Gout is a type of inflammatory arthritis caused by uric acid crystals building up in the joints due to high levels of uric acid in the blood. It most commonly affects the big toe, causing sudden and severe pain. Risk factors include genetics, age, alcohol consumption, diet high in purines, medications, and other medical conditions like diabetes. Diagnosis involves testing uric acid levels in blood and synovial fluid analysis. Treatment focuses on pain relief during flares and lowering uric acid levels long-term through medications and lifestyle changes like diet modification and exercise. Without proper management, gout can progress to chronic arthritis and kidney complications.
http://curegoutpainnow.com
Uric acid crystals are the underlying problem causing gout pain and inflammation. When there is too much uric acid being produced in the body some of it will form hard microscopic crystals which build up in joint areas.
Diabetes Facts and Tips for a Healthy LifestyleSlideShop.com
In 2013, over 300 million people throughout the world have diabetes. How can we prevent ourselves from acquiring this disease? Check out this presentation.
More themed slides: https://slideshop.com/Themed-Slides
http://curegoutpainnow.com - Gout is a painful condition, often affecting the toes, but it can affect many other joints as well. If left alone it can get worse, turn into a chronic problem and even cause permanent damage. Gout and uric acid levels in the body are inextricably intertwined as the uric acid leads to the gout problems
Educational Grand Rounds: Diabetes and Lifestyle ModificationS'eclairer
Dr. Zahida Chaudhary presents a slide deck on Diabetes along with James Ellermeyer as they discuss what our society is doing to contribute to the problem and what we can do to change it in our own lives on a case by case basis.
http://curegoutpainnow.com
Uric acid crystals are the underlying problem causing gout pain and inflammation. When there is too much uric acid being produced in the body some of it will form hard microscopic crystals which build up in joint areas.
Diabetes Facts and Tips for a Healthy LifestyleSlideShop.com
In 2013, over 300 million people throughout the world have diabetes. How can we prevent ourselves from acquiring this disease? Check out this presentation.
More themed slides: https://slideshop.com/Themed-Slides
http://curegoutpainnow.com - Gout is a painful condition, often affecting the toes, but it can affect many other joints as well. If left alone it can get worse, turn into a chronic problem and even cause permanent damage. Gout and uric acid levels in the body are inextricably intertwined as the uric acid leads to the gout problems
Educational Grand Rounds: Diabetes and Lifestyle ModificationS'eclairer
Dr. Zahida Chaudhary presents a slide deck on Diabetes along with James Ellermeyer as they discuss what our society is doing to contribute to the problem and what we can do to change it in our own lives on a case by case basis.
Discover why diet so important for diabetes prevention.
-- Plus Download our 2 FREE Ebooks - Diabetes Natural Cures & Diet and Exercise for Type 2 Diabetes --
Liposomal vitamin c: Also referred to as L-ascorbic acid, soluble in water (hydrosoluble) and powerful antioxidant. It is essential for tissue repair and growth and collagen synthesis in blood vessels, bones and cartilages.
Diabetes is a problem with your body in which glucose level (Sugar level) in blood rise higher than normal. This is also called hyperglycemia. Diabetes affects each and every organ of your body. Learn more about what is diabetes and its types. Get to know its risk factors, its effects on your body, prevention tips and diet tips to reduce diabetes.
Indus Health Plus provides best preventive health checkup packages such as heart checkup, full body checkup packages, fitness checkup, annual corporate checkup, executive checkup, couple checkup and family health checkup at 50% less than market cost with same day reports.
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Kidneys are the vital organs in the human body. Its main function is to remove the waste products from our body. At the stages of kidney disease it can’t completely remove toxins, excess salt, water, etc. So these waste products build up in the body and create problems. At the stages of kidney disease we have to follow a healthy renal diet without overloading kidneys. Here we are providing a general diet for kidney disease patients also who are prone to kidney disease. By making simple changes in lifestyle & diet we can improve renal health. Here also provided three simple tests to check for kidney diseases.
Diabetes as presented by cheruiyot sambu in kapkatet county hospital. cheruiyot sambu
Our lifestyle is full of sugar and people do not do regular exercise as required nowadays. remember diabetes is a lifestyle disease and 90% of the cases is caused by environmental factors related to poor lifestyle
Diabetes is a chronic disease that occurs when the pancreas is no longer. able to make insulin or when the body cannot make good use of the insulin it produces. Here is a simple guide to understanding what is Diabetes, the causes of this illness and how to sustain and prevent this illness from occurring. Follow this guide with useful tips and tricks to maintaining a healthy lifestyle for you and your loved ones.
Discover why diet so important for diabetes prevention.
-- Plus Download our 2 FREE Ebooks - Diabetes Natural Cures & Diet and Exercise for Type 2 Diabetes --
Liposomal vitamin c: Also referred to as L-ascorbic acid, soluble in water (hydrosoluble) and powerful antioxidant. It is essential for tissue repair and growth and collagen synthesis in blood vessels, bones and cartilages.
Diabetes is a problem with your body in which glucose level (Sugar level) in blood rise higher than normal. This is also called hyperglycemia. Diabetes affects each and every organ of your body. Learn more about what is diabetes and its types. Get to know its risk factors, its effects on your body, prevention tips and diet tips to reduce diabetes.
Indus Health Plus provides best preventive health checkup packages such as heart checkup, full body checkup packages, fitness checkup, annual corporate checkup, executive checkup, couple checkup and family health checkup at 50% less than market cost with same day reports.
Get avail health checkup packages at https://goo.gl/6nW0re
Call Us: 0-90490-22222
Kidneys are the vital organs in the human body. Its main function is to remove the waste products from our body. At the stages of kidney disease it can’t completely remove toxins, excess salt, water, etc. So these waste products build up in the body and create problems. At the stages of kidney disease we have to follow a healthy renal diet without overloading kidneys. Here we are providing a general diet for kidney disease patients also who are prone to kidney disease. By making simple changes in lifestyle & diet we can improve renal health. Here also provided three simple tests to check for kidney diseases.
Diabetes as presented by cheruiyot sambu in kapkatet county hospital. cheruiyot sambu
Our lifestyle is full of sugar and people do not do regular exercise as required nowadays. remember diabetes is a lifestyle disease and 90% of the cases is caused by environmental factors related to poor lifestyle
Diabetes is a chronic disease that occurs when the pancreas is no longer. able to make insulin or when the body cannot make good use of the insulin it produces. Here is a simple guide to understanding what is Diabetes, the causes of this illness and how to sustain and prevent this illness from occurring. Follow this guide with useful tips and tricks to maintaining a healthy lifestyle for you and your loved ones.
http://curegoutpainnow.com
Gout is caused by hyperuricemia. This high concentration leads to the formation of urate crystals, as a result the joints become inflamed and stiff, which causes significant pain.
Gout & Diet | houstonkidneyclinic.com
Gout is a type of arthritis. It is caused by having too much of the
chemical, uric acid, in your bloodstream
Your diet plays an important role in both causing gout and reducing
the likelihood of suffering further painful attacks of gout.
http://curegoutpainnow.com
Many people don’t realize that gout is a type of arthritis. It causes the joint tissue to swell and that puts pressure in that area causing pain.
In this article of liver cleansing, we'll show how to cleanse your liver naturally by following a diet routine that consists of liver cleansing foods. For more https://www.livealittlelonger.com/liver-cleansing/
In this article of liver cleansing, we'll show how to cleanse your liver naturally by following a diet routine that consists of liver cleansing foods. For More https://www.livealittlelonger.com/liver-cleansing/
In this PDF of liver cleansing, we'll show how to cleanse your liver naturally by following a diet routine that consists of liver cleansing foods. For More https://www.livealittlelonger.com/liver-cleansing/
Diabetes Mellitus is a chronic condition that affects the body's ability to regulate blood sugar levels. It is caused by a deficiency of the hormone insulin, which helps the body convert sugar from food into energy. People with diabetes often have high levels of sugar in their blood, which can lead to serious health problems if left untreated. Symptoms of diabetes include excessive thirst, frequent urination, fatigue, weight loss, and blurred vision. Treatment typically involves lifestyle changes, such as exercising regularly, eating healthy, and taking medications, as well as monitoring blood sugar levels. With proper treatment and management, people with diabetes can enjoy a normal life. Know more from the documents
Treatment and Drugs for Diabetes:
For a person suffering from Type 1 Diabetes, the treatment is going to need a lifetime of commitment. Some of the daily routine that needs to be followed is as followed:
•Taking insulin
•Exercising regularly and making sure to maintain a healthy weight
•Eating healthy foods
•Monitoring the blood sugar level
The goal of the treatment is to make sure that the blood sugar level is kept at bay. Insulin level has to be maintained in the bloodstream and there are two different ways of injecting insulin into the body.
•With a fine needle and a syringe
•An insulin pen, with cartridge filled with insulin
•An insulin pump
Healthy need of food as well as physical activity is required in order to maintain a healthy lifestyle for people who are suffering from Diabetes Type 1.
What is liver Cirrhosis?
Liver cirrhosis is a devastating condition affecting thousands of people every year. It is a condition that results from chronic alcohol consumption and has many other reasons behind it. Liver cirrhosis is an end-stage liver disease characterized by the deep scarring of the liver tissue. In this condition, the healthy liver tissue is replaced with damaged tissue leaving a permanent scar in the liver. The damaged liver tissue may keep your liver from functioning properly.
Also, various liver diseases and conditions injure the healthy liver cells and result in hepatocyte cell death and inflammation. This is followed by cell repair and, finally, tissue scarring due to the repair process.
The damaged/scarred tissue inhibits the blood flow towards the liver. It hampers its ability to digest and process the various nutrients, medications, hormones, and natural toxins (poisons) that we consume in our day to day life. The liver also plays a vital role in producing proteins and other substances, which may be hampered due to liver disease like liver cirrhosis. Liver Cirrhosis treatment, when not undertaken at the right time, can become a life-threatening disorder.
Liver Cirrhosis is one of the deadliest complications, which is caused by liver diseases. Irreversible scarring and loss of liver cells are involved in Liver Cirrhosis. The major causes of Liver Cirrhosis are consumption of alcohol and Hepatitis B and Hepatitis C as well. There can be other causes and diseases which may lead to cirrhosis of the liver.
Liver Cirrhosis
Symptoms Of Liver Cirrhosis
People in the initial stages may go through a feeling of weakness, and there might be a sudden loss in weight without any particular reason. In the later stages, the patients may have jaundice. The following are the symptoms that a person suffering from Liver Cirrhosis may have in different parts of the body:
Abdomen: There may be severe pain in the abdomen region, and veins around the belly button may get enlarged.
Gastrointestinal: There may be bleeding occurrences, and fluids may start to accumulate in the abdomen. There can be an excessive formation of gas. The Excretion of dark stool is also a visible symptom.
Skin: Skin may turn yellow along with swelling of blood vessels that can be visible through the skin.
Mind: It not only affects the body but the mind as well; you may go through nausea and may feel a sense of confusion all the time.
Whole Body: You may gain or lose weight unintentionally without doing anything about it. There can be breast enlargement, dark urine, breathlessness, itching, vomiting of blood, etc
Other Services
Endoscopy
Colonoscopy
ERCP
Sigmoidoscopy
Pancreatic Disease
Liver Cirrhosis Treatment in Chandigarh
How can I prevent cirrhosis of the liver?
Liver cirrhosis treatment involves many lifestyle and dietary modifications which needs to be followed along with the medical treatment. Some of the lifestyle modifications for liver cirrhosis treat
New Directions in Targeted Therapeutic Approaches for Older Adults With Mantl...i3 Health
i3 Health is pleased to make the speaker slides from this activity available for use as a non-accredited self-study or teaching resource.
This slide deck presented by Dr. Kami Maddocks, Professor-Clinical in the Division of Hematology and
Associate Division Director for Ambulatory Operations
The Ohio State University Comprehensive Cancer Center, will provide insight into new directions in targeted therapeutic approaches for older adults with mantle cell lymphoma.
STATEMENT OF NEED
Mantle cell lymphoma (MCL) is a rare, aggressive B-cell non-Hodgkin lymphoma (NHL) accounting for 5% to 7% of all lymphomas. Its prognosis ranges from indolent disease that does not require treatment for years to very aggressive disease, which is associated with poor survival (Silkenstedt et al, 2021). Typically, MCL is diagnosed at advanced stage and in older patients who cannot tolerate intensive therapy (NCCN, 2022). Although recent advances have slightly increased remission rates, recurrence and relapse remain very common, leading to a median overall survival between 3 and 6 years (LLS, 2021). Though there are several effective options, progress is still needed towards establishing an accepted frontline approach for MCL (Castellino et al, 2022). Treatment selection and management of MCL are complicated by the heterogeneity of prognosis, advanced age and comorbidities of patients, and lack of an established standard approach for treatment, making it vital that clinicians be familiar with the latest research and advances in this area. In this activity chaired by Michael Wang, MD, Professor in the Department of Lymphoma & Myeloma at MD Anderson Cancer Center, expert faculty will discuss prognostic factors informing treatment, the promising results of recent trials in new therapeutic approaches, and the implications of treatment resistance in therapeutic selection for MCL.
Target Audience
Hematology/oncology fellows, attending faculty, and other health care professionals involved in the treatment of patients with mantle cell lymphoma (MCL).
Learning Objectives
1.) Identify clinical and biological prognostic factors that can guide treatment decision making for older adults with MCL
2.) Evaluate emerging data on targeted therapeutic approaches for treatment-naive and relapsed/refractory MCL and their applicability to older adults
3.) Assess mechanisms of resistance to targeted therapies for MCL and their implications for treatment selection
Ozempic: Preoperative Management of Patients on GLP-1 Receptor Agonists Saeid Safari
Preoperative Management of Patients on GLP-1 Receptor Agonists like Ozempic and Semiglutide
ASA GUIDELINE
NYSORA Guideline
2 Case Reports of Gastric Ultrasound
Lung Cancer: Artificial Intelligence, Synergetics, Complex System Analysis, S...Oleg Kshivets
RESULTS: Overall life span (LS) was 2252.1±1742.5 days and cumulative 5-year survival (5YS) reached 73.2%, 10 years – 64.8%, 20 years – 42.5%. 513 LCP lived more than 5 years (LS=3124.6±1525.6 days), 148 LCP – more than 10 years (LS=5054.4±1504.1 days).199 LCP died because of LC (LS=562.7±374.5 days). 5YS of LCP after bi/lobectomies was significantly superior in comparison with LCP after pneumonectomies (78.1% vs.63.7%, P=0.00001 by log-rank test). AT significantly improved 5YS (66.3% vs. 34.8%) (P=0.00000 by log-rank test) only for LCP with N1-2. Cox modeling displayed that 5YS of LCP significantly depended on: phase transition (PT) early-invasive LC in terms of synergetics, PT N0—N12, cell ratio factors (ratio between cancer cells- CC and blood cells subpopulations), G1-3, histology, glucose, AT, blood cell circuit, prothrombin index, heparin tolerance, recalcification time (P=0.000-0.038). Neural networks, genetic algorithm selection and bootstrap simulation revealed relationships between 5YS and PT early-invasive LC (rank=1), PT N0—N12 (rank=2), thrombocytes/CC (3), erythrocytes/CC (4), eosinophils/CC (5), healthy cells/CC (6), lymphocytes/CC (7), segmented neutrophils/CC (8), stick neutrophils/CC (9), monocytes/CC (10); leucocytes/CC (11). Correct prediction of 5YS was 100% by neural networks computing (area under ROC curve=1.0; error=0.0).
CONCLUSIONS: 5YS of LCP after radical procedures significantly depended on: 1) PT early-invasive cancer; 2) PT N0--N12; 3) cell ratio factors; 4) blood cell circuit; 5) biochemical factors; 6) hemostasis system; 7) AT; 8) LC characteristics; 9) LC cell dynamics; 10) surgery type: lobectomy/pneumonectomy; 11) anthropometric data. Optimal diagnosis and treatment strategies for LC are: 1) screening and early detection of LC; 2) availability of experienced thoracic surgeons because of complexity of radical procedures; 3) aggressive en block surgery and adequate lymph node dissection for completeness; 4) precise prediction; 5) adjuvant chemoimmunoradiotherapy for LCP with unfavorable prognosis.
Recomendações da OMS sobre cuidados maternos e neonatais para uma experiência pós-natal positiva.
Em consonância com os ODS – Objetivos do Desenvolvimento Sustentável e a Estratégia Global para a Saúde das Mulheres, Crianças e Adolescentes, e aplicando uma abordagem baseada nos direitos humanos, os esforços de cuidados pós-natais devem expandir-se para além da cobertura e da simples sobrevivência, de modo a incluir cuidados de qualidade.
Estas diretrizes visam melhorar a qualidade dos cuidados pós-natais essenciais e de rotina prestados às mulheres e aos recém-nascidos, com o objetivo final de melhorar a saúde e o bem-estar materno e neonatal.
Uma “experiência pós-natal positiva” é um resultado importante para todas as mulheres que dão à luz e para os seus recém-nascidos, estabelecendo as bases para a melhoria da saúde e do bem-estar a curto e longo prazo. Uma experiência pós-natal positiva é definida como aquela em que as mulheres, pessoas que gestam, os recém-nascidos, os casais, os pais, os cuidadores e as famílias recebem informação consistente, garantia e apoio de profissionais de saúde motivados; e onde um sistema de saúde flexível e com recursos reconheça as necessidades das mulheres e dos bebês e respeite o seu contexto cultural.
Estas diretrizes consolidadas apresentam algumas recomendações novas e já bem fundamentadas sobre cuidados pós-natais de rotina para mulheres e neonatos que recebem cuidados no pós-parto em unidades de saúde ou na comunidade, independentemente dos recursos disponíveis.
É fornecido um conjunto abrangente de recomendações para cuidados durante o período puerperal, com ênfase nos cuidados essenciais que todas as mulheres e recém-nascidos devem receber, e com a devida atenção à qualidade dos cuidados; isto é, a entrega e a experiência do cuidado recebido. Estas diretrizes atualizam e ampliam as recomendações da OMS de 2014 sobre cuidados pós-natais da mãe e do recém-nascido e complementam as atuais diretrizes da OMS sobre a gestão de complicações pós-natais.
O estabelecimento da amamentação e o manejo das principais intercorrências é contemplada.
Recomendamos muito.
Vamos discutir essas recomendações no nosso curso de pós-graduação em Aleitamento no Instituto Ciclos.
Esta publicação só está disponível em inglês até o momento.
Prof. Marcus Renato de Carvalho
www.agostodourado.com
Couples presenting to the infertility clinic- Do they really have infertility...Sujoy Dasgupta
Dr Sujoy Dasgupta presented the study on "Couples presenting to the infertility clinic- Do they really have infertility? – The unexplored stories of non-consummation" in the 13th Congress of the Asia Pacific Initiative on Reproduction (ASPIRE 2024) at Manila on 24 May, 2024.
Report Back from SGO 2024: What’s the Latest in Cervical Cancer?bkling
Are you curious about what’s new in cervical cancer research or unsure what the findings mean? Join Dr. Emily Ko, a gynecologic oncologist at Penn Medicine, to learn about the latest updates from the Society of Gynecologic Oncology (SGO) 2024 Annual Meeting on Women’s Cancer. Dr. Ko will discuss what the research presented at the conference means for you and answer your questions about the new developments.
Ethanol (CH3CH2OH), or beverage alcohol, is a two-carbon alcohol
that is rapidly distributed in the body and brain. Ethanol alters many
neurochemical systems and has rewarding and addictive properties. It
is the oldest recreational drug and likely contributes to more morbidity,
mortality, and public health costs than all illicit drugs combined. The
5th edition of the Diagnostic and Statistical Manual of Mental Disorders
(DSM-5) integrates alcohol abuse and alcohol dependence into a single
disorder called alcohol use disorder (AUD), with mild, moderate,
and severe subclassifications (American Psychiatric Association, 2013).
In the DSM-5, all types of substance abuse and dependence have been
combined into a single substance use disorder (SUD) on a continuum
from mild to severe. A diagnosis of AUD requires that at least two of
the 11 DSM-5 behaviors be present within a 12-month period (mild
AUD: 2–3 criteria; moderate AUD: 4–5 criteria; severe AUD: 6–11 criteria).
The four main behavioral effects of AUD are impaired control over
drinking, negative social consequences, risky use, and altered physiological
effects (tolerance, withdrawal). This chapter presents an overview
of the prevalence and harmful consequences of AUD in the U.S.,
the systemic nature of the disease, neurocircuitry and stages of AUD,
comorbidities, fetal alcohol spectrum disorders, genetic risk factors, and
pharmacotherapies for AUD.
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Ve...kevinkariuki227
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Verified Chapters 1 - 19, Complete Newest Version.pdf
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Verified Chapters 1 - 19, Complete Newest Version.pdf
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Ve...
Gout (Reporte)
1. Catholic University of El Salvador
UNICAES
Subject
English
Theme
Gout
Profesor
Lic. Karla Hernández
Student´s Name
Berganza Mancia, María Estela
Figueroa Hernández, Jacqueline Abigail
Guerra Díaz, Diana Estefania
Mendoza Segura, Erick Steve
Morán Martínez, Jessica Maricela
Section “B”
Date of Delivery
Friday, February 26th, 2016
Santa Ana, Wednesday, January 20th, 2016
2. Introduction
Perhaps the oldest known type of arthritis, gout or gouty arthritis, has a long and
colorful history with some of the earliest descriptions dating back as far as the 5th
century B.C. Historically, gout as been called “the disease of kings” due to its
association with rich foods and alcohol consumption. However, in 2011 we know
that gout does not discriminate based on socioeconomic status but rather it is
directly related to uric acid metabolism. Gout is an inflammatory arthritis that
belongs to a group of arthropathies called the „crystalline arthropathies‟. Gout is
caused by a robust inflammatory response to uric acid crystals which occurs in the
setting of hyperuricemia (high uric acid levels in the blood). Supersaturation of uric
acid can lead to crystal accumulation and deposition in the joints and tissues to
which the immune system reacts. Uric acid tophi (which occur in tophaceou gout)
appear as hard nodules under the skin and can cause considerable destruction
and discomfort.
The association between gout and uric acid has been known since the 19th
century, but it is the important developments in our understanding of the careful
uric acid homeostasis that has led to effective therapy for gout. Today, gout
remains one of the most treatable forms of arthritis.
3. What is gout?
Gout is a rheumatic disease that is especially painful (Figure 1). Caused by uric
acid crystals that build up in the spaces between joints and in the connective
tissues, gout results in stiffness and pain in the joints. A type of inflammatory
arthritis, gout affects more men than women. Women are more likely to suffer from
gout after menopause (Figure 2, 3 and 4).
Symptoms of Gout
Gout is often referred to as feet or toe disease (Figure 5). This is because one of
the most common symptoms of gout is severe pain in the big toe or feet. Apart
from the toe, gout can affect other joints such as the knees and wrist as well. Other
symptoms of gout include:
Gout first appears as nodules or ‘ tophi’ in the joints of the hands, elbows
and ears.
A gout attack begins without any warning and can last for a few hours to
over a week. Gout attacks tend to happen in the night or the early hours of
the morning.
Gout pain in the joints is characterized by a warm or hot feeling along with a
swelling of the affected area.
During the attack, the joint or area around the joint may become red or even
purple in color.
As the pain and swelling subside, you are left with peeling and itchy skin
around the affected area.
Some people may have a fever during the gout attack.
Gout makes the joints stiff, severely restricting mobility.
In some cases, there are no visible symptoms of gout. It is these cases that
are more likely to develop into chronic gout, as they tend to remain
untreated.
Causes of Gout
High levels of uric acid in the blood cause gout. When you eat foods rich in purines
such as organ meats, yeast, and oily fish for example, the body breaks down the
purines and produces uric acid. Under normal circumstances, uric acid is flushed
out of the body through the kidneys and by urinating. However, if the body is
producing too much uric acid for the kidneys to process, the levels of uric acid can
rise dramatically, creating a condition called hyperuricemia. This causes needle
like crystals of uric acid builds up around the joints and connective tissues that
4. results in severe inflammation and pain. Other causes of gout and risk factors
include:
Genetics and Heredity: If your parents or other members in your family
have gout, you are at a higher risk of developing the disease. In such cases,
preventive measures such as changing your diet and reducing your alcohol
consumption can help delay the onset of gout.
Age and Sex: Gout affects a larger percentage of middle-aged men. Men
have higher levels of uric acid in the body as compared to women and this
may be why this happens. Where women are concerned, gout cases are
found mainly in post-menopausal women.
Alcohol Abuse: Drinking alcohol especially beer is said to cause gout.
Yeast is considered the culprit out here as a diet heavy with yeast-based
products may also lead to gout. Alcohol also interferes with the removal of
uric acid in the body and therefore leads to high levels causing gout.
Eating a Diet High in Protein: Having a diet that mainly consists of red
meats, organ meats and oily fish can make you more susceptible to the
development of gout.
A sedentary Life / Lack of Exercise: Obesity is also linked to the
development of gout. A regular exercise routine can help boost immunity
and prevent obesity.
Other Medical Conditions: If you suffer from other diseases such as
diabetes or high blood pressure, you may be more predisposed to
developing gout.
Medication: Certain medications could cause a rise in uric acid levels in the
body. Studies show that diuretic drugs used to treat high blood pressure,
anti-rejection drugs used after transplant surgery and even aspirin can
increase the level of uric acid in the body and cause gout.
Research indicates that some people may have an enzyme defect that
could interfere with the body’ s natural ability to break down purines and
create uric acid. This could also lead to gout.
A prolonged exposure to lead can cause gout as well.
5. Exams and Tests
Tests that may be done include:
Synovial fluid analysis (shows uric acid crystals)
Uric acid – blood
Joint x-rays (may be normal)
Synovial biopsy
Uric acid -- urine
A uric acid level in the blood over 7 mg/dL is high. But, not everyone with a high
uric acid level has gout.
Treatment
Take medicines for gout as soon as you can if you have a sudden attack.
Take nonsteroidal anti-inflammatory drugs (NSAIDs) such as ibuprofen, naproxen,
or indomethacin when symptoms begin. Talk to your health care provider about the
correct dose. You will need stronger doses for a few days.
Your provider may prescribe strong painkillers such as codeine,
hydrocodone, and oxycodone.
A prescription medicine called colchicine helps reduce pain, swelling, and
inflammation.
Corticosteroids (such as prednisone) can also be very effective. Your
provider may inject the inflamed joint with steroids to relieve the pain.
The pain often goes away within 12 hours of starting treatment. Most of the
time, all pain is gone within 48 hours.
You may need to take daily medicines such as allopurinol (Zyloprim), febuxostat
(Uloric) or probenecid (Benemid) to decrease the uric acid level in your blood.
You may need these medicines if:
6. You have several attacks during the same year or your attacks are quite
severe.
You have damage to joints.
You have tophi.
You have kidney disease or uric acid kidney stones.
Diet and lifestyle changes may help prevent gouty attacks:
o Decrease alcohol, especially beer (some wine may be helpful).
o Lose weight.
o Exercise daily.
o Limit your intake of red meat and sugary beverages.
o Choose healthy foods, such as dairy products, vegetables, nuts, legumes,
fruits (less sugary ones), and whole grains.
o Drink coffee and take vitamin C supplements (may help some people).
Outlook (Prognosis)
Proper treatment of acute attacks and lowering uric acid to a level less than 6
mg/dL allows people to live a normal life. However, the acute form of the disease
may progress to chronic gout if not treated.
Possible Complications
Complications may include:
Chronic gouty arthritis
Kidney stones
Deposits in the kidneys, leading to chronic kidney failure
Diet for Gout
One of the most effective ways to prevent gout from developing is by changing
your diet and eating habits. Some suggestions for diet for gout include:
Including cherries in your diet. Cherries both sweet and sour cherries are full
of antioxidants that can relieve inflammation and pain symptomatic of a gout
attack. Eat a minimum of 20 fresh cherries a day for the best results. Do this
preferably as soon as you get up in the morning.
7. Eating apples can neutralize the levels of uric acid in the body. The malic
acid found in apples provides relief from gout pain. Eat an apple after every
meal for this to be effective.
Bananas are high in potassium required to treat gout. Potassium helps
transform crystals of uric acid into liquid form making them easier to be
flushed out of the body. A banana diet for four days can works wonders in
treating symptoms of a gout attack.
Other gout friendly foods include:
Green leafy vegetables such as cabbage, kale, and parsley
Pineapple
Foods rich in vitamin C such as tomatoes, red bell peppers, oranges and
red cabbage
Low-fat dairy products
Foods high in essential fatty acids such as salmon
Apart from including these additions to your diet, avoid the following foods to
prevent gout from recurring:
Meats
Organ meats such as brain, liver, and kidney
Oily fish such as herrings, mackerel, scallops, and anchovies
Refined sugar
Caffeine
Tea
Eggs
White flour
Fried and oily foods
Processed foods
Canned foods
Carbonated beverages
Alcohol especially beer
Yeast
Meat extracts
9. Figure 4: Gout in Knee
Figure 5: Symptoms of Gout
Treatment of gout
10. Conclusion
Lifestyle and dietary recommendations for gout patients should consider other
health benefits and risk, since gout is often associated with major chronic disorders
such as the metabolic syndrome and an increased risk for CVD and mortality.
Weight reduction with daily exercise and limiting intake of red meat and sugary
beverages would help reduce uric acid levels, the risk of gout, insulin resistance,
and comorbidities.
Heavy drinking should be avoided, whereas moderate drinking, sweet fruits, and
seafood intake, particularly oily fish, should be tailored to the individual,
considering their anticipated health benefits against CVD. Alternatively, the use of
plant-derived omega-3 fatty acids or supplements of EPA and DHA could be
considered instead of fish consumption. Vegetable and dairy protein, nuts,
legumes, fruits (less sugary ones), and whole grains are healthy choices against
various comorbidities of gout and would not increase the risk of gout, and may
even help lower the risk of gout by reducing insulin resistance. Coffee can be
allowed, if it is already being consumed, and vitamin C supplementation can be
considered, as both can lower serum urate levels, as well as the risk of gout and
some of its comorbidities.