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Analysis: The clinical manifestations of gout are mainly acute gouty arthritis, tophi and chronic arthritis, and also occurs in middle-aged and elderly men.
Advice: According to your description, it is recommended to take colchicine and indomethacin in the acute phase under the guidance of a doctor. In the chronic phase, probenecid and allopurinol are taken.
Both acute and chronic phases can be combined with traditional Chinese medicine dialectic**. Ozone** may be used for severe pain. If you take medicine, go to your local hospital or pharmacy to buy it.
Suggestions:
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Calcium ion antagonists: nifedipine sustained-release tablets, controlled-release tablets, amlodipine besylate, felodipine.
Acei category: fosinopril, benazepril, captopril.
The gout diet should pay attention to the following points: 1. Control the total calories: gout patients should maintain or achieve the ideal weight, and it is best to make their weight 10% or 15% lower than the ideal weight. To achieve the latter, the focus is to control the total calories eaten every day, the total amount of food should be about 10% lower than the normal diet, do not eat too many snacks, and do not eat too much and too full at each meal.
2. Low-protein diet: gout patients should be given grams of protein per kilogram, and the total daily protein should be controlled at about 40 grams, and the intake of fish and legumes should be appropriately limited. 1 cup of milk with 2 eggs or 2 taels of lean pig per day can meet the body's protein needs, not too much.
3. Limit fat intake: It is advisable for gout patients to have a total daily fat intake of about 50 grams, pay attention to vegetable oil, and eat less animal fat. 4. Mainly foods containing high carbohydrates:
The main components of rice, noodles and cereals are carbohydrates, so gout patients should focus on these foods in their daily diet to ensure calories**. 5. Prohibition of alcohol, drinking less coffee, tea, and cocoa: alcohol can induce gout attacks and aggravate the condition, and gout patients should be absolutely prohibited from drinking alcohol; Gout patients should not drink too much coffee, tea, or cocoa.
6. Maintain sufficient vitamin B and C: vitamin B and C are rich in fruits and vegetables, eat some citrus and apples after meals every day, and eat more green leafy vegetables in the diet, which can make the body have enough vitamin B and fasten foods with high purine content: foods with high purine content include animal offal, fish and shrimp, clams, beef and mutton meat and bowl beans, etc., gout patients should try to eat less or not eat.
Patients with gout should eat more foods with low purine content, such as milk, eggs, bread, cucumbers, tomatoes, etc., to reduce the entry of exogenous purines into the body and reduce blood uric acid levels.
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Gout usually occurs in the middle of the night, and the patient's fingers, toes or feet will have obvious pain, the painful area will be red, swollen and hot, and the painful joints are very sensitive, and joint movement is restricted. At present, it is not easy to control uric acid and gout with Fengcao tea, which can effectively control gout**.
1. Apply cold compress to the local area or elevate the lower limbs.
During a gout attack, you should apply an ice pack or cold towel to the painful joint for about 30 minutes to reduce local inflammation and pain. Do not soak your feet in hot water or apply hot compresses, as the temperature will increase inflammation and edema, making the pain more intense. When there will be obvious edema during a gout attack, you can raise the lower limbs to reduce the edema problem, take a head-down and toe-high posture when sleeping, you can put a pillow under your feet, and reduce the time you stand every time you get out of bed.
2. Learn to shift attention.
When you have a gout attack, you can't focus all your thoughts on your joints, otherwise it will become more and more uncomfortable, and you can try to divert your attention, such as watching comedy, listening to ** or chatting with friends. At least 2500 ml of water should be ensured every day, and drinking more water can urinate more, excrete excess uric acid from the body, and relieve pain. Weak tea or plain water are good choices, but you can also choose low-calorie and alkaline sparkling water.
You should not drink alcohol during this period because it can increase uric acid and exacerbate the pain. Avoid foods high in purines, such as spinach, animal liver, and thick chicken soup.
3. Maintain moderate exercise.
If the condition allows, you can maintain regular exercise, such as walking or tai chi, and do not do strenuous exercise, strenuous exercise will produce a large amount of lactic acid, which inhibits the function of renal tubules to excrete uric acid and increases the uric acid value in the blood. In addition, excessive sweating can also reduce blood volume and urine output, which can worsen the pain.
Maintain a positive and optimistic attitude, avoid excessive mood swings, and stay away from cold, wet environments to prevent joint damage. It is necessary to actively prevent hyperlipidemia, which will not only induce cardiovascular and cerebrovascular diseases, but also cause metabolic disorders and affect uric acid excretion.
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Limit the food you eat.
Animal foods with high purine content, such as beef, mutton, pork, etc.
Fish such as eel, eel, carp, grass carp, cod, salmon (salmon), etc.
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Gout is a very common disease, and from the perspective of gout, it is divided into two categories: drugs that relieve the attack of acute arthritis, and urate-lowering drugs that are used for a long time. When a patient has an acute onset of arthritis, which is very painful, there are three types of drugs to choose from, as follows:
1. Non-steroidal anti-inflammatory drugs: the most commonly used, such as diclofenac sodium, etoricoxib, etc.;
2. Colchicine: However, due to its gastrointestinal tract, it is used less now, but it is still a very good drug to improve gouty arthritis;
3. Glucocorticoids: If the first two drugs are not effective, you can choose short-term glucocorticoids, which can be oral, injected or topical, and the effect is very good;
In addition, uric acid lowering** is also required, gout is fundamentally ** to improve blood uric acid levels, so patients need to lower uric acid ** for life.
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Early (generally within 24 hours) anti-inflammatory and analgesic treatment is recommended during an acute attack of gout**, and non-steroidal anti-inflammatory drugs (NSAIDs), colchicine, and glucocorticoids can effectively anti-inflammatory and analgesic and improve the quality of life of patients. Acid-lowering is not given during an acute attack**, but those who have already taken acid-lowering drugs do not need to stop taking it, so as not to cause fluctuations in blood uric acid, which may lead to prolonged attacks or recurrence.
1.Non-steroidal anti-inflammatory drugs are usually effective in relieving joint pain and swelling, and commonly used drugs include indomethacin, diclofenac, etoricoxib, etc. Nonsteroidal anti-inflammatory drugs should be continued after pain and inflammation have resolved to prevent recurrence of symptoms.
2.Colchicine is a traditional ** drug, in the acute attack of gout, it is recommended to use low-dose colchicine alone for those who have contraindications to non-steroidal anti-inflammatory drugs, low-dose colchicine (mg d) is effective, has few adverse reactions, and is better when used within 48 hours.
3.Glucocorticoids are mainly used for non-steroidal anti-inflammatory drugs, colchicine** ineffective or contraindicated, renal insufficiency, in the acute attack of gout, short-term glucocorticoids alone (30 mg d, 3 days), its efficacy and safety are similar to non-steroidal anti-inflammatory drugs.
In addition, other analgesics, rest, splinting, and ice may be used to reduce pain.
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What medicine to take for gout** is the most effective method medicine, I think gout is mainly caused by eating acid draining drugs is the best solution, the so-called gout is caused by the poor acid excretion performance of your physique.
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Don't drink beer for gout, people who eat seafood can't eat food with high tickets, such as spinach seafood, beer beef, all can't be eaten, at this time you should go to the hospital to find a doctor to prescribe medicine.
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Gout patients can take febuxostat, which is the latest **gout drug, but it needs to be long-term**, and the drug cannot be stopped at will.
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When gouty arthritis attacks, it can be anti-inflammatory and analgesic, and colchicine and non-steroidal anti-inflammatory drugs can improve symptoms, such as aspirin, dilufenac sodium tablets, etoricoxib and so on. However, if these drugs are less effective, corticosteroids can be used under the guidance of a doctor, and some patients may also be given biologics. About two weeks after the joint improves, it is necessary to use uric acid-lowering drugs, and during the ** period, you should pay attention to keeping warm and reducing activities.
Gout in the acute phase is severe and requires the use of painkillers, either colchicine or nonsteroidal anti-inflammatory and analgesic drugs. If the two drugs are not very effective, adrenal glucocorticoids can be used. These drugs all have anti-inflammatory, anti-inflammatory cell release, anti-inflammatory mediator release, etc.
If the arthritis improves, it is necessary to receive uric acid-lowering**, and drugs that inhibit uric acid production or promote uric acid excretion can be used.
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I think it's best to go to the hospital for gout, don't take medicine casually, because it is best to prescribe medicine according to the individual's symptoms, so we can't tell you about this, you go directly to the hospital for examination, and then the doctor will prescribe the medicine you want to take.
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Gout patients often have symptoms of severe pain, so they first need to take some painkillers, the more commonly used painkillers, such as aspirin, Yunnan Baiyao and Pudilan anti-inflammatory tablets, but they cannot be used for a long time to avoid dependence. In addition, colchicine and non-steroidal anti-inflammatory drugs are needed, which are the main drugs for gout.
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It is recommended to go to the hospital for a check-up, let the doctor prescribe medicine, and also need laboratory tests, gout patients are generally too high in uric acid, usually pay attention to diet, eat less meat, beans and other foods, to be light, gout is also one of the diseases often said to be rich, remember not to buy medicine to eat.
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If you suffer from gout, it is best to find an old Chinese medicine doctor who has fallen to take a look, or a physiotherapy hall to dredge the meridians.
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Hello, Western medicine temporarily relieves pain, and if you want to be natural, you can only find Chinese medicine to prescribe the right Chinese medicine.
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What medicine is most effective for you to ventilate? So what medicine is most effective for gout is also to see. Every one of them. One. The specific one to wake up.
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What medicine is most effective for gout? What kind of medicine is used? For gout, it's best to ask your doctor to prescribe medication for you. That's for the best.
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For now, it should be"Febuxostat"。The effect is better! But pay attention***.
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Ventilation also depends on your severityVentilation also depends on your severity, so what kind of medicine is it, you have to obey the doctor, doctor. According to your ventilation, it also depends on your severity, so what kind of medicine is it, you have to obey the doctor, doctor. Medication is given according to the severity of your condition.
It also depends on your severity of the ventilation that is more reliable, so what kind of medicine it is, you have to obey the doctor, the doctor. Medication is given according to the severity of your condition. It's still more reliable, you must obey the doctor's ventilation and it also depends on your severity, so what kind of medicine is, you have to listen to the doctor, doctor.
Medication is given according to the severity of your condition. It's still more reliable, and you must follow the doctor's arrangement.
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Gout can be divided into acute and chronic phases, and the medication for different periods is also different, so patients need to go to a professional hospital for examination and follow the doctor's medication.
**Commonly used medications for gout include:
1. Acute stage**: The acute attack period of gout patients is usually mainly to relieve pain and control inflammation, mainly using non-steroidal anti-inflammatory drugs, colchicine and glucocorticoids. Commonly used non-steroidal anti-inflammatory drugs (NSAIDs) include ibuprofen, indomethacin, etoricoxib, and voltarin, which are effective in relieving symptoms of acute gouty arthritis.
The anti-inflammatory effect of colchicine is also good, but it is easy to be poisoned when used in large doses, so it is usually used in small doses, and the best effect on gout is better. Glucocorticoids are mainly used for patients with non-steroidal anti-inflammatory drugs and colchicine inresponse or renal insufficiency, and short-term oral or intra-articular injection has obvious efficacy. It should be noted that the above drugs need to be used under the guidance of professionals.
2. Chronic phase**: For patients in the chronic phase or non-acute attack phase, uric acid lowering is mainly carried out**. At present, there are two types of uric acid-lowering drugs: drugs that inhibit uric acid production and promote uric acid excretion.
Drugs that inhibit the production of uric acid are commonly used allopurinol, febuxostat, etc., among which allopurinol is the gold standard drug for gout; Drugs to promote uric acid excretion are commonly used benzbromarone and probenecid, and long-term use of sodium bicarbonate can lead to complications such as osteoporosis, so long-term use is generally not recommended.
In addition to the above medications**, lifestyle modifications are also beneficial for gout**. Patients with gout should try to quit smoking and drinking, limit the intake of high-purine foods such as seafood, and also need to avoid strenuous exercise, pay attention to keeping warm, and drink as little fructose as possible. Some studies have shown that the frequent use of fresh fruits and vegetables is beneficial to maintaining the health of gout patients, and patients also need to eat and rest regularly.
Therefore, gout is a comprehensive disease that requires a balance of diet and medication.
Indomethacin capsules: used in acute gout attacks, rheumatoid arthritis, etc.
Etoricoxib tablets: anti-inflammatory and antirheumatic drugs, **acute gouty arthritis, etc.
Voltarin: Used to relieve pain in muscles, soft tissues, and joints.
Colchicine tablets: for acute attacks of gouty arthritis.
Glucocorticoids: A class of steroidal hormones secreted by the adrenal cortex.
Allopurinol extended-release tablets: anti-gout drugs.
Febuxostat tablets: indicated for long-term hyperuricemia**.
Benbromarone tablets: anti-gout drugs.
Probenecid: used for hyperuricemia with chronic gouty arthritis and tophi.
Loose pain. It won't hurt to eat anything.
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