Gout Treatment

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Dr. Reeja Tharu
Medically Reviewed by The Medindia Medical Review Team  on Nov 24, 2014
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Treatment For Gout

How can Gout be treated ?

Preventing acute gout attacks is equally as important as treating the acute arthritis. Prevention of acute gout involves maintaining adequate fluid intake, weight reduction, dietary changes, reduction in alcohol consumption, and medications to reduce hyperuricemia.

Maintaining adequate fluid intake helps prevent acute gout attacks. Adequate fluid intake also decreases the risk of kidney stone formation in patients with gout. Alcohol is known to have diuretic effects which can contribute to dehydration and precipitate acute gout attacks. Alcohol can also affect uric acid metabolism and cause hyperuricemia.

Dietary changes can help reduce uric acid levels in the blood. Since purine chemicals are converted by the body into uric acid, purine rich foods are avoided. Examples of foods rich in purine include shellfish and organ meats, such as liver, brains, kidneys, and sweetbreads.

How can Gout be treated ?

Weight reduction can be helpful in lowering the risk of recurrent attacks of gout. This is best accomplished by reducing dietary fat and calorie intake, combined with a regular aerobic exercise program.

There are three aspects to the medication treatment of gout. First, pain relievers such as acetaminophen/Tylenol or other more potent analgesics are used to manage pain. Secondly, anti-inflammatory agents such as nonsteroidal anti-inflammatory drugs (NSAIDS), colchicine, and corticosteroids are used to decrease joint inflammation. Finally, medications are considered for managing the underlying metabolic derangement that causes hyperuricemia and gout. This means treating the elevated levels of uric acid in the blood with medications that reduce these levels.

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In the past two years I've had over a dozen onsets of this; in the last four months though, it has become more "ongoing" with currently counting 3 episodes and currently experiencing pain. My doctors in the past said nothing more than tendinitis and I know that's not what it is. Recently though, with the pain I'm having I decided to google the information. All the symptoms seem to be relevant to symptoms written.
The only difference; my pain goes straight up my leg (on the inner part kind of like running up my main artery). I can't bend my knee because the pain on the underside is horrible. I can't stand because the top of my foot is so swollen, red and "water logged" that I end up just sitting with my foot up for a good 5-10 days. Please tell me what questions I should ask my doctors.

Oh, PS- I have CKD/ stage 3 and Type 1 diabetes. I weigh 145lbs and am 5'7".

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