Gout
Overview:
Gout is one of the most severe and painful forms of arthritis which occurs due to increased levels of uric acid buildup in the body. Although gout is notoriously know for causing pain and arthritis within the big toe due to uric acid deposition, its systemic origins can also often result in other complications throughout the body. These include: uric acid deposition under the skin and kidney stones from uric acid crystals in the kidneys. Gout can often cause pain, swelling, redness, heat and stiffness in joints. Affected joints may include the ankles, heels, knees, wrist, fingers and elbows. Causes: Gout is caused by the buildup of uric acid in the body. Normally uric acid dissolves within the blood and is filtered through the kidneys to be excreted within the urine. However, gout can develop when too much uric acid accumulates. Increased uric acid levels can be due to:
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Signs/ Symptoms:
Treatment:
Common treatment methods include the use of medications to control acute attacks of gout. These medications include the use of NSAIDS and corticosteroids.
Self management is an important factor in preventing the flareups of acute attacks of gout. Self management includes:
- hyperuricemia (high uric acid levels in blood)
- uric acid crystals in joint fluid
- more than one attach of acute arthritis
- arthritis that develops in 1 day producing a swollen, red and warm joint.
- attack of arthritis in only one joint, usually the toe, ankle or knee.
Treatment:
Common treatment methods include the use of medications to control acute attacks of gout. These medications include the use of NSAIDS and corticosteroids.
Self management is an important factor in preventing the flareups of acute attacks of gout. Self management includes:
- Taking medications as prescribed
- Maintain regular followups with your doctor to monitor uric level levels
- Maintain a healthy, balanced diet. Avoid foods that are high in purines and drink plenty of water.
- Exercise regularly and manage body weight.
References:
- Roddy, E. et al. Gout. BMJ. 2013. 347:f5648. http://www.bmj.com/content/347/bmj.f5648.long
- http://www.niams.nih.gov/Health_Info/Gout/gout_ff.asp
Last Edited by: Jordon Cavanagh , SPT at AT Still University on July 12, 2014