Gout is a rheumatic pathology caused by the formation of uric acid salts in the joints. The symptoms and treatment of this disease are described in great detail in our material. The disease is one of the most common types of arthritis and occurs more often in middle-aged men.
What is this disease? Gout is a chronic disease associated with impaired uric acid metabolism, in which uric acid salts, also known as urates, are deposited in the joints.
Pathology for another called "the disease of kings", this is an old disease, which was already known at the time of Hippocrates. Gout in the past was considered a sign of genius. She suffered such famous people as Leonardo da Vinci, Alexander the Great, many members of the Medici family from Florence, Isaac Newton, Charles Darwin.
Nowadays, according to epidemiological studies conducted in Europe and the United States in recent years, up to 2% of the adult population has become ill with gout, and among men aged 55–64 years, the incidence of the disease is 4.3–6.1%.
The first signs of gout are characterized by an acute onset with the appearance of severe pain, redness and stiffness in the joints. The most common gout on the big toe, which should be treated immediately. The main recommendations for reducing the symptoms of chronic gout are adherence to treatment and lifestyle. This article about gout, symptoms and treatment of this disease, we will try to consider in detail today.
What it is? The cause of gout is the deposition of uric acid crystals (urates) in the cartilage tissue of the joint. Their accumulation leads to inflammation, accompanied by severe pain. Sodium urate crystallizes and is deposited in the joints by small particles, which ultimately leads to complete or partial destruction of the joints.
- Abuse of certain pharmaceutical drugs: aspirin, diuretic diuretics, cyclosporins.
- The presence of conditions and diseases in the form of diabetes, coronary heart disease, obesity.
- The use of fatty meats, seafood, carbonated and alcoholic beverages to a large extent contribute to the accumulation of purines in the body.
- The disease is more susceptible to men aged 30-50 years.
Gout attacks can be triggered by stressful reactions to alcohol, citrus fruits, viral infections, physical or mental stress, trauma and hypothermia, bruises, pressure fluctuations, and medication. In the first attack of gout, the symptoms are very distinct, and treatment should begin as soon as possible to relieve pain.
There are three types of diseases: metabolic, renal and mixed.
- Metabolic form with the highest amount of uric acid.
- Renal form, moderate amount of uric acid with increased salts,
- With a mixed type, reduced or normal uraturia and normal clearance are possible.
The diagnosis is established by a rheumatologist when examining and interviewing a patient. Laboratory diagnostics are also used: a high content of uric acid is found in the biochemical analysis of blood.
Symptoms of gout
Arthritis of the lower limb joints is usually observed. Often the inflammatory process covered the big toe, then in frequency - the ankle and knee joints. Arthritis of the small joints of the hands and elbows is less common.
With gout, the symptoms develop during an attack - this is a pain that develops quickly enough, and reaches the highest sensation in just a couple of hours. Attacks happen more at night or in the early morning.
A person is not able to not only move his foot, but even a light touch of the sheet to the affected joint causes intolerable torment. The joint rapidly swells, the skin feels hot to the touch, there is reddening of the skin at the site of the joint. Probably an increase in body temperature.
After 3-10 days the attack of gout subsides with the disappearance of all signs and normalization of functions. A recurrent seizure occurs, as a rule, three months after the first, or the disease does not manifest itself for two decades.
Chronic gout is characterized by the fact that seizures are becoming more frequent, and the intervals without symptoms are shorter.
Hyperuricemia and accumulation of urate salts in gout leads to their deposition in the kidneys with the development of:
- gouty jade;
- arterial hypertension with the subsequent transition to chronic renal failure.
In 40% of adults, there is a development of urolithiasis with renal colic at the height of a gout attack, with complications in the form of pyelonephritis. To avoid the effects of gout on the legs, how to treat ailment should be taken aback immediately.
Treatment of acute attack
Treatment of gout involves the gradual implementation of several stages of therapy. First of all, it is very important to remove the acute symptoms of the disease. Further treatment is aimed at preventing the aggravation of the symptoms of gout in the future.
With a gout attack, it is necessary to provide sufficient rest for the affected joints and to try to injure the joint as little as possible with clothing or footwear. In case of unbearable pain, ice can be applied. After that, it is desirable to make a compress on a sore spot with Vishnevsky ointment or dimexide.
For the relief of acute signs of gout, doctors recommend taking colchicine or nimesil, as well as NSAIDs — diclofenac, butadione, indomethacin, naproxen. How to treat gout on the legs should be decided by a specialist, he will prescribe the necessary drugs, tell the regimen and warn about side effects.
It is better to restrict yourself to eating food, you can use liquid porridges and vegetable broths. It is recommended to drink a sufficient amount of water, green tea, you can also jelly, milk, mineral or plain water, but with the addition of lemon juice.
In gout, treatment is prescribed individually and includes drugs, physiotherapy and diet. It is necessary to take into account all the side effects of drugs in the presence of other diseases, therefore, constant medical supervision is necessary.
The basis of therapy is a special diet aimed at reducing the patient’s diet with purine-rich foods. If the patient is able to adhere to the prescribed diet, then the resulting cones on the joints will begin to disappear and the body will recover.
In the diet you need to include dishes boiled in water or steamed. Salt should almost be ruled out. Also contraindicated fish and meat broth, aspic. Recommended consumption of a large number of vegetables. They should be taken raw, for a variety of menus, you can sometimes bake them or boil them.
To reduce the level of uric acid, antipodagric drugs are used (sulfinperazon, alopurinol, uralite, and others). Herbal medicine is also used in combination with physiotherapy and medical preparations. Gout should be treated by a doctor, he will definitely say that you can use at home to get rid of the disease.
To cure gout at home, and reduce the number of attacks should be limited to a minimum food intake, the splitting of which produces a significant amount of uric acid: liver, beef tongue, mushrooms, sardines, fish caviar, beans, peas, beer. You need to drink plenty of fluids - up to three liters per day.
Patients with a similar diagnosis should be more attentive to their diet, in particular, to exclude foods rich in purines from the diet. It is important to note here that it is necessary to exclude both overeating and starvation, moreover, a sharp weight loss should not be allowed, this can lead to an aggravation of the disease.
How to treat gout at home? The most correct diet for gout involves a transition to a vegetarian diet or diet number 6.
It is advisable to eat:
- Vegetables, better boiled, steamed, baked in the oven with a little salt;
- milk products;
- berries, mainly currants of different varieties, watermelons;
- bran, bran bread;
- nuts, fruits and dried fruits;
- mineral water.
It is undesirable to have:
- fat meat;
- offal (kidney, liver, tongue of farm animals);
- red fish;
- it is important to minimize salt intake;
- alcohol, coffee;
- sweet carbonated drinks.
It is proved that strawberries, cherries, currants and other berries of dark red and blue colors cause a decrease in the concentration of uric acid in the blood, so patients with gout can eat them in any kind and quantity.
How to treat gout folk remedies
Since many are interested in the question of how to treat gout in folk remedies, let us dwell on this point in more detail.
- Fish packs. Divide any fish fillet into 10 pieces, put them in bags, and send them in the fridge. Before going to bed, pull out one bag, defrost, put the received piece of fish on the affected joint and wrap with polyethylene, then stretch thick socks. Lie so until the morning.
- Activated carbon. A handful of tablets should be ground in a coffee maker, bringing the amount of the mixture to less than half a glass. A small amount of water and one tablespoon of flax seeds are added to the powder. Everything is stirred to a pasty state. This mixture lubricates the affected skin areas at night.
- Buy ordinary bacon and cut it so that you can put on each finger small pieces of bacon. And now rub each piece into the skin until these pieces are completely small.
- Prepare the mixture: melt 250 g of unsalted butter, after boiling remove all the foam and add 250 g of wine alcohol to the oil. Ignite the mixture immediately until alcohol is burned out. Warm ointment to lubricate sore spots.
This home treatment will not cure gout, but it will take away its painful manifestation for a while.