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Now You Can Have Your GOUT Done Safely

Gout is one particular conditions which may be aided considerably with a change in lifestyle, and is a form of arthritis which is normally associated with "high living". This condition causes a rather painful accumulation of crystals of uric acid around the joint. I've seen many gout patients through the years, and I think I've seen one or two a women through the years in my clinic complaining of the rather painful condition.

I can still remember the first gout patient I ever saw, I was practicing in the student clinic in the 90's. A male aged mid forties came in complaining of a very painful right ankle and big toe. He was a mechanic who enjoyed a beer, actually he said: "Eric, I'll do anything you suggest, I won't be stopping my beer however, but I cannot live with this particular pain anymore".

A gout attack of pain usually strikes unexpectedly, but generally subsides in just a few days with treatment. However, some guys can experience pain for a number of weeks with gout attacks often re-occurring and minus the correct management the attacks of pain could become more frequent and will be very debilitating indeed.

You should contact your doctor if really severe pain in a joint recurs or lasts lots of days, particularly if the pain is accompanied by chills or fever. Now let's have a closer look at gout, what it is and what causes it and much more importantly, how we can help the gout patient with some good natural medicine suggestions.

تسمم الحمل Gout is arthritis

Gout is regarded as a kind of rheumatism and is the most painful forms of arthritis. There are different types of arthritis such as for example osteoarthritis, the "wear and tear" arthritis of the larger joints like hips, knees, back, etc. Then there is rheumatoid arthritis that is the inflammatory (heat) arthritis affecting the smaller joints generally like the writs, fingers, etc.

And then there's gout, what I call the "red-blooded male's arthritis". I could remember reading a book awhile ago about the era of the large ocean going vessels like the Endeavour during the golden age of discovery. Many officers up to speed such vessels suffered terribly from gout.

Mind you, these were the commanding men who drank a lot of rum and ate plenty of beef with lashings of gravy. Just what exactly has changed? Blokes still like to command, drink rum and coke or cold beer, and eat hot steaks and what red-blooded guy doesn't? I have never seen a committed vegetarian battling with gout, and very much doubt they even exist in this country.

Signs or symptoms of Gout

Recurrent, acute attacks of pain, tenderness, redness, inflammation and swelling round the smaller joints - especially the joint of the big toe. Why the big toe you ask? Good sense - because it is the joint at the lowest point of the body, the region where deposits of uric acid and other wastes have a tendency to form due to gravity. In case you are right-handed, the right big toe joint will be more likely affected than you left, and vice versa.

Simply because you step off and lead together with your right foot as you walk, and is will have therefore a slightly better circulation of nutrients (and therefore also a bit more deposition of wastes) than your left foot. Reflexologists often discuss "crystals" forming around the toe joints, and you may feel "crunching" sensations if you prod firmly under your toes or wiggle the toe joints at times.

The patient can also feel a significant sharp and rather intense pain in a little joint, specially the toe or wrist. The affected joint could be red, hot, swollen and even throbbing. It may feel "on fire". As previously mentioned, the pain can be so unbearable that even a bed sheet can cause excrutiating pain.

Gout statistics

Gout afflicts approximately around 0.5% of the populace of the western world.

Over 95% of gout sufferers are men aged 30 or over.

Gout is twenty times more likely in males than women.

Gout is strongly associated with being overweight and having high blood pressure.

Gout may also occur in women, more commonly after menopause.

Maori (New Zealand indigenous peoples) and Pacific Islander peoples specifically tend to have high uric acid levels and are predisposed to gout, especially the Maori patients I see who love abalone, mussels, roe (fish eggs like caviar) and crayfish (like lobster). I'd expect that indigenous American or African peoples would similarly be affected by gout, particulary when they live in the developed Western countries and eat foods high in purines.

The type of individual mostly affected by gout is an overweight man who drinks huge amounts of alcohol, is a regular meat-eater, loves rich foods and who may have high cholesterol and high blood pressure.

What can cause an acute gout attack?

Certain medications, such as for example some types of diuretics, can cause gout. Aspirin and niacin (Vitamin B3) can also raise uric acid levels.

Certain diseases can lead to an excessive production of uric acid in the body, including some leukaemias, lymphomas plus some haemoglobin (blood) disorders.

Some studies have indicated an elevated prevalence of low thyroid function (hypothyroidism) in people with gout.

Dehydration (alcohol & caffeine dehydrates).

Injury to a joint.

Excessive intake of purine-containing foods (see list below).

Heavy alcohol intake.

Recent surgery (this may be related to changes in the torso fluid balance due to fasting before surgery).

Family history - hereditary.

What is Uric acid?

Approximately 70% of gout patients have an overproduction of uric acid, the remaining 30% of gout patients have a poor elimination of uric acid, therefore it makes sense to eat fewer foods which help to produce uric acid, and improve the crystals elimination by way of the kidneys.

Uric acid is a by-product of the breakdown of certain foods in the body, and gout was once considered to be closely related merely to diet. It really is now understood that inheriting an issue with uric acid excretion from the body is probably just about the most common reasons for gout to occur. Improving a person's kidney work as much as you possibly can has helped many gout sufferers I've seen over the years.

Uric acid is the end product of the metabolism of chemicals called purine which are found in many foods. Purines are also found naturally in the body, and normally, the body gets rid of excess uric acid via the urine, but in people with gout uric acid accumulates in the body.

This can be because of reduced excretion of the crystals by the kidneys or to overproduction of the crystals by the body. This accumulation of uric acid could also cause kidney stones, also it doesn't take a rocket scientist to work out that you need to enhance the kidney work as much as is possible to help the patient overcome gout.

Gout can be extremely painful indeed

Why gout hurts, where does all that pain result from? Simple, when the the crystals accumulate in the blood and tissues it could crystallise out into a joint, forming a multitude of tiny, jagged, needle-shaped crystals. This triggers an intense inflammatory response that causes an agonizing arthritis attack called a gout attack.

Have you ever stood on a pin or a needle, perhaps some broken glass and got annoyed and irritated by this? Then you will understand how a gout sufferer will feel - they can be most irritated and annoyed such as a child who has just stood on a pin cushion. Pain has a way of bringing out the worst in lots of people! WHEN I mentioned, gout commonly strikes the big toe, but other joints can be affected, including the instep, ankle, knee, wrist, elbow and fingers.

Acute pain is generally the first symptom and the affected joint becomes inflamed (almost infected-looking): red, swollen, hot and intensely sensitive to the touch. I've many times seen a case of gout in the clinic that the patient's doctor known as "osteoarthritis", when actually it had all of the makings of gout. Signs or symptoms such as a needle-like pain affecting the small joint, male patient who enjoys alcohol drinker, crayfish and roe (fish eggs), enjoys barbeques and steaks, etc. Common things happen to people commonly, I have often said.

The funny thing with guys is, you see them once then you don't have a tendency to see them again in the clinic. I believe that it's purely the pain that brings them ultimately to see the practitioner. That is especially so for a few larger blokes I've seen where the pain had not been helped to a large degree by the standard gout drugs, and then there's much more of an urgency to that appointment.

I have often said that there is nothing more than a high degree of pain to create a guy to your room as a patient. If you are a normal reader of my column, you may recall that I have often said that males belong to the "John Wayne School of Health": "I'll be alright, there's nothing wrong with me, and I'll just get back on that horse and continue riding".

I can recall in one Western that even John Wayne himself went to see a doctor when the pain of a rather large shotgun blast in his shoulder was preventing him from actually getting on his horse, and also then your doctor's visit seemed was under duress!

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