Gout disease

How gout is a disease?
"Disease of kings and king of diseases known as" gout disease, at least, is the subject of much research since the time of Hippocrates and is known to affect many people.
Gut, some joint pain, tenderness, redness, swelling and growing as a sudden increase in temperature, is a disease that presents with severe attacks. A joint is usually affected at a time and this joint is often as big toe joint. Knees, elbows and other joints like the wrist may also be affected. Attacks and the first attack usually occurs at a very fast during the night. It is the most painful in all types of rheumatism. Attacks may occur for the following reasons:
Too much alcohol intake
Very strict dieting and fastingMore of certain foods to be eatenReview operations (such as tooth extraction can cause even a simple attempt)Sudden, severe illness ofExtreme fatigue and worry for any reasonJoint trauma, injuryOf chemotherapyTaking diuretic drugs(Diuretics are used in high blood pressure, body fluid that provides breakthrough drugs)
Do not forget!If you are a patient and a small gout injury after trauma and healing of the joint if you expected much pain lasts longer, it might be an attack of gout.Disturb your body system which can initiate any incident gout attacks. The early findings of an acute attack of alert you, because the sooner treatment begins the more useful If.
What is the cause of gout?
Excess uric acid in our body is made up of gout. Uric acid in the blood of healthy persons as a result of various chemical processes is included as a degradation product. However, more stability of uric acid or excess production of uric acid, or less than the rate of kidney or in the body of the purines into uric acid taken in excess can be caused by certain foods. Meat, seafood and legumes are rich in purine. Alcoholic beverages also significantly increase uric acid levels. Gout is caused due to eating and drinking more than the view is not correct. Ingestion of certain foods or too much weight to be taken in patients with gout attacks may occur more frequently.
Review of the chemical processes in the body of uric acid problems may be inherited in families or as a complication of another disease can occur. This issue to the person of the mother-father, grandfather or grandmother-switches. But environmental factors may also play a role. In addition, each individual family will not see gout attacks.
Over time, uric acid in the blood leads to accumulation of excess around the joints. As a result, needle-like uric acid crystals in joints that creates conditions that can cause gout attacks. These crystals do not occur only in joints. Uric acid at the same time under the skin, ear and urinary tract as kidney stones in the tofüs as may be encountered. Tofüs small, white like a pimple.
What are the risks in the long term?
The first gout attacks do not cause permanent damage to joints and the joints will remain completely normal. In a joint gout attacks, but a continuous manner if exposed to it - this is very rare now as a result of the treatment - then add crystals of uric acid damage and may develop chronic arthritis. In mild cases the attacks are very rare, and attacks between the time periods measured in years, enters and does not develop any permanent damage.
Gout obesity, hypertension, hyperlipidemia and diabetes is closely associated with the disease. Left untreated, gout, kidney stones may occur.
How is the diagnosis of gout?
Various rheumatic diseases and treatment for gout attacks can mimic the disease was confined to the gout is crucial for the correct diagnosis. It is useful for diagnosis, medical history and physical examination.
Your doctor may want yapımasını of the following research:
Blood test. The amount of uric acid in the blood are measured. However, these results may be misleading. Because the amount of uric acid in gout patients with normal or even low levels can be in. But also in healthy people, especially in the high level of fat can be determined.Examination of synovial fluid. In joint synovial fluid can be captured by your doctor with a syringe and urate crystals under a microscope to investigate whether there is. If these crystals are detected, the diagnosis of gout is confirmed. This test is not typical, especially in gout is very useful starts. For example, rheumatoid arthritis, gout, such as sometimes it can mimic other rheumatic diseases.Direct radiographs of joints (radiograph) withdrawal. If your doctor or your joint radiography results are normal and usually helpful in diagnosis, but it happens.
Do not forget!Recurrent attacks of gout and arthritis, can cause damage to your joints. Modern treatment methods may prevent the development of arthritis.
How is gout treated?
DietDrugs: colchicine, corticosteroids, nonsteroidal anti-inflammatory drugs, probenecid, sülfinpirazonSurgery (very rare)Acute attacks of gout are treated with anti-inflammatory analgesic drugs. These drugs reduce pain and inflammation will decline. Short-term use of these drugs have to hand in gout is usually not cause significant side effects and are well tolerated. However, sometimes indigestion, stomach pain, nausea, rash, headache may develop. Asthma patients should also be careful when using this drug. Necessarily people who had previously ulcers should alert their doctor about it, so your doctor may lead to treatment is not harmful. Drugs, including aspirin and aspirin must be avoided during acute attacks.
Other drugs used in treatment of acute FMF attacks. Colchicine is very effective but often nausea, vomiting and diarrhea can lead to the development. The use of this drug by injecting görülümünü reduce these side effects. If you see fit to give your doctor colchicine, your pain until it developed side effects such as diarrhea or until it will offer two hours to take your medicine.
At the start of symptoms to get more drugs will be effective immediately. Therefore, your doctor will recommend medications, and attacks occurring at home to keep them until you get to see your doctor is helpful.
Your doctor's recommendations carefully and fully comply very quickly and successfully as gout attack can be brought under control. Toe protection is required, such as joint pain. Such as lattice structure, thus placing the joint of the foot of the blanket, blanket protection of such weight would be helpful.
Recommended for acute episodes of blood uric acid levels on the drugs had no effect. In other words, these drugs had new episodes to prevent the accumulation of uric acid in the joints or not. So if your attack tightens tofüs / or blood tests if kidney stones develop high levels of uric acid is found as, blood, your doctor may recommend medications to reduce uric acid levels. A decision to be taken in this direction, whether or not your attack requires you to take medication every day. Used as a preventative treatment for this purpose there are various medications. Examples of uric acid in the body that blocks the formation of allopurinol and probenecid may be given which allows renal excretion of uric acid. Depending on the amount of uric acid in your urine, it will choose between two types of drugs. With proper treatment, almost all cases of gout can be well under control.
Do not forget!Preventive treatment lasts a lifetime.You should get plenty of fluids.Development of preventive treatment if attacks are made, please make attacks treated separately.
DietIt was believed that much more important than the diet used, but there are effective treatments for patients with gout after what they want to eat a lot and started drinking. Cells in certain foods and uric acid concentration is greater because the cell destruction caused by the liver, kidneys, such as the consumption of offal is not appropriate. Protein containing food (particularly meat) should be eaten in moderation, these foods are consumed in certain amounts already not only for gout patients, are useful for everyone. If you have excess weight, you lose weight not only in lowering blood urate levels will be beneficial for your heart. However, strict dieting and fasting also can trigger attacks.
AlcoholTaking excessive amounts of alcoholic beverages is not the cause of gout, but it can trigger an attack. What to drink beverages, which should not be on the inside, there are many rumors, do not take them seriously. Patients with certain types of alcoholic beverages, but sometimes one has successfully claim that the attacks began. In this case, the patient is not recommended in those types of drinks.
SOME QUESTIONS and answers
Do women will get gout?
Mainly in terms of gout in men over age 40 are at risk, but the affection of all ages may apply. Very rarely, in older women after menopause may develop gout. Especially high blood pressure or heart disease can be recommended for the treatment of diuretic use in women can be seen. Storage of these drugs can cause uric acid in the body. Development of gout in young women is very rare and in this case requires special investigations.
Does gout causes severe joint disease?
In case of treatment can only be done. Attacks are acute in the beginning, the joint returns to normal status. However, the deposition of uric acid can lead to deformity and disability. Good side, this situation is preventable with proper treatment.
Is uric acid stored elsewhere joints?
Under the skin in other areas, for example, can be stored in the ears and hands on. In addition, the kidneys can be stored in our internal organs. Therefore, when evaluating a patient with gout kidney tests are needed to look at. For this, you may also need to give a urine sample.
Uric acid-lowering drugs can be harmful in the long term be?
These drugs are very reliable. Skin rash or heartburn because sometimes these drugs may need to be cut. But apart from that nothing can be taken continuously without side effects.
Uric acid crystals can cause joint disease types Is there any other?
A special type of calcium, such as uric acid crystals in the joints can be stored. Acute gout attacks may occur similar to, but in this case, rather than the knee joint is affected toe.
Gout prevalence varies from country to country?
Some races have high uric acid levels (for example, Pacific countries) are, of course, these people are more likely to gout. Rates of developing gout, even in the same country at different times may differ. For example, when the Second World War because of hunger and living conditions are very difficult period of the common representation in the European countries has decreased.