allopurinol - A Diet Plan for Gout With a Cherry On Top
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A Diet Plan for Gout With a Cherry On Top

Almost 90% of gout victims are men over thirty years old. But women can also suffer from gout, especially if they take certain medications such as blood pressure drugs. Most women who suffer from gout are 60 years or older.


BENEFITS In large trials Febuxostat (Adenuric) has outperformed Allopurinol, the most common gout medication for long term treatment. Like Allopurinol, it works to lower uric acid production by inhibiting xanthine oxidase, an enzyme required to produce uric acid. In two major studies it reduced uric acid (UA) in more gout sufferers, and more patients reached the target 6.0 mg/dL level more quickly, than did those on Allopurinol.


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 - Corticosteroids: Steroid tablets can also be used to reduce pain and inflammation if problems occur when using these other drugs With proper treatment a gout attack can be controlled within 12 to 24 hours. Once a gout attack is under control, treatment will ususually be stopped after a few days. Your Doctor will prescribe any combination of the following:

Calcium may be helpful because it helps to alkalize the body, (i.e. it raises its pH levels making the body more alkaline) and thus, the theory is, more uric acid will be excreted. In pH theory, because the blood's pH must be maintained at pH 7.365, the body will scavenge calcium from bones to maintain blood pH at 7.365. Most people, it's said, and probably most gout sufferers too, have acidic bodies (which ought to be alkaline) and therefore a deficiency of calcium.

Losing excess weight may also reduce uric acid levels, but it must be done gradually and under a doctor's supervision. Severe dieting or fasting can actually make your gout worse.

Certain foods that are high in purine may increase the patient's levels of uric acid. These include kidneys, liver, sweetbreads, sardines, anchovies, and meat extracts.

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 Route to Natural Remedy for Gout Dietary supplements, vitamins and herbs are natural remedies for Gout. Included are Vitamins E and B complex, Folic Acid and evening primrose oil.

John Mepham has spent much time researching gout. His best tip for curing gout naturally? Get to your ideal weight whatever the sacrifices may be. Learn more about this study and about natural gout treatment at www.gout-smashers-guide.com It's an e-book with a emphasis on natural gout treatment. The Zone diet, and other books by Barry Sears, are available at Official site of The Zone Diet The books can be found by clicking on the products tab on the home page.

John Mepham has spent much time researching gout. His best tip for curing gout naturally? Get to your ideal weight whatever the sacrifices may be. Learn more about natural gout treatment and natural remedies for gout at www.gout-smashers-guide.com It's an e-book with a emphasis on natural gout treatment.

IT'S NOT PERFECT In trials its success rate in reducing UA levels down to the important 6.0 mg/dL (357 mmol/??mol) level was not 100%. About 35% of trial patients did not achieve the target. This may have been partly because so many gout sufferers are not UA over-producers, the problem Febuxostat addresses, but under-excretors of uric acid.

How much water a day? The quoted amount varies from 8 to 12 of 8 fl.ozs glasses a day. But perhaps the true amount for you is the amount of water you need to raise the body pH above 7.0. How can you know your pH level? pH test strips can be purchased online and delivered by mail. Type '' pH test strips" or "pH test stix" into a search box. Make sure you follow precisely the manufacturers' instructions in the accompanying leaflet.

Therefore, the ''trick'' in curing gout is to remove uric acid. However, there are other natural ways of assisting the removal of uric acid, and just about the most popular, to judge from views of online polls I have seen, is drinking water. How does water work? Simply because a hydrated body will dilute uric acid and diluted uric acid is more likely to be excreted. This is the first reason why water use in gout treatment is so important.

NB. The contents of this article contain medical information not medical advice. Please always discuss remedies with your doctor or other health care professional, before implementing any treatment.

Rheumatoid arthritis is the painful swelling, inflammation and stiffness in the fingers, arms, legs and wrists, which are prevalent on both sides of the body and are usually worse in the morning. Children with on-off fever, loss of appetite, weight loss and a blotchy rash on the arms and legs might have juvenile rheumatoid arthritis. You should call the doctor if symptoms appear suddenly, or if they are accompanied by a fever or rash.

It is recommended that NSAIDs or Colchicine are used along with Adenuric. This is because, as with Allopurinol, on a course of Febuxostat, there may be an initial increase in gout flares. If this happens you must battle through the attacks and continue taking Adenuric.

Tophi If you have tophi, it's heartening to know that Febuxostat has been shown to have success against tophi. Measured tophi areas reduced in many patients with tophi. The presence of tophi will be an additional factor in favour of a decision to prescribe Febuxostat (Adenuric).

Fish oils are also good for gout because they promote a healthier body. Their omega -3 fatty acids (EPA and DHA) are a dietary deficiency for many people, especially those who don't eat fish. Omega -3 fatty acids are required to bring about a better balance of omega -3 and omega -6 oils in the body. Most people, it is thought, do get sufficient omega -6 fatty acids, especially if they fry with oils such as corn, soy, sunflower, safflower or sesame. Or, if they use these oils as salad oils. But people don't get enough of the omega -3's. This better balance promotes better health. Gout sufferers need to be as healthy as possible. Note: gout sufferers should not eat fish high in purines such as mackerel, anchovies, and sardines.

The following foods contain peanuts, and can be served without meats and seafood: peanut candy, salted nuts, peanut butter, peanut butter sandwiches, vegetable salads mixed with peanut sauce, peanut-based dipping sauce, peanut butter crackers, mandelonas (peanuts soaked in almond flavoring), some health food bars, some breakfast cereals, peanut butter cookies, celery sticks filled with peanut butter, honey peanut steamed tea bread, cherry peanut granola, peanut squares, peanut butter crisps, trail mixes, some spaghetti sauces, boiled peanuts, peanut butter spread on toast, gorp (good old raisins and peanuts), Cajun flavored peanuts, peanut soup, peanut rolls, peanut muffins, peanut cake, peanut pudding, baked peanuts with rice, and peanut stuffing.

The study can be found online if you search "Beneficial effects of weight loss associated with moderate calorie/carbohydrate restriction, and increased proportional intake of protein and unsaturated fat on serum urate and lipoprotein levels in gout: a pilot study." Copy and paste this into a search engine search box and hit enter.

- another drug used to calm down the gout flare symptoms is colchicine; its effect can been seen in a few hours time; Besides these drugs that are used to reduce the symptoms of a gout flare, there are also other drugs for preventing the gout attacks from happening. Allopurinol or probenecid lower the levels of uric acid that you have in your blood, thus reducing the risk of another gout attack. They are only given to the gout patients that suffer from many gout flares or have kidney stones because of the uric acid. However, if the levels of uric acid are lowered too sudden, this may trigger a gout attack as well. To prevent this from happening, doctors also prescribe colchicine to gout patients who take drugs to lower the levels of acid. Furthermore, the therapy with acid- lowering drugs is not started when the patient is suffering from a gout attack.

Summary

Though prescription drugs such as allopurinol prevent gout attacks, some people prefer a more natural prevention. This article outlines a gout prevention plan, consisting of protein substitution, alcoholic beverage substitution, and taking high-dose vitamin C supplements. This article proposes that dietary changes alone can prevent gout attacks.

The Internet Guide: Gout - http://gout.smartadsscrets.com The Internet Guide: Purines - http://gout.smartadssecrets.com/purines

You should always consult a doctor for treatment of gout. But some of the drugs used for gout - such as allopurinol, colchicine, indomethacin, and prednisone - can cause serious side effects.

The third way of treating gout is the use of corticosteroids such as prednisone, prednisolone and triamcinolone. This treatment is prescribed for patients that can not take NSAIDs or colchine, being the third alternative in treating gout. This treatment has benefic effects after steroids are injected into the joint muscle. Afterwards pain is locally relieved.

Causes Of Gout provides detailed information on Causes Of Gout, Foods That Cause Gout, Gout, Gout Home Remedy and more. Causes Of Gout is affiliated with Laser Printers.

As you describe the symptoms to your doctor, he suspects (and tests for) elevated Uric Acid levels in your bloodstream. Once confirmed, your doctor will determine a suitable Gout remedy.

Sticking to dietary goals while eating out can be very challenging. Many, even most, restaurants cater to people with special dietary needs ' just ask. And learn those restaurants which do not and avoid them.

Gout is a form of hereditary metabolic Arthritis uniquely characterized by searing pain affecting a single joint (usually a great toe, but may be a hand, elbow, or knee) accompanied by redness and warmth of the skin, swelling and inflammation.

 
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- Colchicine: Colchicines is an alternative medicine, which eases the symptoms of gout attacks. Colchicine is usually taken if patients have problems with anti-inflammatory painkillers

Were the study patients taking long term medications, such as Allopurinol, for their gout? They were not. They were only taking medications for gout attacks. The study report did not say how much water they drank. Most gout sufferers know that drinking lots of water helps to remove uric acid. In gout treatment there are always caveats. The study was small. Only 13 male gout sufferers. The study lasted just four months, although there were follow-up results after one year (median). The researchers noted a connection between weight loss and a fall in uric acid levels in another study and expected the nutrient proportions (40:30:30) contributed to the uric acid fall. They thought that the dietary measures caused the desired improvement in insulin sensitivity.

A customized plan awaits your dining pleasure. And possibly, a good night's sleep!

Betty Roberts is the author of Gout-Info.com, a website dedicated to Gout sufferers.

Two small studies do not make a summer. And more research is required to learn more about celery's positive effect on uric acid levels. EXPERT OPINION

Increased production of uric acid may result from eating foods that are high in purine. Increased uric acid levels due to overproduction may also be caused by gout, by a genetic disorder of purine metabolism, or by metastatic cancer, destruction of red blood cells, leukemia, or cancer chemotherapy.

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

The treatment includes medicines like allopurinol, which decrease the level of uric acid, or there are other medicines like colchicine, which decrease inflammation. Also there are medicines called uricosuric agents that increase the removal of uric acid in urine. Colchicine works best if taken really early in the attack and sometimes repeat does may need to be taken periodically such as every two hours or so till there is pain relief or a maximum dose is reached or there are side effects like gastrointestinal upset.

Key Terms

Fanconi's syndrome
A rare disorder caused by vitamin D deficiency or exposure to heavy metals.
Gout
A metabolic disorder characterized by sudden recurring attacks of arthritis caused by deposits of crystals that build up in the joints due to abnormally high uric acid blood levels. In gout, uric acid may be overproduced, underexcreted, or both.
Hyperuricemia
Excessively high levels of uric acid in the blood, often producing gout.
Purine
A white crystalline substance that is one of the building blocks of DNA. Uric acid is produced when purine is broken down in the body.
Uric acid
A compound resulting from the body's breakdown of purine. It is normally present in human urine only in small amounts.
Uricosuria
Increased levels of uric acid in the urine.
Wilson's disease
A rare hereditary disease marked by the buildup of copper in the liver and brain, causing loss of kidney function.

Further Reading

For Your Information

    Books

  • Laboratory Test Handbook, edited by David S. Jacobs. Cleveland, OH: Lexi-Comp Inc., 1996.
  • Mosby's Diagnostic and Laboratory Test Reference, edited by Kathleen Deska Pagana and Timothy James Pagana. St. Louis: Mosby-Year Book, Inc., 1998.
  • Springhouse Corporation. Handbook of Diagnostic Tests, edited by Matthew Cahill. Springhouse, PA: Springhouse Corporation, 1995.

Bio



Your health is your responsibility...and you have to make a choice between a life long intake of chemicals that will necessarily damage your system, or use plain old common sense and go for an alternative and much safer (and cheaper) solution. In fact there are dozens of natural compounds that can maintain a healthy level of uric acid in your body without damaging it; but very few, if any, perform as Uricinex does.

So a fall of 1.7 mg/dL, given these numbers, is quite significant, although you should note that many gout sufferers have UA levels much higher than 7.2 mg/dL, and some gout sufferers do not have excess uric acid.

Diabetic meals can be healthy and savory. A key to diabetes management is maintaining a regular exercise program. Its never too late to start and you can do it with a simple walking program. Just walk 1 kilometer a day and over a period of a month build it up to two miles (3 kilometers) a day.

What you may not know about diabetes ' the truth about insulin resistance. 92% of people with type 2 diabetes have insulin resistance. Get the facts ' go to your local diabetes agency or research it on the internet.

Obesity has been shown to be associated with gout and weight loss is an important goal. New research is looking at other drugs to prevent gout. Gout is a painful inflammation of joints caused by accumulation of uric acid crystals. Uric acid is a normal chemical formed by the breakdown of purines, which in turn are an important component of the human body. Many foods contain purines especially seafood and meat.

How do you know if you have arthritis? While symptoms and severity vary from person to person, the most common symptoms are: pain, swelling, stiffness, tenderness, redness and warmth. Osteoarthritis is characterized by progressive stiffness without swelling, chills or fever.

John Mepham has spent much time researching gout. His best tip for curing gout naturally? Get to your ideal weight whatever the sacrifices may be. Learn more about this study and about natural gout treatment at www.gout-smashers-guide.com It's an e-book with a emphasis on natural gout treatment

This is the second article of a series about this diet. Please see Natural Gout Treatment - The Rules Of A Gout Diet That Had A Lot Of Success, for the first article.

To control and treat a gout takes more than medication. A diet and probably a change in your lifestyle must also be made if suffering from a gout. The medication that you will be prescribed to treat your gout case depend on some factors. Your doctor will give you the proper gout treatment after taking into consideration your age, state of health, other medication that you take and last but not least the severity of your gout attacks. The main drugs that you will be given are anti- inflammatory medicine:

The results were sufficiently impressive to give hope and encouragement to any gout sufferer who tries this diet as accurately as possible. The study was conducted in 1999. Unfortunately it has not been followed up by a much larger one designed on the same lines. If conducted, such a study would expand our knowledge of natural gout treatment, perhaps considerably. A natural gout cure is what most gout sufferers want.

Generally, Febuxostat has been more effective when UA levels are below 10.0 mg/dL (595 mmol/??mol). However, even if they have been above this level, it has reduced UA levels down to the target in about 40% of study patients at an 80 mg dosage, and by more at higher dosages.

For a natural dietary approach to the treatment of Gout look no further than your own kitchen! Also as Gout's natural remedy there are foods that Gouty arthritis may respond to deliciously.

Warnings, Interactions, and Side Effect Gout attacks can be cured by following the dietary changes suggested here. However, please keep in mind that it is easier to prevent gout attacks than intervene in the middle of gout attacks. So it is best to use the suggested dietary changes proactively rather than reactively.

Precautions

Blood test

Patients scheduled for a blood test for uric acid should be checked for the following medications: loop diuretics (Diamox, Bumex, Edecrin, or Lasix); ethambutol (Myambutol); vincristine (Oncovin); pyrazinamide (Tebrazid); thiazide diuretics (Naturetin, Hydrex, Diuril, Esidrix, HydroDiuril, Aquatensen, Renese, Diurese); aspirin (low doses); acetaminophen (Tylenol); ascorbic acid (vitamin C preparations); levodopa (Larodopa); or phenacetin. These drugs can affect test results.

- Stop the pain from reaching your brain. . For that you will be prescribed a painkiller among a whole battery of products. - Change the behavior of your inner organs hoping either to reduce levels of uric acid secretions or increase the expulsion of that acid uric.


Caution! Just as a highly acidic body can suffer from acidosis, an over alkaline body can suffer from alkalosis. This causes muscle cramps and spasms among other problems. So do not over do it. As always when dealing with gout, work with your doctor, or other health care professional.


 
 
     
 
 





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