How Do you know If you have Gout?
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Do you enjoy consuming red meat, beer, red wine, excessive amounts of alcohol, rich sauces, seafood, organ meats, anchovies, herring, asparagus, and/or mushrooms? If so, you may be at risk of getting a gout attack. What exactly is gout?
Gout, a kind of arthritis, is caused by a build-up of sharp, needle-shaped urate crystals in the joint. These crystals are responsible for the pain and inflammation connected with this condition. The increase in crystals is caused by raised uric acid levels in the bloodstream. The foods listed above are rich in purines, which are also naturally found in the body, and these purines are usually broken down to uric acid. Under normal circumstances, uric acid is excreted through the kidneys and urine. When the body produces a lot of uric acid, a person consumes an excessive amount of purines in their diet or the filtering system are not properly removing enough uric acid, there is an excessive amount of uric acid leading to a gout attack.
Symptoms Of Gout What Causes Gout Joint Pain Are Purines From Gout Diet Foods
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How Would You Know If You Have Gout?
Typical demonstration includes a person who wakes up in the middle of the night or in the morning with a sudden onset of a red, hot, swollen joint with no preceding injury or trauma. Gout most commonly affects the big toe joint in the feet. However, it can also affect other joints such as the midfoot, ankle, knee, elbow, hands and wrists. At first together with the first or second gout assault, the joint will appear normal on a standard X-ray. However over time with frequent gout episodes, the affected joint will have limited motion, a bony prominence and will appear as a damaged joint (arthritis) on an X-ray.
Who Reaches Risk?
Men have a higher rate of sustaining a gout attack but menopausal women are also vulnerable to this painful condition. Also those with uncontrolled high blood pressure, diabetes, increased cholesterol levels and heart disease are also susceptible to gout. Medications such as diuretics and also low-dose aspirin also increase uric acid levels. Finally, a purine-rich diet of the above mentioned foods and excessive alcohol consumption can lead to a gout attack. Therefore, reduction includes limiting purine consumption in the diet, limiting alcohol consumption, and being healthy and active.
How is It Treated?
You have the symptoms of a sudden onset of a red, hot, swollen joint, call your doctor right away. If you have the attack in the foot or even ankle, call your local podiatrist but if in additional important joints, you should call an individual primary care doctor, orthopedist or rheumatologist. In the event that left untreated, you could develop firm nodules known as tophi under the skin or kidney stones. Your doctor will take an X-ray of the joint, but as mentioned most likely the films will be normal especially with the first or second attack.
Blood Testing Regarding Uric Acid is Unreliable for Gout
Definitive proof of gout involves getting combined fluid and having it analyzed for the presence of the urate crystals. Treatment consists of non-steroidal anti-inflammatory drugs (NSAIDs), a cortisone injection, oral steroidal drugs, and/or a medication called colchicine. If you experience recurrent gout attacks, you may be prescribed Allopurinol or perhaps Probenicid - long-term medications purely to prevent future gout attacks.
Dr. Peter Wishnie is really a podiatrist who specializes in foot and ankle surgery. His office is in Piscataway/Hillsborough, NJ. His goals are in order to educate the public on the care of their feet and ankles and to get them functioning as quickly as possible. For further foot health tips on heel soreness, get a Free copy of their book, "You Do Not Have To Suffer With Back heel Pain," by visiting their website: http://www.stopfootpainfast .