Causes, Symptoms and Treatment of Gout On Legs
What is gout?
Gout is a metabolic disease in which salts of uric acid( known as urate) are deposited in the joints. Gout is otherwise called "disease of kings", an ancient disease that was known even in the time of Hippocrates. Now gout is considered a rare disease, it affects 3 people out of 1000. And most often it affects men over the age of 40, in women it is most often manifested after menopause. Gout itself is one of the types of joint diseases caused by the deposition of salts.
All gums suffer from gout, ranging from the joints of the fingers to the joints of the toes.
It was known even in the time of Hippocrates and is called "disease of kings" because the main source of its occurrence is the excess in food and alcoholic beverages. Gout is often chronic.
Causes of gout
The cause of gout is an elevated and persistent level of uric acid in the blood. During the course of the disease, urate crystals( a derivative of uric acid) are deposited in the joints, organs and other body systems. Sodium urate crystallizes and small particles are deposited in the joints, which ultimately leads to partial or complete destruction of the joint. For the same reason, such situations are called microcrystalline.
A large amount of uric acid in the body can be for two reasons: the first reason is when healthy kidneys can not cope with the withdrawal of an unusually large amount of uric acid, the second reason is when uric acid is released in normal amounts, but the kidneys are unable to remove it.
Every year, more gout is getting sick. Doctors explain this phenomenon by the fact that in recent years people are more likely to consume food rich in purines( for example, meat, fatty fish) and a huge amount of alcoholic products. This is confirmed by the fact that during wars the percentage of people suffering from gout fell sharply due to the fact that meat products, and, especially, alcohol, it was very difficult to get.
Symptoms of gout
The symptom of gout is a common attack of gouty arthritis - it is usually an inflammation of one joint, most often it turns out to be the joint of the big toe, knee or ankle. Usually, a gout attack occurs in the early morning or at night, it manifests itself in the form of unexpected severe pressing pain in one or another joint, the affected joint swells up, the temperature in the joint area rises, the skin turns red and starts to shine. Usually during the day the pain becomes a little less, but by the night it again intensifies, the duration of a gout attack lasts from two to three days to a week, sometimes more. With a repeated attack in this inflammation, other joints may be involved, this can lead to partial destruction of the joint.
Signs of gout is the appearance on the hands or feet of unusual growths, while the level of uric acid is significantly increased. When growths, in other words, tofusi burst, a person can see whitish crystals of uric acid. The patient can feel quite intense pain in the affected areas. Such salt deposits in the joints interfere with a full life.
Possible complications of
The main and most severe complication of gout is the appearance of gouty arthritis, it is also possible the occurrence of urolithiasis, in which the resulting stones consist of urate or crystallized uric acid.
Gouty nodes , also called "tophi" - it's nothing more than conglomerates of sodium urate crystals that have the ability to be deposited in all parts of the body. And in cases where such deposits get stuck in the joints or periarticular tissues, the immune response occurs, as these deposits are perceived by the body as a foreign body, which causes the accumulation of leukocytes and begins a strong inflammation called gouty arthritis.
It is worth paying special attention to the fact that gout-stones in the kidneys can become the main cause of kidney failure and can eventually lead to death.
Pain with gout
To understand the beginning of a gout you can by sudden pain in the joint. They are accompanied by severe redness, swelling and heat."Burn" can not only hit the place, but also the area of the body in the immediate vicinity. At the same time, the body temperature can rise to 39-40 degrees. Symptoms in most cases develop within an hour. Most often, this affects the big toe. Ordinary pain medications, such as aspirin, will not help.
Pain, as a rule, begins at night and becomes, in practice, unbearable. In the daytime there is often some improvement, the pain recedes, but do not think that everything has passed. Such acute symptoms can torment the patient for about a week.
Gout in men on legs
Gout is a chronic disease. Cure it completely impossible. This ailment often manifests itself on the feet. After the onset of the disease, the symptoms may recur after six months or a year. The disease can go into a dormant state, but, without any doubt, will make itself felt. With each attack, the time between them will be reduced. Gout will return to the person more and more often.
Damaged places on the legs are often destroyed more and more, the disease can affect the neighboring joints. With a long illness over time in the affected areas, under the skin may appear peculiar hillocks, which are called "gouty nodes" or "tofusi."
This is due to the fact that the body begins to perceive large salt deposits in the joints on the legs as a foreign body, the immunity begins to inevitably react - to accumulate leukocytes, after which a strong inflammation begins. Sometimes tofusov burst and out of them stand out whitish dust - crystals of uric acid.
Often gout develops in old age. In men, it occurs much more often and at an earlier age. The male population is susceptible to this disease by the age of 40.It should be noted that women begin to suffer from gout closer to 55, mainly after menopause, when the amount of estrogen, female hormones, is sharply reduced in the body. Children and young guys are practically not prone to gout. There are rare exceptions, in cases of hereditary impairment of uric acid metabolism.
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 him. Next, purines are split into uric acid, which is excreted by the kidneys. In people with gout, the content of this uric acid is much higher than normal. Excess uric acid is deposited in those tissues where there is no blood supply. There, crystals are easier to gain a foothold.
The joints, cartilage and tendons are the most affected. As a result of this disease, not only these places, but also the kidneys suffer. Most often with gout develops urolithiasis, with a lower probability of the patient may suffer from renal colic.
This can occur for two reasons: if the uric acid is produced too much and the kidneys do not cope with the output volume, so it must be deposited in the human body. And the second reason is that the amount of uric acid is normal, but the kidneys can not remove it.
However, an elevated uric acid content in the body is not the only cause of gout. Here, several other factors play a decisive role: excessive nutrition, fatty food, overweight, sedentary lifestyle and hereditary predisposition.
What should I do if I have an acute attack of gout?
Even with adherence to recommendations, an acute attack will not be instantaneous. But this will significantly reduce the time during which the disease will torment the person. Mainly you need to observe strict bed rest. Painful limbs are best kept in an elevated position, for example, to lay a pillow under them.
In case of intolerable pain, ice can be applied. Then it is desirable to make a compress on a sore spot with Vishnevsky ointment or dimexide. In the intake of food, it is better to restrict yourself, you can use liquid porridge and vegetable broth. But drink is worth as much as possible alkaline drinks, for example, a decoction of oats, jelly, milk, mineral water or plain water, but with the addition of lemon juice( lemon juice dissolves uric acid deposits with rheumatism and gout).You need to drink at least 3 liters a day.
Any painkillers will not help. You can take modern anti-inflammatory drugs without steroids. If you took any preventive measures prescribed by your doctor, then the procedure should be continued.
Preventing exacerbations of gout
Most often gout appears in places where the joint was injured. Therefore, treat such places with caution. Do not wear narrow and uncomfortable shoes, as it can severely damage the big toe, which so "loves" gout. Mainly to prevent the onset of gout attacks, diet and balanced nutrition are used.
The way of life will have to be completely revised, making it healthy. You should reconsider your taste preferences. Recommended diet number 6, which helps reduce the body's uric acid and urate. Strictly limited, or even excluded, products containing urine bases - the main source of urate. But poor purines, and therefore allowed milk, cheese, eggs, vegetables, fruits and cereals will not leave you hungry. The patient's diet should contain whole grains, eggs, vegetables, fruits, dairy products with low fat content.
In food should restrict the intake of meat, fish, caviar, mushrooms, legumes. In addition, you need to limit consumption: smoked meat, marinade, anchovies, cauliflower, asparagus, sorrel, chocolate. Such a diet will lead to normalization of body weight and significantly reduce the burden on the joints during an exacerbation of gout.
More information on what you can eat and what not, as well as other features you can find here
Alcohol and smoking inhibit the excretion of uric acid from the body. Consequently, its crystals are more deposited in the joints. For prevention, alcohol should be completely excluded, especially beer, and also quit smoking. It is not recommended to drink tea, coffee, cocoa. In addition to dieting, it is worth doing at least once a week a fasting day with the use of a mono-product.
First of all, small joints are affected. Therefore, it is worth paying special attention to the development of their mobility. Attention should be concentrated on those areas where there are attacks of pain. Daily it is necessary to do gymnastics for joints. At first, it will be unusual, because the joints are harder to be mobile because of the deposits. It is recommended to be more often on air and to make walks.
Mineral water for gout
Mineral waters perfectly contribute to removing unnecessary purines from the body. Prefer alkaline and organic substances. They can be attributed primarily to Narzan, Essentuki and Borjomi. Remember that any liquid should be consumed at least 2.5 liters per day.
Treatment of gout
The diagnosis of "gout" means that a person will have to significantly change his lifestyle and constantly take medication, because it is unfortunately impossible to achieve a complete cure for this disease. However, timely treatment starts allows you to take gout under control, reduce painful attacks to a minimum and hedge against serious complications.
The main principle of treating gout is to control the level of uric acid in the body. For medical treatment should contact a doctor-rheumatologist. Its prescriptions will be aimed at reducing the volume of uric acid and its rapid removal from the body. Only a qualified specialist can prescribe medications that, with possible concomitant diseases, do not cause the greatest harm to health.
Most often, doctors prescribe for non-steroidal anti-inflammatory drugs for 1-2 weeks, such as methindole, diclofenac, butadione, indomethacin, naproxen. To quickly reduce the concentration of uric acid in the body, allopurinol, orotic acid, thiopurinol, hepatocatalcil, milurite can be prescribed. To stop acute signs of gout, doctors recommend taking colchicine.
Drug therapy for gout is aimed at solving two main problems:
Reducing the level of uric acid in the patient's body;
Coping with acute inflammation and pain relief.
The earlier the patient undergoes the examination, reconsiders his habits and proceeds to treatment, the more likely it is to achieve a stable remission. Without adequate therapy, gout rapidly progresses, especially in patients of mature and advanced age, so it is by no means impossible to reason on the principle of "caught-let-go".
Drug therapy for the reduction of uric acid level
Since the root cause of gout is precisely the excess of uric acid, the solution of this problem in 90% of cases leads to the cessation of attacks of excruciating pain and allows you to count on a comfortable life in the future.
To reduce the level of uric acid in the body, the following drugs are used:
Allopurinol is a synthetic analogue of hypoxanthine. This substance inhibits the activity of the enzyme xanthine oxidase, responsible for the transformation of human hypoxanthine into xanthine, and then xanthine to uric acid. Thus, Allopurinol reduces the concentration of uric acid and its salts in all body environments, including blood, plasma, lymph and urine, and also promotes the gradual dissolution of already accumulated urate deposits in the kidneys, soft tissues and joints. However, this drug has a number of serious side effects and greatly increases the excretion of xanthine and hypoxanthine with urine, therefore Allopurinol is contraindicated in patients with severe renal failure. Nevertheless, for the majority of patients with gout, it remains to this day a preparation of the first order. Cost: 80-100 rubles per packing 30-50 tablets;
Phoebusostat( Ulorik, Adenurik) is a selective xanthine oxidase inhibitor that, unlike Allopurinol, does not affect other purine and pyramidal enzymes of the human body, besides it is excreted not by the kidneys, but by the liver. Phoebusostat is a relatively new drug for the treatment of gout, it is not produced in Russia, and in Western Europe and the United States it has undergone numerous clinical trials and has shown excellent results. Febuksostat for three months completely dissolves accumulations of crystals of salts of uric acid in the area of fingers and elbows and effectively prevents their repeated formation. Can be used by patients with concomitant renal pathologies. It costs a drug not cheap - an average of 4500 to 7000 thousand rubles, depending on the country of origin;
Peloticase( Pegloticase, Krystexxa) is an infusion solution of enzymes that rapidly dissolve urate crystals( deposits of uric acid salts).It is used intravenously twice a month to stabilize the condition of patients with severe gout, which are not helped by traditional drugs. Anaphylactic shock is possible during the procedure. This is a very expensive drug that is produced exclusively abroad and is sold on order;
Probenecid( Santuril, BeneMid) is a drug that prevents re-absorption of uric acid in the renal tubules and enhances its excretion in the urine. Probenecid was originally used in complex antibacterial therapy to reduce the damage to the kidneys with antibiotics. But then it began to be prescribed for chronic gout and hyperuricemia( increased uric acid in the blood).It is important to understand that Probenecid enhances the excretion of uric acid, rather than suppresses its synthesis. Therefore, the treatment of gout with this drug is advisable only at the stage of remission. If you prescribe Probenecid to a patient with an acute inflammatory process, this will lead to active dissolution of already accumulated urates, an increase in the level of uric acid in the plasma, and, as a result, to attacks of excruciating pain. To avoid this risk, the first months of treatment with Probeecid gout are accompanied by additional hormonal and anti-inflammatory therapy. It costs a drug from 3500 to 7500 rubles.
Treatment of gout with decongestants and pain medications
Symptomatic treatment of gout is to stop seizures, relieve edema and pain, and is performed with the following drugs:
Colchicine( Colchicum, Colchimine) is an alkaloid, is released from the poisonous plants of the Melantie family. The most common source of colchicine is autumn autumnal. Colchicine inhibits the formation of leukotriene, stops the cell division of granulocytes, prevents the movement of leukocytes to the focus of inflammation and prevents urates( salts of uric acid) from crystallizing in the tissues. This drug acts as an emergency aid, and is recommended for admission in the first twelve hours after the onset of an acute attack of gout. It is necessary to drink immediately two tablets of Colchicine, an hour later - another, and then one tablet three times a day for a week. The drug very often causes unwanted reactions from the gastrointestinal tract - nausea, vomiting, loose stools. The average price of Colchicine in pharmacies is from 1,000 to 2,000 rubles;
Glucocorticoids( Cortisone, Hydrocortisone, Prednisone, Prednisolone) are synthetic analogues of human corticosteroids, that is, hormones produced by the adrenal cortex. Preparations of this group break the chain of natural reactions of the body to the interference of allergens, chemicals, bacteria, viruses and other foreign elements. Glucocorticoids quickly stop inflammation, but suppress immunity, so hormonal treatment of gout is advisable only if the expected benefit exceeds the potential risk. The cost of synthetic steroid hormones varies from 30 rubles( the oldest drug is Prednisolone), up to 1500 rubles( Cortisone);
NSAIDs( Aspirin, Analgin, Diclofenac, Ibuprofen) - Non-steroidal anti-inflammatory drugs are called so in order to emphasize their difference from hormones. However, the action of drugs in this group is somewhat similar to that of glucocorticoids. NSAIDs are non-selective inhibitors of cyclooxygenase, the enzyme responsible for the synthesis of thromboxane and prostaglandins. Thus, these drugs also suppress inflammation, but, unlike synthetic corticosteroids, do it more slowly, and are not immunosuppressants. For symptomatic treatment of gout, Diclofenac and Ibuprofen are most often used, the average cost is 10-30 rubles, the price of a popular generic( drug with the same active substance) Nurofen can reach 150 rubles.
How to prevent gout attacks?
To minimize the risk of new gout attacks, follow a few simple rules:
If possible, do not subject the joint to any load, periodically fix it in a raised position and apply ice for 15-30 minutes 2-3 times a day until the painsubsides;
Do not overuse aspirin, which can cause a jump in uric acid levels in the blood and aggravate the symptoms of gout;
Regularly measure the level of uric acid - it should not exceed 60 mg / l;
Every day, devote more than half an hour to physical education: walk, ride a bike, jog, dance, swim. In the morning, do exercises. Regardless of age and weight, patients with gout should give themselves daily physical exercise - sport works with gout more effectively than any medicine;
Drink at least two liters of clean water a day. So that the kidneys can excrete uric acid from the body, they need water first of all - not the liquid that the kidneys still need to filter( coffee, tea, juice), namely pure water. Without enough water, even healthy kidneys can not cope with the cleansing of the body;
Hand over the blood test to determine the level of the most important minerals and vitamins, and, if necessary, supplement the diet with a good vitamin and mineral complex. It is especially important for patients with gout to provide themselves with vitamin C;
Do not drink carbonated drinks with sodium benzoate and powdered juices with fructose, completely discard alcohol;
Revise your diet in favor of vegetables, fruits and cereals, eat no more than 120 grams of animal protein a day, avoid offal and fatty sausages.
On the topic: From the pains of gout can also see popular folk remedies
The newest data on the treatment of gout
According to the latest data, obesity is most likely to predispose to gout caused by excessive consumption of fatty foods of animal origin. At risk, lovers of sausages, wursts, bacon and hamburgers. It is the excess of proteins that leads to the excess of uric acid, and the extra weight creates an increased strain on the joints and, thereby, accelerates the development of the inflammatory process.
American scientists have also established a direct link between deficiency of calcium and ascorbic acid and the development of gout. With age, these important substances for the body begin to be missed even by those people who lead a healthy lifestyle and do not complain about excess weight. Therefore after forty years it is necessary to annually be examined and take multivitamins prescribed by the doctor.
Recently, a new drug, suppressing the synthesis of uric acid - Benzobromarone, has been developed. Now there are active clinical trials of this drug, and in some Western countries it has already been allowed and put on stream. But before the novelty rests on the domestic pharmaceutical market, it is likely that a lot of time will pass.
It is also known about the experimental development of new non-hormonal anti-inflammatory drugs that directly affect the protein interleukin, which provokes gouty inflammation of the joints and tissues. But the exact timing of the appearance of these drugs in a free sale is difficult to call.
Allopurinol: Pros and Cons
The most popular drug for treating gout, Allopurinol, is increasingly being sharply criticized by modern doctors, since the large number of side effects and complications associated with its regular use raises questions about the advisability of such therapy. According to statistics, an average of one in two hundred and sixty patients with gout Allopurinol provokes sudden death as a result of renal coma or cardiac arrest.
Nevertheless, the largest international study of Allopurinol, the results of which have recently been published in the scientific journal Annals of the eumatic Diseases, proves the high effectiveness of the drug, moreover - the ability to prevent the onset of death. This study certainly does not disprove the presence of side effects and high risk for the kidneys, and does not negate the need for new development. But we must admit that Allopurinol is still a first-line drug in the treatment of gout, at least because of good knowledge, reliability and affordable price.
Scientists have tracked the fate of 5,927 patients who received Allopurinol on a regular basis and the same number of patients treated with gout with other drugs that reduce uric acid levels. It turned out that the mortality in the first control group was 19% lower than in the second, and such results persist throughout the life of patients. That is, Allopurinol is still the most effective and safe drug, both for the treatment of acute, first-diagnosed gout, and for maintaining normal health in elderly patients with chronic disease.
Author of the article: Candidate of Medical Sciences Volkov Dmitry Sergeevich, surgeon
Gout( gouty arthritis): what is it, symptoms and treatment
Gout( gouty arthritis) is a disease in which there is an accumulation in the body of excess saltsuric acid( urates).
This disease manifests itself in that from time to time the patient has acute attacks of gouty arthritis.
In addition, near the joints are formed special nodules - tofusi.
Who most often develops the disease?
Gout is predominantly a male disease: in the stronger sex it is more common than in women.
gout attack: salt crystals injure tissues
On average, one woman who suffers from gout is from 3 to 7 men, who are affected by this disease.
Mostly mature and older people are ill: most often gout manifests in men after the age of 40-45 years, and in women - after 55-60 years.
This is due to the fact that female sex hormones( estrogens) have a positive effect on the exchange of uric acid in the body. When the climacterium content of estrogen decreases dramatically, then the likelihood of becoming ill with gout is significantly higher.
In addition, it is considered that there is a hereditary predisposition to arthritic arthritis: if someone from your relatives had a gout, chances are that it will arise from you( especially if you are a man) is much higher, and you arein the risk group for the development of this disease.
In addition, factors such as overweight, as well as alcohol abuse, also increase the risk of developing this disease.
In general, in the world, according to statistics, gouty arthritis suffers from 2-3% of the population( data for the United States), but for men after 40-50 years this figure grows to 5-6%.In Russia, the incidence of gout is about 0.1-0.2%.
Why this disease arises
how the gout arises( schema)
Because gouty arthritis is a metabolic disease, it arises in those people who have either increased the intake of substances containing purines, or their excretion due to whichit's a disease.
Which products contain many purines? This is primarily meat and by-products( not for nothing, gout is also called "meat-eating disease"), as well as legumes, tea, cocoa, some fish, and especially alcohol, including beer and red wine.
People who have a lot of such foods in their diet have a high risk of getting gouty arthritis.
And when the removal of purines from the body can be difficult? Most often - because of concomitant kidney diseases, as a result of which renal filtration is reduced, and therefore - the body retains more uric acid salts than necessary, and it begins to be deposited in various tissues - both in the joint region and in the renal themselvestubules.
In addition, an additional risk factor for gout is arterial hypertension, as well as taking certain serious medicines for serious illnesses.
Symptoms of gout
The main and main sign of gout is an acute attack of gouty arthritis, which is also called a gout attack.
Inflammation of the big toe - the main sign of gout
Often such an attack is observed after a plentiful meal with alcohol. Suddenly, more often in the evening or at night, acute pains appear in one of the joints.
Most often, with an attack of gouty arthritis, for some reason, the big toe is affected, but it can be another joint - for example the knee or elbow.
The joint begins to ache strongly - so that it can even be painful to touch the affected area( for good reason "gout" is literally translated from ancient Greek as a "trap for the leg").The joint swells, the skin around it due to swelling acquires a purple-red hue, and the skin temperature in this area rises.
This condition( attack), if left untreated, can last up to several days and longer. But usually the patient and his relatives quickly turn to doctors who, with the help of medicines for gout, more or less successfully relieve the attack.
The heavier the course of gout, the more likely such attacks occur. Conversely, if all the conditions are met to ensure that uric acid and its products do not accumulate in the body, then attacks of the disease can be avoided altogether.
Tofusi with gout
tofuys( photo) with gout
If a gout attack with joint inflammation and pains in it can be considered acute manifestations of this disease, tofusi is a sign of a chronic disease.
Because gout accumulates an excessive amount of uric acid in the body, it is clear that these salts should be deposited somewhere. They also are postponed - in the field of various joints( at some point causing a gouty attack), in the skin in the region of the elbows, heels, and also in the area of the cartilage of the auricles.
Collecting in these places, salt crystals gradually turn into small nodules of white color, which can be palpated in the area of small joints on the hands and feet. These nodules are called tofusi in case of arthritis arthritis.
No special damage to the body by tofus is directly applied - it only signals to the person himself, as well as to his doctor, that there is an excess of uric acid salts in the body - and this means that you need to pay attention and take the necessary measures. But we will talk about this in the treatment and prevention of gout.
We offer you to watch an interesting video about what is gout and gouty arthritis, and how dangerous this disease is:
disease Treatment of gout can be conditionally divided into two tasks:
- cupping( interruption) of an acute attack;
- normalization of metabolism in the body, that is, treatment and prevention of the disease outside seizures.
Treatment of an acute attack of gout( acute gouty arthritis)
The first attack of gouty arthritis is best treated in the hospital
. As often the first manifestation of gout, unfortunately, usually becomes a developed gouty attack, its treatment is usually carried out in a hospital - in the rheumatology department of the hospital.
This is necessary not so much to cure this attack, how many to conduct a full-fledged examination and to put the correct diagnosis. After acute arthritis of the joint can be with a variety of diseases - infectious or reactive arthritis, as well as with other ailments.
After the diagnosis of "gouty arthritis" is set, there is usually no need for repeated hospitalizations.
So, what medicines do doctors use to take a gout?
1. Non-steroidal anti-inflammatory drugs
NSAIDs, including all known diclofenac, ibuprofen, naproxen and other drugs. These drugs are good at both pain relief and effective reduction of inflammation in the affected joint. They are prescribed in certain dosages according to the scheme, and anti-inflammatory drugs are an important component of the complex treatment of a gouty attack.
Please note: Non-steroidal anti-inflammatory drugs do not treat gout really: they are needed in order to reduce the severity of its symptoms - pain and inflammation in the joints. Do not try to treat gouty arthritis yourself with NSAIDs, consult a doctor!
treatment of this disease should be prescribed only by the doctor
Colchicine is a medicine that can reduce inflammation in acute gouty attacks and restore the function of a sick joint.
This drug is prescribed according to a special scheme and is taken every few hours for 1-1.5 days - until the severity of the attack goes to zero or when it becomes clear that you need to use another medicine.
In those cases when colchicine did not have a therapeutic effect( as sometimes happens), the doctor prescribes hormonal drugs that suppress inflammation - glucocorticoids. This group of drugs includes such drugs as methylprednisolone and betamethasone. They are usually administered topically as injections into the joint area.
Using these or other means, doctors manage to defeat a gouty attack already within one and a half to two days from the beginning. But, as you know, treating an acute attack of gout is only part of the therapy.
Another interesting and useful video about this disease is the fragment of the program "Live Healthily" with Elena Malysheva:
Treatment of the disease outside of attacks
As this form of arthritis is a metabolic disease and arises from the increase in the amount of urate in the body,will be aimed at reducing the content of these substances in the body.
For this, during the interictal period, the doctor prescribes medications to the patient that reduce the formation of uric acid salts( eg, allopurinol) in the body, as well as drugs that increase the excretion of these substances from the body.
Diet for gout
In fact, it is difficult to name any other disease, in the treatment of which the right nutrition is so important.
therapeutic diet is an important element of
recovery Even if after a first attack of arthritis you received this disappointing diagnosis, then, following the right diet and taking medications, after a while you will be able to give up medicines only due to the fact that you will observe the rules of therapeutic nutrition. And it, unfortunately, is not so simple, considering what foods can not be eaten with this disease.
Thus, on the anti-gouty diet, it is necessary to exclude red meat and products from it, meat by-products( kidneys, liver, heart), fatty fish, legumes, sharp and salty cheeses, as well as alcoholic beverages( this concerns cognac,beer, champagne and sweet dessert wines).Learn more about what you can, and what you can not eat with this disease, you can read in the article Therapeutic diet for gout.
Despite the fact that gout is accompanied by a painful attack of arthritis, remember that this disease with timely access to a doctor is successfully treated, and not only medicamental, but also folk remedies.
Therefore, if you find symptoms of gout listed in this article, do not suffer pain, see a doctor, and your mobility will soon return to your joints!
Often during an attack, palpitations increase, sweating increases, the temperature rises and chills appear. So the period of an acute attack proceeds.
In the chronic form of the disease, urate crystals are combined into granules and the disease passes into gouty polyarthritis. Often there is a parallel development of kidney disease.
Symptoms of chronic gout:
- A joint crunch( one or more).
- Restriction of movements in the joint.
- Inflammation in the joint( redness of the skin around it).
- Increase in body temperature near inflammation or the entire body.
Pain in gout
The onset of mild pain in the joint is the main symptom that characterizes the onset of gout. Tumor, heat on the skin of the affected joint are the main factors that accompany pain. The heat can be localized in the surrounding tissues. All the symptoms accompanying pain, occurs within an hour. The usual painkiller, like aspirin, will not help relieve the pain in such attacks.
With gout at night, there is an attack of pain in the injured joint, by the morning the pain comes weakening, but not the end of the disease.
Gout in men on their feet
Gout is characterized by a chronic form that can not be cured until complete relief from disease. In men, the observation of the disease begins after 40 years, first there are attacks of pain of a very rare periodicity, but over time, seizures occur more and more often. The first period can be characterized by a year of calm or more, but then the frequency of seizures may be less than a month.
Joints in the course of the disease can be destroyed, and the destroyed places will begin to fill with salts, it is because of this that the build-ups appear.
Severe inflammation begins as a response of leukocytes to the appearance of a large number of salts that are perceived by the body, like aggression and an aggressive body.
Gout in women
In women, gout begins to develop in adulthood and advanced age, after 55 years, which is caused by the end of menopause, when the body reduces the production of estrogens, female hormones. The manifestation of the disease is similar to that of men.
Actions in case of acute attack
Compliance with the recommendations does not guarantee the rapid termination of the attack or its painlessness. But in many ways the recommendations will help reduce the pain.
- Bed rest should be observed. Sick foot is best placed on the pillow.
- If the pain is unbearable, then you can put an ice compress. After 15 minutes of compress from the ice, it is better to replace it with a compress with warm ointments, such as Vishnevsky.
- In food, it is better to give preference to vegetable broths and cereal in milk. You need to drink plenty of water or oatmeal.
- Painkillers will not help, it is better to use non-steroidal anti-inflammatory ointments. If there were any funds prescribed by a doctor, then their reception is better to continue. As a rule, the treatment of gout with medicines provides for medication.
Preventing exacerbations of gout
Gout, usually occurs in places of injury. Therefore, such joints should be treated very carefully. It is necessary to stop wearing uncomfortable and narrow shoes. As one of the main activities can be identified - timely detection of elevated urate levels in the blood, but mainly for the prevention of food is used.
The diet should include the following products:
Signs and symptoms of gout in men
- Symptoms of gout in men
- Causes of gout in men
- What should I do if I have a gout attack?
- Prevention of gouty disease
- Treatment of gout with folk remedies
- Myths about gout
What is gout? It is a chronic disease in which urates are deposited in the joints. Urates are salts of uric acid. Gout is also referred to as the disease of kings, it arose a long time ago, Hippocrates itself found her appearance. It appears because of the inordinacy of food or excessive consumption of alcoholic beverages. Gout was previously very common, now this disease affects 0.3% of the world's population or about 3 people out of 1000. Most of the patients are in the male population over the age of 40, but women are no exception to the rule, the risk of developing goutwomen grows after the onset of menopause. The most common manifestation of gout can be observed from the growing bone on the foot near the thumb, which does not mean that only this joint suffers. From gout suffer all the joints, from fingers to fingers and ending with toes. Gout is nothing more than one of the many diseases of the joints, when the deposition of salts in them occurs. What are the symptoms of gout in the male half?
Symptoms of gout in men
First, an attack of gouty arthritis occurs - the first symptom, i.e.one joint arises, most often this joint is the same bone of the big toe, but cases of inflammation of the knee or ankle joints are not uncommon. A gout attack makes itself felt late in the night or early in the morning, when the body is relaxed and is in a state of deep peace. In the area of the inflamed joint there is a pressing throbbing pain, the skin on the joint turns red and starts to shine, and the temperature of the inflamed tissue rises. You can feel with your hand that the sore spot has become much hotter than the rest of the body. The joint itself swells. In the afternoon the pain subsides, and many people stop paying attention to it, but closer to the night the pain sensations come back and are more often intensified. The duration of such attacks is 2-3 days, rarely a week and more. When the attack repeats, it hurts not only the inflamed joint, but also the joints next to it. If you do not treat gout, then the joint can partially collapse.
Gout can become a warning signal to the occurrence of urolithiasis, kidneys and urinary ducts can form stones because of the high content of uric acid in the body.
On the arms and legs of patients suffering from gout, there are growths. These growths burst after a while, and on the site of build-up, you can see the characteristic whitish luster of uric acid crystals, its level in the body is significantly increased. Sick people feel intense, pressing pain in inflamed joints, which hinders to lead a healthy lifestyle, fully move, perform physical work. And the work of men is very often associated with physical stress and motor activity, which brings tangible discomfort and painful sensations.
Tofusi - signs of gout, otherwise - gouty nodes, arise from the deposition of salts in the joints, the body perceives these salts as a foreign body and tries to get rid of them. The brain directs leukocytes to the center of the urate accumulation to neutralize the deposition of salts. There is a strong inflammation in the joint area and a painful sensation.
The formation of kidney stones with gout can cause kidney failure, so you need to control your health, because kidney failure can cause death. Symptoms of gout:
- Pulsating pain in the joint area that occurs in the night or morning, falling to the morning.
- Redness and glossy shine on the inflamed joint.
- Increase in the temperature of the inflamed joint, and sometimes the entire body, to 39-40 degrees.
- Puffiness and decreased motor activity of the joint itself.
It is almost impossible to remove a throbbing pain when an attack sets in, medications that can stop pain can not help.Back to index
Causes of gout in men
From the very beginning, gout causes an excessive level of uric acid in the body, which, in turn, is deposited in the joints and causes their inflammation. With normal metabolism, uric acid is excreted from the body along with urine and its level in the human body remains normal, but if for any reason the metabolism fails, the body starts to accumulate uric acid and only partially withdraws it. Three main factors affect the fact that uric acid ceases to be excreted and deposited in joint tissues:
- Kidney failure. The cause of failure in the work of the kidneys can be their descent or hypothermia.
- Pancreas and liver failure. They monitor the exchange of salts in the body.
- Presence of increased pressure. With arterial hypertension, the withdrawal of uric acid from the body is difficult, this can also lead to inflammation of the joints.
Why does gout occur more often in men? Frequent hypothermia in the winter can cause gout. Fans of winter fishing and hiking, sleeping in tents and snowdrifts are more likely to be sick than those who are and are working in the warmth.
Excessive use of alcohol, too, threatens with gout, because the work of the liver and pancreas gets lost. The admission of certain drugs that disrupt the kidneys and the liver can cause an attack of inflammation of the joint tissues and gouty arthritis.Return to the table of contents
What to do if you have a gout attack?
Anesthetics for gouty attacks will not help, they can only worsen the patient's condition, causing nausea, heartburn or vomiting. With the pain in the inflamed joint tissue, if the inflammation occurs on the lower limbs, you need to put the situation in a reclining position, and put your feet on a hill. It is better to put a pillow or rolled up blanket under your feet. Bed rest should be observed. If the hand is inflamed, you need to immobilize the joint and ensure that it is in complete rest.
Food intake is better limited, but you need to drink, and the more, the better. To neutralize the acid, you need to use alkali, and an attack of gouty disease is caused by acid. Excellent will help mineral water without gas, jelly or broth of oats. If the pain is completely intolerable, then for a few minutes to the inflamed articular tissue you can put ice, trying to avoid frostbite. Ice is applied no longer than 5-10 minutes. In a day you need to drink a large amount of liquid, about three liters, giving preference to milk and compote, rather than simple clean drinking water. From the food you can eat liquid broths and soups, avoiding everything roast and spicy.
On the inflamed joint after the ice is removed, it is necessary to apply a compress with ointment, for example, Vishnevsky. Then the attack of gouty disease will be much faster - within 2-3 days.Back to the Table of Contents
Prevention of Gouty Disease
Gout is most often affected by those joints that were previously injured. To prevent new seizures, you should wear loose, comfortable shoes, avoiding narrow shoes, preferring sneakers. Do not let hypothermia of the hands and feet, in the cold wear warm wool socks on your feet and gloves or mittens on your hands. Men who work as drivers, car mechanics, in places where they have to work on the street in the winter with bare hands, eliminating breakdown, must take care of their health and carry a warming ointment for the hands and feet.
With frequent attacks of gouty disease, you will have to completely reconsider your lifestyle. Smoking and excessive consumption of alcohol slow down the excretion of uric acid from the body. Of alcoholic beverages you need to remove mainly beer. A good wine can sometimes be consumed in reasonable quantities. Reception of tea, cocoa and coffee is also better restricted, the caffeine contained in these drinks, binds uric acid and slows its excretion.
Men who are obese and overweight are more likely to suffer from gouty arthritis. To prevent the occurrence of gout or new seizures, you need to follow a special diet. It is necessary to limit the intake of meat and fish food, as well as all fatty, legumes, tomatoes and mushrooms. The diet normalizes body weight, reduces the risk of new attacks of the disease. The use of salt should be excluded completely, if it is not possible to eat completely unsalted food, then the finished food can be salted, the norm is 10 grams of salt per day. That's about half a teaspoon. Food should be prepared completely without salt, and add it to ready-made food before consumption. Tea and coffee should be replaced with herbal decoctions of mint or rose hips.Back to the table of contents
Treatment of gout
Treatment of gouty disease is best done in a comprehensive manner. After removing the acute attack, it is necessary immediately to begin treatment, which takes place in several stages:
- Reception of colchicine. Colchicine relieves an acute attack, is also taken for prophylaxis according to the doctor's prescription. This drug is almost harmless to the body, becauseit is excellently displayed. Contraindications to use may be renal or hepatic insufficiency. In men, a side effect may be a sperm deficit in the semen, which occurs after discontinuation of the drug. In case of an overdose of colchicine, nausea and vomiting may occur.
- Taking medications. Patients need to take drugs to normalize the kidneys and drugs that regulate the level of uric acid in the body to avoid exacerbation of the disease.
- Weight control. It is best to stick to a diet and avoid heavy protein foods, legumes and mushrooms, excessively salty and spicy foods. But exhausting and restrictive in all the diets also badly affect. The body begins to intensively produce uric acid, which can lead to an exacerbation of the disease.
- Massage. It is necessary to take two courses of therapeutic massage a year - in spring and in autumn.
- Maintaining a healthy lifestyle. To avoid repeated seizures and chronic course of the disease, you need to lead a healthy lifestyle, give up alcohol, especially beer, and smoking.
Treatment of gout with folk remedies
There are many methods of treating gout with traditional medicine, but it is better to consult your doctor before using them.
Tool number 1.Take a large basin and fill it with grains of wheat or any other cereals. Before this, stand sick under the contrast shower, which should last at least 15 minutes, if the joints ache on the hands, then the hands should be massaged with soap under running water. After the contrasting soul, the diseased limbs must be lowered into the pelvis and the fingers squeezed the grain. The duration of treatment is 10 days, the frequency - 2 times a year.
Tool # 2.Affected gout of the limb perfectly calms the trays of chamomile pharmacy. Not to be confused with the common and three-rubber nivine, it will not bring much-needed relief. Chamomile must be brewed in boiling water and insist 20-30 minutes, then make a bath. The broth should be such a temperature that it does not burn, the duration of taking a bath - until the water cools. Duration of treatment is 5 days. Means number 3.Collect ripe spruce cones. The collection should be carried out in winter from December to March, the cones in this period are ripe, they contain many useful substances, they are this year, the seeds in them have not lost their germination and nutrients that can soothe the sick joint. Collected cones should be unopened, they need to be poured hot, but not boiling water and insist 12 hours, then take 3 times a day for half a glass before eating.
Tool number 4.Boiled rice with a small addition of salt( salting after cooking, but not in the process) favorably affects the painful tissues of the joints. Rice diet helps to reduce weight and normalize kidney and liver. The duration of the rice diet is no more than 3 days. For breakfast, boiled rice and a glass of milk. For lunch, rice with vegetables and two glasses of compote. For dinner, rice with raisins and any fruit with fruit compote, tea and coffee is best excluded from the diet, but mineral water without gas must be drunk in large quantities - at least 2 liters per day.Back to index
Myths about gout
Myth 1. Gout men are treated with beer. It is believed that gout arises from the fact that the kidneys cease to fulfill their function of removing urinary salt from the body, it begins to accumulate in the tissues of the joint. This is true, only to treat kidneys is not necessary. Beer does not purify and improve kidney function in gout, but only aggravate the situation. The body will begin with a vengeance to form urates, which the kidneys can not infer, leading to a new attack or severe exacerbation of the disease.
Myth 2. Bone protuberance occurs only in women. This is not so, men also swell the joints of the big toes. And the growing bone is not always a manifestation of gout. Sometimes this is a consequence of wearing uncomfortable or too narrow shoes.
Myth 3. Only alcoholics suffer from gout. This statement is also erroneous. Gout can also appear in absolutely non-drinkers. Alcohol can only be the reason why a metabolic disorder has occurred in the body of the patient and uric acid has ceased to be excreted from the body in full, but began to be deposited in the joints.
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Myth 4. Gout is an incurable disease. This statement is also the fruit of someone's imagination. Gouty disease is known to people since antiquity, when still lived Hippocrates. And already then the ancient doctors successfully fought with the disease, although they simply removed the symptoms of exacerbation. The treatment itself takes a long time and requires an integrated approach: medications, massage, baths, healthy lifestyle, refusal of alcohol, caffeine and smoking, exclusion of a prolonged sitting or standing position, more sports and movement.
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Gout: symptoms and treatment, photos, signs of goutAncient Greeks called gout "a trap for the feet."From the end of the XVII century gout is considered a separate disease. Gout was mostly male, but now it has overtaken the female half of humanity, and arises in the joints of the hands and feet. It was a consequence of the fact that people often overeat and abuse alcohol, in the treatment of diseases, many medications, diuretics( diuretics) are used. Since the withdrawal of uric acid from the body is delayed, it crystallizes and is deposited in the joints, turning into a sodium salt - sodium monourate. Modern physicians consider gout to be a systemic disease that affects the body completely. Signs and treatment of this disease, the first symptoms of gout you will learn from our article.
Causes of goutThe disease is divided into two groups, depending on the cause of the onset.
- 1) Primary gout in the vast majority of cases occurs as a consequence of the violation of hormonal and genetic factors, to which improper nutrition and consumption of alcoholic beverages is added.
- 2) The secondary form is a consequence of metabolic disorders, as well as excessive intake of medications. To such medicines carry: Pyrazinamide, Aspirin, Nicotinic acid and various diuretics.
- genetic predisposition of
- men have a higher chance of getting sick, unlike women.
- as a rule, the disease is diagnosed up to 40 years.
- taking medications, especially diuretics
- , alcohol abuse increases the risk of gout, especially for beer.
- excess weight also contributes to hyperuricemia.
- metabolic disorders, obesity;
- consumes high-calorie meat, fish food in fried form, abuse of vegetable and animal fats and alcohol;
- hypothermia or overheating of joints and a large physical load on them;
- factor of heredity.
Signs and symptoms of goutThe first phase of gout proceeds without symptoms, the level of urates gradually increases in the body, which in the future can lead to gout. This stage lasts a very long time, up to 25 years or more. The second phase is acute gouty arthritis. The first symptoms of gout in this stage are manifested by pain and swelling near the affected joint, as well as a rise in body temperature. The clinical picture of gout has pronounced signs:
- usually exacerbation begins early in the morning, or late at night;
- there is a sharp pain in the joint affected by acid-uric crystals, usually the thumb on the leg;
- there is redness and shine of the skin, together with swelling in the joint and periarticular tissues;
- the temperature rises, touching the joint is very painful;
- general weakness and malaise of the body is also present.
Diagnosis of goutFor diagnosis, consider the frequency of recurrent seizures. The diagnosis is made on the basis of:
- 1) The urate monosodium crystals found in the synovial fluid and the absence of microorganisms in it;
- 2) Confirmed tofus through chemical research or polarization microscopy;
- 3) 6-12 signs of gout: X-ray, laboratory, clinical;
- 4) Hyperuricemia, asymmetric inflammation of the joints;
- 5) On the roentgenogram - subcortical cysts without erosion.
Treatment of goutTreatment of gout is reduced to relief of acute attacks, drug treatment, diet and prevention of repeated exacerbations. Coping with an acute attack:
- prescribe a copious alkaline drink 2-2.5 l / day.) And complete rest;
- apply compresses, applying Dimexide in solution - 50% for analgesia and against inflammation;
- arrest an attack with non-steroidal anti-inflammatory drugs: Indomethacin, sodium diclofenac, Naproxen, Pyroxicam;
- relieve pain and inflammation of Nimesil and Colchicine;
Treatment of gout between attacks at homeFor the treatment of gout in the period between attacks in the home they eliminate hyperuricemia, recurrences of gout attacks, prevent damage to internal organs, restore the broken function of the joints with the help of complex therapy, including drugs, diet, physical influences and sanatorium-It is important not to use long-term medication for gout at home under light attacks, and with a dubious diagnosis. The first two days should be used Colchicine( 1 mg / day) or Indomethacin( 75 mg / day). Before receiving antidotal drugs, the type of impaired purine metabolism is established. It can be metabolic, renal and mixed. Uricostatics inhibit the formation of uric acid, for example, Allopurinol: the daily dose is 100-900 mg, which depends on the degree of hyperuricemia. At a mild degree - 200-300 mg, at an average - 300-400 mg, at a heavy - 600-900 mg / day. For two days you can reduce the level of uric acid by 2-3 times. The drug is used constantly, because it does not have the durability and duration of action. The break is made in the summer for 1-2 months due to the appearance of a variety of plant products in the menu. Uricosuric means inhibits tubular reabsorption of uric acid compounds and increases production, so they are prescribed for renal hyperuricemia. Treat: Etamide, Benzbromarone, Probenecid( BENEMID) and salicylates - 4 g / day. Most often treated with Allamaron, it is convenient in the reception - 1 time per day for 1 table.and has a small number of adverse symptoms. Dissolve uric acid stones and prevent the formation of new ones - with the drug Uralit( Magurlit, Blamaren).
Menu for gout: what can you eat?Usually prescribed for gout diet number 6, which has a full calorie, it is limited to animal fats and salt, reduced the amount of protein. The diet has many alkaline valences and it provides for increased fluid intake. The energy value of the diet is 3000 kcal. Diet No. 5 is also suitable. It is forbidden to eat:
- by-products: liver, kidneys, tongue, brains.
- with meat of young animals and poultry: veal and chicken.
- with fat varieties of meat and fish, soups and broths from them.
- beans, rich purines: peas, beans, beans, lentils, sorrel and spinach.
- with meat and fish in boiled form 2-3 times a week.
- milk and dairy products.
- flour and cereals, white bread( in small quantities).
- vegetables: potatoes, cabbage, zucchini, pumpkin, melons, watermelons.
- fruits: apples, apricots, plums, pears, peaches, oranges.
- berries: grapes, cherries, cherries, strawberries and blueberries.
- before going to bed you need to drink a cup of soft tea, coffee, tea with milk or lemon, juice.
- includes curd, kefir, dairy and fruit-free days.
- on meat days - boiled beef - 150 g or boiled fish - 150 g. You can combine meat and fish and enter that day with vitamin C and B¹.
- during the exacerbation - only liquid food: milk, lactic acid products, kissels, compotes. And also: vegetable and fruit juices, weak tea with milk or lemon, broth of wild rose, vegetable soups, liquid porridges.
Complications of goutGout is manifested by the following complications:
- 1) Gouty glomerulosclerosis and urate stones in the kidneys. Nephropathy, gouty nephritis, pyelonephritis develops.
- 2) Violation of kidney function in violation of purine metabolism( gouty kidney).In the presence of arterial hypertension and diabetes mellitus, acute kidney failure develops.
- 3) Gouty arthritis and destructive polyarthritis with joint deformities.
- 4) Osteoporosis( thinning of bone tissue).
- 5) The formation of tophi on the joints or soft tissues: on the wings of the nose, in the auricle, fingers, feet, in the internal organs - the heart, kidneys, etc.
Prophylaxis and prognosis ofProlonged seizures can result in complete recovery. The prognosis is favorable and depends on the level of hyperuricemia and adequate treatment. People can maintain their ability to work for many years and their quality of life does not suffer. Prevention is reduced to diet, exclusion of fasting, use of diuretics, long-term use of drugs that dissolve urate salts( Uralit), the use of sanatorium treatment. You can apply compresses to the joints of a mixture of valerian( 3 bottles) and cologne( or vodka) - 200 ml. Compress warmed with a woolen scarf. After an exacerbation the status will improve.
Gout - what is this disease, and what are the symptoms and signs of this disease in men and women?
This is a disease that affects middle-aged and elderly people. It is characterized by the fact that in various tissues of the human body occurs the deposition of salts, which are called urates. These deposits occur in the form of uric acid. Signs of gout is an attack of acute arthritis, which develops for a person quite suddenly against a background of general health. However, few people notice that a couple of days before the exacerbation a person has unpleasant sensations in the affected joint, malaise, nervousness, irritability, insomnia and a slight increase in temperature. Most often the disease appears on the legs, but not just. There are certain predisposing factors for this:
- Increased food intake, which contains a large number of purines - beer, coffee, tea, meat by-products, chocolate, lentils.
- Increased disintegration of purine bases, which is especially often observed in the treatment of cancer tumors and in people with autoimmune diseases.
- Renal failure, in which there is a violation of excretion of uric acid from the body together with urine.
- High performance of uric acid by the body and simultaneous violation of its excretion. This condition is especially characteristic of people suffering from alcoholism.
- Hereditary predisposition to accumulation of uric acid in organs and tissues.
The course of the disease in women
Among the female half of the population, this ailment is relatively rare. And if it happens, it is much easier. Representatives of the fair sex very rarely experience acute attacks of the disease, which are called acute gouty arthritis. The main manifestation of the disease here is chronic pain in the knee joint, however these pains are tolerant and never sharp and strong. In addition to the knee, the ankle joint may suffer. That is why it is rather difficult to guess that the patient has gout rather than arthrosis - for this it is worthwhile to conduct a whole series of tests and get to the reception to an experienced specialist.
Symptoms of gout in women include swelling of the joint and its inflammation, which is never the case with arthrosis. In addition, it is worth paying attention to age. Gout on the legs is not manifested in women who have not had a climacteric period. After all, women's hormones, which are fully developed before menopause, protect her body very well from this disease. And with the onset of menopause, the release of hormones decreases, and here the disease begins to manifest itself.
The course of the disease in men
Symptoms of the disease in men are much more pronounced, and confusing them with another disease is quite difficult. As a rule, seizures at the very beginning of the disease are not long and quickly pass. This attack begins suddenly and more often at night. In most cases, the inflammation begins with the big toe, with one or both joints being inflamed at the same time. The remaining joints rarely inflame.
A gout attack is a very strong pain sensation, in which a person literally "climbs on the walls".The joint, which was struck, first swells, then blushes, and the skin above the site of inflammation has a crimson hue. In addition, the joint becomes hot to the touch.this state lasts 3 to 4 days. In this case, any touch to the affected area brings very severe pain. And then the attack goes by itself and the person again feels perfectly healthy. After a while the attack of pains in a joint again repeats. At the beginning of the disease, the intervals between them are about a month, but in time they can be reduced to a week, and even up to several days. And the attack itself becomes more and more prolonged.
An experienced physician on specific signs of a man can immediately put a correct diagnosis. In doing so, he does not even need to see the results of the analysis of a person - the diagnosis is based on examination and on the complaints of the person himself. At the very end of the disease, such attacks become permanent, and there is no interval between them. That is, a person constantly feels pain in the knee, which makes his life unbearable. As a result, the cartilage of the joint is destroyed, and in the bones that are near the joint, cavities appear that are filled with crystals of uric acid. Such cavities are called "piercers".
Very often such a disease can be detected in people who are obese. That's why every person, especially a male representative, is simply obliged to watch what he eats, how much, and whether he does not have excess weight. Proper nutrition is the guarantee that a man's gout will never manifest.
Symptoms on the legs are not only severe pain or the identification of "piercers" in bones that are not far from the affected joint. This is also a decline in the quality of human life. During the attacks of the disease, the patient simply can not move, and in the affected joints, secondary osteoarthritis is often detected during the study. Moving to a person with such problems becomes more difficult and more difficult every year. And if he does not stop eating harmful foods - those that contain purines, then soon he will not be able to move at all and go out into the street.
From the first signs of the disease on his feet until the moment when the disease enters its last stage, it usually takes 5-6 years. After this time, the person complains about constant pain in his legs, it's harder and harder for him to move around. Affected joints remain constantly swollen, begin to deform, and inside them very often accumulates intra-articular effusion, which further exacerbates the situation. Symptoms of the disease on the legs in women do not give such symptoms. It is fashionable to say that the fair sex was very fortunate in that this disease bypassed the disease, and the manifestation of the disease itself is not expressed so much.
Treatment during attacks
The first thing a person thinks about at the time of an acute attack of a disease is how to remove the pain. The first thing that needs to be done in this case is to provide complete rest to the affected leg. At the same time to hide a leg or put a sock on it is not worth it - it also causes a severe attack of pain. If the touch brings a tolerable pain, then on the affected place it is necessary to put a bag of ice. This brings relief to many.
When a fit of the disease should be sure to drink as much liquid as possible - up to 3 liters a day. It can be water, mineral water, infusions of herbs( yarrow, dog rose, mint).Pain relief with gout anesthetics does not have any effect. Neither aspirin, nor baralgin, nor tempalgin here will help. Many people who suffer from the disease begin to engage in self-medication, for example, they lower their legs into herbal decoctions( which causes pain even more), or they take a particular folk remedy that they heard from a neighbor or were subtracted from a magazine. Such treatment is unacceptable. But it is only necessary to establish the right diet and with bouts of ailment it will be possible to say goodbye for a long time.
Some sauna lovers like to visit her during an exacerbation of a disease. But in this case there can be no question of going to the bath. And this is worth remembering. However, after the attack is over, the bathhouse will be visited, but it is not recommended to stay in it for too long.
How to get rid of gout, say many folk healers. But in fact, this disease can not be cured, it is chronic, which means it is characterized by seizures and periods when a person feels just fine. The disease itself, or rather its signs, will disappear only when a person realizes that he needs to get rid of excess weight and establish proper nutrition, while almost completely need to give up meat and fat, and in your diet include as much vegetables andfermented milk products.