What can you eat and what kind of alcohol you can drink with gout?
Gout is mainly affected by men aged 40 to 50 years. Accordingly, they often have a question: what alcohol can you drink with gout? Answer: you can not use alcohol. This disease is associated with a metabolic disorder, during which the body begins to accumulate uric acid, which leads to the onset of the disease.
Since this disease is provoked by a high level of uric acid, it is divided into two types:
Primary gout is observed in those patients who are genetically predisposed to this, that is, the organism of such a patient in itself can produce a lot of sodium urate. This disease can be caused by a violation in the functioning of the kidneys, when they can not cope with the withdrawal of salts. This form is called congenital.
As for secondary gout, it arises because of negative effects on the body, which violate the correct metabolism. Similarly, with the first option, here, too, there is a problem of the derivation of salts, or the organism, on the contrary, begins to produce a lot of uric acid.
When a gout is detected, the physician acquaints himself with an anamnesis of the patient's illness, as this disease is often the result of diseases such as psoriasis, hemoblastosis, myeloid leukemia, diabetes mellitus, hemolytic anemia. As for the secondary form, there may be other reasons. For example, a person used a lot of medicines, which led to a violation of the functionality of the renal tubules and reduced the volume of circulating blood.
Human consumption of products containing lead, as well as alcohol-containing products, leads to secondary gout. In this variant, organic acids will be formed in the blood, which are difficult to excrete by the body.
Why not drink alcohol with gout?
Many people think that if you drink a little bit, then nothing will be wrong, but it's not. Even if you say "I drink only 5 grams," know that this can still provoke a gout attack. And not even a day will pass, as the disease will make itself felt.
Regardless of what alcohol to drink, the sick joints will become inflamed. Very often doctors notice that, despite the fact that the patient undergoes intensive treatment, seizures are repeated from time to time. This is due to the fact that men violate the diet and allow themselves alcohol. Today, studies have been carried out on this topic, which proved that even a small dose of alcohol can aggravate the disease. Especially because gout is such a disease.which is not 100% cured. It was noted that men who drank alcohol in the amount of 5 servings for two days were exposed to bouts of the disease 2 times more than those who abstained. If the dose increased to 7 servings, then the probability increased to 2.5 times.
Beer, wine and similar strong drinks contain purine components, which adversely affect the body. There is a misconception that you can drink elite alcohol with gout, for example, an expensive dry wine. But one glass is enough to make the attack happen again. Although today some doctors disagree about whether or not it is possible to use quality wines.
With gout, there is a severe metabolic disorder, so relapse occurs quite often. This is due to the fact that the patient is prescribed the strictest diet, the violation of which entails exacerbations. There are times when the patient feels calm, and then a sharp pain suddenly begins in his joints, which does not even allow him to move. An attack occurs when the blood is supersaturated with uric acids. This is due to the fact that the patient is abusing meat, coffee and alcohol, especially beer.
In 2004, a study was conducted, in which almost 50,000 people participated. Its main goal was to understand what exactly can cause gout exacerbations. The results showed that, in addition to fatty foods, it is extremely contraindicated for gout to drink not only beer, but also vodka, whiskey, cognac. Although it is worth noting that it was dry wine that did not have any consequences, so scientists indicated that this drink can be drunk, but not more than 1 glass a day. But again, in many respects this moment depends on the individual characteristics of each organism.
It is also interesting to note that, according to the observations of Boston scientists, wine actively provokes seizures in men, this is less true for women. According to their conclusions, daily consumption of beer products raises the risk by 75%, and wine - by 138%.
Some men drink beer, because it is "diuretic", that is, it rinses the kidneys. But this is a very big mistake. In this product, more than in any other alcohol, contains purine, and this component prevents the normal excretion of uric acid.
When gout is not addicted to alcohol, because alcohol itself does not allow the body to leave liquids and harmful slags, including uric acid. For the same reason, many nutritionists strictly prohibit slimming people from using such drinks. If the substance does not normally leave the body, it will crystallize and settle in the joints.
Principles of proper nutrition for gout
Gout does not occur suddenly. To her leads an improper diet, the presence of bad habits, including alcohol abuse, and, of course, the individual characteristics of the human body. If, under some circumstances, a high content of uric acid in the blood is found, then it is recommended that such a person immediately change their diet and lifestyle. This will prevent the development of the disease.
There are several principles that should be adhered to:
- Food intake should be divided 3-4 times, which allows not to create bursts of purine bases.
- You should not overeat at all, or, on the contrary, declare a hunger strike.
- With gout and suspicion of her, the patient is forced to gradually lose weight, one kilogram per month.
- Daily water norm should be 1.5-2 liters, and when the stage of exacerbation occurs, the dose increases to 3 liters. You can drink natural green tea. The diet includes alkaline mineral water, which helps to remove urate from the human body. Therefore, drink only such mineral water, other carbonated beverages should be excluded.
Regardless of the form of the disease, the following foods can not be eaten with gout:
- in meat, fish and mushroom broths contains a high concentration of purine bases, while they are in such a form that they are easily absorbed by the body;
- banned and consumed by-products such as liver, kidneys, lungs, brains, stomachs, etc.;
- from the diet, canned meat is excluded, as well as sauces cooked on meat basis;
- peas, lentils, beans, beans, soybeans and other legumes in the menu should not be.
But as far as meat is concerned, it can be eaten, only baked or well-braised, but not fried. Acute and salty is also strictly prohibited. Any alcoholic drink is reduced to 0 gram.
What can you eat anyway? The lowest content of purine is found in milk, chicken eggs, Swiss cheese, bread, forest and walnuts. Since gout is active salt formation, it becomes clear why table salt is virtually excluded from the diet. And to make it easier for the body to cope with the removal of toxins, it is necessary to constantly drink fluids. But not alcoholic, but ordinary tea, which is not well brewed. About beer, wine and other alcohol will have to forget, especially during treatment.
Optimum nutrition for goutConsumption of food useful for the body in the required quantities is the basis for the prevention of various ailments. Malnutrition with gout is one of the leading causes of its complications, which doctors and patients themselves admit. If the patient does not exclude prohibited foods from his diet, it can cause aggravation and acceleration of destructive processes in the joints.
What foods can you eat? How correctly to make the menu at a gout? Before answering these questions, it is necessary to understand what can not be strictly eaten with gout and arthritis. Treatment of this ailment is a long process. The priorities of therapy are the removal of the pain syndrome and relief of a sudden onset of an attack.
Which products are prohibited
Almost everyone knows how the fats of animal origin affect the human body. But many people with gout do not rush to exclude them from their diet. But this is what can cause the disease progression.
So, for this disease you absolutely can not use:
Fatty fish is prohibited in the menu of the patient
- spices( excluding vinegar and bay leaves);
As statistics show, gout exacerbations often begin when the patient begins to eat incorrectly, allowing himself to eat fatty fish, meat, lard. You can not drink alcohol with gout, but not every patient observes this rule. Alcohol, like fatty foods, delays excretion of uric acid salts and their deposits from the body.
With gout, the body is weakened, while alcohol practically leaves no chance to resist the disease. Alcohol, even in very small quantities, can provoke a sudden attack of gout. Moreover, the pain symptoms in this case will last much longer and manifest themselves more strongly. In this case, drugs can not effectively repay them, since alcohol in the human body will prevent the effects of medications. What will be the result of drinking alcohol? Acceleration of the process of deposition of uric acid salts and general intoxication of the body.
Sausage and smoked meat are very dangerous for gout, as does table salt. Mushrooms are useful products in a number of diseases, because they contain microelements necessary for humans. But gout is not allowed. What kind of spice can I use when preparing diet food? Which of the seasonings to choose? Only bay leaf and vinegar. If gout occurs against the background of diseases of the gastrointestinal tract, vinegar and acetic water can not be used when preparing food.
The patient should exclude from his diet any canned food. Spoiled yourself with sprats? Wait for gout exacerbation. Salted and hot cheeses can also cause it to worsen. Pulses, coffee, tea, beer, meat broths can provoke complications. Any overeating with gout is fraught with the fact that it can provoke an attack which, if the diet is disturbed, is further aggravated by additional complications.
With an exacerbation of gout, the list of products that can be consumed by the patient is further reduced. It is also necessary to know that the recipes of dishes that prepare gout, in no case should provide for the frying of ingredients.
What is useful for gout?
Nutrition for gout depends not only on the stage of the course of the disease, but also on the concomitant diseases. On the question of how to properly make a menu and what scheme to choose food, the most accurate answer will give a rheumatologist, gastroenterologist and nutritionist. There are such products for gout, which are allowed to consume, but only in limited quantities.
For gout, the following products will be useful:
- any vegetables( except spicy and cauliflower);
- greens( except sorrel, spinach, celery);
- various fruits( especially citrus fruits);
- low-fat dairy and sour-milk products;
- eggs( quail and chicken);
- vegetable oil.
It is generally believed that people suffering from gout should not be limited in the consumption of tomatoes. But if the patient has certain violations in the functioning of the gastrointestinal tract, a large number of these vegetables will provoke an exacerbation of stomach diseases. Recipes for dishes, for cooking which requires a lot of greens, patients with gout should be excluded. However, all kinds of dill can be consumed.
How to be with butter and milk? On the one hand, they are needed by the body, on the other - can aggravate gout. How to use these products correctly? When the disease is exacerbated, milk and butter can not be eaten. In the remission phase, they are allowed as additional to useful products. Kashi - the basis of proper nutrition of people suffering from gout. Recipes for these dishes include the addition of butter or milk. During the period of acute gout, porridge is prepared on the water.Vegetable soups are a real miracle cure for gout. Vegetables can be combined, combining with cereals and pasta, which brings a variety in the patient menu. Once a week, it is necessary to arrange a fasting day, during which to consume only one product. Disputable is the question of whether or not to arrange such unloading in the period of exacerbation of the disease. Many doctors assure: during the attack of gout, there is no question of any unloading day, such food will weaken the organism even more and will not bring the desired therapeutic effect.
Proteins are required for the human body in any disease. Which product to choose to meet this need and not to cause harm to health? Egg. You need to know: every day you can eat only one egg, otherwise the body's protein will trigger the release of a large portion of uric acid in the blood.
Black and white bread is very useful for gout. Seeds and nuts - too. What kind of apples do you prefer to gout? Experts advise choosing those apples whose peel is green.
Seafood helps to reduce the level of uric acid in the body. With this task, squid is doing fine. Salad recipes, where squids are combined with various vegetables and sea cabbage, should be chosen carefully. Which one is right for you? Only one where there is no greens, seasonings and requires a small amount of vegetable oil.
Use of mineral water
Mineral water must be in the diet of a person suffering from gout. In a day, a patient should drink an average of 2.5 liters of water, but only if he does not have chronic kidney disease. And you can drink as boiled or mineral water, and juices, decoctions, compotes, green tea.
If you pour boiling water on the rose hips or dried fruits and let them brew in the thermos, you will get an excellent compote, in which the maximum of vitamins is stored. When gout boiling water poured medicinal herbs to get useful infusions. What kind of ingredients to choose for this infusion, the phytotherapeutist will recommend.
Mineral water is an equally popular remedy. It differs in the location of the source and composition. To treat gout, you must use slightly alkaline water. The label contains all the necessary information. It is best to choose mineral water "Essentuki No. 17", "Narzan" or "Borjomi".All of them are freely sold in any pharmacy. But you should use only that mineral water, which the doctor will recommend.
Drunkards are also susceptible to gout
Even if you are a convinced teetotaler, do not assume that this insidious disease will bypass you.
Suffice it to recall the distinguished English poet John Milton, who suffered from this illness for most of his life. He left this world at the age of sixty. The cause of death was called gout.
This exhausting disease was known long before Milton's death, but a deeper study and description was created in the seventeenth century by the English physician T. Sidenham.
One historical fact is very revealing. A patient who lived to ninety years old, who did not know this ailment, is known to the history. But one day the attending physician discovered the signs of the disease and advised the man to abandon his beloved sweet sherry, since, according to the doctor, the use of this drink was the main cause of acute joint pain. The patient was recommended to use lighter drinks. The wine supplier sent a bottle of dry sherry to his customer after a moment's hesitation. However, he returned the bottle back, attaching a note in which it was said that the customer would prefer to exacerbate the illness, but would not give up on his favorite drink.
As we see, to consume alcohol or not, everyone chooses for himself.
The main cause of gout is poor heredity.
However, among people firmly believed that this is a consequence of drinking alcohol. Therefore, many abandoned the addiction, but still continued to experience incredible anguish from the attacks of the disease, not receiving proper treatment.Back to the table of contents
As a way of making bottles for alcohol affects the appearance of gout
Historically it was believed that not all types of alcohol can cause an attack of the disease. It was believed that a great role in the choice of a drink is played by the recipe, which was used by the manufacturers of bottles. And also the ways in which bottles were filled with wine and which bottles were corked.
In the past, bottles of wine were sealed around the cork with a seal containing a large concentration of lead. Accordingly, from long storage the seal was spoiled, began to break down, which, when pouring alcohol, allowed lead to get into the glass. The same happened with crystal decanters. As a result, it turned out that lovers of well-seasoned wine could be poisoned by lead, subsequently it caused a specific form of gout.
To everyone's joy, the process of bottles production and sealing wine in the modern world has nothing to do with past experience.Back to the table of contents
What alcoholic beverages can be consumed with gout
This question was disclosed by Dr. Viktoria Georgievna, doctor of medical sciences, professor, head of the department of the Institute of Rheumatology of the Russian Academy of Medical Sciences.
In her speech, she said that the widespread view that "beer is harmless than vodka" is a very strong delusion. Replacement of the use of vodka with beer will not allow to deceive the disease.
It does not matter which degree contains the alcoholic beverage. The use of any alcoholic beverage can provoke an exacerbation of the disease, since alcohol, getting into the body, leads to a delay in uric acid in the kidneys and to an increase in its production by the liver.
However, thanks to modern research, it is proved that a patient with gout should not adhere to strict dry law.
It is permissible to drink one or two glasses a day of red or white dry wine, as they contain substances that help to remove harmful acid from the body.
A compulsory condition for drinking alcohol is drinking in large volumes of any other liquid( fruit and berry juices, preferably citrus) at least two and a half liters per day, and this is provided that your cardiovascular system is normal.
The main thing is not to combine drugs and alcohol.
Stay healthy. Take care of yourself and your loved ones.
Gout: ailment of a plentiful feast / Publications / Rheumatology: a healthy lifestyle, prevention and treatment of diseases
Usually the disease manifests itself after 40 years in men, after menopause in women, although seizures may be at an earlier age. In men, the disease is more common than in women.
Gout occurs when excess uric acid and its salts accumulate in the body. Normally, uric acid enters the blood plasma and is excreted by the kidneys with urine. In some cases, the concentration of uric acid in the plasma can significantly increase, which occurs as a result of insufficient kidney work or increased formation of uric acid in the cells. Excess uric acid in the blood leads to the fact that the salts crystallize uric acid salts - tiny acute deposits, cause severe pain and inflammation. Basically, salt is deposited in the joints of the toes and toes, less often in the joints of the fingers, hands, elbows, knees. But sometimes salts of uric acid accumulate and in unusual places, for example, in earlobes.
The most characteristic manifestation of gout can be called gouty arthritis, which is most often observed in the first joint of the big toe - where it "attaches" to the foot. Typically, an attack of gouty arthritis develops on the background of drinking alcohol, especially beer, or overeating. Arthritis proceeds as an acute attack with very severe pain, fever, chills. The finger at this moment blushes( becomes crimson or even purple), touching it is extremely painful. The attack of gout is usually preceded by a sensation of tingling in the affected joint. As a rule, attacks occur at night and, if gout is not treated, occur more often, and periods of exacerbation become longer. In this arthritis "settles" all the new joints. Kidneys and urinary tracts are also often affected.
The main thing - the
diet As for the treatment of gout, at present official medicine can not offer the means for the complete cure of this ailment. But gout can be controlled, above all, of course, through dietary nutrition.
It is necessary to minimize food intake, during the cleavage of which a significant amount of uric acid is formed. These are meat soups and broths, fatty, fried and smoked meat, pates, fat, liver, kidneys, brains, rich broths, beef tongue, mushrooms, sardines, sprats, herring, fish caviar, fish soup, fried fish, sprat,peas, beer, tomatoes, spinach, coffee, cocoa, chocolate.
Admitted to use: milk, dairy products, white and black bread, sugar, honey, vegetable, dairy and fruit soups, any sweet fruit, fruit and berry juices, carrots, cucumbers. From seasonings it is possible to use a lemon, vinegar and a bay leaf. Eggs, meat, lean fish - 2-3 times a week. The permissible amount of table salt per day is 6-8 g. Liquids should be consumed 2-3 liters per day, while it is best to drink alkaline mineral water, which removes uric acid from the body. Of alcoholic beverages, gout patients are only allowed to drink vodka, but, of course, in moderation and with alkaline mineral water.
Full gout is not recommended for patients with gout, as it already in the first days leads to an increase in uric acid in the blood, which can lead to an exacerbation of the disease.
When combined with obesity in the diet, the number of bakery products, porridges, easily absorbed carbohydrates, fats is reduced.
All gout patients, including when combined with obesity, are recommended to unloading days 1-2 times a week:
- curd-kefir day( 400 g of low-fat cottage cheese and 500 g of kefir);
- milk or kefir day( 1-2 liters per day);
- vegetable day( 1.5 kg of vegetables in any set, except for prohibited);
- fruit day( 1.5 kg of apples or oranges).
Features of treatment of
Despite the fact that gout almost does not lend itself to complete cure, in no case can the disease be started. After all, if you do not take preventive measures and do not follow a diet, kidney failure may occur, and then it will be impossible to prevent excess formation of uric acid crystals.
Drug treatment of gout is carried out with anti-inflammatory drugs and means that inhibit the formation of uric acid: allopurinol and colchicine. Sufficiently new methods of treating gout are the procedures for purifying blood with the help of special devices - plasmaphoresis. Much facilitates the well-being of physiotherapy. But in any case, all the treatments include weight correction and the treatment of metabolic diseases( atherosclerosis, diabetes) that accompany gout.
General recommendations for a patient with gout that will help him significantly reduce the number and duration of attacks:
- gout occurs more often in joints that were previously injured, so try not to injure the big toe, do not wear narrow shoes;
- during an acute attack, keep the affected joint in an elevated state and at rest;
- if the affected joint allows you to touch, attach a packet of ice to it and leave it for 10 minutes;
- drink a lot of liquid, herbal teas - especially recommended aralia, yarrow, rose hips and peppermint;
- motor activity is a good prophylaxis of gout attacks.
Traditional Medicine Tips
|Posted by zenslim on Tue, 16 /09/ 2014 - 11:31.5 |
how to treat gout with folk remedies?
Admirers of alternative medicine know perfectly well how to treat gout with folk remedies. Patients are recommended to eat grated carrots daily with a spoonful of sunflower oil. You can also prepare such a folk remedy for gout: combine the chopped onions, garlic and cranberries, insist the mixture for 24 hours and season with a spoonful of honey. Take three times a day for 1 teaspoon.
In order to cure gout, you can use ointment from gout, which is easy to make at home from unsalted butter, camphor and beer. A pack of butter is melted on low heat, carefully remove the formed foam and pour into a warm mass of 70 g of "live" beer in a thin trickle. In the last turn, add 50 g of camphor. The resulting ointment is applied to the joints daily at bedtime for ten days.
Other treatment with folk remedies on the legs: rubbing the joints with antimony alcohol with water, applying to the sore spot gruel from boiled turnips or radish juice. Relief brings ointment from Vaseline and powdered buds of black poplar.
How to reduce gout in the house.conditions?
Physical blockage Gout is a metabolic disorder characterized by an increase in the level of uric acid in the blood and the deposition of its salts in the joints and in the kidneys. This disease affects mainly men, with the salt most often deposited in the big toes, knees or feet. Emotional blocking If the big toe is struck, gout is a sign that a person wants to rule, but does not give himself that right. Very often such a person seems to be not at all powerful, but only because his power is manifested in a roundabout way. Gout can talk about lack of flexibility and even stubbornness in relation to the future, and also about aversion to someone or something. Mental blockage This disease, which is considered a type of arthritis, tells you to relax, become yourself and at least allow yourself to exercise your authority at least once. Do not pretend all the time. Think about how your fear of the future can be unreasonable, and allow yourself to talk about it. Read also the description of ARTHRITIS.Zenslimim Artro is very helpful in eliminating gout.
The pathogenetic basis of gout development is inflammation. In the interaction of sodium monoaurate crystals with endothelium, lining cells and leukocytes, inflammatory cytokines are synthesized, a cascade of inflammatory processes is triggered."Zenslim Arthro" has a quick anti-inflammatory and analgesic effect, and persistent, restoration of damaged tissues.
Sweet juices and carbonated drinks develop gout in women
New analysis has found that frequent consumption of orange juice, carbonated and other drinks high in sugar fructose, can increase the small risk of gout in middle-aged women and older women. Gout is a painful form of arthritis caused by the intake of too much uric acid in the blood, reports Myhealthnewsdaily.com.
In women who participated in the analysis, who drank two or more servings of these drinks per day, the risk of gout was twice that of women who drank sugary drinks and juices no more than once a month.
Gout is a relatively rare disease among women, but the abuse of such drinks makes it fairly common. Nevertheless, this is the first analysis linking sweet drinks and sweetened fruit juices with the risk of developing gout in women. The previous study found such a connection in men.
The analysis was published in November, in the 24th issue of the Journal of the American Medical Association and was presented on November 10 at the American College at the annual scientific meeting of Rheumatology.
Gout occurs when the levels of uric acid in the blood become too high, and uric acid crystallizes around the joints, causing inflammation, swelling and pain. Food that can increase levels of uric acid in the blood includes organ meats( such as kidney and liver), asparagus and mushrooms, according to the Mayo Clinic. Fructose, according to researchers, is also known for increasing uric acid levels in the blood.
Although gout is not a common disease in the United States, the incidence rate has more than doubled over the 20-year period, from 16 cases among 100,000 Americans in 1977 to 42 cases among 100,000 people in 1996.During this period of time, researchers noted that people actively consumed large amounts of carbonated and other drinks sweetened with fructose.
In the new analysis, 78,906 women were studied for 22 years, from 1984 to 2006.At the beginning of the analysis, none of the women suffered from gout. In the end, the development of the disease was observed in 778 people.
Women who drank one serving of soda per day were 1.74 times more likely to develop gout than those who drank no more than one serving per month. Those who drank two or more servings a day were at a risk of developing the disease 2.4 times more.
Drinking orange juice also increased the likelihood of a disease. Women who drank one serving of orange juice a day had 1.41 times more chances to get sick with gout, and those who drank two or more servings - more than 2.4 times.
The increase in gout cases from observations of scientists is due to changes in lifestyle and nutrition, as well as an increase in diseases associated with gout, such as metabolic syndrome. Researchers recommend reducing fructose intake to prevent the development of gout.
What is a gout attack and what should I do?
The attack can develop suddenly, usually at night. Most often, the big toe is affected, which becomes red, painful and hot. Other joints may also be involved.
The Zenslime Arthro is able to remove uric acid from the joints, reduce swelling, and prevent the deposition of uric acid in the joints. It is recommended to reduce body weight if it is redundant. If you suffer from hypertension or have high cholesterol in your blood, take Zenslime Arthro, avoid drinking alcohol and eating rich purines.
How can gout attacks be prevented?
Zenslim Arthro has a preventive effect against gout. Zenslimim Artro is able to excrete uric acid from the joints, reduce swelling, and prevent the deposition of uric acid in the joints. It is recommended to reduce body weight if it is redundant. If you suffer from hypertension or have high cholesterol in your blood, take Zenslime Arthro, follow a diet with a reduced amount of salt and fat. Avoid drinking alcohol and food rich in purines. Drink plenty of liquid, this will help remove uric acid from your body.
What happens if I do not take Zenslim Arthro for gout?
If you do not take Zenslim Arthro, the attack can last many days and even weeks. With more attacks, the number of affected joints may increase, and seizures will be longer. If there are no seizures for many years, tofu can appear.Тофус is a swelling of soft tissues, which appears due to the deposition of uric acid. Tofusy usually formed on the fingers and toes, elbows and auricles. With gout, kidneys often suffer, urolithiasis can develop. Over time, the bone in the affected gout may collapse. Zenslim Arthro removes the causes of gout. Meaning you do not know the word Tofus.
gout. How to cure?
Gout is a malnutrition disease. It is treated, but it is difficult and long. We recommend Zenslim Arthro.
The main task of Zenslime Arthro is to restore metabolism( metabolism), eliminate systemic inflammation and help the body to find the direction of healing itself.
gout is the deposition of salts?
Gout is a metabolic disease in which uric acid salts, also known as urate, are deposited in the joints. Gout is also called "Disease of the Kings", an ancient disease that was already known 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. In itself, gout disease, this is one of the types of joint disease, the cause, which is the deposition of uric acid( urates), in simple terms, the deposition of salts. From gout suffer all the joints, from the joints of the fingers to the toes of the toes. Gout is a chronic disease caused by a metabolic disorder. Causes of gout The cause of gout is an increased 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 arthritis is called microcrystalline. A large amount of uric acid in the body can be for two reasons, the first reason is that 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.
What happens in the body with gout?
The appearance 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, in their structure resembling needles. 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.
What are the external manifestations?
The first symptoms of the disease most often appear in patients after 40 years. They can be provoked by such reasons as:
At the first signs of illness the patient feels a sharp intense pain in the joint, then there is redness and a feeling of heat in the joint, the movements are sharply limited and become extremely painful. Usually these symptoms are localized in one joint, most often the joint of the big toe is affected. A gout attack begins at night or early in the morning, after a while the pain subsides, and the inflammation in the joint decreases. But without treatment and adherence to the diet is soon repeated.
At the onset of the disease, there may be a period of asymptomatic hyperuricum - with complete physical health in the blood and urine of the patient there is an increase in the level of uric acid. This is a period of compensation for the disease, when the increased work of the kidneys helps to remove excess urate from the body. Its duration depends on a number of factors:
The most common clinical form of onset of the disease is acute gouty arthritis.
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 occurrence 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 disrupted 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.
Symptoms of the disease appear with the deposition of urate salts - urate, which in their structure, resemble a needle and, deposited in the joints and kidneys, cause severe pain.
What's terrible about gout?
Discarding jokes, it is worth explaining that gout is a consequence of high levels of uric acid in the blood. It is formed by the cleavage of proteins and is a white powder, poorly soluble in water. When uric acid is poorly excreted from the body, it begins to be deposited in the joints. There are people who are prone to crystal formation. They are prone to gout.
The most characteristic gout is on the big toe. It is believed that such a disease begins precisely with this joint, because here most often there is a degenerative-dystrophic change in cartilage. This causes great suffering. In the trap are men after 40 years, and women at risk of developing gout after menopause. You can not get rid of gout, so you have to change your way of life in order to suppress it.
In addition to leg joints, gout may affect ulnar, wrist and other joints. Sometimes it affects the internal organs. Changes can be observed in the nervous and cardiovascular system. Suffer the skin, digestive organs and eyesight.
You can find out about gout only after an attack. It is accompanied by severe pain and immobility of the joint. With the course of the disease, seizures increase and increase in duration. Usually gout dominates at night.
Is it necessary to treat gout?
You need to treat gout. Launched on its own accord, this disease, associated with a violation of the exchange of special substances - purines - in the body and excess in the body of uric acid, can lead to chronic kidney failure, increased blood pressure, damage to the blood vessels of the kidneys and the heart. And for the joints, the waiting attitude can be disastrous: painful seizures become more frequent and more prolonged each time, and in addition to the joints of the legs, the joints of the hands and elbows can be involved in the inflammatory process.
And although it is impossible to completely get rid of gout, it is peaceful to coexist with it, minimizing painful attacks, - the task is quite real. Thanks to drugs that effectively reduce the level of uric acid, and also improve its excretion from the body, the disease can be kept in check.
And of course, you need a strict diet. In gouty women, she completely excludes alcohol, strong tea, coffee, spices, hot snacks. We will also have to give up some vegetables( sorrel, spinach, asparagus, Brussels and cauliflower, legumes).And, of course, from rich in purines fried meat, meat and fish soups. If you are a convinced meat-eater, then eat it less often and boiled.
Gout attacks without warning
Often in our view, this disease is an ancient visitor from the distant past, but it is not so
When it is mentioned, there are associations with the dark Middle Ages or the Epoch of great sea discoveries. But gout for modern medicine is by no means an ancient artifact. In contrast, for example, from another ancient disease - scurvy - it is ubiquitous until now, and is not treated easily and uncompromisingly.
Extremely unattractive in appearance, leading to ugly growths on the fingers and joints, finally causing permanent exhausting pain, old age and old excesses - this is how we used to represent the "disease of kings" gout, known to mankind since the time of Hippocrates.
She deserved such a vivid name for the reason that in the Middle Ages she suffered most often only very wealthy and rich people. Remember how the ancient feasts depict the artists in a colorful way: a piglet cooked on a spit, fresh game on a table, huge cups of wine pouring from them like water. .. Such a diet could afford only kings, their highest dignitaries and other rich people. It is in this over-satiated and monotonous food that one of the clues of gout development lies - the use of products such as meat, wine, fatty fish, and finally beer, leads to a gradual deposition on the bones and joints of uric acid salts,human body with a similar daily diet. So is it any wonder that gout survived to this day? As you know, times change, but some tastes remain unchanged - many of us now also want to eat snack, sometimes even directly at the expense of their health. Fat and high-calorie fast food has firmly entered our life, not to mention beer, which in our country has long been accustomed to drinking like ordinary water.
Suffering from satiety
Gout is a disease that occurs with an impaired metabolism. It occurs in people with a persistent increase in the level of uric acid in the blood and usually affects patients after 40 years, with men diagnosed 20 times more often than women. The ailment often attacks without warning at night - in the form of severe pain in the joint, most often the big toe.
Fat animal food contains a large number of so-called purines, which enter the body together with other nutrients and are processed by the kidneys into uric acid. Purines are a very important building material for the normal life of the whole organism, but with excessive supply of them, the kidneys start to produce too much uric acid. There is a so-called hyperuricemia. Gradually accumulating, the acid forms crystals, which are deposited mainly in tissues with insufficient blood supply: in the joints, cartilage and tendons.
According to statistics, in those regions of the world where the diet consists mainly of carbohydrate products( China, India, Africa), not rich in purine bases, gout is extremely rare.
Strictly speaking, the revealed hyperuricemia is not equated immediately with gout. But this is a marker, a signal that things are not quite smooth in the body with metabolism. There can be several reasons for this - and the above mentioned consumption of high-calorie, purine-rich food and vice versa, starvation, when the muscle mass of the body starts to be consumed and the purines released during this process also enter the circulation. Sometimes hyperuricemia directly indicates severe illnesses - for example, the presence of renal failure with inhibition of excretion of uric acid in the urine. Also this ailment manifests itself in various tumors or blood diseases. But no matter what the true cause of prolonged and elevated levels of uric acid salts in blood plasma, there is a high risk that after a while a person with similar disorders can develop gout.
The word "podagra" from the Greek language is literally translated as a foot trap. And in this name there is a big share of truth, as the disease in most cases affects the big toes, ankle or knee joints. They develop specific nodes - tofus, which are nothing more than crystals of uric acid salts, connected to each other in small conglomerates. Also, the favorite areas of tofus localization are the auricles, the subcutaneous tissue of the forearms, elbows, fingers, feet, shins and thighs. When such deposits occur in the joints or periarticular tissues, the body reacts to them as an alien body - an acute inflammation develops. This condition is called gouty arthritis.
A classic attack of acute gouty arthritis develops in 50-80 percent of patients. The affected swelling joint constantly reminds itself of a sudden seizure of severe, pressing pain, which usually occurs early in the morning. The skin above it becomes crimson and shiny. During the day, the pain weakens somewhat, but again intensifies by night. This continues for several weeks. When the process is repeated, other joints can be involved, which leads to partial destruction of the bones. Deformations of articular tissues occur, bone growths occur;there is a crunch in the knee and ankle joints, there may even be incomplete dislocations of the fingers. As a result of severe gout attacks, patients lose their ability to work and physical activity. There is also a sluggish version of the course of the disease, with a mild, worn-out symptom-a small pain and mild hyperemia of the skin in the affected area.
But most importantly, what should be paid close attention to gout - the deposition of kidney stones. Since the disease itself is only a consequence of the excessive presence of uric acid salts in the blood, it is not difficult to guess that these salts, in addition to deposition in the joint tissues, can accumulate in the kidneys themselves, forming so-called urate stones. Sometimes even such stones consist mainly of crystals of uric acid itself. Kidney stones always require close monitoring. The main thing is to prevent the possibility of developing renal failure, which threatens, in addition to disability, in severe cases even death.
Getting rid of the "trap"
Heredity in the development of gout plays an important role. If one of the parents had a gout, it is better to be safe and once again pay attention to your daily diet. It is necessary to limit the consumption of foods rich in protein( meat, fish, meat and fish broths, tea and coffee).Do not abuse alcohol, beer, champagne, red wine - everything should be in moderation. Alcohol inhibits the excretion of uric acid from the body, leaving its content in the blood at a high level.
To those who decided to dramatically and thoughtlessly tackle losing weight, it should be remembered that a rapid loss of body weight can cause an increase in the blood of uric acid and provoke a gouty crisis. Therefore, weight loss should occur gradually.
If you can not avoid the development of the disease, you need to know how it is properly treated. A patient with a suspicion of such a disease is advised to undergo a consultation with a rheumatologist and urologist. Gout is treated mainly by lowering the concentration of uric acid in the blood to a level 2 times lower than the norm required to dissolve urate crystals. A strict diet is needed. Mainly, there is a transition to the use of carbohydrate food instead of protein. The main thing that will have to be forgotten is fatty delicacies - liver, kidneys, lungs, fish and meat broths, as well as caviar. Bean and vegetable crops should also be limited - beans, beans, spinach, sorrel, radish, eggplant and cauliflower should be excluded. Suffering gout requires an abundant drinking regimen, a day he should drink at least 3 liters of fluid.
As you can see, some types of carbohydrate food can also be banned, so it's mandatory for a specialist to prescribe the necessary diet. Depending on the severity of the disease, it can resolve in moderation quantities of cereals, eggs, lean fish, mutton and beef. From medicamentous preparations to facilitate the course of seizures are used non-steroidal anti-inflammatory drugs, plant alkaloids, as well as ointments and gels for external use. Most often the prognosis of the development of ailment is favorable. If the diagnosis is established early and the patient follows the recommendations of the doctor, modern therapy allows most patients to lead a normal life. A certain restoration of the structure of the joints can be achieved in advanced cases.
Gout is definitely not an easy disease. But modern medicine knows how to fight it. With timely access to the doctor and the fulfillment of all his prescriptions, the "disease of the kings" can be successfully pacified, despite its proud and ancient name.
Folk recipes against gout
Decoction for medicinal bath. Requires 500 gr.oat straw, currant leaves, young pine needles, chamomile flowers, sage medicinal herbs and 10 liters of water. Pour the plants with cold water, put on a slow fire, cook for 30 minutes. The broth cool, drain and pour into the bath. Take a bath at a water temperature of 35-37 degrees for 15 minutes.
Anesthetic mixture for rubbing. Grind into powder 100 gr.bay leaf and 1 tablespoon of juniper, pour 1 kilogram of melted butter( goose fat, badger fat), mix everything well. The resulting mixture is rubbed as an analgesic and sedative for gouty pain.
Healing tea. Take 5 tablespoons of thyme grass creeping and oregano;4 tablespoons of rose hips;2 tablespoons of fruit of blood-red hawthorn, flowers of heart-shaped linden, flowers of a blue-head. All the ingredients are ground and mixed. Collect 1 liter of water and pour boiling water 2 tablespoons chopped collection, insist, after cooling, strain. Take as tea, 1 tablespoon 3-4 times a day.
Broth of black elderberry( which grows in the form of a bush with white flowers) - flowers, bark, leaves, roots. Brew 20 grams of flowers with a glass of boiling water. Eat one third of a glass 3-4 times a day before meals, preferably in hot form and with honey, especially at night.
In case of severe pain, you can make a warming - half a glass of dried black elderberry flowers and half a glass of chamomile flowers pour boiling water in an enamel mug, wrap it, let it brew for 10 minutes, then fill with a hot mix linen bag. Apply to a sore spot, wrapped with oiled paper. Then put on a woolen socks or just close the sore spot with a handkerchief.
Decoction of a drop( field sage): 5 g of grass pour a glass of boiling water and 2 tbsp.spoons of port. Insist like tea, wrapped for 15 minutes, and take a third of the glass 3 times a day before eating.
Decoction of swampy saber: 5 g finely chopped roots pour a glass of boiling water, insist and take half a cup before each meal. You can make and alcohol tincture from the root or stem - 250 g of dry root and 0.5 liters of vodka to insist in the dark for 3 weeks. Take 25 g 3 times daily before meals. Treatment lasts 2-3 months and with a regular admission is very effective.
Flowers of cornflower blue, calendula flowers, peony flowers, juniper fruits, buckthorn bark - 5 parts each;black elder blossoms and nettle leaves - 10 parts each;bark of willow, horsetail grass and young leaf of birch - 20 parts each. Mix all. A tablespoon of the mixture should be poured into 300 ml of boiling water in a porcelain dish, wrapped, allowed to stand for half an hour and drink completely. Repeat every two hours during the day. Then take a break for a week and repeat the course.
Poultice of sage - 50 g of dry herbs pour 3 liters of boiling water and boil for 10 minutes. Dip into the cooling mixture the affected limb and soar for half an hour. At the same time, you need to gradually add boiling water so that the water does not fall below the temperature of the human body. Then warmly wrap the sore spot and go to bed. The procedure is repeated every day for a month and perfectly dissolves all gouty nodules.
Poultices from chicory - chopped chicory root pour boiling water to get liquid gruel and boil. Then, with the decoction obtained, densely cover the sore spot, cover with a dense cloth and hold for half an hour several times a day.http: //rheumatology.org.ua/blog/articles/865/ Clinic of modern rheumatology, Kiev. Phone:( +38044) 537-19-12, 599-33-81 Rheumatologist, cardiologist, orthopedist-traumatologist, neuropathologist, massage, day hospital.