Treatment of Gout
Causes
Identifying gout causes can help you find the appropriate
treatment for it. Gout causes are primarily due to the
abnormally high level of uric acid in the body. Uric acid tends
to form hard crystals in the body joints thus causing pain and
inflammation. Pain and inflammation in the joints result to
episodes of gout attacks. Uric acid is produced from the
breakdown of purines.
Treatment of gout causes is primarily aimed at primary
prevention, management and prevention of future attacks.
Primary Prevention
Prevention of gout ultimately rests on the following:
· Adequate fluid intake helps prevent gout attacks. It also
decreases the risk of formation of kidney stones.
· Maintaining an ideal balanced weight- Weight reduction can
be helpful in reducing recurrent gout attacks. This is best
achieved through lessening dietary fat and regular
exercise.
· Dietary change that include the reduction of intake of
foods that are high in purine. Foods that are high in purine
include shellfish and organ meats such as liver, brains,
kidneys, and sweetbreads. While meat and seafoods can trigger
high uric acid levels, dairy foods and substitutes appears to
reduce it.
· Lessening of alcohol consumption- Alcohol has diuretic
effects and may contribute to dehydration and cause gout
attacks. It can also affect uric acid metabolism. It slows down
the elimination of uric acid by the kidneys and causes
dehydration that results to the crystallization of uric acid
and form in and around body tissues and joints.
Management of Symptoms
Medications are the first line of treatment in the
management of gout.
· Pain relievers or other potent analgesics are used to
manage pain and inflammation.
· Anti-inflammatory agents are used to decrease joint
inflammation. Do not use aspirin as it can increase levels of
uric acid in the body.
· Certain medications that lower the presence of uric acid
in the blood are ultimately used to treat gout. They are not
given though during episodes of gout attacks. Taking these
medications during a gout attack can cause the movement of uric
acid into other body joints and may cause more pain and attacks
in the future.
· Persons who cannot take anti-inflammatory drugs like those
who have chronic kidney failure, gastrointestinal bleeding, and
heart failure are given corticosteroids instead.
Relief from gout attack usually occurs 4 hours after the
initial treatment is started. During gout attacks, do not be
surprised if the physician would give a maximum daily dose of
one or more medications used for short-term treatment. Doses
are then lessened as the symptoms start to go away.
Prevention of Future Attacks
In preventing future attacks, your doctor may prescribe
medicines to reduce uric acid buildup in the blood. Make sure
that you take the appropriate dosage of medications prescribed
by your physician. There are some medications that are taken
for the rest of their life.
Vigilance with diet and food intake by low purine diet can
prevent further gout attacks in the future. Eat moderately and
control your body weight and make sure you get the right
nutrients. Drink plenty of water.
Gout causes can certainly be prevented and treated. You just
have to know how and follow the treatment procedure
vigilantly.
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