Treatment of joints

Gout( gouty arthritis): what is it, the symptoms and treatment of

Gout( gouty arthritis) is a disease in which an excess of urate salts( urates) accumulates in the body.

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 - tofus.

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 people 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.

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In addition, it is considered that there is a hereditary predisposition to gouty 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 does this disease occur

how does the gout originate

Because gouty arthritis is a metabolic disease, then it arises in those people who have either increased the intake of substances containing purines in their bodies, or whose excretion is difficult 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 starts to ache badly - so 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 these seizures may 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 salts 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 white nodules, which can be felt 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 his doctor, that there is an excess of salts of uric acid in the body - which 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 to watch an interesting video about what is gout and gouty arthritis, and how dangerous this disease is:

Treatment of

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 at 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, but how to conduct a full-fledged examination and make 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 are used by doctors in order to relieve a gouty attack?

1. Non-steroidal anti-inflammatory drugs

NSAIDs, including all known diclofenac, ibuprofen, naproxen and other agents. 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.

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 attempt to treat gouty arthritis yourself with NSAIDs, consult a doctor!

2. Colchicine

Treatment of this disease should be prescribed only by the doctor

Colchicine is a medicine that can reduce inflammation in an acute gout and restore the function of a sick joint.

This drug is prescribed on a special schedule 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.

3. Hormones

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 this or that means, doctors manage to defeat a gouty attack already within one and a half - 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 a fragment of the program "Live Healthily" with Elena Malysheva:

Treatment of the disease outside of seizures

Since this form of arthritis is a disease of metabolism and arises from the increase in the amount of urate in the body, then its treatment 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 you after the first attack of arthritis received this disappointing diagnosis, then, following the proper 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 its products, meat by-products( kidneys, liver, heart), fatty fish, legumes, sharp and salty cheeses, and also 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!

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Gout - what kind of disease, its signs and causes

  • Why gout is called royal disease

Many people start to wonder what kind of gout disease, starting to read literature about life in the 17th or 18th century. Almost always one of the heroes, and mostly of a noble family, complains about this ailment. But the very first mention of gout can be found even in Hippocrates, who described the main signs of the disease.

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

What is called the gout

From the earliest times, doctors decided the question of what a gout disease and why it develops. It used to be that gout is a disease of kings and is terrible only for the nobility. Today, doctors have already discovered the mechanism of the appearance of the disease: due to metabolic disorders and increased levels of uric acid, salts are deposited in the joints of the limbs. The main reasons for the development of gout are considered to be:

  • formation above the norm of uric acid;
  • the body stops completely removing acid from the blood.

Gout is mostly hereditary and most of the patients with gout are men , and women act only as carriers of the gene.

Besides this, gout is caused by other diseases, for example, leukemia or cancer. Dangerous and modern medicines: aspirin or diuretic can provoke gout.

Most often, this ailment affects only one joint, mostly thumbs. But it happens when patients suffer from knee or ankle gout. An acute attack of the disease without proper treatment can last up to 10 days. If you start a disease, then a chronic form develops, in which acute attacks become regular.

It is possible to detect gout even before its maximum manifestation. If the body has a regular accumulation of uric acid, the formation of kidney stones. The accumulation of salts in the form of crystals is observed not only in the joint, but even in the skin. They are easily probed and called gout cones. Such nodules are mainly found in people suffering from an ailment of the order of 10 years.

Gout can develop from the use of alcohol, aspirin, a number of diuretics. Also, strong emotional or physical stresses have a negative effect on the person's condition.

Symptoms of the disease

What are the main signs of the disease: gout is manifested primarily as an acute attack at night or early morning. Initially, a painful attack occurs. Unpleasant sensations are so strong that even the lightest touch is unbearable to a person. Further develop local symptoms:

  • inflammation( the maximum is reached after a few hours);
  • redness of the affected area;
  • strong edema, reminiscent of the scale of phlegmon;
  • joint stiffness;
  • increase in temperature.

This is not all signs: the disease is gouty with the initial stage is accompanied by a change in mood in the patient, there is a feeling of anxiety, increased excitability and nervousness. Often, a person before the attack, the appetite disappears, the chair changes, there is heartburn and nausea. There may be shortness of breath and increased blood pressure.

Such an attack can last throughout the night and even a few days. If the disease becomes acute, local symptoms are observed within 2 months, but in general gout disease occurs paroxysmally . Provoke seizures may impair diet, prolonged feast. Then comes the period of remission, the duration of which depends on how strong the attack was. The stronger, the shorter this period will be.

Acute progressive gout

Doctors note that acute gout proceeds with little or no symptoms: seizures appear almost without symptoms. But in spite of the fact that after the attack the pain subsides, you can not let it go by itself: it's worth paying special attention to your health and starting treatment. Otherwise, the ailment will pass into a chronic form that will significantly change your habitual way of life.

Chronic gout

Chronic gout develops rather quickly. The same joints are affected, which disturbed the patient during the initial stages of the disease. The signs of chronic manifestation of the disease include:

  • joint stiffness;
  • you hear a crunch when moving;
  • appears pain during exercise.

Then the deformation of the affected joint begins, as shown in the photo : The disease of the podag is easily recognizable by . The chronic form is also accompanied by unpleasant sensations, but not as acute as in the early stages of the disease. But it ceases to be short-lived and can torment for several months.

The situation is complicated by the fact that crystals are starting to form from uric acid, which accumulate granules. Because of this, chronic gouty polyarthritis develops. Also there is a development of kidney diseases. If you do not start treatment on time, then a person can stop controlling the affected joint.

Diagnosis of the disease

An experienced rheumatologist can diagnose gout only by examining the patient's ears. Strangely enough, but it is in this place that a person has dense subcutaneous nodules, which are very easy to detect by touch.

They consist of crystals of the same uric acid. Also the doctor can prescribe the following procedures:

  • X-ray of the joints;
  • blood test for uric acid;
  • urine analysis for urate content;
  • kidney ultrasound.

Experts advise not to delay the trip to the doctor, because it is easier to cope with only the developing disease than with the already chronic illness.

Prevention of gout

As already mentioned, gout is a hereditary disease .If in your family there were similar cases, then you automatically enter into a risk group. Therefore, it is worth taking care of yourself in advance. Start to monitor your diet. Try to reduce the intake of animal proteins, it is recommended to eat their food no more than 1 time per week. It is an overabundance of elements of the decay of these proteins and provokes the accumulation of uric acid.

Drink as much water as possible, if there is no doctor's prohibition, then up to 3 liters of fluid per day. This will quickly remove acid from the body. Include cranberries, apples, cherries, strawberries, black or red currants in your diet. But it is recommended to refuse coffee, spicy food and alcohol. It is also necessary to eat less fish, milk, eggs, fried meat and legumes.

Why gout is called a royal disease

Since ancient times, doctors have solved the riddle: why the subagracker disease? Roman Roman generals and senators complained of intolerable joint pains.

Also, people of creative or intellectual labor were exposed to it. But the lower classes and commoners did not suffer from this. There were many versions of who, and most importantly, is subject to this ailment.

It used to be that only intellectually gifted or noble people had to face such a foul. Studies were conducted in which scientists sought to prove the relationship between gout and the level of human talent and intelligence. But with the development of medicine, these ideas were abandoned. Today, this predisposition is explained by a metabolic disorder and genetic abnormalities.

Like all diseases, gout can greatly affect a person. But adherence to the usual diet, healthy and active lifestyle will push the possibility of developing this ailment, even if there were cases of illness among close relatives. Each doctor will tell you that much depends on the patient himself.

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The first signs of gout: how to identify the insidious disease

Manifestations of gout - a visual aid

What is this disease - gout?

Gout is a disease that occurs due to a violation of the metabolism of purine bases in the body. This disease has been known since ancient times. Gouty attacks are described in the writings of Hippocrates and his followers.

Gout is called "the disease of kings", its descriptions are found in classical literature and drama. This name and popularity of this disease are associated with its appearance due to a violation in the diet - the abuse of meat fatty dishes - and the widespread prevalence in old age.

In the last century after the disease of gout, people became disabled, and malnutrition caused frequent exacerbations. Know how gout is manifested, it is necessary for everyone, because its first signs are easily not noticed, and then treatment of the disease will be much more difficult.

Gout is a disease that occurs due to metabolic disorders in the body, when the production and removal of purines, components of uric acid, is disturbed and they begin to accumulate in the body. This can be caused by genetic disorders in the enzyme system or an increased content of uric acid in food. Also, the cause of gout can be abnormalities in the work of the kidneys.

Hand fingers with gout

Symptoms of the disease appear with the deposition of urate salts - urate, which in their structure, resemble needles and, deposited in the joints and kidneys, cause severe pain.

Causes of the disease

Today, doctors using modern medicines facilitate the patient's condition and suspend the course of the disease. But, nevertheless, it often affects older men. Women suffer from this disease much less often, and its onset often coincides with hormonal changes in the body - menopause. Predisposition to the disease is transmitted genetically, so that it can be considered a hereditary pathology.

The course of the disease is recurrent, chronic, complete cure of the patient is impossible. All methods of treatment are aimed at stopping the pathological process and preventing recurrence of the disease.

The main causes of the disease include the following:

  1. Genetically caused enzyme deficiency, leading to disruption of metabolic processes.
  2. Metabolic disorders.
  3. Diseases of the kidneys and urinary system - disrupted the release of products of disintegration of uric acid.

Risk factors that trigger the onset of the disease:

  • diabetes;
  • violation of diet - eating large amounts of animal protein;
  • regular consumption of alcoholic beverages.

What happens in the body during an illness?

The occurrence of gout is associated with an increase in the content of uric acid in the body. Excess uric acid occurs when there is a violation of its secretion or increased education in the body. Not excreted in time from the body uric acid, which includes salts - urate, is deposited in the form of crystals. They cause inflammation in the joints and kidneys.

Salts form crystals, which resemble the needles in their structure. When they are absorbed by protective blood cells - neutrophils, they cause their destruction and the reciprocal inflammatory response of the body.

This inflammation causes severe pain and with its progression, gouty nodules are formed - salt deposits. Such deposits usually appear on the auricles, small joints of the hand and foot. Without proper treatment, these formations can completely disfigure the appearance of the joint.

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Gout - Symptoms and treatment with folk remedies at home

Gout

Gout is a disease associated with the deposition of salt crystals in various tissues, mainly in the joints. It is believed that the disease is associated with either excessive formation of uric acid in the body, or with a decrease in the body's ability to remove this substance from the blood through the kidneys. Primary gout is probably hereditary and is caused by the presence of a pathological X chromosome. Thus, mainly men fall ill, and women are usually only carriers of the disease. Secondary gout is caused by other disorders, for example, leukemia or cancer of the blood-forming organs( bone marrow, liver, spleen).Secondary joint damage can also be caused by the use of certain drugs, including aspirin and a number of diuretics.

With gout in the synovial fluid of the joint, crystalline particles are formed, which leads to inflammation accompanied by pain. Typically, one joint, often the thumb of the foot, is affected. However, inflammation of other joints, such as the ankle and knee, is possible. Acute gout attacks without treatment last from 3 to 10 days or slightly longer.

In chronic gout, frequent exacerbations occur, leading to persistent disturbances in the joints. In the case of excess uric acid in the body, it is possible to form kidney stones, salt deposits in articular cartilage and other tissues, including in the skin. Such deposits are felt in the form of small nodules, which are called gouty cones. Nodules are found usually in people suffering from gout for 10 years or more.

The use of alcohol, aspirin, diuretics, and strong stresses, both physical and emotional, contribute to the development of acute gout.

Symptoms of gout.

Acute gout attack, usually develops suddenly. In addition to intense pain in the joint, there are a number of other symptoms: redness of the skin, swelling and a rise in temperature in the joint region. The overall temperature may also increase. There is fatigue and headaches.

Traditional methods of treating gout.

Gout is a long-lasting disease that does not lend itself to complete cure. But with the help of medical measures the course of the disease can be controlled. During seizures and exacerbations prescribe drugs that reduce pain and inflammation, as well as reducing the content of uric acid in the body. To improve the joint in an acute period, you need to give him complete peace.

It is also important to monitor the constant normal body weight, as a sharp weight loss provokes an exacerbation of the disease. It is also necessary to drink plenty of water per day. The correct drinking regime prevents the formation of stones from uric acid crystals in the kidneys.

People suffering from gout should always have a kidney examination.

Non-traditional and folk methods of treating gout

Home remedies for gout

  1. Grind 200 g of garlic, 300 g of onion and combine with 0.5 kg of crushed cranberries. Mix thoroughly and insist in a container with a tightly closed lid in a dark place for 1 day. Then add 1 kg of honey to this mixture and mix thoroughly again. Take gout for 1 teaspoon 3 times a day for 15-20 minutes before meals.

  2. Grind 300 g of onions, add 100 g of honey and 600 ml of white dry wine, insist for at least 2 days in a dark, cool place, shaking the contents from time to time, drain. Take 2-4 tablespoons a day with gout, as well as with anemia( anemia), dropsy, prostatitis, cystitis, arthritis, diabetes.

  3. Grind 5 large cloves of garlic and half a bulb. Cut the aloe leaf( it's best to take aloe, which has a lot of spines), take a small piece of beeswax( the size of a quail egg) and put everything in a saucepan. Add 1 tablespoon of melted butter to the mixture. Put on a slow fire and cook until boiling, to stand for 1 minute, remove from heat and all as necessary crush and stir. Cool and apply overnight to a sore spot in the form of a compress for gout.

  4. Daily eat with gout 100 grams of grated carrots. Grind on a fine grater and eat with 1 tablespoon of vegetable oil.

  5. Take 3 heads of garlic and 4 lemons, remove the stones from the lemons, peel the garlic and all through the meat grinder, pour the whole mass with 7 cups of boiling water, mix, allow to stand for 1 day, strain and take 2 tablespoons before meals every 1day.

  6. Boil turnips, rub it into gruel and apply to sore spots for gout and rheumatism.

  7. Pour 1 tablespoon grated horseradish with 2 cups of boiling water, insist for 1 hour. Moisten in infusion, gauze and apply to sore spots with gout.

  8. Mix in a ratio of 1: 4 powdered black poplar buds and petroleum jelly. Apply ointment to the affected joint. Relieves pain with gout.

  9. Mix 5 drops of ant alcohol with 1 tablespoon of water. Apply as rubbing. To rub only in those places where there is a tumor, gently stroking the swollen place from the bottom up.

  10. Lubricate the joint affected by gout, radish juice seed.

  11. In folk medicine, it is believed that relief with gout can bring treatment with bee stings.

  12. Sprinkle strawberry berries in a ratio of 5: 1.Infuse 5 hours, drain. Store the juice in enameled dishes. Drink gout for fresh juice 0.5 cup 3 times daily before meals.

Herbs and Gavage for the Treatment of Gout

  1. Pour ordinary lilac flowers, not ramming, in a half-liter bottle to the top, pour vodka or alcohol, insist 3 weeks in a warm place, strain. Take 30 drops 3 times daily before meals. The course of treatment for gout is 3 months. This same tincture to do rubbing and compresses.

  2. Pour 50 g of mullein flowers with 0.5 liters of vodka or 70-degree alcohol and insist for 2 weeks. Tincture to use for rubbing as an anesthetic for rheumatic and arthritic pains in the back and joints.

  3. Pour 1 tablespoon of tansy flower baskets ordinary with 1 glass of boiling water. Infuse, wrapped, 2 hours, drain. Drink 1 tablespoon 3-4 times a day for 20 minutes before meals with pains in the joints, lower back, rheumatism, gout.

  4. Pour 1 tablespoon fresh celery scented roots 2 cups of boiling water. Infuse, wrapped, 4 hours, drain. Drink gout for 2 tablespoons 3-4 times a day for 30 minutes before meals.

  5. Juice from fresh celery leaves, odorous drink 1-2 teaspoons 2-3 times a day.

  6. Pour 20 g of herb swan spreading 1 cup of boiling water. Drink 1 glass 3 times a day. Use as a strengthening agent for gout and rheumatism.

  7. Pour 20 g of elderberry flowers 1 liter of boiling water and leave to soak for the night in a thermos. In the morning strain and drink 3 glasses a day. Infusion helps not only with gout, but also with arthritis, rheumatism, swelling.

  8. Brewing the grass is tripartite grass as tea. Insist 15 minutes without wrapping. Strain and drink only when hot with gout. Tea from the turn must have a golden color, greenish-muddy tea has no therapeutic effect.

  9. Pour 4 tablespoons of herb three-parted with 5 cups of boiling water, infuse for 8-10 hours. Drink 0.5 glasses 3-4 times a day. Apply for gout, rickets, arthritis.

  10. Pour 3 tablespoons of St. John's wort's herb perforated with 4 cups of boiling water, infuse for 2 hours, drain. Take 0.3 cup 3 times daily before meals. The course of treatment is 1-2 months. Apply for an old gout.

  11. Brew a cowberry leaf as a tea. Take no more than 4 glasses per day with gout. Cowberry leaf can be mixed in a ratio of 1: 1 with flowers of lime, chamomile, raspberry leaf.

  12. Pour 1 teaspoon of dry rhizomes and roots of madder dyeing 1 cup of cooled boiled water. Infuse 8 hours, drain. Pour the remainder with boiling water, stir for 10 minutes, drain. Both are infused together. Take 0.5 cup 4 times a day for back pain, joint pain.

  13. Drink 1 glass 3 times a day of birch juice collected in early spring. Birch sap relieves gout pain.

  14. Pour 2 tablespoons of shredded bean bean leaves with 3 glasses of water. Insist, drain. Drink with gout 0.25 cup 4 times daily before meals.

  15. Pour 20 grams of chopped young leaves or unripe walnut fruit 1 cup boiling water, leave for 20 minutes. Take gout for 1 tablespoon 3 times a day. Infusion can also be used for grinding and compressing.

  16. Pour 1-2 teaspoons of herbs chicory 1 cup of boiling water, insist, strain. Drink gout for 0.5 cup 2-3 times a day for 30 minutes before meals.

  17. Pour 15 g of juniper berries with 100 ml of boiling water. Rub the infusion into the affected area.

  18. Mix in 2 parts of hawthorn, linden blossoms, bluish flowers, 4 parts of rose hips, 5 parts of thyme grass. Blend the mixture thoroughly. Brew and drink like regular tea with gout.

  19. Mix 5 parts of oregano grass, thyme herb, 3 pieces of rose hips, 2 pieces of blackberry leaf. Blend the mixture thoroughly. Brew and drink like regular tea.

  20. Mix and pulverize 6 parts of bay leaves and 1 part of juniper needles. This powder grind with 12 parts of fresh butter. Ointment is used for rubbing as an anesthetic, a sedative for pains in the joints, lower back.

Therapeutic baths for gout

  1. Good results with gout gives treatment with herbal baths. Baths can be prepared with herb medicinal herbs, with oat straw decoction, nettle root herbs, decoction of chamomile inflorescences, decoction of medicinal sage, infusion of pine branches, infusion of black currant leaves. Here are a few recipes.

  2. Pour 250 g of rhizome of ayr 3 liters of cold water, bring to a boil, strain and pour into a bath( temperature 35-37 ° C).

  3. Pour 300 grams of stems with chamomile flowers, 5 liters of boiling water, insist 2 hours, strain, pour in a bath.

  4. Pour 250 grams of rhizome root mixture and ground part of creeping thyme, taken in equal amounts, 3 liters of cold water, bring to a boil, strain and pour into a bath( temperature 35-37 ° C).

  5. Pour 300 g of grass sporicha 5 liters of boiling water, leave for 2 hours, strain, pour into the bath.

  6. 200 grams of sage leaves pour 5 liters of boiling water, infuse for 2 hours, strain, pour into a bath with a temperature of 34 ° C.Gradually reduce the water temperature to 26 ° C.Apply for sciatica, polyarthritis, paresis, contractures.

Self-massage for the treatment of gout

You can help yourself with gout by doing self-massage. First, you need to massage the areas around the affected joint and only then the joint itself. In an acute period of the disease, self-massage is not done, but in a subacute period, a gentle relaxing massage( stroking) is good. When the pain decreases, you can start kneading around the affected area, gradually turning to trituration and gymnastics.

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Gout: symptoms and treatment, photos, signs of gout

Ancient 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 gout

The disease is divided into two groups, depending on the cause of the onset.
  1. 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. 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.
The main risk factors can be named:
  • 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.
From gouty pains, the lower extremities are the first to suffer. The attack occurs after injury to the legs, playing soccer, due to surgery, long walking or long driving. After surgical operations and injuries, debrided tissue is dehydrated, so more salt and uric acid are localized in this place, they are deposited in the problem joint. With a decrease in body temperature, even by half a degree, the urate begins to turn into crystals in the joints. Gout is often a consequence of overheating in the sauna or steam room, because sweating begins in the bath and the body is drastically dehydrated. Gout is exacerbated during trips to hot countries. Podgora often suffer from hypertension due to the frequent use of diuretics. Uric acid accumulates in the blood, creating ideal conditions for the development of gout. Also for reasons include:
  • 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 lot of physical stress on them;
  • is a heredity factor.
RNA and DNA contain purine bases - adenine and guanine compounds. When metabolism is disturbed, purines are converted into uric acid in the human body.

Signs and symptoms of gout

The 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 a 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.
In the chronic stage - tofus and nodules under the skin are formed, which is inherent in softening in attacks. Some attacks of gout initially differ sharp pain, then become frequent and can last several hours and even weeks. When the chronic stage of gout occurs, many small and large joints are affected with simultaneous development of chronic arthritis. People with gout early onset diabetes mellitus, atherosclerotic plaques are formed in the vessels, since low density lipoproteins are concentrated in the blood. Cholesterol in the blood in patients above the norm( see how to reduce cholesterol).

Diagnosis of gout

The diagnosis is based on the frequency of recurrent seizures. The diagnosis is based on:
  1. 1) Urate monosodium crystals found in the synovial fluid and the absence of microorganisms in it;
  2. 2) Confirmed tofus with chemical or polarization microscopy;
  3. 3) 6-12 signs of gout: X-ray, laboratory, clinical;
  4. 4) Hyperuricemia, asymmetric inflammation of the joints;
  5. 5) On the roentgenogram - subcortical cysts without erosion.

Treatment of gout

Treatment of gout is reduced to relief of acute attacks, medical 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;
  • treats an attack with non-steroidal anti-inflammatory drugs: Indomethacin, sodium diclofenac, Naproxen, Pyroxicam;
  • relieves pain and inflammation with Nimesil and Colchicine;
On the first day of treatment, the dosage of the drugs is increased, then reduced to a medial therapeutic dose. Adherence to the regimen should be in accordance with the recommendations of the doctor and take into account contraindications. For example, contraindications to the use of colchicine are severe damage to the kidneys and liver, peptic ulcer diseases of the stomach and 12 duodenal ulcer. Coping with an acute attack is possible with pyrazolone and indole preparations: Reopyrin, Butadion, Phenylbutazone, Ketazone. With increased resistance to drugs, Prednisolone is added to treatment. Take at first 20-30 mg / day, then the dose decreases. At the same time, Butadion and Indocid are taken in small doses. Uric acid is excreted from the body by Allopurinol and a specially selected diet.

Treatment of gout between attacks at home

For the treatment of gout in the period between attacks at home eliminate hyperuricemia, recurrences of gout attacks, prevent damage to internal organs, restore the broken joint function with the help of complex therapy, including drugs, diet, physical effects and sanatorium treatment. It is important not to use long-term medicationgout at home with 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 limits 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.
Restrict consumption of animal fats with saturated fats - they increase the level of uric acid in the plasma and decrease its excretion in the urine. Salt is limited to 5-7 g, including its content in products. Overeating and hungry days are prohibited, as uricemia increases and a gout attack can repeat. It is permissible to eat:
  • with meat and fish in boiled form - 2-3 times a week.
  • milk and dairy products.
  • with 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.
  • include 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.
Alkaline mineral waters are used as liquids without gas. When the disorder occurs during a period of exacerbation of medications, a sparing diet is observed. With arterial hypertension and poor blood circulation, it is necessary to drink a lot of alkaline water, fruit juices and berry compotes.

Complications of gout

Gout is manifested by the following complications:
  1. 1) Gouty glomerulosclerosis and urate stones in the kidneys. Nephropathy, gouty nephritis, pyelonephritis develops.
  2. 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. 3) Gouty arthritis and destructive polyarthritis with joint deformities.
  4. 4) Osteoporosis( thinning of bone tissue).
  5. 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.
Gout may accompany coronary heart disease and arterial hypertension.

Prophylaxis and prognosis of

Prolonged 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.

MyMedicalPortal.net

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( 1 g 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, tofusov.

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 purpose 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 drugs( 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 antidotal 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.

During the remission period, the patients are shown sanatorium-and-spa 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 need to be excluded: 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 in purine metabolism are reversible, provided timely diagnosis and treatment, but at the stage of chronic gout with organ damage( heart, brain, kidneys) the prognosis of the disease 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 antidotal drugs if the level of uric acid is normal? Answer: Anti-gouty 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.

Doctor therapist Vostrykova I.N.

# 4Anna13.02.2016 17: 31 can the use of paracetamol lead to an exacerbation of gout?. . edema on the legs does 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: Men 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 # 1Raisa09.05.2014 15: 53already 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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