Gout treatment

Causes, Symptoms and Treatment of Gout On Legs

What is gout?

Gout is a metabolic disease in which salts of uric acid( known as urate) are deposited in the joints. Gout is otherwise called "disease of kings", an ancient disease that was known even in the time of Hippocrates. Now gout is considered a rare disease, it affects 3 people out of 1000. And most often it affects men over the age of 40, in women it is most often manifested after menopause. Gout itself is one of the types of joint diseases caused by the deposition of salts.

All gums suffer from gout, ranging from the joints of the fingers to the joints of the toes.

It was known even in the time of Hippocrates and is called "disease of kings" because the main source of its occurrence is the excess in food and alcoholic beverages. Gout is often chronic.


Causes of gout

Gout

The cause of gout is an elevated and persistent level of uric acid in the blood. During the course of the disease, urate crystals( a derivative of uric acid) are deposited in the joints, organs and other body systems. Sodium urate crystallizes and small particles are deposited in the joints, which ultimately leads to partial or complete destruction of the joint. For the same reason, such situations are called microcrystalline.

A large amount of uric acid in the body can be for two reasons: the first reason is when healthy kidneys can not cope with the withdrawal of an unusually large amount of uric acid, the second reason is when uric acid is released in normal amounts, but the kidneys are unable to remove it.

Every year, more gout is getting sick. Doctors explain this phenomenon by the fact that in recent years people are more likely to consume food rich in purines( for example, meat, fatty fish) and a huge amount of alcoholic products. This is confirmed by the fact that during wars the percentage of people suffering from gout fell sharply due to the fact that meat products, and, especially, alcohol, it was very difficult to get.


Symptoms of gout

The symptom of gout is a common attack of gouty arthritis - it is usually an inflammation of one joint, most often it turns out to be the joint of the big toe, knee or ankle. Usually, a gout attack occurs in the early morning or at night, it manifests itself in the form of unexpected severe pressing pain in one or another joint, the affected joint swells up, the temperature in the joint area rises, the skin turns red and starts to shine. Usually during the day the pain becomes a little less, but by the night it again intensifies, the duration of a gout attack lasts from two to three days to a week, sometimes more. With a repeated attack in this inflammation, other joints may be involved, this can lead to partial destruction of the joint.

Signs of gout is the appearance on the hands or feet of unusual growths, while the level of uric acid is significantly increased. When growths, in other words, tofusi burst, a person can see whitish crystals of uric acid. The patient can feel quite intense pain in the affected areas. Such salt deposits in the joints interfere with a full life.

Possible complications of

The main and most severe complication of gout is the appearance of gouty arthritis, it is also possible the occurrence of urolithiasis, in which the resulting stones consist of urate or crystallized uric acid.

Gouty nodes , also called "tophi" - it's nothing more than conglomerates of sodium urate crystals that have the ability to be deposited in all parts of the body. And in cases where such deposits get stuck in the joints or periarticular tissues, the immune response occurs, as these deposits are perceived by the body as a foreign body, which causes the accumulation of leukocytes and begins a strong inflammation called gouty arthritis.

It is worth paying special attention to the fact that gout-stones in the kidneys can become the main cause of kidney failure and can eventually lead to death.

Pain with gout

To understand the beginning of a gout you can by sudden pain in the joint. They are accompanied by severe redness, swelling and heat."Burn" can not only hit the place, but also the area of ​​the body in the immediate vicinity. At the same time, the body temperature can rise to 39-40 degrees. Symptoms in most cases develop within an hour. Most often, this affects the big toe. Ordinary pain medications, such as aspirin, will not help.

Pain, as a rule, begins at night and becomes, in practice, unbearable. In the daytime there is often some improvement, the pain recedes, but do not think that everything has passed. Such acute symptoms can torment the patient for about a week.


Gout in men on legs

Gout on legs

Gout is a chronic disease. Cure it completely impossible. This ailment often manifests itself on the feet. After the onset of the disease, the symptoms may recur after six months or a year. The disease can go into a dormant state, but, without any doubt, will make itself felt. With each attack, the time between them will be reduced. Gout will return to the person more and more often.

Damaged places on the legs are often destroyed more and more, the disease can affect the neighboring joints. With a long illness over time in the affected areas, under the skin may appear peculiar hillocks, which are called "gouty nodes" or "tofusi."

This is due to the fact that the body begins to perceive large salt deposits in the joints on the legs as a foreign body, immunity begins to inevitably react - to accumulate leukocytes, after which a strong inflammation begins. Sometimes tofusov burst and out of them stand out whitish dust - crystals of uric acid.

Often gout develops in old age. In men, it occurs much more often and at an earlier age. The male population is susceptible to this disease by the age of 40.It should be noted that women begin to suffer from gout closer to 55, mainly after menopause, when the amount of estrogen, female hormones, is sharply reduced in the body. Children and young guys are practically not prone to gout. There are rare exceptions, in cases of hereditary impairment of uric acid metabolism.


The role of uric acid in the development of gout

This disease severely impairs metabolism. Purines enter the human body with food, but they are also produced by him. Next, purines are split into uric acid, which is excreted by the kidneys. In people with gout, the content of this uric acid is much higher than normal. Excess uric acid is deposited in those tissues where there is no blood supply. There, crystals are easier to gain a foothold.

The joints, cartilage and tendons are the most affected. As a result of this disease, not only these places, but also the kidneys suffer. Most often with gout develops urolithiasis, with a lower probability of the patient may suffer from renal colic.

This can occur for two reasons: if the uric acid is produced too much and the kidneys do not cope with the output volume, so it must be deposited in the human body. And the second reason is that the amount of uric acid is normal, but the kidneys can not remove it.

However, an elevated uric acid content in the body is not the only cause of gout. Here, several other factors play a decisive role: excessive nutrition, fatty food, overweight, sedentary lifestyle and hereditary predisposition.


What should I do if I have an acute attack of gout?

Even with adherence to recommendations, an acute attack will not be instantaneous. But this will significantly reduce the time during which the disease will torment the person. Mainly you need to observe strict bed rest. Painful limbs are best kept in an elevated position, for example, to lay a pillow under them.

In case of intolerable pain, ice can be applied. Then it is desirable to make a compress on a sore spot with Vishnevsky ointment or dimexide. In the intake of food, it is better to restrict yourself, you can use liquid porridge and vegetable broth. But drink is worth as much as possible alkaline drinks, for example, a decoction of oats, jelly, milk, mineral water or plain water, but with the addition of lemon juice( lemon juice dissolves uric acid deposits with rheumatism and gout).You need to drink at least 3 liters a day.

Any painkillers will not help. You can take modern anti-inflammatory drugs without steroids. If you took any preventive measures prescribed by your doctor, then the procedure should be continued.


Preventing exacerbations of gout

Prophylaxis of gout

Most often gout appears in places where the joint was injured. Therefore, treat such places with caution. Do not wear narrow and uncomfortable shoes, as it can severely damage the big toe, which so "loves" gout. Mainly to prevent the onset of gout attacks, diet and balanced nutrition are used.

The way of life will have to be completely revised, making it healthy. You should reconsider your taste preferences. Recommended diet number 6, which helps reduce the body's uric acid and urate. Strictly limited, or even excluded, products containing urine bases - the main source of urate. But poor purines, and therefore allowed milk, cheese, eggs, vegetables, fruits and cereals will not leave you hungry. The patient's diet should contain whole grains, eggs, vegetables, fruits, dairy products with a low fat content.

In food should restrict the intake of meat, fish, caviar, mushrooms, legumes. In addition, you need to limit consumption: smoked meat, marinade, anchovies, cauliflower, asparagus, sorrel, chocolate. Such a diet will lead to normalization of body weight and significantly reduce the burden on the joints during an exacerbation of gout.

More information on what you can eat and what not, as well as other features you can find here

Alcohol and smoking inhibit the excretion of uric acid from the body. Consequently, its crystals are more deposited in the joints. For prevention, alcohol should be completely excluded, especially beer, and also quit smoking. It is not recommended to drink tea, coffee, cocoa. In addition to dieting, it is worth doing at least once a week a fasting day with the use of a mono-product.

First of all, small joints are affected. Therefore, it is worth paying special attention to the development of their mobility. Attention should be concentrated on those sites where there are attacks of pain. Daily it is necessary to do gymnastics for joints. At first, it will be unusual, because the joints are harder to be mobile because of the deposits. It is recommended to be more often on air and to make walks.

Mineral water for gout

Mineral waters perfectly contribute to removing unnecessary purines from the body. Prefer alkaline and organic substances. They can be attributed primarily to Narzan, Essentuki and Borjomi. Remember that any liquid should be consumed at least 2.5 liters per day.


Treatment of gout

The diagnosis of "gout" means that a person will have to significantly change his lifestyle and constantly take medication, because it is unfortunately impossible to achieve a complete cure for this disease. However, timely treatment starts allows you to take gout under control, reduce painful attacks to a minimum and hedge against serious complications.

The main principle of treating gout is to control the level of uric acid in the body. For medical treatment should contact a doctor-rheumatologist. Its prescriptions will be aimed at reducing the volume of uric acid and its rapid removal from the body. Only a qualified specialist can prescribe medications that, with possible concomitant diseases, do not cause the greatest harm to health.

Most often, doctors prescribe for non-steroidal anti-inflammatory drugs for 1-2 weeks, such as methindole, diclofenac, butadione, indomethacin, naproxen. To quickly reduce the concentration of uric acid in the body, allopurinol, orotic acid, thiopurinol, hepatocatalcil, milurite can be discharged. To stop acute signs of gout, doctors recommend taking colchicine.

Drug therapy for gout is aimed at solving two main problems:

  • Reducing the level of uric acid in the patient's body;

  • Coping with acute inflammation and pain relief.

The earlier the patient undergoes the examination, reconsiders his habits and proceeds to treatment, the more likely it is to achieve a stable remission. Without adequate therapy, gout rapidly progresses, especially in patients of mature and advanced age, therefore, it is by no means impossible to reason on the principle of "caught-let-go".

Drug therapy for reducing uric acid level

Since the cause of gout is precisely the excess of uric acid, the solution of this problem in 90% of cases leads to the cessation of attacks of excruciating pain and allows you to count on a comfortable life in the future.

To reduce the level of uric acid in the body, the following drugs are used:

  • Allopurinol is a synthetic analogue of hypoxanthine. This substance inhibits the activity of the enzyme xanthine oxidase, responsible for the transformation of human hypoxanthine into xanthine, and then xanthine to uric acid. Thus, Allopurinol reduces the concentration of uric acid and its salts in all body environments, including blood, plasma, lymph and urine, and also promotes the gradual dissolution of already accumulated urate deposits in the kidneys, soft tissues and joints. However, this drug has a number of serious side effects and greatly increases the excretion of xanthine and hypoxanthine with urine, therefore Allopurinol is contraindicated in patients with severe renal failure. Nevertheless, for the majority of patients with gout, it remains to this day a preparation of the first order. Cost: 80-100 rubles per packing 30-50 tablets;

  • Phoebusostat( Ulorik, Adenurik) is a selective xanthine oxidase inhibitor that, unlike Allopurinol, does not affect other purine and pyramidal enzymes of the human body, besides it is excreted not by the kidneys, but by the liver. Phoebusostat is a relatively new drug for the treatment of gout, it is not produced in Russia, and in Western Europe and the United States it has undergone numerous clinical trials and has shown excellent results. Febuksostat for three months completely dissolves accumulations of crystals of salts of uric acid in the region of fingers and elbows and effectively prevents their repeated formation. Can be used by patients with concomitant renal pathologies. It costs a drug not cheap - an average of 4500 to 7000 thousand rubles, depending on the country of origin;

  • Peloticase( Pegloticase, Krystexxa) is an infusion solution of enzymes that rapidly dissolve urate crystals( deposits of uric acid salts).It is used intravenously twice a month to stabilize the condition of patients with severe gout, which are not helped by traditional drugs. Anaphylactic shock is possible during the procedure. This is a very expensive drug that is produced exclusively abroad and is sold on order;

  • Probenecid( Santuril, BeneMid) is a drug that prevents re-absorption of uric acid in the renal tubules and enhances its excretion in the urine. Probenecid was originally used in complex antibacterial therapy to reduce the damage to the kidneys with antibiotics. But then it began to be prescribed for chronic gout and hyperuricemia( increased uric acid in the blood).It is important to understand that Probenecid enhances the excretion of uric acid, rather than suppresses its synthesis. Therefore, the treatment of gout with this drug is advisable only at the stage of remission. If you prescribe Probenecid to a patient with an acute inflammatory process, this will lead to active dissolution of already accumulated urates, an increase in the level of uric acid in the plasma, and, as a result, to attacks of excruciating pain. To avoid this risk, the first months of treatment with Probeecid gout are accompanied by additional hormonal and anti-inflammatory therapy. It costs a drug from 3500 to 7500 rubles.

Treatment of gout with decongestants and pain medications

Symptomatic treatment of gout is to stop seizures, relieve edema and pain, and is performed with the following drugs:

  • Colchicine( Colchicum, Colchimine) is an alkaloid, is released from the poisonous plants of the Melantie family. The most common source of colchicine is autumn autumnal. Colchicine inhibits the formation of leukotriene, stops the cell division of granulocytes, prevents the movement of leukocytes to the focus of inflammation and prevents urates( salts of uric acid) from crystallizing in the tissues. This drug acts as an emergency aid, and is recommended for admission in the first twelve hours after the onset of an acute attack of gout. It is necessary to drink immediately two tablets of Colchicine, an hour later - another, and then one tablet three times a day for a week. The drug very often causes unwanted reactions from the gastrointestinal tract - nausea, vomiting, loose stools. The average price of Colchicine in pharmacies is from 1,000 to 2,000 rubles;

  • Glucocorticoids( Cortisone, Hydrocortisone, Prednisone, Prednisolone) are synthetic analogues of human corticosteroids, that is, hormones produced by the adrenal cortex. Preparations of this group break the chain of natural reactions of the body to the interference of allergens, chemicals, bacteria, viruses and other foreign elements. Glucocorticoids quickly stop inflammation, but suppress immunity, so hormonal treatment of gout is advisable only if the expected benefit exceeds the potential risk. The cost of synthetic steroid hormones varies from 30 rubles( the oldest drug is Prednisolone), up to 1500 rubles( Cortisone);

  • NSAIDs( Aspirin, Analgin, Diclofenac, Ibuprofen) - Non-steroidal anti-inflammatory drugs are called so in order to emphasize their difference from hormones. However, the action of drugs in this group is somewhat similar to that of glucocorticoids. NSAIDs are non-selective inhibitors of cyclooxygenase, the enzyme responsible for the synthesis of thromboxane and prostaglandins. Thus, these drugs also suppress inflammation, but, unlike synthetic corticosteroids, do it more slowly, and are not immunosuppressants. For symptomatic treatment of gout, Diclofenac and Ibuprofen are most often used, the average cost is 10-30 rubles, the price of a popular generic( drug with the same active substance) Nurofen can reach 150 rubles.

How to prevent gout attacks?

To minimize the risk of new gout attacks, follow a few simple rules:

  • If possible, do not subject the joint to any load, periodically fix it in a raised position and apply ice for 15-30 minutes 2-3 times a day until the painsubsides;

  • Do not overuse aspirin, which can cause a jump in uric acid levels in the blood and aggravate the symptoms of gout;

  • Regularly measure the level of uric acid - it should not exceed 60 mg / l;

  • Every day, devote more than half an hour to physical education: walk, ride a bike, jog, dance, swim. In the morning, do exercises. Regardless of age and weight, patients with gout should give themselves daily physical exercise - sport works with gout more effectively than any medicine;

  • Drink at least two liters of clean water a day. So that the kidneys can excrete uric acid from the body, they need water first of all - not the liquid that the kidneys still need to filter( coffee, tea, juice), namely pure water. Without enough water, even healthy kidneys can not cope with the cleansing of the body;

  • Hand over the blood test to determine the level of the most important minerals and vitamins, and, if necessary, supplement the diet with a good vitamin and mineral complex. It is especially important for patients with gout to provide themselves with vitamin C;

  • Do not drink carbonated drinks with sodium benzoate and powdered juices with fructose, completely discard alcohol;

  • Revise your diet in favor of vegetables, fruits and cereals, eat no more than 120 grams of animal protein a day, avoid offal and fatty sausages.

On the topic: From the pains of gout can also see popular folk remedies

The newest data on the treatment of gout

According to the latest data, obesity is most likely to predispose to gout caused by excessive consumption of fatty foods of animal origin. At risk, lovers of sausages, wursts, bacon and hamburgers. It is the excess of proteins that leads to the excess of uric acid, and the extra weight creates an increased strain on the joints and, thereby, accelerates the development of the inflammatory process.

American scientists have also established a direct link between deficiency of calcium and ascorbic acid and the development of gout. With age, these important substances for the body begin to be missed even by those people who lead a healthy lifestyle and do not complain about excess weight. Therefore after forty years it is necessary to annually be examined and take multivitamins prescribed by the doctor.

Recently, a new drug, suppressing the synthesis of uric acid - Benzobromarone, has been developed. Now there are active clinical trials of this drug, and in some Western countries it has already been allowed and put on stream. But before the novelty rests on the domestic pharmaceutical market, it is likely that a lot of time will pass.

It is also known about the experimental development of new non-hormonal anti-inflammatory drugs that directly affect the protein interleukin, which provokes gouty inflammation of the joints and tissues. But the exact timing of the appearance of these drugs in a free sale is difficult to call.

Allopurinol: Pros and Cons

The most popular drug for treating gout, Allopurinol, is increasingly being sharply criticized by modern doctors, since the large number of side effects and complications in its regular application raises the question of the advisability of such therapy. According to statistics, an average of one in two hundred and sixty patients with gout Allopurinol provokes sudden death as a result of renal coma or cardiac arrest.

Nevertheless, the largest international study of Allopurinol, the results of which have recently been published in the scientific journal Annals of the eumatic Diseases, proves the high effectiveness of the drug, moreover - the ability to prevent the onset of death. This study certainly does not disprove the presence of side effects and high risk for the kidneys, and does not negate the need for new development. But we must admit that Allopurinol is still a first-line drug in the treatment of gout, at least because of good knowledge, reliability and affordable price.

Scientists have tracked the fate of 5,927 patients who regularly took Allopurinol and the same number of patients treated with gout with other drugs that reduce uric acid levels. It turned out that the mortality in the first control group was 19% lower than in the second, and such results persist throughout the life of patients. That is, Allopurinol is still the most effective and safe drug, both for the treatment of acute, first-diagnosed gout, and for maintaining normal health in elderly patients with chronic disease.

Author of the article: Candidate of Medical Sciences Volkov Dmitry Sergeevich, surgeon

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Treatment of gout on the legs - ways to treat gout and getting rid of gout at home - Health age

Criteria for diagnosing gout

Symptoms of the disease

In 2000, WHODiagnostic criteria have been adopted that allow verifying the diagnosis of "Gout" with a high degree of probability. Each clinician of the therapeutic profile must follow the scheme adopted in this document in his diagnosis.

The first diagnostic sign is the detection of urates in the puncture of the intra-articular fluid. This sign is revealed by performing a puncture of the joint cavity, which in itself is a very painful procedure.

The second sign, pathognomonic and mandatory for the diagnosis of "gout" is the presence of tofus - accumulations of urates in soft tissues. This symptom, as a rule, is detected with a simple clinical examination by an experienced doctor and does not require additional instrumental diagnostic methods.

The third prerequisite for a verified diagnosis of "gout" is the presence of at least half of the following symptoms:

  • Diagnosis

    more than 1 case of an exacerbation of a gout in the anamnesis;

  • the most pronounced inflammation of the joint in the first day of the disease;
  • defeat only one joint, without involvement in the process of neighboring;
  • redness of the skin above the affected joint;
  • swelling or acute pain most often localized in the I metatarsal joint on the foot;
  • increase in urate concentration in urine;
  • unilateral lesion of the joints of the foot;
  • unilateral lesion of the first metatarsophalangeal joint;
  • asymmetric swelling above the affected joint;
  • detection of subcortical cysts on radiographs;
  • not revealing flora in the joint fluid.

Despite a large number of the above symptoms, the greatest diagnostic value still have: the detection of urates in the synovial fluid, gouty attacks in the history and the detection of tofusov. As a rule, these three manifestations are sufficient for the conclusion that this patient is ill with gout.

As can be seen from the clinical picture described above, the most characteristic for gout is the damage to the joints on the legs, namely the I-flat-phalanx joint.

Treatment of gout

Given the poly-physiology and variety of gout manifestations, the approach to its treatment should also be comprehensive, taking into account all the pathological processes that develop with this disease.

In connection with this, the following mandatory directions are singled out in the treatment of gout:

  • Treatment of gout

    Coping with a painful attack( with exacerbation of gout, or, so-called "gouty attack");

  • Achieving a stable remission and preventing new exacerbations of the disease;
  • Recurrence of complications of the disease associated with the deposition of urate in various organs and tissues;
  • Treatment of comorbidities aggravating the course of gout( treatment of obesity, hypertriglyceridemia, arterial hypertension)
  • Prevention of nephrolithiasis development due to disruption of urate metabolism.

Treatment of manifestations of acute gout with lesions of the Iplusne-phalangeal joint of the foot

Treatment of acute gouty attack, or "gouty attack" has a number of features and it is aimed mainly at arresting the pain syndrome, removal of the inflammatory process in the joint( most often Iom metatarsus phalanxon the foot) and improvement of the general condition of the patient.

In gouty arthritis, colchicine is most often used as an anti-inflammatory drug. This is a proven tool for years that has proven effective in stopping a gout attack.

Colchicine is administered at a dose of 0.5 mg every hour or 1 mg every 2 hours until the symptoms of gout exacerbation subsided. The maximum daily dose of the drug is 6 mg.

In the absence of the effect of the introduction of an hourly total dose of 6 mg, colchicine is canceled and proceeds to the introduction of a drug more powerful in its effect drugs. However, most often this scheme of treatment is effective and brings relief, according to different data, from 75 to 80% of patients.

An unpleasant side effect from the use of this drug are unpleasant manifestations of the gastrointestinal tract( nausea, vomiting, diarrhea).Often the severity of these adverse reactions reaches such a strength that it goes one level with the actual manifestations of gout itself and require separate treatment.

Colchicine can be administered intravenously and orally. With intravenous administration of colchicine, nurses should be extremely cautious, because of non-compliance with the technique of performing colchicine injection, it can enter neighboring vessels and cause severe pain at the site of injection, and subsequently - necrosis. Another unpleasant side effect of colchicine is the development of allopecia, in other words, hair loss, baldness. In high doses colchicine can cause depression of the respiratory center and even death, so doctors should be extremely cautious in prescribing this drug.

Other anti-inflammatory drugs that have shown a good result in stopping gouty attacks are: phenoprofen, indomethacin.

Indomethacin is prescribed at the starting dose of 75 mg, after which the patient is administered an additional 50 mg of the drug every 6 hours until the symptoms subsided. After the attack managed to stop, the intervals in the administration of the drug are increased to 8 hours. Thus, the patient is administered indomethacin in a maintenance dose of 50 mg every 8 hours. Indomethacin can also quite often, as an adverse event, cause disturbances in the work of the gastrointestinal tract to reduce mood( up to the development of depression).

However, the toxicity of this drug is still significantly lower than colchicine, so indomethacin is the drug of choice for arresting an attack of gouty arthritis.

When colchicine and NSAIDs are ineffective, patients are shown intra-articular injections of glucocorticoids. In this case, drugs containing cranocorticosteroids may be prescribed for oral administration. In this case, you should also be extremely careful with dosages and do not overdo it.

At home

How to treat gout at home

Many patients are supporters of having to treat manifestations of gout on their legs at home. There are a number of folk methods of treating gout. To one of the most effective ways to combat the manifestations of gout at home, one can attribute adherence to diet and the fight against obesity.

Diet for gout

Diet for

Disease The principle of nutrition for gout is that it is necessary to sharply limit the consumption of foods that increase the formation of urates in the body during their metabolism. These are products containing purines.

For the most part it is meat and fish. For this reason, a vegetarian diet is recommended for gout. With a sharp restriction of the amount of proteins consumed.

In addition, patients suffering from gout should severely limit the amount of alcohol consumed, as this dramatically increases the likelihood of exacerbation of the disease.

In addition, it should be noted that in recent years, a number of clinical studies have shown that weight loss has a beneficial effect on the development of remission and helps to reduce episodes of exacerbations in gout.

Based on the foregoing, it can be concluded that it is extremely important for patients with gout to reconsider their lifestyle. It is not for nothing that gout has long been considered a disease of people prone to lush festivities, overeating and consuming a large amount of alcohol. And despite the fact that at the moment the role of hereditary factors in the formation of this pathology is proved, the values ​​and such factors as healthy nutrition, moderate consumption of alcoholic beverages and spices, physical activity and a mobile way of life should not be diminished.

Folk remedies for the treatment of gout

Widely used to treat gout is also traditional medicine. These are various kinds of ointments, tinctures, decoctions, etc.

Ointments and their use

A. Ointment for the treatment of gout according to the old prescription

This ointment has long been widely used by the Slavs in order to treat gout at home. To prepare the ointment, take the butter and alcohol. Mix the ingredients in a 1: 1 ratio. Then evaporate the alcohol from the mixture - and the ointment is ready!

B. Treatment of gout with iodine

Another well-known folk method, which allows treating gout at home, is iodine-based compresses. In order to prepare a composition for compresses, mix 10 ml of iodine and 5 tablets of aspirin.

Remember! Before you start to treat gout at home, be sure to consult a doctor! Otherwise, such treatment is not only inefficient, but also dangerous! At the first manifestations of gout symptoms - go for treatment to an experienced doctor.

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Gout

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

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

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

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

Symptoms of gout

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

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

Complications of

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

What can you do

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

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

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

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

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

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

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

What the doctor can do

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

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

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

Prevention of gout

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

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Gout: symptoms and treatment, photos, signs of gout

Rheumatology

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 causes 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 the use of alcoholic beverages are 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 called:
  • 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 suffer first. 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 large physical load on them;
  • 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 occurs 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 - tofusi 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

When diagnosed take into account the frequency of recurrent seizures. The diagnosis is made on the basis of:
  1. 1) The 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 reduces to the relief of acute attacks, drug treatment, diet and prevention of repeated exacerbations. Coping with an acute attack:
  • prescribe a copious alkaline drink 2-2.5 l / day.) And complete rest;
  • apply compresses, applying Dimexide in solution - 50% for analgesia and against inflammation;
  • stops the attack with non-steroidal anti-inflammatory drugs: Indomethacin, sodium diclofenac, Naproxen, Pyroxicam;
  • relieve pain and inflammation of Nimesil and Colchicine;
On the first day of treatment, the dosages of the drugs are 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 forbidden, 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

Treatment of gout with folk remedies - the best recipes of traditional medicine

Gout is a disease that has been known to mankind since antiquity. Of course, at that time the healers did not even realize that their descendants would someday invent non-steroidal anti-inflammatory drugs or uricodepressants, and therefore, when the patient was diagnosed with gout, treatment with folk remedies was considered the most effective and proven method, and this was axiomatic.

Brief description of the disease

Gout is a pathology that develops due to a significant metabolic disorder( in particular - protein).As a result, there is an increased deposition of uric acid salts not only in the kidneys( the main filter of our body), but also in other organs and tissues, in particular - in the joints. This condition is the cause of gouty arthritis, accompanied by a marked pain syndrome of a specific nature.

Joint pain, caused by gout, significantly reduces the quality of life of the patient, severely limiting his motor activity.

It is known to specialists engaged in the study of metabolic disturbances that this pathology is notable for its diversity. That is why, before you start treatment of gout with folk methods, you should find out which disorder is the cause of the development of this disease.

When uric acid crystals begin to be deposited in the joints, characteristic cones( tophi) appear in this area, which can be seen even with the naked eye. Of course, the emergence of such formations reacts sharply to the immune system. Under the influence of the protective mechanisms of blood, leukocytes start to increase sharply. Then they begin to attack the affected joint, causing flushing and severe pain.

With the most unfavorable outcome of the disease, the joint bag is completely destroyed, which means that the patient needs surgical intervention.

What can I eat with gout and what can not be?

To ensure that the methods of traditional healers are effective, before you start treatment, you need to clearly balance your diet. After all, it's not a secret for anyone that we are what we eat. Gout is a disease that arises from the use of excessive amounts of animal products, or rather animal fats.

At the same time, people who abuse alcoholic beverages( in particular, cognac products and sparkling wines) are at risk. That's why gout is called the noble disease of kings and aristocrats, although it does not make it any easier for sufferers.

Patients suffering from gout are recommended to completely exclude from their diet the following products:

  1. Fatty meat and fish. Meat, mushroom and fish broth.
  2. Chocolate, cocoa, coffee and tea.
  3. Legumes, cauliflower, mushrooms and spinach.
  4. Spicy cheeses.
  5. By-products.

These products are very harmful to those who suffer from gout, as they contain a large number of purines.

So what can you eat and what kind of diet for gout is the most optimal?

  1. First of all, you should strictly limit the amount of salt consumed.
  2. With the permission of the attending physician per week, you can eat about 300 grams of low-fat boiled meat.
  3. But raw vegetables, fruits and sour-milk products can be eaten, and even necessary.
  4. Also allowed is the consumption of potatoes, pasta, white, rye and whole grain bread.
  5. You can eat eggs in small quantities.
  6. Very useful garlic for gout, eggplant, beet, dairy and vegetarian soups.
  7. Citrus cultures, which do not contain purines in their composition, have also proved themselves well.
  8. In the absence of contraindications mandatory for patients suffering from gout, it is recommended to drink about 2.5 - 3 liters of liquid per day.

I would like to give advice to obese people: in any case, do not go hungry at bouts of gout! Hunger is a condition that causes a sharp increase in the level of uric acid in the blood, which, in turn, causes an exacerbation of the disease. That is why, during the treatment of gout with folk remedies, it is recommended for all patients to follow a low-calorie diet.

Folk recipes

An ancient Russian prescription for the treatment of gout

An ointment made from unsalted home-made butter has saved more than one generation of people from gout attacks.

For its preparation, the butter melts in a frying pan until the foam appears, after which the alcohol is cautiously poured out into the same quantity. Very carefully, the mixture is ignited and burned until completely burned out. Then the resulting product is transferred to a container and stored in a refrigerator.

Apply this medicine for gout, folk medicine advises during a period of exacerbation of the disease. Ointment must be rubbed in a sore spot in front of a heat source( fireplace, heater or battery) until the pain is completely relieved.

Onion soup

Three onions together with the husks are poured with a liter of water and boiled over moderate heat until the onion is boiled. The resulting broth is filtered and taken before meals in a glass 3 times a day for two weeks. Renewal treatment is necessary as pains arise.

Alcohol solution of iodine

To prepare this product, you need to grind 5 tablets of aspirin and dissolve them in 10 ml of iodine. Absolutely colorless liquid should be wiped the affected joints before bedtime for a long time, after which, wear warm gloves on hands or feet.

Also very useful baths with the addition of iodine. To prepare them for three liters of warm water, add nine drops of iodine and three teaspoons of soda. With the regular application of such procedures, salt deposits in the joints are significantly reduced.

Herbs for gout

For the treatment of gout, traditional healers recommend the use of tinctures and decoctions, which include one or more medicinal plants.

  • Very well help with joint damage from the baths of chemist's chamomile. To do this, 10 grams of water take 100 g of dried flowers of chamomile and 200 salts.
  • With regular use of the string, which is brewed, like tea and drunk in hot form, gout retreats for a long time. It should be noted that the most useful is the turn when it is in the process of bud formation.
  • Alcoholic tincture from flowers of ordinary lilac. For its preparation, a half-liter can is filled with flowers and filled with 200 ml of alcohol. The mixture is infused for a week in a dark place with occasional shaking. Ready tincture is recommended to take 20-30 drops before eating 3 times a day.
  • Very useful for gout leaves cowberry( 2 tablespoons per glass of boiling water).This remedy should be insisted for 30 minutes and take 100 ml 3 times a day.
  • A very useful weed in the treatment of gout is to ache. She also prepares infusion( three teaspoons for 2 cups of boiling water).The agent is insisted for two hours, after which it is filtered and taken in half a glass 4 times a day before eating.
  • Needles - also a time-tested healer. Compresses from coniferous broth very well help with gout. To make it, 500 gr of fresh needles must be poured with boiling water( 1 cm above the level of the needles).This drug is settled for an hour under the lid, after which it is boiled in a water bath( on a quiet fire) for another 60 minutes. Compresses from the resulting decoction is recommended for overnight.

Garlic treatment

Garlic tincture is almost universal medicine that treats many pathologies, including gout.

For its preparation, 500 grams of garlic paste is poured with a liter of alcohol( or moonshine), after which the container is exposed for 10 days in the sun. After the time has elapsed, it is necessary to strain and take 20-40 drops with fruit juice or milk daily on an empty stomach.

Compresses from garlic - acetic tincture are also very helpful for reducing joint pain. To make it, you must carefully grind 3 heads of garlic and pour them 500 ml of table wine 9% vinegar. Infuse the mixture for 15 days, then you can start treatment.

Activated charcoal

Activated charcoal - rescue with gout

This prescription has helped many patients to get rid of all the painful manifestations in affected joints for a long time. To prepare the medicine, a handful of tablets must be ground in a coffee grinder( approximately half a glass of powder should be produced).Then you need to add a tablespoon of flax seed to it.

Mix thoroughly and add water until a paste-like mass is obtained. The finished product is recommended to lubricate the affected joints at night, top with a food film and warming well. Many patients note that significant relief comes in the morning.

Cold treatment

When gout attacks, when the pain becomes simply unbearable, the ice cream will help ease the condition. It is placed in a bag and applied to the inflamed joint for 10 minutes.

Is it possible to cure gout?

As a rule, gout chooses a victim among those people who have a high standard of living and good food.

An active temperamental middle-aged man, who does not deny himself the pleasure, has a well-paid job and loves cheerful feasts - here is a portrait of a typical gout modern. At the same time, according to the English researcher E. Orwan, uric acid is a substance that is very similar in structure to theobromine and caffeine, and they are known to have the ability to stimulate active mental activity.

V. Efroimson - an outstanding Soviet geneticist also contributed to the development of gouty theory, supporting the observations of Orwan. He proved by a simple statistical enumeration that gout often affects talented people( 5 - 10%), and among the geniuses this figure reaches almost 50%! .That is why gout is still considered a very mysterious disease, from which a saving medicine has not been found, which can defeat the disease once and for all.

Fortunately, such a pathology is rare enough( it is diagnosed only in 3 to 5 people out of a thousand).It should be noted that in women this disease is even more rare.

Gout is a chronic disease characterized by periods of exacerbations and remissions. But, if you completely abandon treatment and put the disease on its own, neglecting the diet and all the necessary recommendations, gout attacks will become more frequent and more intense each time.

With the development of the pathological process, the disease will affect larger joints, as well as the kidney and urinary system, which can lead to complete disability.

7 comments
  • Valentina03.04.2014

    Gout is well known to me, I struggle with it for several years, rubbing the joints with fir oil and adhering to a diet. The fact that you can for a long time get rid of all the painful manifestations in affected joints with the help of activated charcoal never heard, I will definitely try!

  • edyardM24.04.2014

    To treatment and prevention of gout, you can add a plant such as burdock.

    In folk medicine for the treatment of gout and other diseases use tinctures, decoctions of leaves and roots, sometimes in combination with leaves of cranberries. Decoction of leaves and inflorescences of the mug are added to the bath.

  • Michael08.05.2014

    I drove my mother to different clinics, she was prescribed a huge number of medicines. .. In the suburbs they got acquainted with the old woman who suggested exactly the folk method of gout treatment: a decoction from the turn. It turns out that everything a person needs for treatment - grows near him! I also want to add from myself that when treating this disease it is very important not only to adhere to the appropriate diet, but also to cleanse the body with herbal teas. It is necessary to take care of our main filters, about pereni and kidneys.

  • Natalia 10.06.2014

    As recommended by compresses for the night from urine, dunk cotton in fresh urine and attach to a sore spot, cover with cellophane and heat wrap. .. a week later from gout and the trace is not. .. a tool contrary but really helps

  • Svetlana24.06.2014

    Recently, in general, I was convinced that folk medicine helps people much better and without consequences.

  • Tina29.07.2014

    I have already tried many of these tools, but so far, to no avail, but still, I do not give up on this, I'll still try.

  • Marina29.07.2014

    Mom recently often exacerbated by gout, and drugs are harmful to constantly take and do not last long. I hope people's compresses and diet will help. We will try to exclude some products.

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