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Gouty Arthritis

Gouty arthritis can trigger a sudden attack of stiffness, burning discomfort and joint swelling. These sudden attacks can happen repeatedly unless gouty arthritis is treated. Ultimately, this condition may be harmful to your tendons, tissues and joints.

Gouty arthritis is caused by excessive uric acid within the blood. Individuals with high levels of uric acid within the blood don’t generally get gout but when the levels of uric acid gets too high, it might produce tough crystals within the joints.

People drinking an excessive amount of alcohol, who’re overweight or eat an excessive amount of fish and meat wealthy in purines are much more prone to obtaining gouty. Additionally, some medications like water pills can bring gout also.

A few of the typical signs of gout are sudden attacks of tenderness, redness, swelling and intense discomfort within the large toe. It’s also feasible to encounter attacks within the ankle, foot and knees. These attacks generally final for a couple of days or a number of weeks and an additional attack might occur following months or even years. It’s essential to see a physician even you’re no longer experiencing pains from gout simply because the uric acid buildup can nonetheless be harmful to the joints.

To be able to diagnose the condition, the physician asks questions concerning the symptoms and performs a physical examination. Additionally, the physician might take fluid samples from the joints to appear for crystals formed by uric acid. It’s also needed to do a blood test to be able to measure the uric acid quantity within the blood.

To quit the attack of gout, the physician can prescribe a big dose of one or much more medications in a every day basis. Effects of the medications generally begin inside twenty-four hours.

To lessen the discomfort of gout attack, it’s greatest to rest the joints. Taking anti-inflammatory medicine can assist ease the discomfort. Nevertheless, don’t take aspirin for it might worsen the gout as it might improve the level of uric acid within the blood.

To be able to stop gout attacks within the future, you will find prescribed medications to assist lessen the buildup of uric acid within the blood. Make certain to follow the doctor’s guidance to lower uric acid levels. Numerous individuals continue taking the medicine for the rest of their lives to encounter permanent effects.

It’s essential to pay attention to what kinds of food you eat to be able to manage the condition. Consuming moderate amounts of wholesome foods to control weight is important. Stop consuming an excessive amount of seafood, meat and alcohol. It’s also suggested to drink a great deal of water along with other fluids.

Resting the affected region for twenty-four hours can ease the discomfort caused by the attack. Additionally, you should control your weight and having a low-fat diet plan can assist. Nevertheless, stop fasting or diets which have extremely low calories simply because these diets have a tendency to improve the uric acid quantity produced by the body.

Within the past, gouty arthritis was believed to be due to an excessive amount of alcohol intake and consuming an excessive amount of wealthy foods. Although drinking alcohol and consuming particular foods can trigger gout attacks, these elements might not be the main causes of gout. The condition is really caused by an excessive production of uric acid within the blood.

Patient Guide to GOUT

Gout, a painful form of arthritis, has long been associated with diet, particularly overindulgence in meat, seafood and alcohol. As a result, gout treatment used to include severe dietary restrictions, which made the gout diet hard to stick to. Fortunately, newer medications to treat gout have reduced the need for a strict gout diet.

In many ways, the gout diet resembles the healthy eating plan recommended for most people. Besides helping you maintain a healthy weight and avoid several chronic diseases, this diet may contribute to better overall management of  your gout.

Gout occurs when high levels of uric acid in your blood cause crystals to form and accumulate around a joint. Your body produces uric acid when it breaks down purines. Purines occur naturally in your body, but you also get them from eating certain foods, such as organ meats, anchovies, herring, asparagus and mushrooms.

Purpose

A gout diet helps to control the production and elimination of uric acid, which may help prevent gout attacks or reduce their severity. The diet isn’t a treatment for gout, but may help you control your attacks. Obesity also is a risk factor for gout, so losing weight can help you lower your risk of attacks.

Diet details

A gout diet reduces your intake of foods that are high in purines, which helps control your body’s production of uric acid. If you’re overweight or obese, lose weight. However, avoid fasting and rapid weight loss because these can promote a gout attack. Drink plenty of fluids to help flush uric acid from your body. Also avoid high-protein diets, which can cause you to produce too much uric acid (hyperuricemia).

To follow the diet:

  • Limit meat, poultry and fish. Animal proteins are high in purine. Avoid or severely limit high-purine foods, such as organ meats, herring, anchovies and mackerel. Red meat (beef, pork and lamb), fatty fish and seafood (tuna, shrimp, lobster and scallops) are associated with increased risk of gout. Because all meat, poultry and fish contain purines, limit your intake to 4 to 6 ounces (113 to 170 grams) daily.
  • Eat more plant-based proteins. You can increase your protein by including more plant-based sources, such as beans and legumes. This switch will also help you cut down on saturated fats, which may indirectly contribute to obesity and gout.
  • Limit or avoid alcohol. Alcohol interferes with the elimination of uric acid from your body. Drinking beer, in particular, has been linked to gout attacks. If you’re having an attack, avoid alcohol. However, when you’re not having an attack, drinking one or two 5-ounce (148 milliliter) servings a day of wine is not likely to increase your risk.
  • Drink plenty of fluids, particularly water. Fluids can help remove uric acid from your body. Aim for eight to 16 8-ounce (237 milliliter) glasses a day.
  • Choose low-fat or fat-free dairy products. Some studies have shown that drinking skim or low-fat milk and eating foods made with them, such as yogurt, help reduce the risk of gout. Aim for adequate dairy intake of 16 to 24 fluid ounces (473 to 710 milliliters) daily.
  • Choose complex carbohydrates. Eat more whole grains and fruits and vegetables and fewer refined carbohydrates, such as white bread, cakes and candy.
  • Limit or avoid sugar. Too many sweets can leave you with no room for plant-based proteins and low-fat or fat-free dairy products — the foods you need to avoid gout. Sugary foods also tend to be high in calories, so they make it easier to eat more than you’re likely to burn off. Although there’s debate about whether sugar has a direct effect on uric acid levels, sweets are definitely linked to overweight and obesity.

There’s also some evidence that drinking four to six cups of coffee a day lowers gout risk in men.

Results

Following a gout diet can help you limit your body’s uric acid production and increase its elimination. It’s not likely to lower the uric acid concentration in your blood enough to treat your gout without medication, but it may help decrease the number of attacks and limit their severity. Following the gout diet and limiting your calories particularly if you also add in moderate daily exercise, such as brisk walking also can improve your overall health by helping you achieve and maintain a healthy weight.

Cure your GOUT pain today! Call us at +65 6471 2744 (24 Hours) / Email: info@boneclinic.com.sg

Patient Education for Gout

Gout is an arthritic condition that occurs primarily on the feet, although it certainly can manifest itself in other parts of the body. It affects about 3% of the population and is predominantly a male disorder with only 5% of the cases affecting females, generally post menopause.

This condition is associated with hyperuricemia which is an increased amount of uric acid crystals circulating through the blood, however, not all people with hyperuricemia experience gout attacks.

Unlike osteoarthritis or the “wear and tear” arthritis we all suffer, the symptoms of gouty arthritis are different in that it is manifested by an acute onset of severe pain, redness and swelling, many times for no apparent reason. Many patients will complain of a sudden onset of pain occurring early in the morning while asleep. The theory behind this is that when sleeping, the feet are elevated and there is a slight diminishment of blood to the feet which in turn decreases the temperature of the feet just enough for the uric acid to crystallize in the joint of the foot and create pain.

Other factors that may precipitate this attack include local trauma, including foot surgery, with an acute medical illness, or following a high purine (protein) diet or alcohol binge.

These attacks most commonly occur in the foot, primarily in the big toe joint. The next most common locations are the middle of the foot followed by the ankle joint. They can also occur at the attachment of tendons such as the Achilles tendon into the heel. It is possible to have these attacks in more than one area at the same time.

Diagnosis is generally on clinical appearance and the presenting history because it is not uncommon for a patient’s uric acid level to be normal during an attack. Colchicine is the drug of choice in acute attacks and is almost diagnostic for gout if the pain is alleviated by the drug. There are other drugs available, primarily the anti-inflammatory class of drugs, but it is important to note that they all do not work in gout. In fact, low doses of aspirin will actually worsen an attack. Consultation with your foot specialist is essential.

The pain generally lasts a few days, and then begins to diminish. The problem is when a person experiences multiple gout attacks over short periods of time. Aside from the pain of the attack, each attack does damage to the affected joint and a person can reach the point where there is so much damage from the repeated attacks, which the joint now becomes constantly painful and surgical intervention is usually necessary.

In those individuals experiencing repeated attacks of gout it is necessary to find out why. Generally speaking, it is usually from either the body overproducing too much uric acid or the kidneys excreting too little uric acid. In either event there is too much uric acid circulating throughout the body. Consultation with specialist is necessary to determine the cause. There is medication available to treat both causes.

Patients who are prone to gout attacks should modify their diets in regards to a low purine diet and should abstain from organ meats such as sweetbread, liver, kidney; anchovies, sardines; rich gravies and alcohol.

A simple gout treatment that has been mentioned in various sources is that of eating cherries or drinking cherry juice on a regular basis. This may diminish gout attacks. It is postulated that the anthrocyanins in cherries reduces the amount of uric acid circulating in the blood.

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Gout becoming more common

More people are being diagnosed with gout, a type of arthritis.  And researcher are blaming obesity.

Gout is a condition that causes microscopic crystals to accumulate in joints.  These crystals cause a dramatic inflammation that creates pain and swelling.  People who experience a gout flare often describe these episodes as some of the most severe pain they have ever experienced.

Recent data shows the number of people with gout is increasing, and obesity is likely to blame.  Gout crystals are formed as a byproduct of the breakdown of certain types of foods.  These same foods are often associated with poor diets that lead to obesity.

To manage your GOUT, call us at +65 6471 2744 / or SMS +65 9235 7641