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2006-07-11 02:29:27 · 11 answers · asked by rosli m 1 in Health Alternative Medicine

11 answers

Acutely, first line treatment should be pain relief. Once the diagnosis has been confirmed, the drugs of choice are indomethacin, other nonsteroidal anti-inflammatory drugs (NSAIDs), or intraarticular glucocorticoids, administered via a joint injection.

Colchicine was previously the drug of choice in acute attacks of gout. It impairs the motility of granulocytes and can prevent the inflammatory phenomena that initiate an attack of gout. Colchicine should be taken within the first 12 hours of the attack and usually relieves the pain within 48 hours. Its main side-effects (gastrointestinal upset) can complicate its use. NSAIDs are the preferred form of analgesia for patients with gout.

Before medical help is available, some over the counter medication can provide temporary relief to the pain and swelling. NSAIDs such as ibuprofen can reduce the pain and inflammation slightly, although aspirin should not be used as it can worsen the condition. Preparation H hemorrhoidal ointment can be applied to the swollen skin to reduce the swelling temporarily. Professional medical care is needed for long term management of gout.

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Prevention
Long term treatment (in frequent attacks) is antihyperuricemic therapy.

Dietary change can make a contribution to lowering the plasma urate level if a diet low in purines is maintained, because the body metabolizes purines into uric acid. Avoiding high-purine foods, such as meat, fish, dry beans (also lentils and peas), mushrooms, spinach, asparagus, cauliflower, white flour, sugar, and alcohol, as well as consuming purine-neutralizing foods, such as fresh fruits (especially cherries and strawberries) and most fresh vegetables, diluted celery juice, distilled water, and B-complex and C vitamins can help.

A strong natural cure is a berry extract supplement consisting of bilberry, blueberry or cherry extracts. The anthocyanides which give the berries their blue and purple hues, after entering the body, turn into powerful anti-inflammatories. These might be an especially preferable option to transplant patients, who frequently suffer gout due to increased toxicity and strain on the kidneys due to their immunosuppressant medication.[citation needed]

The mainstay of this approach, however, is the drug allopurinol, a xanthine oxidase inhibitor, which directly reduces the production of uric acid. However, allopurinol treatment should not be initiated during an attack of gout, as it can then worsen the attack. If a patient is on allopurinol during an attack, it should be continued.

The decision to use allopurinol is often a lifelong one. Patients have been known to relapse into acute arthritic gout when they stop taking their allopurinol, as the changing of their serum urate levels alone seems to cause crystal precipitation.

Febuxostat - a novel nonpurine inhibitor of xanthine oxidase seems to be an alternative that is superior to allopurinol. [1]

Probenecid, a uricosuric drug that promotes the excretion of uric acid in urine, is also commonly prescribed - often in conjunction with colchicine. Interestingly, the drug fenofibrate (which is used in treating hyperlipidemia) also exerts beneficial uricosuric effect (Bardin 2003).

Allopurinol and uricosuric agents are contraindicated in patients with kidney stones and other renal conditions.

As arterial hypertension quite often coexists with gout, treating it with losartan, an AT receptor antagonist, might have an additional beneficial effect on uric acid plasma levels. This way losartan can offset the negative side-effect of thiazides (a group of diuretics used for high blood pressure) on uric acid metabolism in patients with gout.

It is suspected that in many cases gout may be secondary to untreated sleep apnea, when oxygen-starved cells break down and release purines as a byproduct. Treatment for apnea can be effective in lessening incidence of acute gout attacks.

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Surgery
For extreme cases of gout, surgery may be necessary to remove large tophi and correct joint deformity.

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Diet
The following suggestions do not meet with universal approval among medical practitioners.

Low purine diet:

To lower uric acid:
cherries have been shown to reduce uric acid
strawberries or blueberries (and other dark red/blue berries) are also reputed to be beneficial
celery extracts (celery or celery seed either in capsule form or as a tea) is believed by many to reduce uric acid levels (although these are also diuretics).
limit food high in protein such as meat, fish, poultry, or tofu to 8 ounces (226 grams) a day. Avoid entirely during a flare up.
Food to avoid:
foods high in purines
sweetbreads, kidneys, liver, brains, or other offal meats
sardines
anchovies
scallops, prawns, and crabs
alcohol. Some claim that this applies especially to beer, on the basis that brewer's yeasts are very rich in purine. In view of the fact that most beer contains no yeast, this claim requires substantiation. Others claim that red wine is particularly bad for gout, though again it is difficult to find an explanation. Alcohol may also reduce the rate of uric acid excretion.
meat extracts, consommés, and gravies
diet sodas (these act as diuretics in many people, causing uric acid to concentrate in the blood which can then easily precipitate)
To avoid dehydration:
Drink plenty of liquids, especially water, to dilute and assist excretion of urates;
Use sparingly diuretic foods or medicines like aspirin, vitamin C, tea and alcohol.
Folklore has it that Joe-Pye weed flushes uric acid quickly, but continued use can damage the liver or kidneys
Another folk remedy is the use of oenomel, a drink with honey and unfermented grape juice.
Moderate intake of purine-rich vegetables is not associated with increased gout (Choi et al 2004)
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Suggestions for pain relief
Improved blood circulation in the immediate area of an affected immobile joint can be encouraged with a warm bath. This assists in the relief of swelling and reduction in Uric crystallisation. Ensure area is dry before putting on clothes. Common wisdom in treating regular swelling and inflamation is to use an ice pack. However, since the uric acid crystalization is accelerated by low temperature, the use of an ice pack would worsen the condition. One has to do the opposite by treating gout with warmth.

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Additional observations
Due to swelling around affected joint for prolonged periods, shedding of skin may occur. This is particularly evident when small toes are affected and may promote fungal infection in the web region if dampness occurs. Pure Tea Tree Oil mixed with Aloe Vera Gel can control secondary fungal infection. Treat in a similar fashion to Athlete's foot.

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History
Gout was traditionally viewed as a disease of the decadent and indolent, because the foods which contribute to its development were only available in quantity to the wealthy. The stereotypical victim was a lazy, obese middle-aged man who habitually overindulged in rich foods and alcohol, with port consumption often cited as a specific cause.

Perhaps due to the traditional relationship between wealth and literacy, gout is one of the most commonly-reported maladies in history.

The Roman gladiatorial surgeon Galen described gout as a discharge of the four humors of the body in unbalanced amounts into the joints. The Latin term for a drop, as a drop of discharge, is gutta -- the term gout descends from this word.

2006-07-11 03:09:00 · answer #1 · answered by Linda 7 · 0 0

1

2016-09-16 16:56:47 · answer #2 · answered by ? 3 · 0 0

Gout is a condition where uric acid crystals build up in the body.
This can happen in the area of the big toe and cause a lot of pain.
Our foods contain purines; some foods are higher in this than others.
The doctor may place you on a lower purine diet (of which they will usually provide you a list of foods to avoid. There is also medications that can lower the uric acid in the blood
Here an alternative way to cure gout?

2016-05-15 02:50:44 · answer #3 · answered by Anonymous · 0 0

Gout attacks can be controlled or prevented by lifestyle changes and the use of certain medications.
To help prevent future attacks, take the gout medications that your doctor prescribes. Carefully follow instructions about how much medicine to take and when to take it. Acute gout is best treated when symptoms first occur.
Tell your doctor about all the medicines, dietary supplements, and vitamins you take. He or she can tell you if any of them increase your risk of hyperuricemia.
Plan followup visits with your doctor to evaluate your progress.
Exercise regularly and maintain a healthy body weight. Lose weight if you are overweight, but do not go on diets designed for quick or extreme loss of weight because they increase uric acid levels in the blood.

2006-07-11 02:36:50 · answer #4 · answered by Anonymous · 0 0

There is no way to cure gout. You just got to watch what you eat. Pork is the #1 worst thing to eat for gout. Cherries are good to eat to help heal it.

2006-07-11 02:34:22 · answer #5 · answered by Anonymous · 0 0

The following 100% natural supplements can be very helpful.

Alfalfa: produces positive alkaline reaction in the blood, excellent source of potassium
Vita C: lowers serum uric acid; DTX Liver Complex: reduces toxins; B Complex: essential for improved metabolism;
Herb Lax: reduces toxins; Zinc: critical for protein metabolism &
tissue repair and Vita E improves circulation & neutralizes free radicals.

2006-07-13 09:34:31 · answer #6 · answered by JustMe 6 · 0 0

There really isn't any cure. Have your doctor run a blood test for uric acid. If it is high drink more water. The doctor may also give you a prescription to help lower it.

2006-07-11 02:34:17 · answer #7 · answered by kspauldinghome 2 · 0 0

The Smashing Pumpkins- Silverfuck

2016-03-15 22:34:37 · answer #8 · answered by Anonymous · 0 0

it is very simple with Homoeopathic treatment -took the case -collect symptoms of the patient with gout-
Treat the patient not the disease

2006-07-11 02:37:10 · answer #9 · answered by sunil k 1 · 0 1

you really cannot cure it but my husband has it and he has to drink plenty of water to wash out the uric acid and there is medicine to that will help

2006-07-11 02:34:04 · answer #10 · answered by Anonymous · 0 0

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