chronic gout - Detailed Information on Gout
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Detailed Information on Gout

Gout is sometimes called the "disease of kings" because it has long been associated with the wrong kind of excess in food and wine, only the rich and powerful could afford. Gout is one of the most common forms of arthritis (inflammation). Gout is the state resulting from uric acid crystals in the filing of body tissues. Gout is characterized by an overload of uric acid in the body and recurring attacks of inflammation (arthritis). The chronic gout can lead to hard nodule deposits of uric acid in and around the joints, decreased renal function and kidney stones. Gout affects about 1 in 100 people and less than 6 to 7 per cent of older men. Men are more likely to find that women are the drop, but women are becoming more sensitive to the drop after menopause.


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While hyperuricemia and gout often occur together, there is currently not medical evidence that shows their exact relationship. Some patients with hyperuricemia do not develop gout, while others with repeated gout attacks show normal or low blood uric acid levels. Still, it continues to be a common problem, and should be treated to keep other more serious conditions from occurring. Because it is painful, and, therefore, very distinguishable, it can usually be easily diagnosed and quickly treated.

For more information about gout symptoms please review http://www.gout-info-center.com/gout-treatments.htm or even http://www.gout-info-center.com/gout-diet.htm

As most of the health problems gout symptoms are related to other medical conditions. Other problems with symptoms similar to those of gout are rheumatoid arthritis, osteoarthritis or joints infected with bacteria. Unlike gout rheumatoid arthritis often occurs in hips and shoulders which are usually spared in gout. The symptoms are about the same in osteoarthritis too. An infected joint cause's similar symptom with gout but the treatment involves intravenous antibiotics and hospitalization.

Colbenemid - sold as Proben-C or Col-Probenecid, this medicine treats gout direcly and also lowers uric acid. This drug contains Colchicine and Probenecid.

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If you are intersted in finding more information about gout you can click on this website http://www.gout-info-center.com. Also you will find there valuable information about gout treatments and gout diet.

Pain medication is the main drug used in gout treatment. Because got patients suffer from excruciating pain, they have to alleviate this gout symptoms and the best way is to take pain medication. However, beside this a gout patients must rest a lot and drink a lot of fluids. Drinking alcohol and eating very much was thought to be the main cause of gout. Nowadays, doctors have proven otherwise. However, eating a lot and drinking big quantities of alcohol is highly related to gout attacks. This is the main reason why you should reduce the amount of alcohol that you drink and try to eat less to prevent gout attacks. Unfortunately, besides these two things, there is not much one can do to prevent a gout attack. There are also some medication that can help prevent a gout attack, but in may cases they do not work. Most gout attacks have a sudden onset and they have to be treated with medication.

We also have to mention that pseudogout is a problem that affects the joints too. It is a disease in which calcium deposits in and around the joints. The symptoms like swollen, painful knee, ankle or wrist are similar to symptoms developed in gout. Acute septic arthritis can damage joints too.

For more information about gout treatments please review http://www.gout-info-center.com/gout-symptoms.htm or even http://www.gout-info-center.com/gout-treatments.htm

Psoriatic arthritis is related to the skin condition psoriasis. It occurs more commonly in patients with tissue type HLA-B27. There are five clinical patterns of psoriatic arthritis. First is Asymmetrical mono- and oligoarticular arthritis (30-50% of cases) is the most common presentation of psoriatic arthritis. Second is symmetrical polyarticular arthritis (30-50% of cases) is ultimately the most common form of psoriatic arthritis. Third is distal interphalangeal (DIP) joint involvement (25% of cases) is nearly always associated with nail manifestationsm. Fourth is Arthritis mutilans is affects less than 5% of patients and is a severe, deforming and destructive arthritis. This condition can progress over months or years causing severe joint damage. Fifth is Axial arthritis (30-35% of cases) may be different in character from ankylosing spondylitis, the prototypical HLA-B27-associated spondyloarthropathy. It may present as sacro-iliitis, which may be asymmetrical and asymptomatic, or spondylitis, which may occur without sacro-iliitis and may affect any level of the spine in "skip" fashion. Genetic factors appear to play an important role. There is a 70% concordance for psoriasis in monozygotic twins. There is a 50-fold increased risk of developing psoriatic arthritis in first-degree relatives of patients with the disease. Environmental factors have been implicated. Streptococcal infection can precipitate the development of guttate psoriasis. HIV infection can present with both psoriasis and psoriatic arthritis, as well as worsen existing disease.

Gout, when referred to in this way, is usually an extremely painful arthritic attack with a rapid onset of joint inflammation. The deposits of uric acid crystals in the joint fluid that helps to facilitate proper motion precipitate this inflammation. When this occurs, this fluid is unable to correctly do its job because the crystals are in the way. Because of this, the joints are not able to move properly, and movement becomes very painful.

The first phase of gout means an episode that happens at night. People often feel the symptoms during the night and caused pain to the affected joints. In some cases the attack follows a day of excess in alcohol, food or drugs. After progress the attack develops fever and chills along with pain. In more than 90 % of the cases these episodes are recurrent and might develop during the first year. Even if it is certitude that chronic gout cases are rare we have to mention that there is a risk of developing kidney dysfunctions and kidney stones.

The second type of gout is chronic gout. In these cases treatment is prescribed in order to prevent acute gout attack from recurring. In many of the cases this means decreasing the uric acid levels. The recommended treatments are xanthine oxidase inhibitors and uricosuric agents. Xanthine oxidase inhibitors such as allopurinol lead to decrease of uric acid levels in the organism. Uricosuric agents are medicines that help kidneys to eliminate the excess of the uric acid produced by the body. As uricosuric agents we can mention probenecid or sulfinpyrazone.

Gout is a form of rheumatic disease caused by uric acid deposits in the joints and it is marked by sudden attacks of painful, inflamed joints. It is caused by too much uric acid in the blood. It is the commonest inflammatory arthritis of men above 40 years old, and it is 20 times commoner in men than women; however, the number of postmenopausal women who have gout is increasing.

Gout treatment should be started as soon as possible. An acute gout case can be treated with nonsteroidal drugs that also prevent inflammation, such as ibuprofen or indomethacin. If you suffer from a kidney problem or a peptic ulcer besides gout, then these drugs can not be used because they can make the other conditions worse. Another drug that can be used in gout is colchicine. However, this medication causes diarrhea, that only goes away after you stop using the drug. Corticosteroids can also be given to treat a gout case. They can be given orally or injected directly in your joint. The main thing that you have to remember is that aspirin or drugs that are closely related to it should be avoided in gout cases, because they can only make the condition worse.

In the first phase of gout, nodules, also known as tophi, appear on the hands, elbows or ears but afterwards different symptoms may develop in each case.

For more information about gout please review http://www.gout-info-center.com/foods-that-cause-gout.htm or even http://www.gout-info-center.com/gout-symptoms.htm

Stage #3: This stage is Intercritical gout. This is when an gout attack has subsided. This is the stage the body begins to stabilize itself and fights the uric acid crystals in the joints. Getting treatment is vital at this stage if the individual wants to control the gout.

The most commonly medicines used are NSAIDs (non-steroidal anti inflammatory drugs) and colchicine. Both treatments help ease the pain and have an anti-inflammatory effect. The difference between these two possible ways of treatment is that colchicine may develop unpleasant side effects such as diarrhea, nausea, vomiting or abdominal cramps.

To treat a chronic gout cause actually means to prevent the reoccurring of an acute gout case. This is mostly done by decreasing the levels of uric acid.

Specialists are able to advice humans how to prevent gouty arthritis. Obesity in youth, high alcohol intake and unhealthy diets may lead to gout attacks. Also aspirin and diuretics could be a cause for developing gout attacks. Of course injury of the joints could lead to a gout attack. Gout attacks are also related to some diseases such as leukemia, lymphoma and hemoglobin disorders.

The connection between drinking alcoholic beverages and attacks of gout is a strong one for many with the disease; experts recognize that the standard goal in the treatment of chronic gout is the reduction and maintenance of sUA levels of less than 6 mg/dL.

As we mentioned before gout is caused by the increasing levels of uric acid in the fluids of human body. The uric acid crystals are deposited in joints, tendons and kidneys and may cause serious damage and severe pain.

The most common affection is the big toe joint problem. Even is this affection is noticed in most of the cases it is not excluded that other joints of the feet, ankles, knees, wrists, fingers or elbows to be affected too.

 
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Arthritis is a disease that causes pain and loss of movement of the joints. Joint pain is referred to as arthralgia. Arthritis is the leading cause of disability in people over the age of 55. The causes of arthritis depend on the form of arthritis. Causes include injury (leading to osteoarthritis), abnormal metabolism (such as gout and pseudogout), inheritance, infections, and for unclear reasons (such as rheumatoid arthritis and systemic lupus erythematosus). There are many forms of arthritis .There are about 200 different kinds of arthritis. The most common type is osteoarthritis (or degenerative arthritis), where the cartilage that protects the bones gets worn away. This makes joints stiff, painful and creaky. About 5 million people in the UK have osteoarthritis. OA is a chronic degenerative arthropathy that frequently leads to chronic pain and disability. With the aging of our population, this condition is becoming increasing prevalent and its treatment increasingly financially burdensome. Using radiographic criteria, the distal and proximal interphalangeal joints of the hand have been identified as the joints most commonly affected by OA, but they are the least likely to be symptomatic. Age is the most consistently identified risk factor for OA, regardless of the joint being studied. Prevalence rates for both radiographic OA and, to a lesser extent, symptomatic OA rise steeply after age 50 in men and age 40 in women. Occupation-related repetitive injury and physical trauma contribute to the development of secondary (non-idiopathic) OA, sometimes occurring in joints that are not affected by primary (idiopathic) OA, such as the metacarpophalangeal joints, wrists and ankles.

If you find yourself or your loved one suffering from a gout attack, it is unlikely you would hesitate to seek professional help. The pain of an acute gout attack has been compared to the pain of childbirth.

Stage #2: The gout starts to harm the body. This second stage is called acute gouty arthritis or acute gout. This is the stage that jagged crystal-like formations begin to deposit themselves in joint spaces. This is also the stage when redness, pain and swelling occurs.

Gout symptoms occur in three phases. The first phase refers to the sudden onset of a joint pain, especially in the big toe, that lasts more than 5 days, going in some cases up to 10 days or even more. The second period is believed to be a period with no symptoms or attacks. This is the period between episodes. The third phase refers to the untreated cases of gout. In this last phase persistent symptoms develop. During this phase episodes occur more often and cause severe pain.

People with high uric acid can develop lumps under the skin and they are often found in or near joints previously attacked by gout and also on the elbow, over the fingers and toes, and in the outer edge of the ear, additionally, its increasing degenerative changes may make aging joints vulnerable, with cartilage fragments acting as seeds for crystal formation. Experts say the concentration in the blood is so high that the uric acid settles in the joints of people with gout, a leading cause of gout attacks.

Here is a brief list of foods that are high in purines and should be avoided since high purine food contributes to the gout. These foods include alcohol, seafood, beans, scallops, and sweetbread.

Gout is a disease that may lead to purplish skin around the affected joint. It may look as an infected area. Fever is another possible symptom developed because of gout. Another problem surely is the limited mobility of the affected joints.

The first sign of gout is usually an intense pain during the night. The attack is commonly brought on following a day or evening of excess in alcohol, food, some drugs, or surgery. If the attack progresses, fever and chills will follow. Recurring attacks are common (90%), mostly occurring in the first year. While chronic gout is quite rare, gout sufferers do have a higher risk of kidney dysfunction and kidney stones.

Gout is one of the most painful types of arthritis. Gout was once incorrectly thought to be a disease of the rich and famous, caused by consuming too much rich food and fine wine. Gout is a disease due to a congenital disorder of uric acid metabolism. Uric acid is produced when purines are broken down by enzymes in the liver. Purines can be generated by the body itself (via the breakdown of cells in normal cellular turnover) or can be ingested in purine-rich foods (e.g. seafood, beer). Gout usually attacks the big toe (approximately 75% of first attacks), however it can also affect other joints such as the ankle, heel, instep, knee, wrist, elbow, fingers, and spine. In some cases the condition may appear in the joints of the small toes which have become immobile due to impact injury earlier in life, causing poor blood circulation that leads to gout. Chronic gout can lead to deposits of hard lumps of uric acid in and around the joints, decreased kidney function, and kidney stones. An acute attack of gout is a highly inflammatory arthritis often with intense swelling, redness and warmth surrounding the joint. The inflammatory component is so intense, an acute attack of gout is often mistaken for a bacterial cellulitis. Gout is mainly treated with anti-inflammatory drugs. Corticosteroids (also called steroids), may be prescribed for people who cannot take NSAIDs. Steroids also work by decreasing inflammation. Steroids can be injected into the affected joint or given as pills. Colchicine is often used to treat gout and usually begins working within a few hours of taking it.

As a result, patients with gout can experience decreased kidney function and kidney stones, which are also very painful. When these problems occur, they must be treated immediately.

Probenecid - sold as Probalan or Benemid, this is usually prescribed for gouty arthritis and chronic gout. It is also helpful in preventing gout attacks rather than treating actually occurrences. The medicine helps the kidneys eliminate more uric acid out of the body.

For the long-term, you may be advised to take moderated daily doses of either NSAIDs or oral colchicine to stave off future attacks. To reduce uric acid levels, tophi formation, and sudden attacks, allopurinol or probenecid may be prescribed. Proper treatment may allow you to control gout symptoms and live normally. It will work better if you also undergo physical exercise and alter your dietary patterns to reduce uric acid levels.

The deposit of uric crystals is one of the complications that you can have when suffering from gout. These tophi get formed in the joints of your hands and feet. This gout complication usually causes deformities, damage the tissue that surrounds the area of the gout. As a result you might suffer from destruction of your joint, constant pain and more worse, compression of your nerves. This is just one of the many gout effects. It takes about ten years for a gout patient to develop a chronic gout stage. At this stage, the gout has already cause serious damage to your joints. Of course, we are talking about the joints that have been affected by the gout. Furthermore, at this stage, some damage to your kidneys may have also been cause by the gout. More than half of the gout patients that have reached this stage also suffer from tophi, which are crystals of uric acid. Studies show that a number of three gout patient out of four suffer from tophi by the time they have reached the twentieth year of their gout. However, having some joints problems may happen sooner than expected in many gout patients.

Allupurinol - this is most popularly known as the brand Zylprim and is prescribed to lower uric acid levels by controlling the system that creates the substance in the body. This is more helpful for preventing gout, instead of treating attacks.

The most common affection is the big toe joint problem. It is seen in about 50 % of the cases of gout. Other joints can be affected too. The ankles, the knees, wrists, fingers and elbows are at risk. After a rapid onset of the pain in the affected joint it usually follows warmth, swelling and high sensitivity for the joint. These painful attacks may last hours to days and may be recurrent.

Gout attack means a rapid onset of joint inflammation and pain that usually occur over night. A high number of persons develop gout. Only in America not less than one million people are suffering from recurrent gout attacks. It is well to know that men are more prone to develop gout than women. It is believed that gout is nine times more common in men than in women. Men are prone to develop gout right after puberty while women are at risk only at menopause.

Gout caused due to Uric Acid Crystals One of main causes of gout is the formation of uric acid crystals in the joints, skin, and kidneys. Uric acid is an end product of the body's chemical processes. Those affected by gout have a higher level of uric acid in the blood than the normal, due either to formation of increased amounts or reduced amounts of acid being passed out by the kidneys in the urine. This uric acid usually remains dissolved in the blood. But when the blood becomes too full of it, the uric acid forms needle-shaped crystals in the joints which bring about attacks of gout. Diet for Gout: After the acute symptoms of gout have subsided, the patient may adopt an all-fruit diet for further three or four days. In this regime, he should have three meals a day of juicy fruits such as grapes, apples, pears, peaches, oranges and pineapples. Drink plenty of fluids. Fluids can help remove uric acid from the body. However, limit consumption of sugar-sweetened soft drinks, which have been linked to an increased risk of gout. Maintain a healthy weight. Excess weight puts more stress on your joints and increases the risk of hyperuricemia and gout.

If you are intersted in finding more information about gout you can click on this website http://www.gout-info-center.com. Also you will find there valuable information about gout symptoms and causes of gout.


 
 
     
 
 





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