As a disease of joints, gout is a kind of arthritis that typically affects one joint. Usually affecting the metatarsal joint located at the bottom of the big toe; gout or ‘podagra’ is marked by repeated attacks of inflammation and pain. Deposition of excess uric acid in blood crystallizes in joints to take the form of gout.
What are the Causes of Gout?
- Increased level of blood urea gives way to gout. The syndrome referred to as the ‘Hyperurecimia’ leads to the occurrence of gout. Decreased excretion of uric acid by kidney facilitates the condition of gout by way of its accumulation in the joints.
- Similar to the under excretion of uric acid; over production of uric acid is also responsible for causing gout.
- Dietary factors contributing to the accumulation of uric acid are also responsible for causing gout. Excess consumption of meat, sea food, sweetened and alcoholic beverages are some of the necessary triggers aiding the physiological condition of gout.
- Surgical procedures and accidental injuries can also set off gout.
- Improper metabolism leading to the development of cardiovascular diseases can also bring about gout.
- Similarly responsible are the conditions related to obesity, lack of resistance to insulin, and misbalanced lipid profile.
- Gout may also develop as side effects of certain medications based on diuretics.
Various Symptoms of Gout Disease
- As part of attack of gout, the phalengeal joint or the ‘big toe’ is mostly affected.
- The attacked joint is not only inflamed but is also marked by reddish tenderness.
- Though the big toe is mostly affected, other joints such as wrists, heels, fingers and knees may also be affected.
- The pain is usually sporadic in nature, mostly affecting at night. The decreased body temperature may account for the incidence of pain at night.
- Other than pain, fever may also take place as part of gout attack.
- Increase in the level of uric acid which is one of the symptoms of gout may give way to arthritis of chronic type.
- It may also bring about erosion of bone and precipitation in the kidney.
- Historically referred to as the disease meant for rich, gout generally affects the elderly men and women nearing menopause.
- People afflicted with gout are more prone to developing cardiac ailments and diabetes.
Different Types or Kinds of Gout Disease
- Gout usually affects the “metatarsal phalengal joint”.
- Other joints such as the ones involving the fingers, knee and wrist may also come under the attack of gout.
- According to the intensity of attack, there may be chronic or sudden gout.
Gout Disease Diagnosis
- X rays may be helpful in ascertaining the cause and line of treatment for chronic gout.
- Blood test which helps health care facilitator to ascertain the level of uric acid is of utmost importance as far as the diagnoses of gout is concerned.
- Synovial fluid extracted from joints is also cultured for the detection of the salt content in the uric acid.
- It is important to mention that the diagnoses of gout should be so made that other serious physiological disorders presenting similar symptoms can be ruled out. They include ‘septic arthritis’,’ rheumatoid arthritis and ‘basal cell carcinoma’.
Treatment For Gout
- The treatment of gout involves the management of the initial symptoms of an acute attack.
- Usually the symptoms are managed with the ‘nonsteroidal anti inflammatory drugs’.
- Medications are also prescribed to reduce the uric acid content of the blood. In order to curb uric acid formula based on anti purine content combining ‘xanthine oxidase inhibitor’ is recommended.
- Medications serving to overcome the conditions of gout should be taken under and as per the guidance of physicians.
- As part of the latest therapy, a formula seeking to reduce uric acid is also injected intravenously to counter the menacing outcome of the same.
- The intravenous administration is only thought of when other oral measure seeking to solve the similar purpose fails in their attempt.
Self Care and Gout Home Remedy
- Lowering the level of uric acid can go a long way in curbing the painful inflammations of gout attacks.
- Thus avoiding food rich in purine content should be preferred as a remedial option.
- Instead, opting for a diet based on low calorie sufficiently enriched with Vitamin C will serve to overcome the painful effects of gout.
- Apart from including and increasing the daily intake of fluid, a person down with gout should keep his weight under control. Juice of cherry is significantly helpful in decreasing the intensely painful attacks of gout.
- As part of home based remedial option, one should give the joints sufficient rest besides elevating the same in the wake of an acute attack.
- Application of ice packs should also be avoided as that will aid the crystallization of uric acid, though the application of the same may prove to be temporally relieving.
Management of gout should ideally involve the choice of low calorie diet and exercise besides seeking appropriate medical guidance and therapy.