What is Gout?

Gout has been a feared condition for many years, especially among the elderly. Gout is a condition that causes severe joint pain and can lead to immobilization. It is important to learn more about it in order to manage it. We will discuss in detail what this condition is.

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WHAT IS GOUT DISEASE?

Gout is a type of arthritis, and is often a result of hyperuricemia (a dramatic rise in blood uric acid). When hyperuricemia is present, uric acid can be found in extremely high levels. This acid creates monosodium-urate crystals which accumulate in various parts of the body. The main site being the joints.

Gout disease can also lead to the accumulation of crystals in the bigtoe and to the formation of uric acid deposits called “gouty tophi”. There is also a risk of kidney stones. Gout can develop in three phases: acute gout attack (intercritical gout), chronic tophaceous and chronic tophaceous.

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SYMPTOMS OF GOUT

Gout disease causes significant discomfort in the joints, and joints throughout the body, particularly in the feet and legs. Gout disease can often manifest as severe pain at night. This can severely limit the patient’s ability for rest.

Redness in the affected joints is another important sign. Gout can be diagnosed by combining these two symptoms with hyperuricemia. If pain and redness do not suffice, the doctor should conduct a synovial fluid test.

The disease progresses to its chronic tophaceous stage over the years. Gouty tophi are nodules under the skin that cause pain and contain uric acids crystals. They can then start to appear in other parts of the body. Tophi can become uncontrollable if the disease isn’t treated correctly.

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GOUT TREATMENT

There are many ways that a physician can help with an acute case of gout. The physician will need to decide between non-steroidal antiinflammatory drugs, corticosteroids and colchicine depending on the patient’s health condition and criteria. This is especially important if the acute attack is just starting and has only been a few hours. The physician must prescribe medication for gout. An inappropriate choice could prove to be harmful for the elderly.

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After the first episode is over, it’s time to review your eating habits and adapt to the new situation. You should reduce the intake of alcohol and purines, as well as increase your water intake.

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