Gout – the most common type of arthritis, can become more severe as the attacks become more frequent:
Gout is caused by the build-up of uric acid crystals most often leading to painful inflammation in and around joints. Gout is the most common type of arthritis and usually starts by affecting only one joint, like the large joint at the base of the big toe, during the first few attacks. This can last a few days. The attacks can become more severe and chronic, commonly affecting the instep of a foot, ankle, knee wrist and elbow. It may even cause the joint to become deformed.
THE CAUSE
Your body produces uric acid when it breaks down substances found naturally in your body called purines. Uric acid normally dissolves in your blood and passes through your kidneys into your urine. Sometimes your body either produces too much uric acid or your kidneys excrete too little uric acid. Uric acid can then build up and form urate crystals in a joint or surrounding tissue, causing pain, inflammation and swelling.
SYMPTOMS
Gout usually begins with a sudden onset of pain, often at night. The pain becomes progressively more sever, usually over a few hours, and is often excruciating. Swelling, warmth, redness and exquisite tenderness may suggest infection. The overlaying skin may become tense, warm, shiny and red or purplish.
TREATMENT AND PREVENTION
Sufferers should limit their intake of alcoholic beverages and drinks sweetened with fruit sugar (fructose). Another culprit is the intake of foods high in purines, such as red meat, organ meats and seafood. Keeping your body at a healthy weight also reduces your risk of gout.
Treatment may include:
Anti-inflammatory medication to reduce swelling and pain
Chronic treatment with medication to prevent attacks by preventing inflammation caused by crystals.
Rest, immobilization with a splint and ice
Medication to lower uric acid levels and dissolve the crystals
Prevention is still better than cure and some foods should be avoided, but not all foods with purines should be eliminated. Drinking more water and eating complex carbohydrates are some of the dietary changes to consider as well.
The information provided is for educational purposes and does not replace the advice from your Doctor.
Annette Havenga – Happening News
Source: aspen PHARMACARE