Gouty Arthritis - Things you Can Do
Gouty arthritis is caused by crystals of uric acid that are deposited in a joint, usually the knee, elbow, hand, or foot. The most famous and frequent site is the base of the big toe. It occurs more often among men than women. The kidneys normally eliminate uric acid, one of the waste products found in the blood. However, 5 to 10 percent of American males experience excessive levels of uric acid in the blood due to overproduction or inadequate elimination or both. In a few these, uric acid crystals precipitate in the joint fluid. These needle sharp crystals cause intense irritation, the joint becoming swollen, warm to touch, and extremely tender. The skin over the joint is tense, shiny, and red.
The first attack usually affects a single joint and, if untreated, runs a course of one to two weeks. The pain is immense. Subsequent attacks become more frequent, affect more joints, and become more severe.
Things you can do for gout.
During an attack, shield the joint from the pressure of bed covers by the use of a frame. If you are overweight, begin a weight reduction program. Reduce calorie intake slowly but consistently so as not to precipitate an attack. Modify your diet to reduce or eliminate the intake of foods that raise uric acid levels, such as meat, especially organ meats, sardines, anchovies, and legumes. You should stay away from alcoholic beverages because alcohol impairs the ability of the kidneys to excrete uric acid. Begin a regular program of exercise with adequate rest and sleep. Drink an abundance of water to aid the kidneys in eliminating uric acid. It is important to be under the care of your physician.
Things your doctor will do.
Your doctor will order blood and urine tests to determine the level of uric acid and the functional capacity of your kidneys. Because it is important to lower the level of uric acid in the blood and tissues, he may order from two types of medication: those that aid in the elimination of uric acid (by blocking the reabsorption by the kidneys) and those that block its production. During an acute attack, colchicine or one of the anti-inflammatory agents will provide relief.
