Gout Foot Symptoms and Treatment

Gout - symptoms and treatment

gout symptoms and treatment

After 40 years in the body, metabolic processes worsen, including synthesis and excretion of uric acid, which tends to accumulate in the tissues of large and small joints. It is at this age that some women learn what gout is - symptoms and treatment of this pathology have been known since the time of Hippocrates. Then it was considered a royal ailment, since the main cause of the development of the disease is the abuse of fatty, protein-rich proteins, food and spirits.

Symptoms of such a disease as gout and treatment of pathology

There are no early signs in this disease, therefore its progression can be judged only when arthritis arises( acute attack).

Main clinical manifestations:

  • severe pain in one or more joints, most often( 70% of cases) in the metatarsophalangeal joint of the big toe;
  • swelling of the affected area;
  • hyperemia of the skin over the damaged joint, the acquisition of a crimson or bluish tinge;
  • increased sensitivity in the affected area;
  • fever, chills.

Also gout affects the kidneys. Symptoms of this complication:

  • urolithiasis;
  • renal colic;
  • glomerulonephritis;
  • tubulointerstitial nephritis;
  • kidney failure.

Typical features of the pathology are tofusi - dense nodules on the folds of elbows, feet, hands, ear shells, consisting of salts of uric acid.

Gout therapy is carried out in 2 stages. First, an acute attack of the disease and an inflammatory process in the joints are removed, after which the basic medicamentous effect and prevention of relapses are carried out.

Treatment of an attack of gout in women and its symptoms

In the acute period of gouty arthritis, a strict "half-starved" diet is shown( vegetable soups, kissels, porridges on the water), abundant drinking, preferably alkaline liquids.

For rapid relief of inflammation non-steroidal anti-inflammatory drugs are prescribed:

  • Celecoxib;
  • Indomethacin;
  • Meloksikam;
  • Voltaren;
  • Ibuprofen;
  • Ketoprofen;
  • Nimesulide;
  • Naproxen;
  • Butadiene;
  • Movalis;
  • Nimulide;
  • Homvio-Revnman;
  • Celebrex.

A short course of glucocorticosteroid hormones is rarely done, but only if the standard approach is ineffective.

Treatment of symptoms and an acute attack of gout of the foot, knee and hip joints requires adherence to bed rest and complete rest for the feet for a minimum of 3-4 days.

After the removal of the inflammatory process and the reduction of arthritis, one can proceed to the basic therapy of the disease.

Drugs for the treatment and prevention of gout symptoms without exacerbation

The main goal of the second stage of drug treatment is to reduce the production of uric acid in the body and increase its excretion by the kidneys.

For this purpose, the following drugs are prescribed:

  • Allopurinol;
  • Probenecin;
  • Colchicine;
  • Urodan;
  • Alopron;
  • Kebuzon;
  • Diakarb and others.

Normalization of joints and general well-being is observed after 30 days of treatment.

It should be noted that in order to prevent possible relapses of pathology and exacerbation of gouty arthritis, one must constantly adhere to the diet recommended by a doctor and periodically take prescribed medications.

Treatment of symptoms and effects of gout at home

Rheumatologists are skeptical of using non-traditional or folk remedies in gout therapy, as they are not effective even with a mild inflammation in the joints.

Attack of gout its symptoms and treatment

As an auxiliary treatment it is allowed to take some herbal infusions.

Recipe for laurel decoction

Ingredients:

  • crushed dried bay leaf - 1 teaspoon;
  • water - 1.5 cups.

Preparation and use of

Boil the phytochemicals on high heat for 5-8 minutes. Leave the solution infused for 3 hours without a lid to evaporate all essential oils. Strain the medicine, drink it in small portions throughout the day.

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Gout - symptoms, treatment, photo, diet for gout

The causes of the disease also include malnutrition( with a predominance in the diet of purine-saturated foods), excess weight, endocrine disorders in the body, certain pathologies of the circulatory system. Provoke another attack of gout can use alcohol, taking certain medications( antibiotics, diuretics), but most often the disease worsens without any specific reason, usually at night.

Symptoms of gout

Initially, the disease affects large joints of the lower extremities, in the first place the toes suffer. Gout on the legs is a common occurrence in the life of an elderly person who, in his youth, abuses alcohol and neglects his food. The disease begins with an inflammation of the joint of the big toe. The so-called gouty arthritis is accompanied by:

  • increase in joint size;
  • severe pain in the place of localization of the inflammatory process;
  • by local body temperature increase;
  • redness covering the diseased joint of the skin.

The first attack of gout is usually short-lived, in the absence of treatment passes within a week. The second such attack can occur several years later, more rarely - decades. Such signs of gout as joint deformity, proliferation of its tissues are noted with the advanced form of the disease. To change the appearance of the joint leads to the gradual accumulation in it of salts of uric acid. In particularly neglected cases, gout becomes the cause of the patient's disability.

Treatment of gout

The basis of therapy is a special diet, aimed at reducing the diet of patients with saturated with purine products. Medications prescribed during the period of gout exacerbation help to alleviate the patient's condition, reduce the risk of complications. To eliminate the symptoms of arthritis, anti-inflammatory( nonsteroidal) drugs( Colchicine) are shown, with severe pain, pain medications.

The drugs prescribed for the treatment of gout include Uralit and Allopurinol, which help to reduce the level of uric acid in the blood by its natural excretion from the body. Regular reception of these funds helps to avoid exacerbations of the disease in the future.

Sick mud baths, applications with Dimexide are recommended for patients with acute exacerbation. With severe deformation of the joints, surgical intervention is performed.

Treatment of gout with folk remedies

Traditional medicine can be used as an auxiliary therapy in this case. Such therapy gives, as a rule, very good results. Elimination of severe joint pain is promoted by compresses from cabbage leaves. Leaves are thoroughly washed with warm water, dried and applied to the sore spot for the night, from above covered with bandage or gauze. Long-term use of this tool( daily, for a month) helps to reduce the risk of an attack in the future.

Also folk medicine recommends in the therapy of gout to use dogrose, garlic, ginger, baking soda, broths of medicinal herbs( chamomile, marigold, St. John's wort, turns).Decoctions in this case can be used not only as a compress to a sore spot, but also as a drink.

Diet for gout

Patients with a similar diagnosis should be more careful about their diet, in particular to exclude from the diet saturated with purine products, because uric acid, deposited in the joints and provoking their inflammation, is a derivative of these compounds. Nutrition for gout should be organized in such a way that the body does not suffer from the lack of some of the usual food for him. For example, fat red meat should be replaced with boiled chicken breast, white bread - bran, etc.

The diet should be observed for a long time. Otherwise, the risk of gout and progression of the disease increases.

What can not be eaten with a gout

With gout, you should stop using:

  • fatty meat;
  • by-products( kidney, liver, language of farm animals);
  • of red fish;
  • alcohol;
  • of sweet carbonated water.

There are products, the use of which is acceptable, but not desirable. Chicken eggs, boiled lean meat, bread, mushrooms, cereals, peas, and beans are allowed in small quantities.

What you can eat with a gout

The daily ration includes:

  • vegetables. It is desirable in a boiled form, steamed, baked in the oven with a small addition of salt;
  • dairy products;
  • berries, mainly currants of different varieties, watermelons;
  • bran, bread from bran;
  • nuts, fruits and dried fruits;
  • mineral water.

There are products that reduce the level of uric acid in the blood. It is primarily red and black currants, strawberries, raspberries. Also recommended for use are morsels, broths from currant leaves, dried raspberries.

Drug for gout

Drugs designed to combat gout, a lot, they all have a similar effect - reduce the level of uric acid in the blood of a person.

Traditionally, allopurinol is administered in the form of tablets in the therapy of the disease. The drug interferes with the synthesis of uric acid in the body, contributing to the development of the enzyme xanthine oxidase, removes from it the already existing deposits of salts with urine. The drug is not contraindicated in the presence of kidney diseases, it is recommended for the prevention of gout in elderly people. Among its side effects, the greatest danger to the body is a violation of liver function and an increase in the level of sugar in the blood, but such effects in case of proper administration of the medication, as a rule, do not arise.

In the presence of significant deposits of uric acid salts in the joints, the use of preparations of Solimok, Orthofen, Indomethacin( with a pronounced pain syndrome and inflammation of the joints) is indicated.

Ointment from gout

Local preparations for gout give a good therapeutic effect, their use helps to eliminate the pain symptom, reduce the inflammatory process in the patient's joint, facilitate the general condition of the patient.

In the treatment of inflammatory joint diseases, a 2% Diclofenac ointment based on the active ingredient, diclofenac sodium, is widely used. The product has a slight anti-inflammatory effect, quickly eliminates pain, is recommended for use in exacerbating gout.

Fulflex ointment has a similar effect. It is worth remembering that such drugs are struggling with the manifestations of gout, but in no way hamper the progression of the disease, and therefore, as the main remedy can not be appointed.

Prophylaxis of gout

Prevention of disease can be considered correct nutrition in youth, not abuse of alcohol, especially after 40 years. Individuals who have already been diagnosed with the same condition must be constantly under the control of specialists, regularly undergo an examination of the body. In half the cases, the neglected form of the disease leads to complications from the excretory system( renal dysfunction) and disability.

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Gout

Gout is one of the most common types of arthritis( inflammation of the joints) and occurs more often in men( mostly middle-aged).Gout occurs more often in men( mostly middle-aged) than in women.
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Causes of

The onset of the disease is closely related to the amount of uric acid that occurs as a result of processing certain foods rich in purines in the body.

Related newsThe common cherry saves from pain in the legs

Normally, uric acid is excreted by the kidneys in the urine. However, in patients with gout of uric acid either too much is formed, or it is poorly excreted by the kidneys, as a result, the body accumulates its excess. When uric acid is too much in the body, it begins to be deposited in the joints in the form of tiny crystals, which leads to inflammation and pain. It should be borne in mind that there is no clear connection between the level of uric acid in the blood and the development of gout - in some cases, attacks of gout develop in people who have uric acid levels within normal limits.

An increase in the level of uric acid in the body can be associated with impaired renal function, as well as with the intake of certain medications.

Symptoms of gout

There is acute pain, swelling and redness of the joint( usually one or two).This acute condition( it is often referred to as by the attack of gout ) can last for several days or weeks( if not treated). The attack of gout often occurs at night, the joint becomes hot to the touch and is very sensitive even to light touches.

Very often the joints of the thumb on the foot are affected, but other joints( ankle, knee, fingers and hands) may be involved. In some cases, joint tendons become inflamed at the same time.

Complications of

If attacks gout occur frequently and for a long time, it can lead to serious damage to the joints and to limiting their mobility. In some cases, white nodules( tophi) are noted under the skin of the joints or around the auricle, which are a cluster of uric acid crystals.

What can you do

You should consult your doctor to make a diagnosis. The sooner you go to the doctor, the sooner the treatment will begin. With properly selected therapy, exacerbation of gout occurs in 1-2 days. If you really have gout, then, in addition to meeting all the prescriptions of a doctor, you should follow a very strict diet.

You should not eat( especially during an exacerbation) all products rich in purines: meat by-products( heart, kidneys, liver, brains, etc.), fatty fish( especially during the exacerbation period), salted and fried fish, canned foodmeat and fish), sharp and salty cheeses, red meat and products from it, lard, soups on meat, chicken, fish, mushroom broth;smoked meat products, beans( lentils, peas, beans, beans, soybeans).

Do not consume alcoholic beverages that increase the uric acid content and worsen its excretion by the kidneys( beer, cognac drinks, fizzy and dessert wines).

It is recommended to drink plenty of water, green tea.

When attacks gout , it is necessary to provide sufficient rest for the affected joints and try to injure the joint as little as possible with clothing or shoes.

Keep track of your weight. However, any program for weight loss should be carried out under the supervision of a doctor, tk. A sharp weight loss can lead to an exacerbation of gout.

Be sure to tell your doctor about all medications that you are taking.

What the doctor can do

The physician should make a diagnosis by conducting various additional studies( including a blood test and determining the level of uric acid).With prolonged gout, an X-ray examination of the joints may be required.

The doctor will prescribe drug therapy during the period of exacerbation, give recommendations on the diet and the regime of physical activity and motor activity.

Based on the results of the additional studies, the doctor will select a treatment aimed at reducing the level of uric acid in the blood. Keep in mind that drugs prescribed during the period of exacerbation are not intended for long-term use and, as a rule, do not affect the level of uric acid.

Prevention of gout

If there are cases of gout in your family, then you are at risk. In this case, it is recommended to monitor the level of uric acid in the blood regularly, and also try to stick to a healthy lifestyle. Gout often occurs in individuals with high body weight and high blood pressure. Proper nutrition with the restriction of meat and other purine-rich foods plays a crucial role in the prevention of gout.

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On the legs of gout: symptoms and treatment

Often appears on the legs of gout, which is associated with a metabolic disorder, when salts of uric acid are deposited inside the joint. It was first described by Hippocrates, calling it a "trap for the foot."He was convinced - the causes of growths are excessive love for food and alcohol. And this is in a sense true - the main predisposing factor can be called a wrong way of life.

IMPORTANT TO KNOW!Doctors are dumbfounded! The pain in the joints is FOREVER!Just before bedtime. .. Read on - & gt;

This disease - a huge number of popular names, one of which is "Disease of Kings".After all, once it suffered exceptionally rich people, and today there was an amazing regularity - people with high incomes are more often tormented by gout. And during wars and in difficult conditions of cases of disease it practically is not observed.

Causes of gout on the legs

The reason that a person has arthritic gout is a persistent elevated uric acid level in the blood, resulting from the gradual crystallization and deposition of small elements of urate.

Their appearance may be caused by insufficiently good kidney function. Even healthy kidneys can not cope with their tasks. Sources of problems in this case are the following factors:

  • nature of power. The menu of the patient is dominated by meat products, fish, vegetable fats, high-calorie meals;
  • provoking circumstances. These include excessive physical work, hypothermia, or, on the contrary, overheating of the limbs;
  • heredity. In the presence of this illness, the likelihood of its occurrence increases many times with one of the relatives;
  • is overweight. One of the most common difficulties of modern people, which causes not only gout itself, but also many accompanying exacerbations;
  • alcohol abuse. Alcohol makes it difficult to remove salts from the kidneys.

Symptoms of gout on the legs

- is the classic onset of a serious illness, subsequently encompassing connective tissues, organs and systems.

Fits of pathology are short-lived - last from 2 days to 1 week and re-emergence can occur only after a few years. They are usually taken by surprise:

  • there are severe pressing pain outbreaks;
  • feels hot flushes in the joint;
  • formed swelling;
  • touching the problem area causes intense pain;
  • possible fever.

Complications of

Gout causes a variety of complications, the strongest of which are nodules, or tofusi. This is nothing more than the deposition of crystals that get stuck in the joint and periarticular tissues. The immune system of the body reacts to such a violation by the accumulation of leukocytes and inflammation - thus developing gouty arthritis.

Unattractive looks like gout on the legs - photo is this confirmation. Joints are deformed and with increased mechanical stress, the soft tissues surrounding them are ruptured. Another complication is the occurrence of urolithiasis. Urata stones are the main cause of acute and chronic kidney failure, sometimes leading to death.

And to other disorders leads gout on the legs - the symptoms are varied. For example, forms the so-called gouty kidney - because of the deposition of salts in the glomeruli and tubules of the body, many of its functions are violated. And changes in the kidneys can trigger an increase in blood pressure. Often there are even more serious ailments - ischemia, metabolic syndrome and osteoporosis.

Prevention

Various consequences cause a gout on the legs: how to treat it, interests many. But first of all, if there is a predisposition to the disease and to avoid relapses, permanent preventive measures are required. They consist of periodic monitoring of the level of uric acid. And also it is necessary to follow the recommendations of doctors:

  • adhere to the principles that improve the quality of life;
  • is rational to eat;
  • wear comfortable shoes without too high heels, at home walking barefoot, and for the night hold a foot massage and a bath;
  • to abandon bad habits;
  • to reduce weight in order to reduce the burden on the legs;
  • Avoid stretching, microtrauma, dislocations;
  • drink medicinal decoctions of mint, yarrow, rose hips.

Diagnosis and treatment

It is difficult to recognize gout on the legs - treatment is only performed after a thorough diagnosis. The disease is prescribed as a diagnosis, based on a visual examination, a biochemical examination for the content of uric acid, a general blood test for the presence of neutrophils and urine - oxalates and protein.

However, the main test that distinguishes this pathology from others, remains arthrocentesis - sucking of the articular fluid with special devices and its study. In addition, for the appointment appoint and X-ray - it most clearly allows you to detect tofus formation and determine the stage of damage to bone tissue.

Very dangerous and unpredictable gout proceeds on the leg - the treatment must be prescribed by the doctor and the independent choice of medicines is by no means permitted. Often, therapy is primarily associated with a change in lifestyle and largely depends on the stage of pathology.

Among the main ways to get rid of pain specialists distinguish:

  • diet. It should be low-protein, with the use of dairy-vegetative food. And unloading days - curd, compote, kefir, dairy, vegetable or fruit. But boiled meat, fish, chicken are allowed in small quantities up to 3 times a week. The picture in the table shows the allowed and prohibited products. In addition, there are methods and drugs that help to alleviate the situation:
  • relief of an acute attack. This is done with the help of anti-inflammatory drugs - Colchicine, Diclofenac, Indomethacin, Ibuprofen, Naproxen and Cetpolac;
  • medication course of treatment. Leg gout is treated with such drugs as Allopurinol, Koltsikhin, Anturan, Ketazon, which relieve inflammation and painful sensations;
  • folk methods. There are used both internal and external means - decoctions, infusions, tinctures, lotions, compresses;
  • physiotherapy. Recommended rodonovye, hydrogen sulfide baths, balneotherapy, mud applications, ultrasound, electrophoresis. And also therapeutic gymnastics is needed, which helps to keep the motor activity.

Thigh gum occurs more often due to the incorrect lifestyle of , it is often the beginning of serious disorders that can cause both pyelonephritis and death. Therefore, when the first symptoms of the disease appear, it is important not to consult a specialist. This will help to avoid painful sensations and recover in the shortest possible time.

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Gout - Causes, symptoms and treatment. MF

Gout is one of the oldest diseases described in medicine. In the 5th century BC, Hippocrates called "gout"( from the Greek words "under" - foot, "agra" - the trap) acute pains in the foot. It was called "the disease of kings and the king of diseases", a disease of aristocrats, even considered a sign of genius. She suffered such famous people as Leonardo da Vinci, Alexander of Macedon, many members of the Medici family from Florence, Isaac Newton, Charles Darwin. And this list is far from complete.

Gout is a disease associated with impaired purine metabolism, which leads to an elevation in the blood of uric acid( hyperuricum) and its deposition in the tissues of the musculoskeletal system and internal organs.

In the human body, purine bases are broken down to uric acid and excreted by the kidneys. When the limit of uric acid concentration in tissues is exceeded, the deposition of its crystals in the form of sodium monoaurate in the joints, kidneys, soft tissues begins. There are clinical manifestations of arthritis( inflammation of the joint), there are formations in soft tissues( tofus), urate nephropathy( kidney damage) and nephrolithiasis( formation of kidney stones).

Changes in dietary habits and lifestyle led to the fact that in industrialized countries, 1-2% of the population suffers from gout.

Causes of gout

1. Drug administration: diuretics( thiazide diuretics), low doses of aspirin( 1g per day), cyclosporins. Diseases and conditions that lead to the appearance of gout: diabetes, obesity, ischemic heart disease, arterial hypertension, metabolic syndrome, chronic renal failure, lead poisoning, organ transplantation, psoriasis, blood diseases. The intensification of gout is facilitated by intravenous contrast( with radiological examinations), trauma, surgical interventions. The risk of gout is extremely high among people who are in the habit of consuming products containing a large number of purine bases( fatty meats, seafood, alcoholic drinks, carbonated drinks).Gout more often develops in men( age 30-60 years), in women gout develops much less frequently and mainly in the menopausal period.

Symptoms of gout

Acute gouty arthritis begins with the lesion of one joint, most often the thumb of the foot. The emergence of acute arthritis can be preceded by heavy eating, alcohol intake, trauma, and surgical intervention. The disease develops suddenly, early in the morning there is a sharp pain, swelling and redness, the symptoms quickly increase and reach a peak within 24 - 48 hours. The pain becomes severe, patients often can not wear socks or touch a sick joint. Acute gout can be accompanied by an increase in body temperature to 38 degrees. Sharp weakness, general malaise. Even in the absence of treatment, exacerbation of gouty arthritis disappears gradually within 5 to 7 days.

Acute gouty arthritis

As the disease progresses and in the absence of adequate treatment, attacks of arthritis become more frequent and prolonged, new leg joints are involved. There is deformation of the joints due to nodular deposits and bone growths, tophi.

Tofusi are uric acid crystals that are deposited in the periarticular tissues, are painless, dense nodules of yellowish color. Most often located in the area of ​​the auricles, elbows, ankles, joints of hands and feet.

Gradually appears joint stiffness, which makes it difficult for patients to move. The risk of fractures is high. Each new exacerbation of gouty arthritis significantly worsens the course of the disease, contributes to the rapid development of complications.

In general, uric acid is excreted by the kidneys, the deposition of uric acid salts in the renal pelvis leads to the development of urolithiasis. Departure of stones( stones) is manifested by intense pain in the lumbar region - renal colic.

Diagnosis of gout

1. Biochemical blood test. Detection of hyperuremia: increased uric acid levels in men over 0.42 mmol / l, in women over 0.36 mmol / l. Definitions of the level of the creatinine of the blood - for the detection of renal failure. Investigation of the synovial fluid of the affected joint. When a chemical or microscopic study determine the crystals of uric acid, in the sowing there is no bacterial flora. Radiography of the joints determines changes in chronic gouty arthritis. Kidney ultrasound. Detection of X-ray negative stones( stones).

Radiography of the joints - gouty arthritis

Consultation: rheumatologist, nephrologist, surgeon.

Treatment of gout

Adherence to dietary recommendations is important to prevent gout exacerbation. This restriction of consumption: meat and fish products, beans, sorrel, spinach, cauliflower, raspberries, figs, chocolate, strong tea, coffee. It is forbidden to drink alcohol, especially wine and beer.

It is recommended to increase the volume of liquid to 2 liters per day, if there are no contraindications. This is cranberry juice, juices, alkaline mineral water. Gradual normalization of body weight is mandatory for the patient, as it helps to reduce the level of uric acid in the blood.

The goal of drug treatment is to reduce pain during an attack and to treat disorders of purine metabolism.

During an acute attack of gout, the patient is recommended complete rest, especially a sick limb. It should be given an elevated position of the foot, attach a blister to the joint with ice, and after the abatement of pain - a warming compress. For treatment of an attack non-steroidal anti-inflammatory drugs( NSAIDs) are used. The drug, its dose, the frequency of reception, duration is recommended by the attending physician.

To achieve a persistent reduction in uric acid, which prevents the progression of gout, antipodal agents( alopurinol, sulpharperazone, uralite etc.) are used. These drugs are used for a long time( years).The necessary drug is chosen by the attending physician individually for each patient, depending on the age, concomitant diseases, the level of uric acid in the blood.

In the formation of large tophi, with ulceration of the tissues, the presence of fistulas, surgical treatment is recommended-the removal of tofus, since they can no longer dissolve when taking antipodal drugs, and can significantly limit the function of the joints.

Physiotherapy for gout

In an acute period, applications of a dimexide solution on the affected joint are used. It has an analgesic and anti-inflammatory effect. Before the beginning of the procedure, samples for sensitivity to dimexide( the presence of an allergic reaction) are conducted, after 24 hours after the procedure begins procedures. For applications, a 30-50% solution of dimexide is used( dilute pure dimime with boiled water).A napkin soaked in a solution is put on a sick joint. Initially, the duration of the procedure is 10 minutes, later it is increased to 2 hours. In the period of remission apply applications with mud, paraffin, ozocerite, which improves the function of joints, reduces the urate content in them.

In the period of remission, patients are shown sanatorium treatment. On the health status of patients, the course of the disease has a beneficial effect of health activities: diet food, intake of alkaline mineral water, balneotherapy, mud therapy.

Phytotherapy for gout

In complex treatment with diet and antidotal drugs, phytotherapy is used. Infusion of leaves of cranberries( 1/2 glasses 3 times a day).Infusion of leaves of black currant( ½ cup 4-5 times a day).Infusion is prepared: 1 tablespoon of dry leaves for 500ml of boiling water, 2 hours, drain. Apply the fruits of blueberries.

Diet for gout

From the diet it is necessary to exclude or minimize foods and dishes containing large quantities of purines, since purines form uric acid.

Foods that should be avoided: liver, kidneys, brains, lungs, meat of young animals, chicken, meat and fish broths. A patient with gout should refuse to take alcohol, as it inhibits the excretion of uric acid by the kidneys and thus helps to increase its concentration in the blood.

Foods that need to be restricted: beans( beans, peas, beans), sorrel, spinach, eggplant, radish, cauliflower, asparagus, mushrooms, crustaceans, caviar, fish( Baltic herring, sardines, etc.).Large fish are allowed.

The need for calories for gout should be met mainly by carbohydrates. In small quantities, the diet can contain eggs, flour and cereal dishes, low-fat fish, beef, lamb. Fish and meat dishes should be eaten in boiled form, not more often 2-3 times a week. One portion should not be more than 250 g. During an attack of arthritis, fish and meat must be completely ruled out. Food should contain the necessary amount of vitamins, so the broths of dogrose, lemons, apples, black currants are useful. Without restrictions, you can consume milk and dairy products, cereals( bread, cereals, bran), most vegetables( potatoes, carrots, cabbage, cucumbers, tomatoes, pumpkin, onions, carrots, beets, radish, celery), nuts, watermelons, melons,berries and fruits, spices. It is known that cherries, strawberries, currants and other dark red and blue berries reduce the concentration of uric acid in the blood, so are useful for gout in any form. In the absence of diseases of the kidneys and the heart, an abundant alkaline drink( 2-2.5 liters per day) is necessary, fruit and berry compotes, alkaline mineral water, are suitable for this purpose.

Prevention of gout

Patients suffering from gout are observed by a rheumatologist and a therapist( family doctor).Twice a year, they undergo a comprehensive examination( determination of the level of uric acid, creatinine).Kidney ultrasound and joint radiography are performed once a year.

Complications of gout

Early abnormalities of purine metabolism are reversible, provided timely diagnosis and treatment, but at the stage of chronic gout with organ damage( heart, brain, kidneys) the disease forecast is unfavorable. Kidney damage develops in 30-50% of patients with gout. With persistent increase in the level of uric acid in each 4 patients with gout develops chronic renal failure.

Consultation of a doctor on gout

Question: Why does an antidepressant drug get worse? Answer: At the beginning of treatment with antipodal drugs( more often allopurinol), acute gouty arthritis can occur due to the excretion of uric acid from the tissue depots of the body. Therefore, in order to prevent, it is necessary to prescribe simultaneously NSAIDs.

Question: How long should I take antipodal drugs if the level of uric acid is normal? Answer: Antipodal drugs are taken within a year, after which you can take a break for 2 months( with normal uric acid in your blood), provided that you follow a diet.

Doctors therapist Vostrenkova I.N.

# 4Anna13.02.2016 17: 31 can the use of paracetamol lead to an exacerbation of gout?. . edema on the legs do not pass for the third month, that is, the swelling of the legs decreases, and then again appear. Accept allopurinol and NSAIDs # 3andrey07.11.2015 03: 28All medications prescribed by doctors cause changes in the human body: Peasants become impotent and look like women, women, they have breasts, they stop shaving, hangs lower abdomen and pubis. What kind of life is this? !Nothing good. But you can help! There are mechanisms triggering the disease in the opposite direction. Write. I'll try to tell. I myself am ill with this disease.# 2 for Victorians 01.14.2015 11:26 I have severe pains of 15 years suddenly can not stand upright 6 years of them missing the coccyx of the spine at this moment, too, and I'm saved by prayer, it calms the body and I apply gel for horses long ago and recentlybegan to take Chinese little green pills from ortrrose super all obezbalivaet # 1Raisa 09.05.2014 15: 53also 6 months as a bone appeared near the thumb on my left foot now something strongly began to hurt please tell me how you can treat at home, the tests showedall normal

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