Why and from what does gout occur?
What causes gout? This question interests many people. Gout occurs due to metabolic disorders. If the kidneys do not cope well with the output function, then large amounts of uric acid appear in the body. Uric acid crystallizes into small, sharp deposits, shaped like needles. The deposits are deposited most often in the joints of the feet and toes, but knees, elbows and so on can suffer. This process is accompanied by inflammation and severe pain. If a person does not start treatment on time, cartilage and even bones begin to degenerate.
According to statistics, 3 people out of 1000 are sick with gout, and in most cases men. Gout attacks can occur due to overeating and drinking alcohol, they are manifested by strong and sharp pain, a feeling of heat and redness in the area of the affected joint. Seizures often appear at night. If the disease is not treated, then the attacks are exacerbated and become more prolonged, which leads to dehydration of new joints and damage to the urinary system and kidneys.
Causes of gout
As mentioned above, gout can occur due to accumulated urine in the body. This accumulation is carried out in several ways: the kidneys do not excrete amounts of uric acid produced in normal amounts from the body, or the body produces too much uric acid, and the kidneys are unable to remove it. In the second case, metabolic defects are detected in the patients, for example, the body lacks an enzyme that reduces the volume of uric acid. The disease that develops against this background is called secondary gout.
- Gouty nephropathy is chronic. It shows urolithiasis. In 23-42% of patients with people can appear: hypertension, proteinuria and nephrosclerosis. Gouty nephropathy increases the possibility of the formation of an atherosclerotic vascular disease and arterial hypertension in a person.
- Recurrent arthritis and interictal gout. Attacks of acute gouty arthritis can occur at any time. In 60% of patients who do not take treatment, within 1 year there is a repeated attack. Each attack becomes heavier and more painful and affects healthy joints. In 7% of patients, recurrence of arthritis is not observed within 10 years.
- Chronic tofusnaya gout. This type is typical for the formation of tofusov( accumulation of salts of uric acid in tissues), the formation of urolithiasis, chronic arthritis and kidney disease. If you do not take medication, then tofus are formed in 51% of patients. They affect intradermally or subcutaneously the fingers of the hands, feet and joints of the knees, are formed in internal organs, in the shells of the ears and on the elbows.
Symptoms of gout
Most often gout occurs on small joints near the base of the big toe. Also, the disease can be detected on the knees, fingers, hands and other parts of the body. An acute attack is characterized by the onset of instant pain, then by the influx of heat and the appearance of swelling and redness. Painful sensations can be so strong that it is impossible to even touch a sick joint. A gout attack can last several weeks. Uric acid crystals can accumulate in the bursa( small sacs around the joint).These urate crystals provoke inflammation of the bursa, which causes swelling and pain. Sometimes gout leads to chronic joint inflammation, which is similar to rheumatoid arthritis.
Methods of treating gout
Treatment of the disease begins with an arrest of an attack. Often, treatment begins in the late stages of the development of the disease, when a burning, severe pain appears in the joints of the legs. That's why the same drugs are used as with joint diseases, arthrosis or arthritis. Corticosteroid and non-steroidal anti-inflammatory drugs are also used. In the period of exacerbation with drug treatment, colchicine is used. This drug reduces the duration of the active period to several days. After the patient has successfully removed acute manifestations of gout, he is given the main therapy. It is prescribed regardless of which organ is susceptible to gout. It is important to direct the treatment to the body as a whole. The main therapy includes 2 groups of drugs:
- uricosuric medicines.
These types of drugs reduce the amount of uric acid in the blood. Of all uricodepressants, allopurinol is most often used for treatment. Like all depressants, this drug stops the formation of acid. Allopurinol is used once a day for 300 mg after meals. When diagnosing a disease, a doctor can increase the dose of the medicine.
Urikozuric drugs increase urate clearance in the body( especially in the kidneys).This is necessary, because not only the legs but also the kidneys suffer from gout. Because of what can be formed gouty nephropathy, which can lead to death. If the patient has symptoms of nephropathy, then he absolutely should not use drugs that increase the effect of uric acid on kidney tissue.
The person is favorably influenced by visits to sanatoria, where the patient is engaged in physical therapy, attends useful procedures and uses mineral water. Mineral water is an auxiliary treatment. In a day, patients need to drink at least 2.5 liters of water. For people suffering from gout, resorts with alkaline water are better suited.
Diet for gout
Gout develops intensively with excessive use of meat dishes, alcohol and overeating .During an exacerbation from a diet it is necessary to exclude fish, meat and regularly arrange unloading days. It is useful to sit on dairy and vegetable diets, as they purify urine and improve the solubility of uric acid. If there is no exacerbation, then meat and fish can be eaten, but only in a boiled form, as when cooking purine substances disappear.
Everything should be a measure, you can not long to starve and overeat. Because of starvation, gout can also worsen, as the volume of uric acid sharply increases in the body. Carefully watch the weight, you can not get better or lose weight. You can not drink alcohol, you can eat compotes and mineral water. Very simple drinking water is very useful, as it prevents the formation of kidney stones. In a day you need to drink at least 5 glasses of liquid. During an exacerbation, you must reduce the intake of table salt.
Treatment of gout with medicines - types and properties of
preparations Gout is characterized as a chronic pathology that affects joints of the musculoskeletal system. As is known, diseases with chronic course are difficult to treat. Therefore, with gouty arthritis, the patient is treated with complex therapy, aimed primarily at reducing the severity of the underlying symptoms and suppressing seizures.
Treatment of gout with medicines occurs in several stages. Initially, measures are taken to stop the attack, to remove the acute period of the disease. Only after this go to the basic therapy, the main task of which is to eliminate the causes that provoke exacerbations of pathology and contribute to its development. So, how is the treatment of gout medications and what pharmacological agents are used for this disease?
The main drugs for exacerbation of gout are the drugs of the NSAID group and corticosteroids. These drugs successfully cope with the inflammatory process, which inevitably occurs with joint damage and complicates the patient's condition. In addition, non-steroidal anti-inflammatory drugs and corticosteroids have moderately strong analgesic properties, which is also important in periods of gout attacks. In addition, patients are prescribed analgesics for the elimination of severe pain syndrome, which can not be removed with anti-inflammatory drugs.
After suppressing the exacerbation of the disease, the main treatment is applied, which lasts for several months. In this case, some drugs are attributed for systematic use, that is, with the diagnosis of "gout" they need to be taken constantly. What is the course of therapy for gouty arthritis?
Treatment with colchicine
One of the widely used drugs for gout is Colchicine, which is highly effective due to the effect on the main cause of the development of the disease - an increase in the level of uric acid. Colchicine is considered to be the most effective agent that can reduce the frequency of gout attacks.
The drug is prescribed in small doses - 1 mg per day. It is not addictive, its effectiveness does not decrease with regular and long-term use, and due to the plant-based colchicine, there are no side reactions from the gastrointestinal tract. Experts recommend that in systematic treatment with colchicine periodically undergo examinations to determine the adverse effect of the drug on the circulatory system. Studies have shown that in some patients, such gout therapy causes anemia and leukopenia.
This group of drugs is used to reduce uricemia in gouty joints and normalize the concentration of uric acid in the blood. In this way, it is possible to prevent the development and complications of the disease, thereby improving the patient's condition.
Hypo-uricemics are divided into two groups:
- Urikozuric drugs, whose active substances, promote activation of the processes of excretion of excess acid through excreted urine.
- Inhibitors of uricosynthesis, which reduce the production of uric acid in the body.
What is the difference between these drugs and how do they affect the course of gout?
GOU VPO TVERSKAYA GMA ROSZDRAVA
Department of Faculty Therapy
Head of the department is Professor V.V.Chernin
Supervisor: Professor of the Department Julia GS
PURPOSE OF THE SESSION: As a result of studying the topic, the student must learn to diagnose gout with the indication of a specific form, outline a survey plan, make differential diagnosis and choose the tactics of treating the patient with this disease.
As a result of mastering the topic, the student must know :
Metabolism of uric acid in the body;
Epidemiology of gout;
Methods of laboratory and instrumental gout diagnostics;
Differential diagnostic criteria for gout.
Based on the data received, must be able to :
Collect complaints and anamnesis in patients with gout;
Conduct a clinical examination of the patient;
Interpret the results of additional survey methods;
To diagnose a patient with gout;
Carry out a differential diagnosis with other diseases;
Give advice on the prevention of disease.
BASIC TERMS: gout, uric acid, uric acid metabolism, uric acid clearance, sodium urate, hyperuratemia, hyperuria, acute arthritis attack, visceral gout, gouty nephropathy, tofusi, gouty condition, uricosuricas, uricostatics, basic gout therapy.
INFORMATION ON THEME
Gout is a disease that is based on a violation of purine metabolism with excessive deposition of uric acid salts in the tissues, which leads to the defeat of joints, kidneys and other internal organs.
Prevalence of gout is 0.1%( in the US - 1.5%).Among rheumatic diseases, it accounts for up to 5%.Mostly men are sick at the age of 35-60 years. Gout in women in the general group of patients is 2-3%, develops after the onset of menopause and proceeds relatively easily, less often in childbearing age it is hard with joint and kidney damage.
Classification of goutOn the etiology: 1.1.Primary.1.2.The secondary
According to the pathogenesis: 2.1.Metabolic.2.2.Renal.2.3.Mixed.
Periods of development: 3.1.Premorbid.3.2.Intermittent.3.3.Chronic gout.
Current: 4.1.Lung.4.2 The average gravity.4.3.Heavy.
Primary gout( idiopathic, essential) is an independent disease. Characterized as a hereditary and familial anomaly of purine metabolism, determined by several genes.
Secondary gout is a manifestation of other diseases( myeloleukemia, psoriasis, chronic renal failure, hemoglobinopathies, congenital heart disease with erythrocytosis) or consequence of the use of medications( riboxin, cytostatics, saluretics).
In the metabolic type, the synthesis of uric acid predominates. It occurs in 60% of patients.
In renal type( 10% of patients) uric acid excretion is decreased.
Mixed type( 30% of patients) moderately increased the synthesis of uric acid and decreased its excretion by the kidneys.
Urinary acid exchange
In humans, uric acid is the final product of cleavage of purines. Stocks of uric acid in the body are in the norm 1000 mg at a refresh rate of 650 mg / day. The source of uric acid formation are purine compounds that come with food or are formed in the body during the exchange of nucleotides. Urinary acid is secreted mainly by the kidneys. Therefore, it is important to know its clearance - the amount of blood that can be cleared in the kidneys from excess uric acid. In plasma, uric acid is contained in the form of free urate sodium.
In healthy people, the uric acid clearance is 6-9 ml / min, the daily uraturia is 1.8-3.6 mMol( 300-600 mg).Normal indicators of uric acid blood: for men 0,3-0,42 mMol / l, for women 0,24-0,36 mMol / l.
The level of uric acid above the norm is regarded as hyperuricemia. For a long time, hyperuricemia may be asymptomatic and only a few years later the clinical picture of gout develops.
There are 3 types of hyperuricemia similar to types of gout:
metabolic - high uraturia and normal uric acid clearance;
renal - low uraturia and uric acid clearance;
mixed - normal or decreased ura- tria and normal uric acid clearance.
Etiology of gout
Primary gout often reveals genetically determined defects in enzymes involved in the metabolism of purines: a decrease in the activity of hypoxanthine-guanine phosphoribosyltransferase( GGFRT) and adenine phosphoribosyl pyrophosphate synthetase, which leads to an increase in the synthesis of uric acid. With a genetic defect, there are also disorders from the enzyme systems of the kidneys, where excretion of uric acid takes place. The deficiency or absence of most enzymes with gout is associated with sex and is mainly found in men.
The development of gout is facilitated by:
excessive food( prolonged overeating, monotonous meat food);
consumption of alcoholic beverages( especially beer, dry grape wines);
is a sedentary lifestyle;
The most common cause of secondary gout is kidney disease with kidney failure, blood diseases accompanied by cell decay and hyperuricemia, extensive psoriasis due to the renewal of the epidermal cells and the formation of purines from the cell nuclei, the taking of certain medications.
The pathogenesis of gout
At the heart of the disease is a violation of the metabolism of uric acid. There are 3 phases of pathogenesis:
hyperuricemia and urate accumulation in the body;
deposition of urate in tissues;
acute gouty inflammation.
Due to the increased biosynthesis of urates and a decrease in urinary excretion, hyperuricemia and accumulation of urate in the body occur. This leads to increased excretion of uric acid by the kidneys and the deposition of urates in the tissues. The deposition in the articular cavity of urate microcrystals induces acute gouty inflammation by activation of Hageman factor, the components of the compliment, kinins. Increases vascular permeability, the influx of neutrophils. Phagocytosis of the crystals is accompanied by the release of lysosomal enzymes, resulting in the development of local inflammation. The urate crystals are also deposited in the interstitium of the kidneys, which leads to the development of gouty nephropathy.
The clinical picture of gout
In the the premorbid period of develops gout and there is only hyperuricemia that proceeds asymptomatically. In , the intermittent period of results in the alternation of acute attacks of arthritis with asymptomatic interstitial gaps. To chronic gout is characterized by tofus, chronic gouty arthritis, extraarticular manifestations of gout.
The onset of the disease has 7 options:
A typical acute attack( classic).
Subacute form is characterized by minor pain and mild exudative phenomena.
Rheumatoid-like variant with primary lesion of small joints of wrist, wrist joint or mono-oligoarthritis in protracted flow.
Pseudophlhematose form is manifested by monoarthritis with pronounced inflammatory phenomena in the joint and surrounding tissues with high body temperature, chills, leukocytosis, increased ESR.The clinic is similar to phlegmon or acute infectious arthritis.
Gout with volatile pain can debut as a migrating polyarthritis with rapid reverse development of inflammatory phenomena, which resembles an infectious allergic polyarthritis.
Malosymptomna form( asthenic) occurs with an erased clinic and subacute flow( a small pain without swelling, occasionally mild hyperemia).
Periartritic form with localization of the process in tendons and bursa in intact joints.
The first clinical manifestation of gout is the attack of acute arthritis , developing suddenly, amid overall health. Sometimes prodromal phenomena can occur for 1-2 days: general malaise, chills, unpleasant sensations in the joint, indigestion, insomnia. Provoking factors of an acute attack of gout are often a violation of diet( overeating, alcohol abuse), trauma and microtrauma( long walking, narrow shoes), mental and physical stress, hypothermia, infection( flu, sore throat), changing weather, taking diuretics or other medications, increasing the content of uric acid.
The classic clinical picture of an acute gouty attack is very typical. Suddenly, usually at night, there are very severe pains, most often in the metatarsophalangeal joint of the big toe, less often in the joints of the arch of the foot, ankle, knee joint, very rarely in the wrist, elbow, joints of the hand, spine. Hip joints are always intact. The affected joint swells noticeably, becomes hot, with bright skin flushing( dark red or bluish-purple).These phenomena reach a maximum within a few hours, accompanied by fever, chills, leukocytosis, increased ESR.Excruciating pains intensify at the slightest contact of the diseased joint with the blanket, causing complete immobility of the limb. After 5-6 days, signs of inflammation gradually subside, and in the next 5-10 days, the function of the joint is fully restored, blood changes are normalized. The patient feels completely healthy.
Subsequently, acute attacks are repeated with typical symptoms with no symptoms of arthritis between the attacks. As the disease progresses, interictal periods decrease, the duration of exacerbations increases. Monoarticular damage, characteristic of the first years of the disease, is replaced by the phenomena of migrating polyarthritis.
After 3-5 years of the presence of the disease, nodules specific for gout( tofusi ) appear, representing urate deposits surrounded by connective tissue. They are mainly localized on the auricles, elbows, feet, fingers of the hands, in the calcaneal tendon, in the bags of the elbow joints, on the extensor surface of the forearms, hips, shins, on the forehead, in the region of the cartilaginous septum of the nose. Nodules have various sizes, painless and often unnoticeable to the patient. Sometimes tofusi soften, spontaneously open with the formation of fistulas, through which a whitish mass( microscopically consisting of sodium uric acid crystals) is released. Fistulas rarely become infected, which is due to the bactericidal action of the contents. Tofusi are an indicator of the duration and severity of the disturbance of uric acid metabolism.
Sustained changes in joints, chronic polyarthritis, , joint defogging, limitation of mobility, deformation due to nodular deposits, bony proliferation, subluxation of fingers, contractures, rough crunch are gradually increasing. Ankylosis develops extremely rarely. Such patients move with difficulty, their ability to work is reduced or lost.
Against the background of chronic gouty arthritis, acute attacks of gout continue to occur. The most severe form of their gouty status is - a continuous exacerbation of arthritis with a chronic inflammatory reaction of surrounding tissues caused by massive urate infiltration.
In the clinical picture of gout there is a lesion of other organs and systems - visceral gout. The kidneys are most often affected, the risk of affecting the heart, vessels with the development of arterial hypertension and coronary insufficiency is significant. Gout contributes to the formation of atherosclerosis, obesity, diabetes, as well as thrombosis, phlebitis, conjunctivitis, elimination gastritis, pharyngitis, etc.
Involvement in the kidney process is frequent and prognostically serious. At the heart of their defeat lies the deposition of urates in the interstitial tissue. The deposits are focal in nature, located in the interstitial tissue, the lumen of the tubules. An inflammatory reaction develops around them. There is a thickening of the walls of capillary capillaries, cell proliferation, sclerosis of glomeruli, hyaline deposits. "Gouty kidney" or gouty nephropathy is a collective concept that includes the entire kidney pathology in gout: tophus in the parenchyma of the kidney, urate stones, interstitial nephritis, glomerulosclerosis, angiosclerosis with the development of nephrosclerosis, chronic renal failure.
Gouty nephropathy is manifested by proteinuria, cylindruria, leukocyturia, attacks of renal colic, microhematuria, isostenuria, arterial hypertension. It should be remembered that gouty interstitial nephritis is more often asymptomatic, progresses slowly, is later diagnosed. An early manifestation of renal failure is a decrease in the specific density of urine.
Variants of gout current
Light, when attacks of arthritis are repeated only 1-2 times a year and capture no more than two joints, there are no signs of joint destruction on the roentgenogram, there is no kidney damage, no tofus or there are individual and small ones.
Medium-sized with a frequency of seizures 3-5 times a year, a lesion of 2-4 joints, moderately expressed osteoarticular destruction, multiple small tofusias and the presence of nephrolithiasis.
Heavy with a frequency of seizures more than 5 per year, multiple joint lesions, with severe bone-joint destruction, multiple bone tofusias and the presence of severe nephropathy.
Diagnostic criteria for gout
Presence of characteristic crystalline urates in articular fluid and / or
Presence of tofuses( proved) containing crystalline urates, confirmed by chemical or polarization microscopy, and / or
. Presence of 6 of 12 presented features:
More than one acute attack of arthritis in the history of
Maximum inflammation of the joint already in the first day
Monoarticular nature of arthritis
Hyperemia of the skin over the affected joint
Swelling or pain localized in the Iplusne-phalangeal joint
Unilateral lesion of the joints of the foot
Gout -causes, symptoms and folk remedies for gout. Video
Gout is a metabolic disease in which deposits of uric acid salts( urates) occur in the joints. Also, gout is called "the disease of kings", this is an ancient disease, known since the time of Hippocrates. Currently, gout is a rare disease that affects three people out of a thousand. And often she is exposed to a man older than 40 years, in women, she often appears after menopause. Gout is one of the types of joint disease, the cause of which is the deposition of salts.
All the joints suffer from gout, from the fingers of the fingers to the toes.
It has been known since the time of Hippocrates and is called "the disease of kings" because its main source of its appearance consists in excess in alcoholic beverages and food. Often gout is chronic.
Causes of gout
The cause of gout is a persistent and elevated level in the blood of uric acid. During the course of the disease, urate crystals are deposited in organs, joints and other body systems. Sodium urate crystallizes and is deposited in the joints by small particles, which in the end results in complete or partial destruction of the joints. For this reason, such situations are called microcrystalline.
Large amount of uric acid in the body is for 2 reasons: the first - when healthy kidneys can not cope with the withdrawal of a large amount of uric acid, the second - the release of uric acid in a normal amount, but the kidney can not remove it.
Every year, more and more people become gout sufferers. This phenomenon is explained by the fact that people have recently taken food that is rich in purines( for example, fatty fish, meat) and a large amount of alcoholic products. This is confirmed by the fact that the percentage of people suffering from gout during wars decreased sharply due to the fact that alcohol and meat products are difficult to obtain.
Symptoms of gout
Gout is characterized by a common attack of gouty arthritis - this is usually inflammation of the joint, often a joint of the big toe, ankle or knee. Typically, a gout attack occurs at night or early in the morning, it manifests itself strongly pressing the sudden pain in the joints, swelling of the affected joint, increased temperature in the joints, redness and shiny skin. The pain in the daytime is slightly less, but by the night they again intensify, the duration of the attack of gout lasts from 2-3 days to a week, it takes longer. When the attack recurs, other joints are involved in this inflammation, which can lead to partial destruction of the joints.
Gout is manifested by such signs: on the legs or hands appear peculiar growths, the level of uric acid significantly increases. When the growths( tophi) begin to burst, a person can notice whitish crystals of uric acid. Perhaps the appearance of quite intense pain in the affected areas. Similar salt deposits in the joints interfere with the full life.
Possible complications of
The main and most severe complication of gout is the occurrence of gouty nodes( gouty arthritis), also in the occurrence of urolithiasis, in which the formed stones consist of crystallized uric acid or urate.
Tofuses( gouty nodes) are conglomerates of sodium urate crystals, capable of depositing in all parts of the body. And when these deposits get stuck in the periarticular tissues and joints, an immune response arises, because these deposits perceive the body as a foreign body, which causes leukocytes to accumulate and a strong inflammation called gouty arthritis occurs.
Special attention should be paid to the fact that gout-stones in the kidneys can cause kidney failure and, as a result, lead to death.
Pain in gout
The onset of gout is indicated by the appearance of sudden joint pains. They are accompanied by severe redness, heat and swelling. Can not only burn affected areas, but also the nearest areas of the body. It is possible to increase the body temperature to 39-40 degrees. In many cases, signs develop within an hour. Often the big toe begins to suffer from this. Simple painkillers, such as aspirin, do not help.
As a rule, pain begins at night and becomes almost unbearable. In the afternoon, there are often some improvements, pains recede, but one should not think that everything has passed. From such symptoms, patients may suffer a week.
Gout in men on legs
Gout is a chronic illness. His complete cure is almost impossible. This ailment often manifests itself on the legs. After the onset of the disease, the symptoms may recur after 6 months or a year. The transition of the disease into a dormant state is possible, but it will undoubtedly remind us of itself. The time between attacks will decrease with time. Gout is increasingly coming back.
Damaged patches on the legs are often destroyed more and more, the disease can affect neighboring joints. With a long illness over time on the affected areas may occur peculiar hillocks, called tofusi or gouty nodes.
This is due to the fact that the body perceives large salt deposits in the joints of the legs as a foreign body, immunity inevitably reacts - leukocytes accumulate, then there is a strong inflammation. Tofusy sometimes burst and emit whitish dust - crystals of uric acid.
Very often the development of gout occurs in old age. In men, it happens more often at an earlier age. Men are already suffering from this disease by the age of 40. It is worth noting that women suffer from gout near the age of 55, mainly after menopause, when the body rapidly decreases the amount of estrogen, female hormones. Young guys and children are almost not exposed to gout. There are rare exceptions to hereditary metabolic disorders of uric acid.
The role of uric acid in the development of gout
This disease severely impairs metabolism. Purines enter the human body with food, but they are also produced by it. Then, the purines are split into uric acid secreted by the kidneys. In people suffering from gout, the content of this uric acid is much higher than normal. Excess amount of uric acid is deposited in tissues with no blood supply. There, crystals can easily be fixed.
Tendons, cartilages and joints are more susceptible to this. As a result of this disease, kidneys also suffer. Often with gout, there is a development of urolithiasis, with less probability the patient may suffer from renal colic.
This happens for 2 reasons. The first - when producing a large amount of uric acid, when the kidneys can not cope with the output volume, it begins to be deposited in the body. The second is the normal amount of uric acid, but the kidneys are not able to remove it.
But the high content of uric acid in the body is not the only reason for the development of gout. Here a decisive role is assigned to some other factors: fatty food, a sedentary lifestyle, excessive diet, overweight and hereditary predisposition.
Actions for an acute attack of gout
Even following the recommendations, an acute attack does not pass in an instant. However, this allows you to significantly reduce the time during which the disease affects a person. The main thing to observe a strict bed rest. It is better to keep the diseased limbs in an elevated position, for example, to lay a pillow under them.
With unbearable pain, ice can be applied. After this, it is desirable to compress on painful sites with dimexide ointment or Vishnevsky. It is better to be very limited in eating, perhaps using vegetable broths and liquid cereals. However, you need to drink more, preferably substances that are enriched with alkali, for example, jelly, mineral water, oats, milk or plain water with lemon juice. Drink should be at least three liters per day.
No painkillers will help. You can take modern anti-inflammatory drugs that do not contain steroids. When taking any prophylactic drugs prescribed by a doctor, then use should continue.
Preventing exacerbations of gout
Gout often occurs in areas where the joint has been injured. Therefore, such places should be treated very carefully. You do not need to wear uncomfortable and narrow shoes, because it severely damages the big toe, which "loves" gout very much. The main thing for the prevention of gout attacks is to use a balanced diet and diet.
It is necessary to completely revise the way of life, to make it healthy. It is necessary to revise the taste preferences. In the diet, you need to limit the consumption of protein foods. A large amount of protein is found in fish, mushrooms, tomatoes, marinade, cauliflower, sorrel, meat, caviar, legumes, smoked products, anchovies, asparagus and chocolate. Such a diet is able to normalize the body weight and significantly reduce the load on joints with exacerbation of gout.
In the diet of the patient must contain eggs, vegetables, dairy products of low fat content, whole grains, tofu, fruit. Such food helps to lower the level of cholesterol.
Smoking and alcohol inhibit the removal of uric acid from the body. Therefore, more of its crystals are deposited in the joints. For prevention it is necessary to completely exclude alcohol, mainly beer, to exclude smoking. It is not desirable to drink coffee, tea, cocoa. In addition to the diet should be at least once a week to arrange a fasting day with the reception of a mono-product.
First of all, small joints are affected. Therefore, special attention should be given to the development of their mobility. You need to concentrate on those places where there is pain. Every day you need to perform gymnastics for the joints. At first it is unusual, because because of the deposits of joints, it is more difficult to be mobile. It is recommended to be more often on air and to walk.
Treatment of gout
The main principle of treating gout is to control the level of uric acid in the body. For medical treatment, you need to contact a rheumatologist. His prescriptions are aimed at reducing the amount of uric acid and on its fast withdrawal from the body. Only qualified specialists can prescribe funds that do not cause a greater harm to health in case of a possible concomitant disease.
Doctors often prescribe anti-inflammatory non-steroid drugs for 1-2 weeks, such as diclofenac, indomethacin, methindole, butadione, naproxen. To quickly reduce the concentration of uric acid in the body, orot acid, hepatocatalcas, allopurinol, thiopurinol, milurite can be prescribed. To stop acute signs of gout, colchicine is recommended.
However, a very important part of treating gout is a diet. It is important to maintain the right balance between hunger and overeating. The feeling of hunger and sudden weight loss increase the volume of uric acid, which causes attacks of gout. It is often necessary to go in for sports. When the disease is recommended swimming, biking gymnastics, fast walking.
The diet should include dishes boiled in water or cooked on steam. Salt should be almost eliminated. If it is impossible without it, then ½ tsp is allowed.per day. Of the daily diet, you must necessarily exclude various spicy sauces and spices. Also contraindicated fish and meat broth, cold. You can eat creamy, vegetable and ghee from the calculation no more than 10 grams per day.
It is recommended to consume large amounts of vegetables. They should be taken in raw form, for a variety of menus you can sometimes bake them or boil them. However, it is still necessary to exclude from the diet some vegetables, as these are sources of purines. They include cauliflower, tomatoes, sorrel, spinach, legumes, asparagus. At a gout the usual white cabbage kvasshennaja and fresh cabbage perfectly proves. It is very useful both for compresses that reduce inflammation and pain, and for eating.
Fruits and berries are also useful. It is better to prefer citrus fruits. The watermelon has proved to be very good. He perfectly "washed" the body. Flour products, cereals, eggs, dairy products, potatoes, bread can safely be consumed. Coffee, tea or cocoa are undesirable. It is better to replace them with compote, kvass, mors, jelly. It is recommended to use decoctions of aralia, mint, dog rose, yarrow and wheaten bran.
Mineral water for gout
Mineral water excellently helps to eliminate unwanted purines from the body. It is better to choose water, alkaline and containing organic substances. These include, first of all, Essentuki, Narzan and Borjomi. It must be remembered that the liquid must be consumed at least 2.5 liters per day.
Recipes of traditional medicine
You can help the body with the help of folk methods. In the bladder, unpleasant sensations or burning sensation can sometimes appear. This is due to the fact that in the body when the salt dissolves the mucous membranes become irritated. It does not need to be frightened.
Recipe No.1 .Perfectly calms gout-stung decoction from chamomile. For its preparation, flowers( 100 g) are poured with water( 10 liters) mixed with salt( 20 g).After the infusion of the solution, the baths are made.
Recipe No.2 .Common fir cones help to clean joints. For this unopened cone with seeds is poured with boiled hot water( 1.5 glasses) and left overnight. The broth is used three times a day for half an hour before a meal. The procedure is repeated until complete recovery.
Recipe No.3 .It is also recommended to clean the joints with a bay leaf. To do this, the leaves( 5 g) are filled with water( 1.5 cups) and boiled for at least 5 minutes. The dishes are covered with a lid, since the leaves contain essential oils that adversely affect the kidneys during gout. The resulting broth is removed from the plate, wrapped in a towel and left for at least three hours. After this, the composition is accepted within 24 hours.
Recipe No.4 .Also good for cleaning the joints of boiled rice.2 tablespoonsrice is washed several times with water, then it is poured into a half-liter jar, water is poured and left for the night. In the morning again washed and put to cook. After boiling, it is removed from the fire, washed again and brought back to a boil. This procedure is repeated four times. After all the procedures, rice is washed once more and used without oil and salt. After using this "medicine" you can not eat or drink for 4 hours. In the evening, the procedure is repeated. So it becomes 45 days.
Long rinsing allows you to rid the grains of starch. And thanks to repeated boiling, the cells are formed. This allows the rice not to settle in the stomach, but to quickly pass to the duodenum. Cells already work there, taking away the slag and cleaning the whole organism.
Treatment of gout with folk remedies
Gout is a pretty unpleasant disease that my sister suffered. I see her rarely, but somehow I wanted to visit her. When I arrived to her, I was very surprised that she walked around the house and the garden barefoot. At first I thought that she still decided on the operation, but it turned out that she was cured with the help of traditional medicine. I did not believe that folk recipes can be so effective. And of course I asked her for recipes, there are two for external and internal use.
The internal remedy is made from the roots of the red madder.1 tspThese roots are poured with boiling water( 1 cup), it is insisted, and it is better to boil it for ten minutes in a water bath. Infusion is taken in half a cup in the morning and in the evening.
A little bit more complicated is the case with an external tool. First, mix three vials of tincture of valerian and a bottle of triple cologne, left to insist on the night. Then, with this mixture, the diseased areas are smeared overnight, i.e.protruding bones with the help of cotton wool. After a few days the joint will twist, itching may occur. The main thing is the desire to be treated and a lot of patience.
As a result, my sister treated the gout with these folk remedies until she noticed that she had no pain and the bone had shrunk. It turns out that folk recipes can replace a surgeon's knife.
Savior from the forest
One woman with a friend somehow went to the forest in the summer for berries. There was a lot of things collected, but on the way back her leg was swollen and her thumb turned black. They thought that they could not even reach the road, but suddenly they saw an elderly woman with a staff. As in the tale came the savior. She immediately noticed the problem that she whispered over the aching finger, after which the pain was gone, and then she said what she had to do to make it all heal.
In a saucepan it was necessary to pour iodized salt( 500 g), pour it with a small amount of water and boil until the water evaporates. After the boiling off of water, medical vaseline or chicken fat( 200 g) is added, everything is mixed. A compress is made from the resulting solution overnight. It is better to lay the solution on a woolen cloth, fixing with a bandage. However, in addition to the external use of the ointment, it is also possible to ingest the decoction from the linden.
And indeed this folk remedy helped the woman recover, and later she gave this recipe to her relatives, helping them and getting better. It is necessary to exclude sorrel and legumes from the diet.
Gout on the foot and not only helps to treat a fish compress. Ordinary fish is a very good folk remedy in the treatment of gout. This recipe is intended for the treatment of pain in the feet and heel spurs, but with it you can heal gout, and for ten nights.
Fish cuttings are taken( 2 kilograms), the meat is separated from the ridge, the ridge itself is thrown out. All meat is divided into ten parts, folds into kulechki and fits in the freezer. Before going to bed, it is thawed by a 1-piece. A pile of fish is put on the leg, warm socks are worn on top. Legs are washed in the morning, and the fish is thrown away or given to the cat. The pain ceases after ten days.
How to recover from gout completely
It is said that such diseases as polyarthritis or gout can not be cured. But we should talk about a method that can completely heal from patients with joints. This method was developed in Japan by a physician who for the first time decided to use cold and heat in the treatment of joints.
Two vessels are pre-prepared. In one very cold water is poured, and in the other, the grains of any cereal are laid and filled with boiling water. The grains as a result are steamed and left sufficiently hot to allow them to lower the joint. Then the diseased joint descends into a vessel with cold water for three to five seconds, then immediately into a vessel with grains. In the event that the joints on the arms hurt, the seeds are kneaded by the hands, this procedure is a pleasure. Then the hand or other patient joint is tied with a shawl to warm up the joints. Also done every day in 2-3 months. Gout is treated for a long time, but the effect is good.
We return the flexibility of the fingers
It is necessary to buy simple fat and cut it so that you can put a small piece on each finger. Then each piece is rubbed into the skin until the pieces become very small. After this procedure, the used pieces of fat are discarded. And with constant pain, slices of fat are applied at night to the sore spots, fixing with a bandage. In the morning, there is an improvement.
Also advise for a week to eat wheat porridge with butter. It helps to get rid of the salts in the joints. And after the first week, you can switch to milk porridge.
Coal is an indispensable thing for a gout
A woman has tried many ways to treat gout. She tried to treat gout and drugs prescribed by a doctor, and folk remedies, but no results. And the pains so strong that not only walking, but also a spoon it was impossible to bring to the mouth. She was recommended for charcoal treatment, because he is an indispensable thing in the treatment of gout, as he is able to draw toxins from the body.
A woman purchased activated charcoal in a pharmacy and ground it on a coffee grinder in powder. About half a coal came out. Then she added a little water and flaxseed( 1 tablespoon).After mixing, a paste was obtained. This paste woman plastered sore spots for the night, applying polyethylene on top and tying with bandage. Pains for the morning disappeared. In addition, she learned that gout arises from the high acidity of urine, and coal can reduce this acidity, because now the woman takes it also inside. Now the pain is very painful.
Pain relief for gout
Take unsalted homemade butter and the same amount of alcohol. The oil is heated by the formation of foam, then the gas is turned off and the oil is poured with alcohol. With caution, alcohol is ignited, and after its afterburning, the ointment is ready. Then the ointment is stored in a jar and stored in the refrigerator.
You can use any dishes that do not mind, for example, an old frying pan. Ointment is rubbed in a warm place, for example, next to a fireplace or stove, not necessarily wrap. The ointment is rubbed until the pain disappears.
The simplest way. Everyone copes with gout in his own way, for example, you can get rid of the pain in this way: take a piece of foil and before dressing the shoes, foil is applied to the sore spots.
We get rid of the growths on the bones of
Quickly to cure the growths on the hands and feet with the help of the simplest folk remedy. Iodine is a very effective tool in the treatment of gout and wounds. It is successfully used by Russian healers, but it is possible to increase its effectiveness severalfold. Take a bottle of iodine, in which there is 10 mg of iodine. It dissolves five tablets of aspirin, iodine after dissolution becomes colorless. With this solution for the night, the diseased areas are lubricated. Then, on a mandatory basis, they put on seals and warm socks.
You can also make foot baths in the evenings. For this, nine drops of iodine and 3 teaspoons are added to three liters of water.baking soda. The result does not make you wait. After ten nights, the effect is noticeable, it allows you to get rid of the growths on the bones.
Treatment with onion soup
Often people suffer from pain in the hip joints. Such pain can be caused by arthrosis, gout, arthritis and osteochondrosis.
2-3 bulbs are washed and filled with water( 1 liter).Then they cook with husks before boiling the onions. This broth is taken three times a day for a glass before eating. Treatment lasts 10-15 days.
Treatment of gout with herbs
With daily intake of herbs, improvements are visible after 2-3 weeks. But the herbs should be consumed for a long time.
In case of aggravation of the disease, herbal preparations are taken in large dosages, i.е.6 tablespoons each.per liter of boiling water. The duration of increased phytotherapy is about 2-3 weeks.
Recipe No.1 .Cowberry leaves( 4 h), St. John's wort( 3 h), nettle leaves( 2 h), three-color violet grass( 3 h), Labrador tea( 3 h), sweet clover( 3 h), flax seeds( 2 h), mint(2 hours), a turn( 4 hours).Everything is mixed, then 2 tablespoons. The collection is placed in a thermos bottle and poured over with boiling water overnight( 500 ml).Infusion is used on a day 3-5 times for ½ cup. Herbal treatment lasts 2-3 months.
Recipe No.2 .Flax seeds( 2 h), tansy flowers( 1 h), hop cones( 3 h), horsetail( 4 h), dandelion root( 3 h), sporis( 4 h), bilberry leaves( 2 h).Everything is mixed, 2 tbsp.collection is placed in a thermos bottle and for the night is poured with boiling water( 500 ml).Infusion is used on a day 3-5 times for ½ cup. Treatment lasts 2-3 months.
Recipe No.3 .In the same proportions take the herb wormwood, clover flowers, herbaceous flowers, immortelle flowers, birch buds, yarrow, dandelion root, tansy flowers. Everything is mixed, 2 tbsp.collection is placed in a thermos bottle and for the night is poured with boiling water( 500 ml).Infusion is used on a day 3 -5 times for ½ cup. Treatment lasts 2-3 months.
Recipe No.4 .In the same proportions are taken the rose hips, weed grass, the root of the saber, the golden throat grass, the burdock root, the fruits of ordinary mountain ash. Everything is mixed, 2 tbsp.collection is placed in a thermos bottle and for the night is poured with boiling water( 500 ml).Infusion is used on a day 3-5 times for ½ cup. Treatment lasts 2-3 months.
Recipe No.5 .In the same proportions are taken kidney tea, bearberry leaf, Kuril tea, licorice root, sporis, St. John's wort, laurel leaf, yarrow herb. Everything is mixed, 2 tbsp.collection is placed in a thermos bottle and for the night is poured with boiling water( 500 ml).Infusion is used on a day 3-5 times for ½ cup. Treatment lasts 2-3 months.
Gout treatment at home
Gout is one of the few dangerous heterogeneous diseases. It is quite common in many older people. This ailment was previously suffered by men, at present gout is often found in women.
In general, the clinical picture is the wrong derivation of the appearance of salt growths on the bones. These outgrowths look like acute arthritis. Gout is well treated and at home. It is not necessary to be in the hospital to get rid of such a problem.
Treatment of gout with activated carbon
One of the most effective and simplest methods of treating gout is the use of coal. This seems questionable, but its main advantage is the unique ability to rapidly remove various toxins. Regardless of the stage, activated charcoal successfully cures gout. To prepare a healing gruel, it will require powdered coal( 125 g), which is pre-ground from conventional tablets. The coal is mixed with flax seeds( 1 tablespoon) and warm water( 1 tablespoon).
The mixture is thick enough. The resulting paste is superimposed on the diseased parts of the body, because it is sufficiently tightly bandaged with bandages. This method not only helps to significantly reduce pain, but also quickly get rid of gout. In addition to such bandages, it is possible to take activated charcoal inside for its active interaction with uric acid both inside and outside, while providing an additional therapeutic effect.
Treatment with iodized and lime salts
Gout is perfectly treated with iodized salt in combination with the ingestion of curative decoction from linden. On a medium-sized saucepan, 500 g of ordinary iodized salt is taken. Salt is poured into a container of water, the fire turns on and is brought to a boil. Brewed until the full boil-off of water. The remaining mass is mixed with petroleum jelly. Get a kind of ointment. This ointment is imposed in the form of a compress every day on the affected parts of the body.
At first it is recommended to apply the ointment on a woolen cloth, and therefore apply the cloth to the skin, then top with a wide bandage. Such a compress perfectly warms, greatly increasing the effectiveness of the remedy. It is recommended to take a lime broth for 1 glass in the morning and in the evening.
Treatment with iodine
Recipe No.1 .This method is well suited to the treatment of classical gout, which is more common on the limbs. Iodine perfectly copes with wounds of different sizes, as well as with such growths on the skin. To increase its effectiveness, you can use aspirin.
Measures 10 mg of iodine in which five aspirin tablets are dissolved. With the direct interaction of the two components, the liquid begins to lose its dark brown color. The mixture is ready for complete discoloration of iodine. The resulting mixture is used to treat the foot or hand 2 times a day - in the morning and in the evening. After washing off the mixture, it is recommended to wear warm socks.
Recipe No.2 .There is another way to treat gout at home, based on iodine. You can make special iodine baths. To do this, mix 3 drops of iodine, 1 tsp.soda and 1 liter of clean warm water. In the resulting mixture, the legs drop and stay for 15 minutes. Usually, for the 1-st time, three liters of funds are sufficient. Such treatment lasts 10 days. During this time the growths disappear without a trace.
Mustard against gout
At home, gout can easily be cured with a special gruel. To make it, take mustard powder, 1 tsp.honey and ordinary baking soda. The components are well mixed, the resulting mixture is superimposed on the affected joints, which must first be steamed. The extremities from above are wrapped in polyethylene film and fixed with bandages. This compress is left on the skin all night. Treatment should be continued for at least 2 weeks, making the procedure every day.
Tips for treating gout
For successful treatment of gout it is very important to follow the simplest rules of healthy eating. It should limit the use of fish and cape, sorrel and cauliflower, exclude spinach. Chocolate, coffee, berries, figs and strong green tea can be consumed in the morning in small quantities. It is also necessary to exclude from the diet different wines and beer. Instead, it is necessary to significantly increase the amount of clean water used.
You can eat freshly squeezed juices and not very sweet fruit drinks, alkaline mineral water. The patient with this diet will lose weight, which positively affects the treatment of gout.
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