Antibiotics for gout

Can I take antibiotics for arthrosis?

In arthrosis, usually prescribed drugs to relieve pain symptoms and to increase the amplitude of movements, which are limited to inflammation of the joints. Despite the large number of prescribed antibiotics, with arthrosis, the system of treatment of the disease includes non-steroidal anti-inflammatory drugs, narcotic analgesics, physiotherapy procedures and physiotherapy in parallel. In extremely acute and severe forms of the disease, antibiotics are injected into the body by injection into the joint affected by arthrosis.

In addition to methods for taking pills and injections, there are other methods of treatment. For example, ozocerite is applied 4 ways to the skin: in a molten form, in the form of trays, application, cuvette method. Diclofenac is taken in the form of tablets, intramuscular injections or rubbing with ointment.

The main treatment systems for the disease

symptoms of arthrosis

When a person begins to suffer from joint pain, he goes to the pharmacy and, consulting the pharmacist, independently prescribes treatment. Joint pain itself does not occur and does not go away, it is usually a symptom of a chronic disease that occurs with arthrosis. Self-medication in the presence of such a disease is extremely dangerous. It is necessary at the first suspicions to visit a rheumatologist. If the doctor still puts this diagnosis, it will take a long time to heal and stock up preparations of a variety of actions. With arthrosis, it is important to correctly identify the cause of the disease and to prescribe the correct and effective treatment.

Approach to the treatment of this disease must be diversified, prescribing therapeutic drugs and procedures in the complex. Only in this case it will be possible to ease the pain rather quickly and get rid of inflammations. If the patient is strongly concerned about the pain, the affected joints swell, it is necessary to begin treatment with non-steroidal anti-inflammatory drugs. It can be diclofenac, ibuprofen, orthophene, movalis. Take medication is under the supervision of a doctor. These funds relieve pain, inflammation and swelling.

In arthrosis, not only joints become inflamed, but violations occur in the articular cartilage. To restore cartilage tissue, chondroprotectors should be used: don, rumalon, glucosamine. Several times a year, it is recommended to use active biologically active supplements with collagen content. In conjunction with previous drugs should begin taking vasodilating drugs: cinnarizine, trental, nicotinic acid. These drugs will improve blood supply and stop the changes in cartilage and bone tissue.

To remove the restriction of movements of joints, prescribe a muscle relaxant, which will also remove pain and muscle spasms. To activate metabolism, stimulate blood supply and tissue regeneration, ozokerite should be used. And here at complications, at the septic forms of disease appoint antibiotics, and only in this case. In the remaining stages of the disease, antibiotics are not needed, since it is not an infectious disease.

Heat treatment system

compress with ozorokerite

Ozokerite is a preparation with anti-inflammatory and analgesic effect. The drug is recommended for use as warming compresses or trays. Ozokerite is a mountain wax that better conducts heat than the usual paraffin. The color of a natural mineral can range from light green to a brownish-yellow hue and depends on the amount of resin in its composition. Ozokerite produces thermal, mechanical and chemical effects on the patient's body.

If the drug is applied to the skin, one can see the formation of a layer with the same temperature as the patient, so the layer of the drug will give out heat very slowly. And this shows that ozocerite can be applied very hot( about 70 ° C), there will be no burns. The drug applied to the skin, solidifying, begins to decrease and slightly squeezes the skin, exerting a compression effect on nearby tissues. This mechanism allows the medicine to deeply communicate its heat, which makes it possible to get rid of the edema of the affected joints. From the chemical point of view, ozocerite, using its biologically active ingredients, penetrates through the healthy area of ​​the skin into the patient's circulatory system. It also contains substances with antibiotic properties that dissolve inflammation, relieve pain, restore damaged tissue sites.

You can take a heated drug in several ways. The first method is to melt the ozocerite to a high temperature( about 70 ° C) and apply to the carpal region. The second way - to smear the inflamed place with the preparation and dip into a container filled with molten ozocerite. The third way is to put on the sore spot gauze, folded in 9 layers, preliminarily immersing it in the molten solution of the medicine, top cover with an oilcloth and a warm blanket. And the last way is to pour molten product into cuvettes, cool to 48 ° С, remove oilcloth from under the cuvette and apply to inflamed areas.

Non-steroidal anti-inflammatory drug

Non-steroidal anti-inflammatory drug

In addition to warming compresses, you can be treated with pills, injections or simple rubbing ointments. Diclofenac will perfectly cope with all three functions. Take the drug should be to relieve pain, inflammation, swelling and joint stiffness. It is characterized as a tool that helps with inflammatory processes, reduces fever and has analgesic action. To notice significant improvements, it is necessary to undergo a course of treatment and take diclofenac for 2-3 weeks.

Diclofenac is used to treat Bechterew's disease, gout, neuralgia, rheumatism, rheumatoid arthritis and various inflammations of the joints. The tablet is taken 2-3 times a day for 100-150 mg after eating. Diclofenac as injections is used to treat exacerbations, it is administered in a dosage of 75 mg. In the form of ointment, the drug is used up to 4 times a day by spreading the affected parts of the body. Diclofenac is contraindicated in patients with stomach, duodenal ulcers, bleeding in the stomach or intestines, kidney and liver diseases. Among the drugs that relieve pain, you can select: ketones, arthoxane, indomethacin, analgin and others. Diclofenac can be represented by such names: tilfen, orthophene, voltaren, diclonate.

Drug treatment

In order to properly prescribe the necessary drug, it is necessary to determine the type of disease. Joints hurt with such diseases: Bechterew's disease, rheumatoid arthritis, psoriatic, infectious, gouty. With arthrosis, you need to take several medicines that are divided into certain groups. All drugs should act on the body in a complex manner, with ineffective treatment with tablets, medications should be taken as intramuscular injections. To avoid damage to the joints, it is necessary to limit the actions by using bandages, orthopedic insoles or bandages. It is necessary to take funds for the restoration of cartilaginous tissues - chondroprotectors.

Gentle physiotherapy should be prescribed by a doctor, you can not start making sharp movements on your own, overloading inflamed joints excessively. Food should contain a small amount of animal fat, but must prevail vitamins and fiber. The most neglected and severe cases are treated with surgical intervention, a prosthesis is placed on the affected joint. Antibiotics should not be taken without the doctor's appointment.

artrozmed.ru

Gout on legs: symptoms, causes, treatment, diet for gout

Gout is a disease that occurs as a result of impaired metabolism of purines that participate in the process of creating DNA.As a result, the blood levels of uric acid increase( hyperureukemia).Uric acid begins to be deposited in the tissues of the musculoskeletal system and in internal organs. Due to this, there is a restriction in the movements, and acute attacks of pain occur.

Causes of gout

Affects gout predominantly men!

  • The use of certain medicines: aspirin, diuretic diuretics, cyclosporins.
  • Presence of conditions and diseases in the form of diabetes mellitus, coronary heart disease, obesity, blood diseases, organ transplantation, psoriasis, chronic renal failure, metabolic syndrome, lead poisoning. Exacerbations of gout cause trauma and surgical intervention.
  • People who eat foods with a high content of purine bases are at risk of developing the disease. The use of fatty varieties of meat, seafood, carbonated and alcoholic beverages in no small degree contribute to the accumulation of purines in the body.
  • Strikes gout predominantly in men between the ages of thirty and fifty, but recently women are also at risk, most often in menopause.
  • A significant role in the occurrence of gout is heredity. If the right lifestyle and healthy diet are observed, the disease can be preserved in a latent, latent form, but in case of adverse effects, its development begins.

There are two forms of gout: primary and secondary .The primary form arises independently as a result of the accumulation of purines. Secondary - as a consequence of other diseases and taking medications.

Symptoms of gout

The manifestation of gout is expressed in seven different stages. Each of these stages has its own symptoms:

In total there are seven stages of gout development

Acute gout. The most frequent attacks of acute gout occur at night. The main symptoms: weakness in the arms and legs, trembling, arthralgia, headaches, subfebrile condition. The joint of the metatarsal phalanx of the thumb on the leg swells, the skin of the finger assumes a bluish-red color, becomes shiny and firm. In the joint of the toe, there is a sharp pain. The finger loses its motor ability. The body temperature rises to thirty-eight degrees. The onset of pain and seizures continues for three to ten days. Then comes the period of calm from one month to two years. At this time gout on the legs may not manifest itself.

Subacute gout. Mainly manifested as a monoarthritis - a disease of one joint. Most often there is gout on the toes. Pain is expressed in a weak form. Basically, gout on the big toe is localized.

Rheumatoid gout. The defeat of various joints and the appearance of painful attacks, lasting for hours or days. Often there is gout of the knee, expressed by a constant aching pain.

Pseudophlegmonous gout. Expressed in mono-displays of arthritis. The attack is susceptible to any joint and surrounding tissues. The body temperature reaches thirty-eight degrees. In addition, there is inflammation of the patient joint, fever, leukocytosis.

Gout by type of allergic infectious polyarthritis. Quite a rare form of gout. Manifestations are similar to manifestations of polyarthritis, but the pain does not have a clear location and arises in different joints. And the inflammation manifests very quickly and have a bright crimson color.

Malosymptomatic gout stage. With a similar manifestation, the joint becomes inflamed, but the pain syndrome is almost not felt. Often the manifestation of gout begins with an inflammation of the bones on the legs.

Arthritic gout. With arthritic gout form, pain concentrates in the tendons, especially often the pain covers the calcaneal tendon. It becomes denser and increases in size. In the absence of treatment, chronic polyarthritis develops with gouty manifestations. With arterial shape, the joints and muscles of the legs deform. The pain syndrome is initially manifested by attacks, then goes into a chronic form.

Symptoms of chronic gout form are tofusi - visible solid nodes in the joints. They appear after five years of the disease. Gouty attacks can be associated with kidney disease. This greatly increases the pressure and a severe headache occurs. The contrast between the healthy tissue and the tissue affected by the disease is particularly clear.

Gout treatment

Tofusi - visible solid nodes in the joints

Drug treatment for gout on the legs is to stop the pain syndrome and restore the purine metabolism. In case of an acute attack of gout, the patient must comply with bed rest and complete rest. The patient's leg should be placed on a hill and ice is applied, after the pain is reduced, a warming compress is applied. When treating seizures, non-steroidal anti-inflammatory drugs are used. The drug and the recommended dose is prescribed by a doctor.

To reduce the level of uric acid, antidotal drugs( sulphinperazone, alopurinol, uralite and others) are used. How to treat gout on the legs should decide the doctor. The drug is chosen by a doctor and is used for many years.

When tofusov emerges surgical treatment to remove them. This is due to the fact that the tofus formed can not dissolve during drug treatment and severely limit the motor ability of the joints.

As applications for physiotherapy, applications from a dimexide solution are used. They relieve pain in acute attacks and have an anti-inflammatory effect. In the absence of pronounced attacks, applications of ozocerite, paraffin, and therapeutic mud are used. This greatly improves the function of patients with joints and reduces the number of urates. Good results are obtained by the intake of mineral-alkaline waters, mud therapy, balneotherapy.

In combination with physiotherapy and medical products, phytotherapy is also used. A wonderful effect gives the use inside of infusions of cowberry or black currant and blueberries.

Diet for gout

Of no small importance is nutrition for gout legs. When treating any form of gout on the legs, strict adherence to the diet is necessary. From the daily diet should be excluded products with a high content of purines.

Products requiring exception: lungs, liver, brains, kidneys, young meat and chicken meat, fish and meat broths, alcoholic and carbonated drinks.

Restricted products: fish, crustaceans, caviar, cauliflower, radish, mushrooms, asparagus, beans, spinach, sorrel, eggplant.

The intake of calories in the body should be provided by consumption of carbohydrates. You can eat small amounts of cereals and flour dishes, eggs, beef, lamb, lean fish. At the same time meat and fish are used in boiled form, no more than three times a week in the amount of two hundred and fifty grams per serving. To maintain the vitamin balance is recommended reception of broths from lemon, dogrose, apples, black currant.

With gout, you can without any restrictions eat milk and grain products, vegetables, fruits and berries, nuts, melons, watermelons, spices.

In addition to adherence to the diet, drinking is necessary. Gout requires an abundance of alkaline drink. To do this, a variety of berry and fruit compotes or mineral water with a high content of alkali.

With timely detection of the disease and timely on-going comprehensive treatment, gout is treated quite successfully. The main thing with the slightest symptoms of gout is to consult a qualified specialist who knows how to cure gout on his legs correctly, and exactly follow the recommendations for taking medications and changing the diet.

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Gout Symptoms and Signs |Diagnosis of gout

Gout is a disease associated with symptoms of violation of purine metabolism, characterized by signs of an increase in the content of uric acid in the blood( hyperuricemia) and the deposition of urates in articular and / or periarticular tissues, kidneys and other organs. Detection of hyperuricemia is not enough to establish a diagnosis, since only 10% of persons with hyperuricemia suffer from gout. In this article, we will look at the symptoms of gout and the main signs of gout in humans.

Symptoms of gout

The clinical symptoms of gout depend on the stage of the disease and are composed of articular syndrome, the gradual development of tophi and renal damage( interstitial nephritis and nephrolithiasis), often reveal obesity, hyperlipidemia, carbohydrate metabolism and coronary artery disease.

Asymptomatic hyperuricemia with gout symptoms

Asymptomatic hyperuricemia is a borderline condition characterized by symptoms of an increase in uric acid in the blood in the absence of clinical signs of the deposition of crystals in tissues( i.e., without arthritis, tofus, nephropathy or urate stones).

Symptoms of acute gouty arthritis

Typical sudden signs of arthritis with severe pain symptoms that can cause trauma, exercise, sauna, emotional stress, changes in diet( both overeating and starvation), alcohol consumption, bleeding, infections, surgicalinterventions, use of drugs( most often thiazide diuretics, chemotherapeutic antitumor agents).More often, one joint is affected in the treatment of gout on the lower limbs, and 50% of patients suffer from the first metatarsophalangeal joint. Less common is the inflammation of the elbows and wrist joints;distal interphalangeal joints are affected more often with pre-existing osteoarthritis;the hip joints are usually not affected. Most of the symptoms of gouty attacks occur at night and occur with signs of rapid build-up of erythema and temperature around the joint, symptoms of swelling and soreness. Symptoms of inflammation can go to soft tissue, forming clinical symptoms of cellulite or flebitis. Severe cases accompany an increase in body temperature. The usual duration of an attack is several days, less often a few weeks. After an attack the joint acquires a normal shape. The above symptoms of gouty attacks with gout are specific and important for the correct diagnosis.

Interictal gout period - symptoms

The interictal gout period occurs after the end of the first attack and can be interrupted by the next acute attack. In 60% of patients, recurrent symptoms of the attack occur during the first year of symptoms of gout. In typical cases, during the interictal gout period, patients do not complain, but if the patient does not receive treatment, then each subsequent attack of gout symptoms is more severe and the interictal period is shortened. Some patients quickly, practically without remissions, develop chronic gouty arthritis - in such cases, differential diagnosis is performed with rheumatoid arthritis.

Symptoms of chronic gouty arthritis

Symptoms of chronic gouty arthritis with gout( chronic tofusnaya gout) occurs in the absence of gout treatment;he is considered the final stage of gout. Tofus is formed by clusters of urate crystals, surrounded by inflammatory cells and fibrous masses. Tofuses are dense, mobile, whitish-yellowish in color with the release of melokopodobnogo contents in case of ulceration. Typical localization of tofusos with symptoms of gout: the auricle, the skin over the affected joints, the subchondral parts of the articular surfaces, the extensor surfaces of the forearm, the elbow area, the skin over the Achilles and popliteal tendons.

Often concomitant symptoms of gout

Symptoms of obesity are usually combined with gout, especially primary. Characteristic of type IV hyperlipidemia in gout;hypertriglyceridemia is registered in 60-80% of patients, the relationship between symptoms of gout, hypertension, IHD, insulin-dependent diabetes mellitus is determined.

Kidney damage in gout symptoms

Ghosts of kidney damage can occur at any stage of the gout and manifest symptoms of nephrolithiasis and tubulointerstitial nephritis. In the latter, the most common clinical signs are moderate proteinuria, a decrease in the relative density of urine and the development of hypertension. In renal dysfunction, tubular disorders predominate. In 10% of cases the terminal stage of chronic renal failure develops. A very frequent consequence of kidney damage with gout is arterial hypertension. Possible nephrolithiasis with gout. If uric acid metabolism is impaired, a renal version of acute renal failure may develop, especially a characteristic symptom for acute obstructive urinary acid nephropathy( tubular blockade with urate crystals).

Prevalence of gout symptoms

According to epidemiological studies, the upper limit of the normal concentration of uric acid in the blood in men with gout is approximately 7 mg%, in women 6 mg%.The prevalence of symptoms of hyperuricemia in gout as a whole in the population varies from 4 to 12%, with a significant tendency to increase with age, especially in women. About 0.1% of the population suffers from gout. The majority of patients( 80-90%) of middle or older age with an asymptomatic hyperuricemia preceding 20-30 years. More often men are ill with gout( 20: 1).Before menopause, women rarely get symptoms of gout, perhaps due to the effect of estrogen on the excretion of uric acid. Rarely are the symptoms of an acute attack of gout in adolescents.

Causes of gout

Accumulation of excess amounts of uric acid in the blood with gout may be due to either its high production( increased synthesis of endogenous purines), either by low excretion, or by a combination of these mechanisms. Distinguish the symptoms of primary and secondary gout, in the latter case, specifically highlight the development of gout in the appointment of various medications.

Hyperproduction of uric acid in the presence of gout

Sources of uric acid - purine bases adenine and guanine, as well as purine nucleosides, from which ATP and other compounds are formed during gout. Symptoms of primary hyperproduction with gout are associated with defects in the enzyme system for the synthesis of uric acid. When entering the body with an excessive amount of substrates for the formation of purines, hyperproduction of uric acid is regular. A large number of purines for gout is found in anchovies, sardines, fatty meats, kidneys, liver and meat extracts, dry wine.

Symptoms of secondary hyperproduction are due to increased disintegration of cells in hemoblastoses, paraproteinemia, chronic hemolysis, antitumor chemotherapy, and is also characteristic of alcohol abusers with gout symptoms. Hyperuricemia often accompanies psoriasis, although the clinical symptoms of gout are rarely developed.

Reducing urinary acid excretion in the presence of gout

Reducing urinary acid excretion is observed in 90% of patients with gout symptoms. Normally, about 2/3 of uric acid is excreted by the kidneys, the rest by the intestines and skin. The excretion of urate through the kidneys with gout includes 4 stages: glomerular filtration, reabsorption of 95% of filtered uric acid, secretion in the proximal tubules and re-absorption of 40-44% uric acid. As a result, only 8-12% of the originally filtered uric acid is excreted in the urine with symptoms of gout, which is 400-600 mg / day. Defects of excretion can be induced primarily by the crystallization of urate in the kidney against a background of increased release( more than 800 mg / day) with primary hyperproduction of uric acid. In these cases urate tubulointerstitial nephritis develops. Reduction of renal excretion of urates in case of gout symptoms is also observed under the influence of diuretics, alcohol, small doses of acetylsalicylic acid, aminophylline, caffeine, diazepam, dimedrol, L-dofa, dopamine, vitamins Bi2 and C, lead. In relation to the latter, epidemic outbreaks of "lead gout" are known, in particular when using lead paints, alcohol substitutes containing this element, as well as other sources of it.

Signs of gout

Glut of blood plasma with uric acid in gout occurs at a concentration of more than 0.42 mmol / l, but the crystallization of uric acid at this concentration does not occur for a long time, probably due to the counteraction of the unidentified solubility of plasma. Nevertheless, as the temperature of the body decreases, crystallization is facilitated, so the symptom of urate deposition with gout arises primarily in areas of insufficient blood supply( ligaments, cartilages).

Symptoms of acute gouty arthritis

As a result of a symptom of prolonged hyperuricemia, microtofuses( clusters of crystals) are formed in the synovial membrane and cartilage. Due to injury, increased temperature in the joint or changes in the concentration of uric acid in the blood or synovial fluid, the microtofus is destroyed and the crystals exit into the joint cavity. Synovial cells produce cytokines for gout:

IL-1, IL-6, IL-8, tumor necrosis factor 7, serving as chemotractants for neutrophils in gout symptoms. Ig and complement components opsonize( envelop) urates, stimulating the phagocytic activity of neutrophils. Phagosomes of neutrophils with gout, which absorbed crystals, merge with lysosomes, and lysosomal enzymes destroy the protein shell of the crystals. Crystals with gout symptoms damage neutrophils, and lysosomal enzymes released into the synovial cavity trigger inflammation.

Symptom of kidney damage with gout

At alkaline pH values ​​with gout, uric acid completely dissociates, at neutral values ​​- dissociates by half, and at pH less than 5.0 it practically does not dissociate. With the release of more than 1100 mg of uric acid per day for gout, the symptoms of urolithiasis develop in 50% of patients. In addition, uric acid crystals can be deposited in the interstitial tissue of the kidneys. Interstitial gouty nephritis leads to the development of symptoms of secondary arterial hypertension.

Diagnosis of gout

In joints during the symptoms of acute gouty urate crystals are detected in the form of microtofus, reminiscent of arthroscopic furuncles. Tofusi in tissues are deposits of urate, surrounded by a granulomatous tissue, in which there are multinucleated giant cells. In some cases, tofus can be calcified. Stones in the urinary tract are more often urates, but 10-12% have oxalate or calcium phosphate impurities. The interstitial tissue of the kidneys is dominated by the deposits of monohydrate monosodium salt of uric acid with gout, and in the lumen of the collecting tubes - the crystals of uric acid. There are atrophic changes in the tubules and the Heshe loop, the deposition of the brown pigment of lipofuscin in the epithelium.

In a general blood test during acute gout attacks, leukocytosis with a neutrophilic leftward shift and an increase in ESR are detected. In a biochemical blood test for gout, a typical high serum uric acid content( normal: 0.24-0.42 mmol / L in men, 0.16-0.36 mmol / L in women).Examination of uric acid excretion is carried out after a 3-day diet, excluding purines( meat, broths, poultry, fish, legumes, oatmeal, tea, coffee, cocoa, alcohol, beer).Determine the volume of daily urine, pH, the concentration of uric acid and creatinine in urine and blood serum. Normally excreted 300-600 mg( 1.8-3.6 mmol / l) of uric acid per day for gout symptoms.

Diagnostic value for gout is the detection of needle crystals of urates located intracellularly and birefringent light when examined by means of a polarization microscope. In the contents of tofus, crystals of uric acid are found. It should be borne in mind that when histological examination of tofus tissue with gout should not be fixed with formalin to avoid dissolution of urate crystals.

The radiographs of bones reveal symptoms of intraosseous racemous formations of various sizes, caused by tofusi, which can be located inside the joint, next to it, and even at a distance. Expressed erosions in the subchondral zone of the bone or cystlike formations with clear contours( "puncture symptom") are observed with gout infrequently( nonspecific sign).A more characteristic symptom for gout is the destruction of the subchondral bone, epiphysis, part of the diaphysis( intra-articular osteolysis) that occurs with time. Periarticular osteoporosis is not a characteristic symptom. Bony ankylosis is very rare. X-ray changes are most often found in the joints of the feet( primarily in the joints of the thumbs), as well as the hands.

Several variants of approaches to the diagnosis of gout, based on the evaluation of diagnostic symptoms( Roman, New York) are suggested.

The diagnosis of articular gout is considered reliable in the presence of any 2 symptoms from among the following.

  • Hyperuricemia is more than 0.42 mmol / L in men and 0.36 mmol / L in women.
  • The presence of gouty nodes( tofusov) - the main obvious symptom.
  • Detection of urate crystals in synovial fluid or tissues.
  • Presence in the anamnesis of a typical acute arthritis, accompanied by severe pain, which began suddenly and lasted 1-2 days.

In addition to the classic articular gout symptoms due to hyperuricemia in various combinations, often without arthritis, such symptoms as urate nephrolithiasis, tubulointerstitial renal damage with arterial hypertension, nephrosclerosis, CRF can also be recorded.

Differential diagnosis of gout

Symptoms and diagnosis of pseudogout

The disease of deposition of calcium pyrophosphate crystals( pyrophosphate arthropathy) is called pseudogout due to external similarity to gout symptoms. Differential diagnosis in this case is based on a comparison of physical and chemical data of crystals: urate X-ray negative, under the microscope have a needle-like appearance and have the property of birefringence in a polarization microscope. Crystals of calcium pyrophosphate are X-ray positive( they are seen on the radiographs of the joints, often knee and wrist, in the form of dotted lines parallel to the joint space), have a wedge shape under the microscope and do not exhibit the property of double refraction. Symptoms of secondary pyrophosphate arthropathy occur with hyperparathyroidism, hemochromatosis, hemosiderosis, Wilson-Konovalov's disease.

Disease of the deposition of crystals of basic calcium phosphates with symptoms of gout

The disease of deposition of crystals of basic calcium phosphates is manifested not only by symptoms of arthritis, but mainly by calcific tendinitis and bursitis. The diagnosis must be based on the identification of salt deposits. Crystals of basic calcium phosphates, unlike pyrophosphates and urates, do not have characteristic optical properties. For screening diagnostics of crystals of basic calcium phosphate, dye staining with alizarin red is recommended, but the sensitivity and specificity of the method are low.

Osteoarthrosis, rheumatoid arthritis - symptoms

In some cases, gout mimics the clinical picture of osteoarthritis or rheumatoid arthritis, so the study of uric acid in the serum and the study of synovial fluid by polarization microscopy is one of the important stages in the differential diagnosis of arthritis.

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how to cure gout which antibiotics you should drink

Gorokhov

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 1 teaspoonful 3 times a day for 15-20 minutes before meals.
Grind 300 g of onion, add 100 g of honey and 600 ml of white dry wine, insist for at least 2 days in a dark cool place, periodically shaking the contents, drain. Take 2-4 tablespoons a day with gout, as well as with anemia( anemia), dropsy, prostatitis, cystitis, arthritis, diabetes.
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 mix. Cool and apply overnight to a sore spot in the form of a compress.
Every day, use 100 grams of grated carrots. Grind on a fine grater and eat with 1 tablespoon of vegetable oil.
Take 3 heads of garlic and 4 lemons, remove the stones from the lemons, peel the garlic and let it through the meat grinder, pour the whole mass with 7 cups of boiling water, mix, let stand for 1 day, strain and take 2 tablespoons before meals once a day.
Boil turnips, rub it into gruel and apply to sore spots for gout and rheumatism.
Pour 1 tablespoon grated horseradish with 2 cups of boiling water, leave for 1 hour. Moisten in infusion, gauze and apply to sore spots.
Mix in a ratio of 1: 4 powdered poplar bud buds and petroleum jelly. Apply ointment to the affected joint. Relieves pain.
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.
Lubricate the joint affected by gout, radish juice seed.
In folk medicine, it is believed that relief from gout can bring treatment with bee stings.
Sprinkle strawberry berries in a ratio of 5: 1.Infuse 5 hours, drain. Store the juice in enameled dishes. Drink fresh juice 0.5 cup 3 times a day Before meals.
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 is 3 months. This same tincture to do rubbing and compresses.
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.
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.
Pour 1 tablespoon fresh celery scented roots 2 cups of boiling water. Infuse, wrapped, 4 hours, drain. Drink 2 tablespoons 3-4 times a day for 30 minutes before meals.
Juice from fresh celery leaves odorous to drink 1 to 2 teaspoons 2-3 times a day.
Pour 20 g of herb swans spreading 1 cup of boiling water. Drink 1 glass 3 times a day. Use as a strengthening agent for gout and rheumatism.

Nina Latysheva

Gout is a non-infectious disease. This is the deposition of uric acid crystals in the joints. It is not treated with antibiotics.

Regina Loginova

with the meat will have to part

Alla Borisova

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