Friday, 18th May 2012

Gout

Gout is one of the most common forms of arthritis that is characterized by joint pain, swelling, redness, and stiffness.  It affects about 2.1 million Americans, and men between the ages of 40 to 50 are most likely to develop it.  Women may also get affected by gout but it doesn’t happen until after menopause. [1]

It occurs when there is too much build up of uric acid in the blood caused by too much intake of foods high in purines such as beans and liver, an over production of uric acid, or by your genetic disposition.  Usually, gout initially attacks the base of your big toe during night time.  Other joints such as the knees, ankles, wrists, fingers, and elbows can also get affected.

Gout causes painful recurrent attacks that may last for 2 to 4 hours.  The first attacks may come to a sudden stop after two weeks even without treatment, and then return in the same joint or in a different joint.  Over time, attacks may involve multiple joints and can occur more frequently.  If left untreated, gout can cause detrimental health problems such as kidney stones, joint damage, and kidney damage.

Fortunately, with proper treatment, gout can be completely controlled without causing health complications.  Treatments focus on reducing attacks, providing relief from pain and inflammation, preventing future attacks and other health complications.

Here are some tips on gout management:

  • Apply ice packs for about 20 to 30 minutes to decrease pain and inflammation.
  • Rest the affected joint.
  • Reduce intake of foods high in purines such as meat, seafood, and beans.
  • Avoid alcohol.  It is also high in purines and can increase production of urate.
  • Medications such as NSAIDs, colchicine, and corticosteroids are used for treatment of gout attacks.

References:

  1. http://www.arthritis.org/disease-center.php?disease_id=42&df=whos_at_risk