How Do you know If you have Gout?
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Do you enjoy consuming red meat, beer, red wine, excessive amounts of alcohol, rich sauces, seafood, organ meats, anchovies, herring, asparagus, and/or mushrooms? If so, you may be at risk of getting a gout attack. What exactly is gout?
Gout, a kind of arthritis, is caused by a build-up of sharp, needle-shaped urate crystals in the joint. These crystals are responsible for the pain and inflammation connected with this condition. The increase in deposits is caused by raised uric acid levels in the bloodstream. The foods listed above are rich in purines, which are also naturally found in the body, and these purines are usually broken down to uric acid. Under normal circumstances, uric acid is excreted through the kidneys and urine. When the body produces an excessive amount of uric acid, a person consumes too much purines in their diet or the renal system are not properly removing enough uric acid, there is an excessive amount of uric acid leading to a gout attack.
How Would You Know If You Have Gout?
Typical display includes a person who wakes up in the middle of the night or in the morning with a sudden onset of a red, hot, swollen joint with no preceding damage or trauma. Gout most commonly affects the big toe joint in the feet. However, it can also affect other joints such as the midfoot, ankle, knee, elbow, hands as well as wrists. Initially with the first or second gout assault, the joint will appear normal on a standard X-ray. However over time with frequent gout attacks, the affected joint will have limited movement, a bony prominence and will appear as a damaged joint (arthritis) on an X-ray.
Who Reaches Risk?
Men have a higher rate of sustaining a gout attack but menopausal women are also at risk of this painful condition. Also those with uncontrolled high blood pressure, diabetes, increased cholesterol levels and heart disease are also susceptible to gout. Medications such as diuretics and also low-dose aspirin also increase uric acid levels. Finally, a purine-rich diet of the above mentioned foods and excessive alcohol consumption can lead to a gout attack. Therefore, reduction includes limiting purine ingestion in the diet, limiting alcohol consumption, and being healthy and active.
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How is It Treated?
You go through the symptoms of a sudden onset of a red, hot, swollen combined, call your doctor instantly. In the event that you go through the attack in the foot or perhaps ankle, call your local podiatrist but if in other important joints, you should contact a person primary care doctor, orthopedist or rheumatologist. If left untreated, you could create firm nodules called tophi under the skin or kidney stones. Your doctor will take a great X-ray of the joint, but as mentioned most likely the films will be normal especially with the first or second attack.
Blood Testing for Uric Acid is Unreliable for Gout
Definitive proof of gout involves obtaining joint fluid and having it analyzed for the presence of the urate crystals. Treatment consists of non-steroidal anti-inflammatory drugs (NSAIDs), a cortisone injection, oral steroidal drugs, and/or a medication called colchicine. In the event that you have recurrent gout attacks, you may be prescribed Allopurinol or perhaps Probenicid - long-term medications purely to avoid future gout attacks.
Dr. Peter Wishnie is a podiatrist who specializes in foot and ankle surgery. His office is in Piscataway/Hillsborough, NJ. His goals are to educate the public on the care of their feet and ankles and to get them functioning as quickly as possible. For further foot health tips on high heel pain, get a Free copy of these book, "You Do Not Have To Suffer With High heel Pain," by visiting their website: http://www.stopfootpainfast .