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Gout: its symptoms, causes and treatment

 


Overview   :
"Gout is a disease which is the most common type of inflammatory arthritis.
It is caused by the elevation of levels of uric acid in the body, that cause crystals to accumulate in the joints as big toe as well as bumpy(swelling) and pain in the knees,  ankle, feet, wrists or elbows .

Symptoms:
·        Intensive joint pain in the first 24 hours and spreads to more
·        Joints  over time.
·        Swelling and painful  because of the types of crystals that deposit into the joints and cause inflammation. 

Causes:
Uric acid is a waste product that created during the simple breakdown of ( purine ) ,and cleaned normally out of the blood by kidney, and excreted of the body  with urine. However, high levels of uric acid can deposits into the body, either when the kidneys  passes out too little uric acid or when the body produces too much uric acid.  Which is known as ( hyperuricemia  )and The high concentration of uric acid in the blood will convert into urate crystals, which can then accumulate around the joints and soft tissues. Deposition of the needle-like urate crystals are responsible for the inflammation and the painful symptoms of gout.
There are several factors that causes Gout :
1.    Having a family history of gout disease .
2.    cardiovascular disease , hypertension, diabetes and kidney disease.
3.    If  being overweight.
4.    Drinking too much of alcohol.
5.    Having certain medications like diuretics or niacin .
Test and diagnosis :
When having painful or other symptoms, a doctor may extract a sample of  joint fluid to be examined under a microscope for a presence of any  urate crystals, and blood tests can  be achieved to reveal the concentration of uric acid in the blood and further confirm the diagnosis, other than a blood test and joint fluid tests, X-rays, ultrasounds and CT scans can be used to confirm a diagnosis
Treatment and prevention:
"A patient’s gout will get better since they start taking uric-acid-lowering drugs. And they should need to know that their serum uric acid level should be below the target of 6 milligrams per deciliter (mg/dL).The painful symptoms of gout can be all eliminated by  Non Steroidal Anti-Inflammatory Drugs (NSAIDs), such as( ibuprofen), or( naproxen) or with prescription-strength painkillers such as indomethacin , which can reduce both  the pain and the  inflammation around the joints,
patients can reduce the concentration of uric acid in the blood by avoiding  the high-purine foods such as anchovies, asparagus, dried beans and peas, mushrooms and organ meats (such as livers and kidneys ,also patients should drink more water and less alcohol, because alcohol can increase the level of uric acid in the blood.
Gout: its symptoms, causes and treatment Reviewed by Tpdsm on August 09, 2017 Rating: 5

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