What is the treatment for gout? How gout is treated

Gout is a metabolic disease, purine metabolism disorder in the body, decreased uric acid excretion, urate crystal deposition in tissues, local acute joint inflammation manifestations, mostly manifested as local redness, swelling, heat and pain. The main thing for gout is to avoid the intake of purine foods, and meat foods, nut foods, legumes, aquatic products and other foods cannot be taken. Usually you need to drink more water, about 2,000 ml of water a day, which has the effect of promoting the excretion of uric acid.

Avoid staying up late, quit smoking and drinking, and live a regular life to avoid getting cold and tired. If you pay attention to your lifestyle and add Fengcao tea to effectively promote the excretion of uric acid, then gout can not attack.

Gout home remedies.

1.ginger (pounded into juice and filtered with gauze), medicinal wine (the local bruised medicinal wine was bought after asking yourself), and the height of the wine is more than 50 degrees; Any one of these will do;

2. For small areas of gout, such as the fingers of the hands and feet, you can use a hot compress or a soaking potion method, the dressing method is to soak the gauze or towel in ginger juice or medicinal wine, put it into a boil, and take it out (the temperature is 60-70 degrees) to apply a hot compress to the painful part, generally 3 to 5 times, and the time is 30 minutes to 1 hour; This method is also applicable to the whole body.

3. As the name suggests, the method of soaking potion is similar to the way of soaking feet, hands and feet can be used, among which you can add aged vinegar to soak, and soaking aged vinegar is also a traditional Chinese medicine method; If there are conditions, the whole person can also be soaked, this is not a joke, seriously injured non-visceral hemorrhage patients with a large amount of high wine and vinegar soaked all over the body, the patient can recover quickly, the same whole body gout can also be used in this way, but there must also be conditions.

In the acute attack of gout, it mainly fights infection** and relieves acute inflammation and pain. Nonsteroidal anti-inflammatory drugs, glucocorticoids, colchicine, etc. may be used. For patients with chronic gout, it mainly includes uric acid-lowering and anti-inflammatory.

The main drugs for lowering uric acid** are allopurinol, probenecid, benzbromarone, etc. The main anti-infective** drugs are colchicine and non-steroidal anti-inflammatory drugs. In addition, in addition to special **, it is also necessary to pay attention to rest and drink plenty of fluids to prevent dehydration and reduce urate deposition in the kidneys.

In the acute attack period of gout, that is, when the joint is more painful, it should be based on rapid pain relief**, for example, non-steroidal drugs can be selected**, commonly used drugs are ibuprofen, loxoprofen, celecoxib, diclofenac sodium.

Beijing Qianhai Femoral Head Hospital Former Armed Police Heilongjiang Provincial Corps Hospital-Zheng Fei-Department of Orthopedics-Deputy Chief Physician-What are the best methods for gout?

Dandelion and it are soaked in water together, diuretic and latong, excrete excess buried bibi uric acid, and prevent gout! Curl.

1. Drugs for gout**.

1.Non-steroidal anti-inflammatory drugs.

After suffering from gout, there are often obvious pain symptoms in the joints, and daily life will be affected, in this case, non-steroidal anti-inflammatory drugs can be appropriately applied**. The main effect of the drug is anti-inflammatory and analgesic, which can relieve the pain symptoms caused by gout.

2.Drugs that lower uric acid.

Patients with gout also need to be treated with urate-lowering drugs**, mainly including drugs that inhibit uric acid synthesis and drugs that promote uric acid excretion. The drugs that inhibit the synthesis of uric acid are mainly allopurinol tablets, and the drugs that promote the excretion of uric acid are mainly probenecid.

3.Drugs that alkalize urine.

Patients with gout can also use drugs that alkalinize urine**, such as salamina tablets, which can alkalize urine and balance pH, so as to promote the excretion of uric acid as soon as possible, so that the symptoms of gout can be reduced. You can also drink some soda water at ordinary times, which can also play a role in alkalizing urine.

2. Home remedies for gout**.

1.Gout hand and foot bath soak.

If you have gout, you can soak your feet for at least 30 minutes at a time before going to bed at night. This method can not only effectively ** gout, but also reduce pain symptoms and promote the dissolution and excretion of uric acid crystals from the body.

2.Drink gout medicinal wine.

Gout medicinal wine needs to use pangolin, angelica, millennium, attached tablets, parsnip and other Chinese medicinal materials, but also need to use wild grape vines wrapped around mulberry trees, soak these materials in an appropriate amount of sorghum wine, soak for a day, and then seal the mouth of the can with plastic film, put it in a pot with water and steam for 15 minutes, and then filter the residue. Drink three dollars in the morning and evening, and it will be effective in two days, which can effectively relieve the joint swelling and pain caused by gout.

**Don't eat some alcohol when you have gout, smoke 9, and then don't eat some other meats to eat less, and there are a lot of taboo things, so you must pay attention. Then take medicine normally or something, this is foggy and windy weather, don't go out and stay at home, let the body stay warm, alcohol must not be drunk.

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 Zifeng herbal tea, which can effectively control gout**.

1. Cold compress to relieve.

If the painful area is red, swollen and hot during a gout attack, cold compresses can be used to relieve the pain. Gauze wrapped in ice and applied to the painful area can constrict blood vessels, prevent excessive swelling, and also provide pain relief. If you don't have ice, you can also soak a towel in cold water and apply it here.

2. Rational use of painkillers.

During a gout attack, there will be severe pain and even the inability to walk normally, so patients should prepare pain medication and keep it in an area where they can be easily reached. However, painkillers should not be taken in large quantities for a long time, otherwise it will increase the damage to the liver and kidneys, and even cause kidney failure or hepatitis.

3. Elevate your lower limbs.

Most patients with gout will have edema of the lower limbs, and the slightest cold wind will cause unbearable pain. Such people can usually elevate both lower limbs and put a protective shield to prevent the affected area from being impacted, so that the blood from the lower limbs will flow to the heart, relieving the pain of edema.

4. Find a way to excrete uric acid from the body.

Do not eat foods that contain high purines, such as animal offal, seafood, alcohol and pickled foods, as well as foods high in sugar and fat, otherwise a large amount of uric acid will be produced, eat more foods that can eliminate uric acid, and ensure at least 2500 ml of water per day to let the acidic substances follow the urine to excrete the body.

I hope I help you, hopefully, thank you!

Beijing Qianhai Femoral Head Hospital, Former Armed Police Heilongjiang Provincial Corps Hospital-Zheng Fei Sedan Chair Picks This Book-Orthopedics-Deputy Chief Physician-What are the best methods for pain closure?

First of all, it is necessary to improve eating habits and living habits, exercise appropriately, and do not eat foods high in purines, such as meat, alcohol, fish, shrimp, sea crabs, etc. In acute arthritis of gout, the anti-gout drug colchicine should be used to control gout attacks, and nonsteroidal anti-inflammatory drugs and glucocorticoids should be used as adjuncts. Gout induced by improper diet can be given by intravenous infusion**, which has a better effect and can reduce symptoms faster.

Elevated uric acid requires taking drugs that excrete uric acid, such as carboxybenzenesulfonamide and benzbromarone.

Gout is caused by excessive accumulation of uric acid in the blood, and the ** of gout is divided into the acute attack phase ** and the clinical remission phase **. In the acute attack stage, the main pain relief is to quickly, colchicine or non-steroidal drugs can be selected, commonly used non-steroidal drugs are ibuprofen, loxoprofen sodium, diclofenac sodium, celecoxib, etc. In addition, people with severe gout can also use a combination of colchicine and nonsteroidal drugs.

If there are contraindications or adverse reactions to the above drugs, you can also choose to use hormone drugs when you cannot tolerate them, such as methylprednisolone, prednisone acetate, etc. At the same time, it is also necessary to strictly control the diet, such as not drinking alcohol and not eating foods that are too high in purines. In the clinical remission period of gout, it is necessary to continuously reduce blood uric acid, only if uric acid is controlled in the normal range can the gout continue to attack, blood uric acid and 24-hour urine uric acid can be measured, the specific type of uric acid increase can be clarified, and urate-lowering drugs can be selected according to the test results**.

The clinical goals of gout include stopping the onset of acute arthritis as soon as possible, preventing arthritis, correcting hyperuricemia, preventing and treating complications caused by the deposition of urate salts in the kidneys and joints, and preventing the formation of uric acid kidney stones.

**Cycle. Gout is not currently available**, it is a lifelong disease that requires lifelong intermittent**.

Drugs**. Acute phase**.

Early anti-inflammatory analgesia** is recommended during an acute gout attack**.

Nonsteroidal anti-inflammatory drugs.

Relief of joint pain and swelling is often effective, and commonly used drugs include indomethacin, diclofenac, etoricoxib, etc. Nonsteroidal anti-inflammatory drugs should be continued for a period of time after pain and inflammation have resolved, in case symptoms recur or arthritis occurs due to a rapid drop in serum uric acid due to the use of urate-lowering drugs.

Colchicine. It 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, which is effective and has few adverse reactions, and the effect is better when used within 48 hours. At present, it is not advisable to take large doses of colchicine because excessive doses can cause diarrhea, liver damage, or low white blood cells***.

Glucocorticoids.

It is mainly used for non-steroidal anti-inflammatory drugs, colchicine** ineffective or contraindicated, renal insufficiency, and short-term glucocorticoids alone in the acute attack of gout, and its efficacy and safety are similar to those of non-steroidal anti-inflammatory drugs. In addition, other analgesics, rest, splinting, and ice may be used to reduce pain.

Interictal and chronic phases**.

For patients with frequent attacks of acute gouty arthritis and chronic gouty arthritis or tophi, uric acid lowering** should be performed, and the patient's blood uric acid level should be stably controlled in the range of 300 to 350 mol L, which will help relieve symptoms and control the disease.

Allopurinol. Adverse reactions include gastrointestinal symptoms, rash, drug fever, elevated liver enzymes, bone marrow suppression, etc.

Febuxostat. It can be used for patients with mild to moderate renal insufficiency, and the adverse reactions mainly include mild liver function abnormalities.

Benbromarone. Adverse reactions include gastrointestinal symptoms, rash, renal colic, granulocytopenia, etc., and rare severe hepatotoxicity. Cavity Wuju.

Probenecid. It can inhibit the active reabsorption of urate in the proximal convoluted renal tubules, increase the excretion of urate and reduce the concentration of urate in the blood, alleviate or prevent the formation of urate nodules, reduce joint damage, and also promote the dissolution of urate that has been formed.

Surgery**. If necessary, surgery such as tophi removal can be chosen** to avoid joint deformation caused by long-term development. However, at present, the indications, contraindications and specific surgical methods for the exclusion of surgery** have not been completely unified.

The indications of surgery should be strictly standardized, the pros and cons should be weighed, and the risk of short-term and long-term complications after surgery should be reduced while ensuring the best effect.

Gout is more contraindicated in the daily diet of high-purine foods, beer, fried foods. For example, try to eat meat and not drink soup in stewed broth, because the purines in the soup are quite high, and there are also those who quit drinking and smoking, and don't eat fried food. In the case of acute attack of gout, although drinking water cannot directly improve joint symptoms, drinking water, especially drinking Fengcao tea, is the easiest and most effective way to promote the dissolution and excretion of uric acid, which can be excreted with urine, which can reduce its deposition in the joints, reduce the probability of the natural immune system being reactivated, and the possibility of aggravation of gouty arthritis.

Drink two sachets a day, one in the morning and one in the afternoon, for 1-3 cycles.

It can be mitigated from the following 5 aspects.

Apply ice. Ice cubes have a paralyzing and pain-relieving effect. During a gout attack, you can apply ice to the affected area with a towel or sponge for 20 minutes. Be careful not to apply hot compresses or soak your feet in hot water, as rising temperatures can aggravate inflammation, aggravate edema, and worsen pain.

Stay in bed and elevate the affected area. In an acute attack of gout, it is best to lie down and rest, raise your legs, and put a pillow underneath to facilitate venous blood return and reduce pain.

Drink plenty of water. In acute pain, the patient should drink plenty of fluids. Drink more than 2000 ml of water per day to help excrete uric acid.

Soak your feet in Epsom salt. Epsom salt, also known as magnesium sulfate, has the effects of sedation, antispasmodic, anti-inflammatory and swelling. Patients with gout can apply magnesium sulfate to the sore area with water. However, if there is a ulcer in the gout area, it cannot be used.

Drugs**. During gout attacks, colchicine, nonsteroidal anti-inflammatory drugs, and if necessary, corticosteroids and other drugs can be used to relieve pain.

The key to rapid pain relief is to cure the root cause. In terms of diet, we should pay attention to nutrition and be regular, and reduce the intake of high-purine foods. Exercise more to improve the body's metabolism, excrete excess uric acid, and maintain the balance of uric acid.