoa, chocolate.
At gout’s attacks may help anti-inflammatory and painkillers, only in severe cases, in addition to them can be used hormone preparations. After the goat attacks, patient has to use means, which help to excrete uric acid from the body.
The most important is to prevent the accumulation of salt crystals in kidneys and urinary tract, which can lead to the inflammation of the kidneys and can result in the first steps even to kidney failure. For gout’s treatment are used painkillers, non-steroidal anti-inflammatory medications, anti-inflammatory medications, medications, which remove excess uric acid from the body.