Gout - a rheumatic disease that usually affects one joint at a time. Most often it occurs in the big toes middle-aged men - swollen fingers, takes on a reddish hue, hurt. The pain of gout may be such that we have to make an effort even to just cross the room. In women, gout occurs - the ratio of patients with gout for men and women is about 10 to 1.
The cause of gout is the deposition of crystals of sodium urate (uric acid) in the joints. Uric acid is a byproduct of metabolism
Metabolism: The basis of life of all living things
. Normally, it is displayed together with urine, but patients with a predisposition to the development of gout it accumulates in the blood. Some of them uric acid concentration
Uric acid - a normal level?
Blood is so great that part of it is deposited on the joints and sometimes on the skin (in the latter case may occur, for example, yellow spots on the trestles ears).
There are two types of gout.
Primary gout, or hyperuricemia, is characterized by elevated levels of uric acid in the blood. Usually it is caused by inherited abnormalities in the body, resulting in that the nucleic acid is converted to uric. In this case, the body can not produce quickly enough uric acid even under normal conditions.
Typically, secondary gout causes any other disease or taking certain medications (e.g., diuretics or acetylsalicylic acid derivatives, including aspirin). This is produced in the body as uric acid that the kidneys can not cope with it.
Treatment of patients with gout, has two main objectives:
- Relief of symptoms
- Prevent future gout attacks
Relieving symptoms of gout
During an attack of gout need to rest as much as possible, raising the higher the affected limb and avoiding its accidental damage.
To relieve the symptoms, you can try to cool the affected joint, enclosing ice. Instead, you can use the ice pack frozen food or a towel soaked in cold water.
A cold compress should be kept at least twenty minutes. Prolonged skin contact with ice may be harmful to blood vessels.
To relieve the symptoms of gout is often recommended to take NSAIDs, such as diclofenac, indomethacin and naproxen. They effectively relieve pain and inflammation. Patients who have previously had gout, recommended to have these drugs in the home medicine cabinet in case of a new attack. They need to be taken throughout the attack and within forty-eight hours after its completion.
Nonsteroidal anti-inflammatory drugs should be avoided by people with reduced kidney function. Those who have digestive problems, stomach ulcers or internal bleeding can take them only under medical supervision.
If it is impossible or unwillingness of the patient to take nonsteroidal antiinflammatory drugs, or if they are ineffective in a particular case, you can use colchicine. It reduces inflammation by interacting with crystals of uric acid. Although colchicine is an effective remedy for gout, it is used less often because of the high likelihood of side effects such as nausea, vomiting and abdominal pain
Abdominal pain: Types and Symptoms
. If overdose kohitsin causes severe poisoning.
Medicines of this type are used to treat serious cases of gout, the symptoms are not amenable to the above medications. Corticosteroids produce prompt relief, but they are rarely used for prolonged treatment since they cause many side effects. Including:
- Weight Gain
- Fluid retention in the body
- Osteoporosis (bone thinning)
- Muscular weakness
- Thinning of the skin
Moreover, corticosteroids may cause deterioration of the symptoms of diabetes
Symptoms of diabetes - if you are thirsty