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Causes Of Gout

Gout is a painful disease of the joints, which usually affects the big toe first in most people. It is caused by too much uric acid in the blood. Uric acid is formed by the breakdown of chemicals called purines, which can lead to high levels of uric acid and cause many problems such as joint swelling and kidney stones. Normally the uric acid is dissolved in the blood and passes out via the kidneys into the urine but if this does not occur it can build up in the body and cause the crystals to deposit and cause gout.


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The purines get converted to uric acid but if they accumulate in excess they will cause gout. The uric acid crystals, which form will irritate the lining of joints such as the one in the big toe. This leads to inflammation and pain and swelling at the joint. Cutting back on the amount of foods that cause gout or avoiding them is a good idea if someone has gout, however, always remember to get an adequate and balanced diet. Alcohol affects the removal of uric acid from the body and too much alcohol can trigger gout. Low carbohydrate diets, which are rich in protein, can also trigger gout. People often forget to drink enough water especially in winter and this needs to be kept in mind if they are on a low carbohydrate diet. With the use of medications there is less of a need for a drastic dietary change but avoiding or limiting certain foods will help reduce the severity of attacks and may help people who have difficulty with medications that treat gout.

Gout is caused by the increase in the amount of uric acid in the blood. Uric acid is normally removed from the body through the urine, however if it is not excreted it can form crystals, which irritate body tissues like the lining of joints. This will in turn cause inflammation and pain, which is often quite severe.

Gout is a painful and sudden illness that can affect joints. It is caused by the accumulation of excess uric acid, which is normally removed through the urine. The crystals of uric acid can then accumulate in joints and cause inflammation and pain. Often patients are not able to get to their healthcare provider right away. If it is a first attack the symptoms can be alarming. Fortunately, it is rarely life threatening and often resolves in a few days even without treatment. However everyone who gets an attack should see their healthcare provider since there are many excellent treatments available. But what can one do while at home?

In some gout attacks patients may need joint fluid removed for analysis and during the process can have local numbing medicines injected into the joint. These numbing medicines are also called local anesthetics. Sometimes steroids are injected into a joint to decrease the inflammation.

Kidney stones can form due to gout and can cause back pain. Other joints such as the knee, fingers and heel can also be affected. Some people get lumps on the rim of the ear or other parts of the body near joints under the skin and these are called tophi.

The specific dose and the manner of taking these medicines are best discussed with your healthcare provider. Common side effects of these drugs include stomach upset and ulcers from prednisone and ibuprofen type of medications, diarrhea from colchicine and sometimes gout can get worse from allopurinol especially if the person is not on colchicine first during an acute attack.

Decreasing the intake of alcohol is also helpful since alcohol affects the elimination of uric acid. Although the effect of foods that cause gout is only small it must not be forgotten. Meat and seafood are common causes of gout if taken in excess.

Dietary changes such as decreasing the amount of purine rich foods or alcohol may help. Discussing all medications with the

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Medications such as diuretics (which help the kidney eliminate more urine) or aspirin cause gout. And people who have had an organ transplant are prone to gout. Patients on numerous medicines should talk to their healthcare provider to see if there are interactions between medicine and if an alternate drug may help. The common vitamin niacin can also trigger gout.

The definite diagnosis or determining if the arthritis is due to gout may involve drawing fluid from the joint and looking for crystals of uric acid.

Colchicine is typically used if the first line medications like NSAID's do not help but most people have relief of pain ultimately. Even if no medicines are taken the attack will subside in a few days. However if repeated attacks occur there can be lasting damage.

If a person is on many medications, which can cause gout, changing these may help. One common cause is diuretic medications, which decrease leg swelling or edema. Many older individuals are on these medicines and if they get a gout attack they must remember this fact.

As with all medications make sure you do not have an allergy to them and sometimes taking the medicine with food may decrease stomach upset or gastric distress, especially medicines like steroids.

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.

The relief of pain is remarkable with some of the anti-inflammatory medicines also called NSAIDS or non-steroidal anti-inflammatory medications. The typical example is indomethacin or ibuprofen. Applying local ice or heat may sometimes help as well as keeping the joint without moving or bumping into objects.

When putting in motion the area that is affected by gout, it can become extremely painful. And by not letting it breathe or by keeping it covered only aggravates the painful feeling. Another significant symptom of gout is hyperuricemia, or the unwarranted production of uric acid. And as previously mentioned extreme production of uric acid in the blood are determinants of increased susceptibility to develop gout.

Dietary changes such as decreasing the amount of purine -rich foods or alcohol may help. Discussing all medications with a healthcare provider is recommended. Never forget to mention any vitamins or natural remedies or herbal supplements that are being taken. Drink plenty of water, especially if a low carbohydrate, high-purine diet is consumed. New research has shown that vitamin C may decrease the level of uric but whether this will prevent gout is not clear.

A common cause of gout is the accumulation of a chemical called uric acid. Uric acid is a normal breakdown product of another chemical called purines. The treatment involves controlling the inflammation, which causes the pain and swelling and ultimately damage to joints. Also, lowering the uric acid level is a logical means to controlling gout.

Over the long term there can be deformity of joints and there can be many large lumps under the skin. Nowadays with proper treatment this is less likely. The symptoms can last from three to ten days and often get better even without treatment. The next attack may occur many months or even years later. Usually (and fortunately) only one joint is affected at a time and the symptoms of the swelling and pain start within a day.

Gout can sometimes be bemused with pseudogout which is another condition only with similar symptoms. However, with pseudogout its cause has been rooted to the formation of crystals made of calcium, not uric acid thus may involve special approach in treatment.

Most of the time the symptom can be controlled by anti-inflammatory medications like naproxen or indomethacin. In severe cases steroids like prednisone may be needed. Some people even need injections into the joints. Fluid from the swollen joints can be removed and analyzed for the uric acid crystals.

Inflammation of the affected joints, pain and redness of the area where the gout is, stiffness in the affected joint and swelling around it is also possible. Other symptoms of gout can be found throughout the body, and this may include pain and swelling in other areas such as: big toe, ball of the foot, arch of the foot, ankle, knee, knuckle, wrist, elbow and hip. Some of the most precise signs that gout has already taken place are: gouty arthritis, skin lumps, arthritis attacks which are can rapidly become apparent and the recurrent attack of arthritis.

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There is some recent research, which has shown that vitamin C in certain doses may decrease the uric acid level slightly. However it may not be relevant in patients with gout and further details are needed. Another interesting recent research revelation was that meat and seafood intake raised uric acid levels but dairy intake decreased it. Again, what this means for patients who have gout or individuals trying to prevent gout is unclear. Surprisingly, recent analyses have shown that moderate protein or even purine-rich vegetables was not associated with an increased risk of gout.

It is important to prevent attacks. If left untreated repeated attacks can cause permanent joint damage and cause deformities of other parts by formation of 'tophi,' lumps in the skin. Even if the acute attack is over medication must be continued to prevent the next attack.

 
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Unless a patient has a family history or is taking medication that can cause gout such as some diuretics it may be hard to predict who will get gout. The treatment, however, is often very successful. Once an attack occurs future attacks can be prevented by use of allopurinol, colchicines and other medications. Patients who have had an organ transplant are often on medications that can cause gout.

Foods that cause gout are rich in a chemical called purines. These foods include organ meats such as liver, brain, kidneys and sweetbreads. Other foods include anchovies, herring, dried peas and beans.

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If in the event of encountering throbbing pain on the part of your joints, you might immediately think of it as arthritis. Yet studies now declared a condition that has long been related to arthritis which is known as gout. On the whole, gout occurs when uric acid crystals build up in your joints, thus it is otherwise known as uric acid crystal-triggered arthritis. Symptoms of gout usually become apparent in the joint of the large toe, but it may perhaps appear in the foot, wrist, hand, elbow, ankle and knee; though there are exceptional incidents where gout is found on the shoulders spine or even hips. This illness is normally localized meaning it does not spread from one joint to another.

Recent research has shown that vitamin C lowers uric acid level but whether this means something in patients with gout is not clear. Avoiding medication that cause gout such as diuretics or "water pills" or adjusting doses after discussing with the healthcare provider can also help.

Low carbohydrate diets, especially when very protein rich and with inadequate water intake can also cause gout. A family history of gout may also predispose a person towards getting it.

Gout is a common disease and often presents suddenly with a painful joint. The most common and well-recognized symptom is swelling of the joint in the big toe where it joins the foot. This can be extremely painful and enlarged and if not treated the pain will last about 10 days and can cause lasting damage with repeated attacks. The area can be red, hot, inflamed and very painful or tender.

People may have an elevated uric acid also called hyperuricemia but have no symptoms. Later they may develop acute gouty arthritis where the joint is affected. Almost three fourths of people with gout will develop it in the big toe at some point of time. In between attacks the gout is said to be in an interval or intercritical phase and finally some people get chronic tophaceous (with the tophi) gout.

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.

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Some genetic diseases affect the breakdown of uric acid and also cause it to build up. Other causes include exposure to lead, foods high animal protein, some medications, obesity, excess alcohol or foods rich in purines. Some foods that cause gout are organ meats such as liver, brain and kidneys. Other foods include herring, anchovies, peas and dried beans. Alcohol affects the elimination of uric acid especially when taken in excess.

In some situations steroid medications like prednisone may be needed. The steroids will decrease the inflammation and decrease the chemical responses that cause pain. It is important to know that there are many side effects from all of the medications and you must discuss these with your healthcare provider.

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There is some benefit to avoiding foods that cause gout but most people who get gout will need medication to prevent joint damage and also prevent future attacks which often happen sooner and are more severe. They can also cause permanent damage to the kidney and joints. The crystals can also deposit on the skin and are then called tophi.

As it is well known an ounce of prevention is worth a pound of cure. With gout though, the treatment is often very helpful .Unless a patient has a family history of gout or a genetic cause for gout or are taking medications that can cause gout such as some diuretics ('water-pills') it may be hard to predict as to who gets an attack. Once an attack occurs future attacks can be prevented by use of allopurinol, colchicines and other medications. Patients who have had an organ transplant are often on medications that can cause gout.

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The home remedy can include NSAID's but you may want to get a diagnosis first since other conditions can cause joint swelling including other forms of arthritis such as osteoarthritis and rheumatoid arthritis. Sometimes a joint infection can also look like gout especially if it is hot and red and swollen. If it is quite clear that it is gout, especially if it has affected a joint before, local ice and heat may be applied if comfortable. Taking an NSAID will help as long as the side effects are kept in mind which include stomach ulcer formation and at times high blood pressure. Some examples of NSAIDs are ibuprofen, naproxen and indomethacin.

Levels of Gout

Gout symptoms gradate throughout four levels. All through out the first stage, which is also known asymptomatic, the uric level goes afar the normal level, however the symptoms of gout may still not be apparent during this level. The second stage is known as the acute stage wherein mild symptoms are already visible. Next stage is the intercritical stage wherein the patient doesn't experience any symptoms which could last for some time even up to years. The symptoms though may recur within six months to about two years from the first attack. Lastly, the chronic stage of gout wherein frequent attacks are already experienced by the patient while simultaneously affecting other joints as well. This is the stage wherein the presence of a big tophi located in different joints becomes a problem because it might lead to kidney damage, kidney stones and hypertension. Daniel researches effective methods of treating and preventing gout attacks naturally. For more practical tips about eliminating gout flare ups take a look at this Gout symptoms and levels website.

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.

It is important to prevent attacks. If left untreated repeated attacks can cause permanent joint damage and cause deformities of other parts by formation of 'tophi' which are lumps in the skin. Even if the acute attack is over medications must be continued to prevent the next attack.

Gout has long been described as a disease in which the signs of it grow at a swift pace. More often than not the symptoms occur in one day as it generally occurs to the other joint at a time. It has been pretty exceptional that its symptoms appear in two to three joints all at the same time, when this happens it could no longer be classified as gout. But if these symptoms are left untreated, chances are it would permanently damage your joints which might eventually lead to disability.

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