Do You Have Gout

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Gout is one particular conditions and this can be aided considerably with a change in lifestyle, and is a type of arthritis which is normally connected with “high living”. This problem causes a fairly painful accumulation of crystals of uric acid around the joint. I’ve seen many gout patients through the years, and I think I have seen a couple of a women over time in my clinic complaining of the rather painful condition.

I can still remember the first gout patient I ever saw, I was practicing in the student clinic in the 90’s. A male aged mid forties came in complaining of an extremely painful right ankle and big toe. He was a mechanic who enjoyed a beer, in fact he said: “Eric, I’ll do whatever you suggest, I will not be stopping my beer however, but I cannot live with this pain anymore”.

A gout attack of pain usually strikes unexpectedly, but generally subsides in a few days with treatment. However, some guys can experience pain for several weeks with gout attacks often re-occurring and minus the correct management the attacks of pain may become more frequent and may be very debilitating indeed.

You should contact your doctor if really severe pain in a joint recurs or lasts more than a few days, especially if the pain is associated with chills or fever. Now let’s have a closer look at gout, what it is and what causes it and much more importantly, how we can help the gout patient with some good natural medicine suggestions.

Gout is arthritis

Gout is regarded as a kind of rheumatism and is just about the most painful forms of arthritis. You can find different types of arthritis such as osteoarthritis, the “wear and tear” arthritis of the larger joints like hips, knees, back, etc. Then there is rheumatoid arthritis that is the inflammatory (heat) arthritis affecting small joints generally just like the writs, fingers, etc.

And then there’s gout, what I call the “red-blooded male’s arthritis”. I can remember reading a book awhile ago about the era of the large ocean going vessels including the Endeavour through the golden age of discovery. Many officers on board such vessels suffered terribly from gout.

Mind you, they were the commanding men who drank plenty of rum and ate plenty of beef with lashings of gravy. So what has changed? Blokes still like to command, drink rum and coke or cold beer, and eat hot steaks and what red-blooded guy doesn’t? I have never seen a committed vegetarian battling with gout, and incredibly much doubt they even exist in this country.

Signs or symptoms of Gout

Recurrent, acute attacks of pain, tenderness, redness, inflammation and swelling around the smaller joints – especially the joint of the big toe. Why the big toe you ask? Good sense – because it may be the joint at the lowest point of the body, the area where deposits of uric acid and other wastes tend to form due to gravity. In case you are right-handed, the proper big toe joint could be more likely affected than you left, and vice versa.

For the reason that you step off and lead together with your right foot as you walk, and is will have therefore a slightly better circulation of nutrients (and therefore also a little more deposition of wastes) than your left foot. Reflexologists often talk about “crystals” forming around the toe joints, and you can feel “crunching” sensations in the event that you prod firmly under your toes or wiggle the toe joints sometimes.

The patient can also feel quite a sharp and rather intense pain in a little joint, particularly the toe or wrist. The affected joint could be red, hot, swollen and also throbbing. It may feel “on fire”. As previously mentioned, the pain could be so unbearable that a good bed sheet could cause excrutiating pain.

Gout statistics

Gout afflicts approximately around 0.5% of the populace of the western world.

Over 95% of gout sufferers are men aged 30 or over.

Gout is twenty times much more likely in males than women.

Gout is strongly connected with being overweight and having raised blood pressure.

Gout can also occur in women, additionally after menopause.

Maori (New Zealand indigenous peoples) and Pacific Islander peoples in particular tend to have high uric acid levels and so are predisposed to gout, especially the Maori patients I see who love abalone, mussels, roe (fish eggs like caviar) and crayfish (like lobster). I’d expect that indigenous American or African peoples would similarly be affected by gout, particulary when they live in the developed Western countries and eat foods saturated in purines.

The type of individual most commonly affected by gout can be an overweight man who drinks large amounts of alcohol, is really a regular meat-eater, loves rich foods and and also require high cholesterol and high blood pressure.

What causes an acute gout attack?

Certain medications, such as some types of diuretics, can cause gout. Aspirin and niacin (Vitamin B3) may also raise uric acid levels.

Certain diseases can result in an excessive production of uric acid in the body, including some leukaemias, lymphomas and some haemoglobin (blood) disorders.

Some studies have indicated an increased prevalence of low thyroid function (hypothyroidism) in people who have gout.

Dehydration (alcohol & caffeine dehydrates).

Injury to a joint.

Excessive intake of purine-containing foods (see list below).

Heavy alcohol intake.

Recent surgery (this can be related to changes in the torso fluid balance because of fasting before surgery).

Family history – hereditary.

What is Uric acid?

Approximately 70% of gout patients have an overproduction of uric acid, the rest of the 30% of gout patients have a poor elimination of uric acid, therefore it makes sense to consume fewer foods which help to produce uric acid, and improve the crystals elimination through the kidneys.

Uric acid is a by-product of the break down of certain foods within the body, and gout was once regarded as closely related merely to diet. It really is now understood that inheriting an issue with the crystals excretion from the body is probably one of the most common reasons for gout that occurs. Improving a person’s kidney function as much as possible has helped many gout sufferers I have seen over the years.

Uric acid may be the end product of the metabolism of chemicals called purine that are within many foods. Purines are also found naturally in your body, and normally, the body disposes of excess the crystals via the urine, but in people with gout uric acid accumulates in the body.

This can be due to reduced excretion of uric acid by the kidneys or to overproduction of uric acid by your body. This accumulation of uric acid could also cause kidney stones, and it doesn’t take a rocket scientist to work through that you need to enhance the kidney function as much as is possible to greatly help the patient overcome gout.

Gout can be quite painful indeed

Why gout hurts, where does all that pain result from? Simple, when the the crystals accumulate in the blood and tissues it could crystallise out right into a joint, forming a multitude of tiny, jagged, needle-shaped crystals. This triggers a rigorous inflammatory response that causes an agonizing arthritis attack called a gout attack.

Perhaps you have stood on a pin or perhaps a needle, perhaps some broken glass and got annoyed and irritated by this? You then will understand how a gout sufferer will feel – they can be most irritated and annoyed just like a child who has just stood on a pin cushion. Pain includes a way of bringing out the worst in lots of people! WHEN I mentioned, gout commonly strikes the big toe, but other joints can be affected, including the instep, ankle, knee, wrist, elbow and fingers.

Acute pain is generally the first symptom and the affected joint becomes inflamed (almost infected-looking): red, swollen, hot and intensely sensitive to the touch. I’ve many times seen an incident of gout in the clinic that the patient’s doctor known as “osteoarthritis”, when in fact it had all of the makings of gout. Signs and symptoms for instance a needle-like pain affecting the small joint, male patient who enjoys alcohol drinker, crayfish and roe (fish eggs), enjoys barbeques and steaks, etc. Common things eventually people commonly, I have often said.

تسمم الحمل The funny thing with guys is, you see them once you then don’t tend to see them again in the clinic. I really believe that it is purely the pain that brings them ultimately to start to see the practitioner. That is especially so for a few larger blokes I’ve seen where the pain was not helped to a large degree by the standard gout drugs, and then there is much more of an urgency to that appointment.

I have often said that there is nothing more than a higher degree of pain to bring a man to your room as a patient. If you are a regular reader of my column, you may recall that I’ve often said that males participate in the “John Wayne School of Health”: “I’m going to be alright, there is nothing wrong with me, and I’ll just get right back on that horse and continue riding”.

I can recall in a single Western that even John Wayne himself went to see a doctor when the pain of a fairly large shotgun blast in his shoulder was preventing him from actually getting on his horse, and even then your doctor’s visit seemed was under duress!

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