Gout is a rheumatic condition that can affect between 1% to 2% of the world’s population. Gout is caused by the formation urate crystals within the tissues and joints. Because these areas are the coldest, the crystals trigger an inflammation response. The foot, especially the big toe, is the most affected limb.

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Uric acid is normally dissolved in blood and expelled through the urine. Gout is a condition where crystals form under the skin and joints when uric acid levels rise. Gout is a disorder in metabolism.

What are the causes of Gout?

Two main causes of gout in the feet are:

Overproduction of uric acids.

The kidney cannot eliminate the excess uric acid our bodies secrete.

Adults over 40 are most likely to suffer from it. This problem is more common in men than in women. In fact, only 25% of those who suffer from it are female and most of them are in their twenties.

It is worth noting that normal uric acid blood levels are 2.4 mg/dl for women and 6.0 mg/dl for men.

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SYMPTOMS & DIAGNOSIS

Gout is a condition that most often manifests itself in the following symptoms:

Pain in the feet at any joint. The pain can be sudden. Patients often use phrases such as “I went to sleep well, but I woke up unable walk,” “The friction of the sheets bothers me”, and others.

Nighttime is when the pain is worse. Because the temperature of the joints is lower at night, the pain is greater at night.

A good Diet is vital to prevent Gout: Gout Diet

The affected area is unusually shaped. It is often hot and reddened. Sometimes it becomes swollen.

The specialist will perform several diagnostic tests, including a blood test to determine the level of uric acid in the blood. It is important to note that the blood levels can be fine even when there is a gout attack. The expert might take fluid from the affected area to determine if there are uric acid crystals.

GOUT CAUSES

Certain habits and some pathologies can increase the likelihood of developing gout. Gout can be caused by factors such as a higher level of uric acid.

These are just a few of the Factors:

• High blood pressure
• Consuming alcohol
• In renal insufficiency, the kidneys don’t remove wastes efficiently.
• Consume foods high in purines as this substance can be converted to uric acid after decomposition.
• The genetic factor can influence the family members with the disease.
• Hypothyroidism, or an underactive thyroid.
• A medical condition that causes cells to multiply or become less efficient than normal, such as psoriasis or hemolytic anemia, or cancer.
• High blood pressure and other coronary issues can make it difficult to take diuretic medications.
• Overweight and obesity.

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GOUT – ADVICE

Gout treatment can include a variety of medications. It aims to reduce the pain and prevent irreversible damage to your joints. We offer a number of suggestions to help lower blood uric acid levels.

Early diagnosis is key. You must see a specialist to determine the best treatment. As collateral damage may occur at the renal or coronary levels, it is more likely that there are vascular issues that could affect the heart and brain.

Maintain a healthy lifestyle and eat well. To prevent your kidneys from overworking, it is important to eat a low-salt diet and keep purines to a minimum.

Gout manifests different Symptoms: Gout Symptoms

Gout was once a “disease for kings” due to the excessive consumption of alcohol and heavy foods. It is now more common in the mass population.

The best natural treatment for Gout contains Boswellia and Curcumin: Gout Treatment

What is Gout?

Gout prevalence has more than doubled in the United States over the past 30 year according to research. A 2019 study published in English in Arthritis & Rheumatology found that gout is the most common form of inflammatory arthritis.

Experts believe the rise in cases of gout is due to high blood pressure and obesity. Gout can be caused by being overweight or taking diuretics to treat hypertension.

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Age is a factor in the increase in risk. Research shows that the disease is present in 13% and 6% respectively of men and women before the age 75.

Gout is twice as common in men than it is in women, at least up to age 60. This is because women’s hormones protect against the disease. Jasvinder Singh M.D., professor of Medicine at the University of Alabama Birmingham and director of research on rheumatology at Birmingham Veterans Medical Center. After menopause, women are more likely to develop this condition.

It can cause severe Joint Pain

Gout is one the oldest known diseases. It is caused by prolonged accumulations of uric acid. Gout is caused by uric acid crystals forming in the joints. This causes severe swelling and pain.

The most common joint to be affected is the one at the base your big toe. Gout can affect any joint, even the ankle, knee, or elbow. You’ll be able to tell it when it happens.

Philip Chu, M.D., a Duke Health physician, says that while you will feel normal, you will feel fine and then suddenly you’ll experience intense pain.

Patients often end up in the emergency department because of their intense pain.

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Chu observes that patients can go quickly from feeling 0 pain to feeling 10 out of 10, very quickly. It can be worsened by the smallest movement or touch. It can even cause discomfort for patients to wear a sheet on top.

Gout is diagnosed by a doctor who will either order a blood test to check the level of uric acid or take fluid from the affected joint and search for uric crystals.

Flares are a form of gout attack that can last from a few days to a full week. This is when anti-inflammatory medication, steroids, and a medication called collchicine can relieve the pain.

Gout attacks Prevention

Singh says that some patients might not have another attack for up to five years after the initial one. The third attack usually happens within six months to one year. As time goes by, attacks become more common.

Gout attacks without treatment can cause stiffness, joint pain, severe joint problems, nodules called tophi under the skin, and eventually permanent bone or joint damage.

Gout attacks can be prevented by lifestyle changes such as weight loss, abstinence from alcohol and a healthy diet. Consuming low-fat milk or low-fat cheese can help reduce uric acid levels. Your doctor might recommend that you avoid alcohol, seafood, sugary drinks, and red meat (especially organ meats) as these contain purines which can cause a flare-up.

Gout often appears in the Hand: Gout Hand

Lifestyle changes are unlikely to reverse or counteract gout. According to Singh, most patients will be able to prevent future attacks by taking a uric-lowering medication such as allopurinol and febuxostat.

The American College of Rheumatology recommends that patients with at least two flares per year or those who have experienced a flare-up as well as elevated uric acid, kidney problems, tophi nodules, signs of joint damage, and certain other conditions, take medication.

Gout is caused by high blood uric acids concentrations (hyperuricemia), where crystals of uric Acid build up in the joints. These crystal accumulations can cause painful inflammation around and in the joints.

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What is Gout?

Gout is more common among men than it is in women. Gout usually affects middle-aged women and men in their late twenties. Although it is uncommon in young people, the severity of the disease is more severe in those who were diagnosed before age 30.

High levels of uric acids in the blood can cause gout. This condition is called hyperuricemia and is often passed on. High levels of uric acid are caused by excessive or inadequate kidney function. While some foods may contain high levels purines (chemical compounds which form uric acids when metabolized), the majority of uric acid in blood comes from diet.

People with metabolic syndrome have higher blood levels of uric acids. The metabolic syndrome can lead to a large waistline due to excess abdominal fat, hypertension, resistance against insulin (called insulin resistance), elevated blood sugar levels and abnormal blood lipids.

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Gout Causes

Uric acid is a byproduct of the destruction of nucleic acids in cells (ribonucleic and deoxyribonucleic acids [RNA]). Because the body constantly breaks down cells and creates new ones, it is only found in very small quantities in the blood. The body can also convert certain foodstuffs, known as purines, into uric acids. Purines are the building blocks of DNA and RNA. Uric acid is eliminated mainly by the kidneys, but less often through the gastrointestinal tract.

The following are the reasons why blood levels of uric acid can be abnormally high:

This is most often caused by a decreased elimination of uric acids by the kidneys and by the gastrointestinal systems.

Sometimes, excessive consumption of purines-rich foods, such as seafood, red meat, and/or alcohol, particularly beer, can lead to a high level of inflammation.

Gout presents different Symptoms: Gout Symptoms

Rarely, excessive uric acid is produced.

Even if the kidney function is good, uric acid levels can become abnormally high if the kidneys are unable to adequately eliminate it through urine. The subject’s genes are usually responsible for this condition. A high level of uric acids in the blood can cause crystal formation in the joints.

These conditions can also affect the kidney’s ability to eliminate uric acid.

There are several types of kidney Disease:

Certain drugs

Saturnism (lead poisoning)

Consuming too many purine-rich foods, such as red meat, liver and kidneys, shellfish, red meat, red meat, liver and kidneys, anchovies and asparagus, consommes and herring, meat sauces & soups, mushrooms and mussels, sardines and sweetbreads can raise blood uric acid levels. Gout sufferers may not be able to reduce their uric acid levels by following a strict low-purine diet. Gout was once a disease of the wealthy, as it was rare to find meat or fish.

Combining high-purine diets and alcohol, particularly beer, or drinks with high-fructose Corn Syrup can lead to more problems. All of these drinks can increase the production of uric acids and make it harder for the kidneys to remove them.

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Gout is not a common condition for people with a high blood level of uric acid. High levels of blood uric acids can lead to high levels in the joints. This causes uric acid crystals to form in the joint tissue, as well as in the intra-articular fluid (or synovial fluid).

Gout is most commonly a problem in the feet, particularly the big toe. Gout can cause swelling, pain, and redness in the big toe. Gout can also affect the ankle, instep and knees, wrist, elbow, wrist, wrist, and elbow.

Gout Symptoms

A flare-up is characterized by severe pain that suddenly appears in one or more of the joints. This happens often at night. The pain becomes more severe and can often become unbearable, especially when you move or touch the joint.

• The joint becomes inflamed, swollen and warm.
• Sometimes, other symptoms can also be a sign of a flare up.
• Fever
• Tachycardia is an acceleration of the heart beat
• General feeling of sadness
• Chills are very rare

The first symptoms usually affect one joint and last for no more than a week. The symptoms gradually fade, the joint function is restored and they disappear completely. Untreated flare-ups can last longer, affect more joints, and occur more often if gout is worsened. Flare-ups that are not treated can last for up to three weeks.

If you have a flare up and feel ill, call your doctor immediately. Gout can cause joint deformities and severe flare-ups if it is not treated. As a result, joint mobility can become increasingly restricted over time due to damage from uric acid crystals in the joints and tendons.

Gout often appears in the Foot: Gout Foot

Gout is a treatable condition that causes episodes of acute arthritis caused by crystal deposits in the joints.

Gout can be treated naturally: Gout Treatment

How to treat Gout?

Also, gout can also lead to hyperuricemia from a poor metabolism of purines-rich foods. This article will help you identify foods high in purines as well as how to reduce your risk for developing a disease.

Gout is a very common condition in our society. It predominates among males and its prevalence with age increases. This condition is characterised by recurrent episodes associated with acute arthritis. It is caused by the formation of monosodium-urate monohydrate crystals within joints and other tissues.

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These crystals are often peri-articular. This is usually caused by hyperuricemia, which is excess uric acid in blood. This means that if the organism fails to eliminate it, it builds up in the bloodstream and forms small crystals, which can cause an inflammation process.

These deposits can become gouty when they grow in volume and get deposited in cartilage or bursae, soft tissues, or tendons. This metabolic disorder can be reversed by normalizing uricemia. The crystals will slowly dissolve and disappear.

Gout is therefore a treatable Condition

Although diagnosis and treatment seem simple, the reality is that not all patients follow the guidelines.

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Risk factors:

• Insulin Resistance Syndrome

Insulin Resistance Syndrome is often associated with Gout. It is also common for it to be present with other chronic diseases such as:

• Obesity
• Type II Diabetes Mellitus
• Dyslipidemia
• Metabolic syndrome
• Hypertension
• Important risk factors
• Chronic kidney disease
• Preeclampsia
• Lifestyle triggers

There are many factors that can trigger acute crises:

• Gout is directly linked to excessive alcohol consumption (more than 15 g per day).
• Fasting
• Stresses that can be psychic or surgical
• Trauma

If you suffer from Gout in the foot here you will find more information about it: Gout Foot

What are the Signs and Symptoms of Gout?

Gout is a clinical manifestation that manifests in four phases:

1. Hyperuricemia symptoms 

2. With increasing frequency, episodes of acute gout may occur.

3. Intercritical gout: Asymptomatic asymptomatic periods in between attacks

4. Tophi appearance, which can cause pain, deformity, and nerve compression (e.g. carpal tunnel syndrome), joint erosion, and even degenerative arthritis.

Gout is a condition that affects one or more joints and causes pain, redness, swelling (tophi). It becomes very tender and difficult to rub the affected joint.

The skin around the affected joint can become itchy and scaly as the inflammation subsides. As we have already mentioned, the biggest joint that is affected by gout is the big toe joint. This joint accounts for 70% of all gout attacks.

It can also affect the joints at both the ends of your arms and legs. It rarely affects any other joints in the middle of the body like the spine, hips, shoulders, and shoulders. It is called “polyarticular Gout” if it occurs in multiple joints at once.

Gout pain can often be as severe as childbirth pain. It can lead to kidney disease or joint damage in some patients.

There are two possible complications when we discover kidney disease:

1. Urolithiasis is often associated with acidic urine

2. Acute gouty renal disease (urate deposits within the renal interstitium).

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Gout is a form of arthritis that occurs when the body’s uric acid levels rise and cause inflammation in the joints. The physiological saturation zone is 7.6 mg/dl (milligrams/deciliter)). If this happens, monosodium-urate crystals form and are stored in cartilage and the periarticular tissues of peripheral joints.

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The continuous deposit is not visible from a clinical perspective. Nearly 10% of patients have hyperuricemia and develop clinical gout. Acute gout is a painful condition that affects only one joint.

The Prognosis for the Disease

The majority of people affected by the disease can live a normal lifestyle if diagnosed early on.

Other people with advanced age may experience the elimination of the tophi. This can be followed by functional improvement of their joints.

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Gout can be more severe if it is diagnosed before the age 30.

Gout patients can die prematurely from heart disease and metabolic syndrome. Sometimes, treatment is not effective for patients. Reasons could include lack of follow up, low dosages of drugs, or alcoholism.

Gout Symptoms

Acute gout symptoms include:

Affected joints may only be one or two. Most often, the joints of the big toe and ankle are affected.

In many cases, the pain begins suddenly and can be felt throughout the night. The pain can be described as intense, throbbing, squeezing, or excruciating.

It is reddish-brown in color. The joint is often tender and swollen. You can put a sheet or cushion on top of it to create a sensation of pain.

Fever may develop. 

Gout can present many Symptoms: Gout Symptoms

Although the outbreak will usually disappear within a few days it can return periodically. Additional flare-ups can last longer.

Gout patients will no longer experience symptoms after the initial flare-up. Many people will experience a second flare-up within 6-12 months.

Gout arthritis, also known as chronic gout, can be a condition that some sufferers develop. Gouty arthritis can cause joint damage and reduce movement. This chronic gout can cause joint pain and other symptoms.

What causes Gout?

Gout occurs when the body’s uric acid levels are higher than the normal range. This can happen when your body produces too much or if it has trouble eliminating uric acids.

Uric acid crystals form when too much uric acids builds up around joints. These crystals can cause joint inflammation, which can lead to swelling, pain, and an increase in temperature. The exact cause of gout has not been identified.

Gout can be inherited and men, women postmenopausal and alcoholics are all more at risk. Gout is more common as we age.

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Is it possible to prevent it?

Gout can be prevented. However, the patient can minimize the risk factors that could cause gout symptoms. Gout can be prevented by taking medications that reduce uric acid.

What Specialist treats Gout?

Gout disease specialists are the rheumatologists. The rheumatologist will diagnose the patient accurately and offer a treatment to lower the blood levels of uric acids. This will allow the urate crystals to dissolve.

Gout is a condition that can be treated by a rheumatologist. In order to dissolve the crystals slowly, it is necessary that the blood level of uric acids is sufficient. The symptoms will eventually disappear, and there will not be any irreparable damage to your joints.

A Healthy and Balanced Diet is vital for overcoming Gout: Gout Diet