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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.

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.


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 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.

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.

 
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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.

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Question : I'M a 55-year-old man who has been suffering from joint pains for a couple of years. I've consulted my family doctor and was told I'm affected with gout. Is there any natural remedy for this? Answer : GOUT is a painful and potentially disabling form of arthritis. It causes pain, tenderness, redness, warmth and swelling in some joints. This is due to the increasing levels of uric...


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. 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...


Did you know that gout has often been labeled the most painful types of arthritis? Unfortunately, you or either someone you know suffers from gout. Perhaps, you are grieving with the disease that makes sleep and life miserable. Heat, Pain, Redness, Stiffness, Swelling, Arthritis attacks are a common event in the life of gout suffers. But it doesn't have to be this way? You can prevent...


For most people, gout pain usually shows up first in the joints of the big toe. However, as gout progresses, and more and more uric acid builds in the system, it has to find other joints where it can go. This means you might get gout pain in other places that can cause even more pain than that which you might feel when it is in your toe. So its entirely possible that your gout and hip joint pain...


Gout is a painful and potentially disabling rheumatic disease and is one of the most common forms of arthritis. Gout accounts for approximately 5% of all cases of arthritis. Gout usually affects the first metatarsal phalangeal joint of the big toe (hallux) or the ankle joints. Gout most often affects the big toe but can also affect the ankle, knee, foot, hand, wrist and elbow. Approximately one...


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