Do You Have Gout

Gout is one particular conditions which can be aided considerably with a big change in diet and lifestyle, and is a type of arthritis which is normally associated with “high living”. This problem causes a rather painful accumulation of crystals of the crystals around the joint. I’ve seen many gout patients over time, and I think I’ve seen one or two a women over the years in my clinic complaining of this 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 an extremely painful right ankle and big toe. He was a mechanic who enjoyed a beer, in fact he said: “Eric, I’ll do whatever you suggest, I won’t be stopping my beer however, but I can’t live with this 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 several weeks with gout attacks often re-occurring and without the correct management the attacks of pain may become more frequent and may be very debilitating indeed.

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

Gout is arthritis

Gout is regarded as a form of rheumatism and is probably the most painful forms of arthritis. You can find different types of arthritis such as osteoarthritis, the “wear and tear” arthritis of the larger joints like hips, knees, back, etc. Then there’s rheumatoid arthritis which is the inflammatory (heat) arthritis affecting small joints generally just like the writs, fingers, etc.

And then there is 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 including the Endeavour during the golden age of discovery. Many officers up to speed such vessels suffered terribly from gout. Mind you, they 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 prefer to command, drink rum and coke or cold beer, and eat hot steaks and what red-blooded guy doesn’t? النقرس 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 around the smaller joints – especially the joint of the big toe. Why the big toe you ask? Common sense – because it may be the joint at the cheapest point of the body, the area where deposits of uric acid and other wastes have a tendency to form due to gravity. In case you are right-handed, the proper big toe joint could be more likely affected than you left, and vice versa.

For the reason that you step off and lead with your right foot as you walk, and is could have therefore a slightly better circulation of nutrients (and for that reason also a little more deposition of wastes) than your left foot. Reflexologists often talk about “crystals” forming round the toe joints, and you will feel “crunching” sensations in the event that 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 small joint, specially the toe or wrist. The affected joint could be red, hot, swollen and also throbbing. It may feel “on fire”. As previously mentioned, the pain can be so unbearable that even a bed sheet could cause excrutiating pain.

Gout statistics

Gout afflicts approximately up to 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 connected with being overweight and having raised blood pressure.
Gout can also occur in women, more commonly after menopause.

Maori (New Zealand indigenous peoples) and Pacific Islander peoples specifically tend to have high the crystals 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 would 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 saturated in purines.

The type of individual mostly affected by gout is an overweight man who drinks large amounts of alcohol, is a regular meat-eater, loves rich foods and and also require 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 cause an excessive production of uric acid within the body, including some leukaemias, lymphomas and some haemoglobin (blood) disorders.

Some studies have indicated an increased prevalence of low thyroid function (hypothyroidism) in people who have 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 because of fasting before surgery).

Family history – hereditary.

What is Uric acid?

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

Uric acid is really a by-product of the break down of certain foods in the body, and gout was once considered to be closely related just to diet. It is now understood that inheriting an issue with uric acid excretion from the body is most likely probably the most common reasons for gout that occurs. Improving a person’s kidney work as much as possible has helped many gout sufferers I have seen over the years.

Uric acid is the end product of the metabolism of chemicals called purine that are within many foods. Purines may also be found naturally in your body, and normally, the body disposes of excess the crystals via the urine, but in people with gout uric acid accumulates in the body. This could be due to reduced excretion of uric acid by the kidneys or even to overproduction of the crystals by your body. This accumulation of the crystals may also cause kidney stones, also it doesn’t take a rocket scientist to work out that you need to improve the kidney work as much as is possible to greatly help the patient overcome gout.

Gout can be extremely painful indeed

How come gout hurts, where does all that pain come from? Simple, when the uric acid accumulate in the blood and tissues it could crystallise out into a joint, forming a variety of tiny, jagged, needle-shaped crystals. This triggers an intense inflammatory response that causes an agonizing arthritis attack called a gout attack. Perhaps you have stood on a pin or a needle, perhaps some broken glass and got annoyed and irritated by this? You then will know how a gout sufferer will feel – they might be most irritated and annoyed like a child who has just stood on a pin cushion.

Pain has a method of bringing out the worst in many people! WHEN I mentioned, gout commonly strikes the big toe, but other joints could be affected, including the instep, ankle, knee, wrist, elbow and fingers. Acute pain is generally the first symptom and then the affected joint becomes inflamed (almost infected-looking): red, swollen, hot and intensely sensitive to the touch.

I have 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 and symptoms such as a needle-like pain affecting the tiny joint, male patient who enjoys alcohol drinker, crayfish and roe (fish eggs), enjoys barbeques and steaks, etc. Common things happen to people commonly, I’ve 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 really believe that it’s purely the pain that brings them ultimately to start to see the practitioner. This is especially so for some larger blokes I have seen where the pain had not been helped to a large degree by the standard gout drugs, and then there is much more of an urgency compared to that appointment.

I have often said that there is nothing more than a high degree of pain to bring a guy to your room as an individual. If you are a normal reader of my column, you might recall that I have often said that males participate in the “John Wayne School of Health”: “I’ll be alright, there is nothing wrong with me, and I’ll just get right back on that horse and keep on riding”. I can recall in a single Western that even John Wayne himself visited see a doctor once the pain of a rather large shotgun blast in his shoulder was preventing him from actually getting on his horse, and even then the doctor’s visit seemed was under duress!

Written By SonaClyburn

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