Arthritis Treatment: Gout. A Summary.
Gout is caused by high uric acid in the blood. In the past it was known as the Patrician’s Malady and thought to be a disease of indulgence, and until the introduction of drugs that lowered the uric acid level, patients suffered recurrent and frequent acute agonising gout and chronic gout leading to polyarthritis, tophi and other organ damage. Today this is unlikely apart from in non-compliant patients.
Acute gout is a very painful condition. It often occurs during the night and frequently affects the big toe.The joint affected is the metatarso-phalangeal joint. It resolves spontaneously and this can be quickly or can last weeks.
Gout is predominantly a male condition up to the age of 50. It is rare in pre-menopausal women. There are various factors that can affect gout. Once these factors are recognised, and dealt with, if uric acid remains high, then maintenance treatment with allopurinol is used to control uric acid level. This prevents any damage to joints and other organs.
The incidence of gout is increasing globally. In the past, gout was unheard of in some areas of the world especially Asia and Africa but the incidence in these areas are increasing. It is thought that this is due to increased consumption of proteins and fats.
Once gout is diagnosed, it is important that you are aware that it can be associated with other conditions. Make sure you know your cholesterol level and the health of your kidneys.
Dr.Phil Hariram
Arthritis Guide.
Arthritis Treatment