Treating Gout

                

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Gout occurs in four stages; asymptomatic, acute, intercritical and chronic. The asymptomatic stages are marked by a rise in urate levels. The Acute stage is marked by a sudden attack of joint pain, swelling, and joins feeling hot and tender, or looking bruised and dusty. This stage only tends to last between five and ten days. The intercritical stage is marked by symptom-free intervals between episodes of gout. Finally, the chronic stage is marked by joints that are persistently painful because of large urate deposits settling on the cartilage, tendons and soft tissues. The skin over the deposits during this stage tends to develop sores releasing a white pus, and those suffering from gout usually experience stiffness of the joints and limited motion of the affected joint or joints.

There is currently no cure for gout, but through the right diet, lifestyle and medications, it is possible to relieve the symptoms and eradicate the risk of further episodes completely.

Proper diet entails avoiding or restricting foods that are high in purine, which is a substance that tends to produce uric acid as it breaks down. Foods that are high in purine include anchovies, sardines, liver, kidneys, sweetbreads, tripe, tongue, mussels, oysters, scallops, peas, beans, lentils and large amounts of red meat. Proper diet also entails drinking between ten and twelve eight-ounce glasses of fluid daily.

A healthy lifestyle entails reducing your consumption of alcohol, and losing weight.

Medicating is a little more difficult, and entails tailoring the treatment to each individual patient. Additionally, it may need to be altered over time. Non-steroidal anti-inflammatory drugs, called NSAIDs may be prescribed to relieve the pain and swelling associated with in acute attack. These medications include colchicines, corticosteroid drugs, and/or adrenocorticotropic hormones, also known as ACTH. In an attempt to prevent the occurrence of future attacks, a doctor may recommend colchicines, probenecids like Benemid, Parbenem or Probalan, or allopurinol.

Lowering risk factors entails a supervised weight-loss program involving exercise, avoiding a purine-rich diet, avoiding alcohol consumption especially in the case of binge drinking, and changing to another drug if currently taking diuretics for hypertension.

Self Care at Home for Gout entails taking all medications as they are prescribed, and staying off or elevating a joint that is hot and swollen. You may want to use a cane or another similar support in an attempt to keep your weight off the joint. If you keep the join elevated as much as possible above your chest, it will aid in letting the joint heal and make the pain lessen significantly.

Surgery is rarely needed for gout, unless the joint damage is significant and has occurred as a result of lack of effective treatment.

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