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 Gout - Arthritis   

 

 

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Gout - Arthritis 

Gout is a very painful and a disabilitating class of arthritis that has been around for hundreds of years. Symptoms usually consist of intense pain and swelling in single joints, usually the feet, especially the big toe. Treatment is available to control most cases  but diagnosis can be difficult. Treatment often has to be personalized for each person.

 

 

 

Gout - Arthritis

 

Gout is one of the most common forms of arthritis - an inflammation of a joint. Due to gravity, it usually affects the first meta-tarsophalangeal joint - your Big Toe. Intense pain can appear over night and you can have fully blown Gout, within 24 hours. Approximately 18% of people who develop gout, have some family history of this condition, and do have higher than average levels inherited from a parent.

Gout is caused by excess Uric Acid accumulating in the body, normal a waste product that a younger person might dispel quickly. The Uric Acid settles in the joint and crystals are deposited and formed there. Eventually these deposits can build up like a stalagmite. only much quicker, and put your bones all out of shape.

As in most ailments there are several factors why this might happen. Uric Acid production increases, due to diet. Gout attacks, once said to be a rich man's disease, may be increased by eating a high dietary intake of rich foods that contain Purine -  such as in shellfish, livers, kidneys, sweetbreads, tongue, cream sauces, red meat, sardines, scallops, peas. lentils, beans and drinking more than 2 - 3 units of alcohol a day.

 

 

The class of chemical compounds known as Purines, were first found in a waste product of metabolism, known as Uric Acid, which causes gout. Purine, coined by chemist Emil Fischer, in the 19th century, comes from the Latin PURUS - pure, clean and New Latin, URICUS  - being uric acid, from urine.

 

Some medications can also increase Uric Acid levels. Examples include low-dose aspirin, diuretics such as hydrochlorothiazide and immuno-suppressants, used in organ transplantations. Hydroxycarbamide, a drug used to reduce Blood Cells can cause Gout, and the patient is asked to take Allopurinol, which reduces the affect.

 

HYDROCHLOROTHIAZIDE is a diuretic. Diuretics increase the amount of urine passed, which causes the body to lose water and salt. Hydrochlorothiazide helps to treat high blood pressure (hypertension). It is not a cure. It also reduces the swelling and water retention caused by various medical conditions, such as heart, liver, or kidney disease. Generic hydrochlorothiazide capsules or tablets are available.

 

In time, further increase in Uric Acid levels affecting the blood, may lead to deposits of monosodium urate crystals, in and around the joints. These crystals attract white blood cells, leading to quite severe gout attacks. Uric Acid can also cause deposits in the urinary tract, causing kidney stones. Kidney ailments causing a lessening of the kidney's functions may increase Uric Acid.

 

The Gout

The Gout   by  James Gillray   -  1757-1815

Such was, is, the pain caused by this malady, this old drawing depicts what only a sufferer can feel.

****************************************************

 

Symptoms & Signs

Gout most always first develops in the joint of the first toe / the big toe, or the Hallux. Early signs may be just a small tickly twinge in or around the big toe. It may appear, but as has been said, be due to several factors, or a culmination of several factors. Patients often get it, but it soon regresses and does not actually return.

Common symptoms include the following:

  • Discomfort

  • Tingling

  • Higher sensitivity around the big toe

  • Pain

  • Inflammation

  • Redness

  • Stiffness

  • Swelling

All in all, unless diagnosed, it can only get worse if your life-style stays the same.

Touching or moving the toe may be intensely painful and it is said that having as much as a sheet over the toe increases the pain or sensitivity.

Symptoms of gout develop quickly, sometimes in less than a day, and typically occur in only one joint at a time. Rarely does Gout develop in two or three joints at the same time. If widespread symptoms occur, the condition is probably not gout, and further diagnosis must be sort.

The body actually wants to remove the Crystal forming Uric Acid, but can be hindered by your diet.

If left, and Gout goes untreated, for a long period of time, it can damage joints, and sometimes cause a permanent disability. History of some people not being treated, has shown some horrendous disfigurements.

 

Be aware of the presence of Gout, and be careful. Experts in the treatment of arthritis, rheumatologists evaluate patients to determine whether gout is the cause of their arthritis, educate them about the role of medications and other measures to treat gout, and act as a resource to primary care physicians.

 

Several kinds of arthritis can appear, at first to be Gout, so a proper diagnosis is crucial. Gout is generally suspected when a patient experiences a swelling of a joint, followed quickly by intermittent  intense pain. Initial attacks often occur at night, and will wake you up.

A correct diagnosis will depend on finding the characteristic crystals. The medical operative, will insert a needle into the affected joint and extract a clear fluid that lubricates the joint called, synovial; this will be examined under a microscope to determine whether monosodium urate crystals are present.

 

Synovial fluid is a thick, stringy fluid found in the cavities of joints. It has an egg-like consistency, in fact  synovial comes from the Latin for egg. Synovial fluid reduces friction between the articular cartilage and other tissues in joints to lubricate and cushion them during movement.

 

 

Crystals can also be found in deposits that occur under the skin, called Tophi, that occur in advanced gout. Elevated blood level of Uric Acid, sometimes referred to as Hyperuricemia, occurs when the liver produces more Uric Acid than the body can excrete in the urine, or when a diet is irregularly high in rich foods, so testing the blood can be misleading, as these may be temporarily normal, or even low during attacks. Uric Acid levels are also often elevated in people who do not have gout.

What you are about to see might be shocking. Tophus, (Tophi is plural) is not only unpleasant to look at but it represents very advanced cases of gout.

 

 

Tophaceous Gout is the most serious period of Gout and it is the clinical term for chronic gout that has gone unattended or ignored for an extended period of time.

 

Take the Tophi Stage very Seriously

Look at this picture. This stage will come about by the patient ignoring serious symptoms through fear or ignorance. The image is very scary and why you should take the Tophi Stage of Gout very seriously. The bad news is that if you have this, the Tophi stage can move you toward a fairly dangerous place.

The lumps you see are made of the same matter that kidney stones are made of, which explains a lot.

As you can see by the pictures below, if you let it go too long it can be quite unsightly, but even worse, it is encumbering and impeding, making your hands and feet useless.

A real problem is that Tophi is not principally painful so you may not really notice it because it comes on quite slowly.

 

Treatment

The treatment of gout can be complex, in some patients because of other medical conditions and other medications being used, that may actually be the cause, and not the rich man's diet. The aim of any diagnosis and treatment is to fundamentally decrease the amount of Uric Acid, which by and large will reduce or stop the symptoms of Gout. Preferably before the lumps have developed too far.

Treatments may involve non-steroidal anti-inflammatory preparations, or NSAIDS.

What common medicines are NSAIDs?

  • celecoxib (Celebrex).
  • piroxicam (Feldene).
  • indomethacin (Indocin).
  • meloxicam (Mobic Vivlodex).
  • ketoprofen (Orudis, Ketoprofen ER, Oruvail, Actron).

 

 

It would help to

  • Drink plenty of fluids, especially fresh clean water

  • Use ACV (apple cider vinegar) on or in your food

  • Use Lemon juice on or in your food

  • Use Ginger root

  • Take Celery seed extract

  • Eat Bromelain - Pineapples

  • Take Vitamin C

  • Exercise EVERY day

  • And make sure you lose your breath, and work sufficiently to feel an after burn

  • Watch your diet in general, a slim person is usually a healthier person

  • See a doctor at least once a year

 

 

Gout is a very painful and a disabilitating class of arthritis that has been around for hundreds of years. Symptoms usually consist of intense pain and swelling in single joints, usually the feet, especially the big toe. Treatment is available to control most cases  but diagnosis can be difficult. Treatment often has to be personalized for each person

Do NOT let Gout beat you, see your doctor..

 

Roy G Symonds BA [Law]

 

 

 

  Copyright 2000 - 2020                            Foogle.info not a Website - A Day Out  

 

  Foogle Business   

 Gout - Arthritis   

 

 

Modified:  09/25/20 09:14                        " LEARN  MORE,  BE MORE " 

 

 

 

 

 

 

 

 

Roy G Symonds BA [Law]