How to diagnose gout well and how to diagnose gout

Most of the gout is primary gout, so it is not clear, there is no specific drug that can make gout go to the root, but as long as gout patients can adhere to the long-term use of drugs, and at the same time cooperate with the adjustment of diet, they can achieve a clinical state.

In order to achieve clinical **, patients should first adhere to a long-term healthy diet, such as adhering to a low-purine diet, limiting the use of some medium-rich purine foods, trying to avoid eating foods rich in purines, strictly abstaining from alcohol, doing appropriate physical exercise every day, controlling weight within the standard range, and drinking more water.

The drug ** is mainly the use of uric acid-lowering drugs, commonly used uric acid drugs include allopurinol, benzbromarone and febuxostat, patients can agree with the doctor according to their own situation, which specific uric acid-lowering drug to use.

As long as the patient can meet the above requirements, most patients can achieve the clinical effect after a period of time, and the patient can gradually reduce the dose of uric acid-lowering drugs with the long-term control of blood uric acid.

There is generally no good way to treat this disease, and patients can take purine and hormone drugs for pain relief and anti-inflammatory according to the doctor's knowledge. Usually control your diet and try to avoid foods that are too greasy and high in purines, such as seafood, animal liver and other foods.

Regulate from the diet, avoid spicy and irritating food, avoid greasy, avoid alcohol, avoid seafood, avoid animal offal, avoid fishy meat and hair, keep the stool smooth, keep the mood comfortable, etc. Drink plenty of water, eat more foods that are easy to digest, and pay attention to controlling the intake of foods with high purine content.

Gout is a purine metabolism disorder, with increased blood uric acid, which is deposited in the joint cavity or kidneys, causing severe pain and urinary stones, and blood tests show that blood uric acid exceeds normal values.

You can go to the hospital for a surgical examination to confirm the diagnosis, and you can confirm whether the symptoms are caused by gout. It is recommended to take orally, colchicine, ibuprofen to relieve the symptoms of pain and musk.

Gout is a common disease for many elderly people, gout not only affects our mobility, but also affects our self-care ability. Next, I tell Tuan Liang how to diagnose gout.

1.First of all, the onset of acute arthritis is limited to individual joints in our body. At the same time, acute arthritis occurs more than once and peaks within a day.

2.Second, patients with ventilation will have a noticeable swelling of the first metatarsophalangeal joint, and the entire swollen joint will have a dark red color.

3.Finally, patients with gout disease also experience asymmetrical joint swelling, and patients also develop hyperuricemia, which also terminates on their own after the onset of gout.

Precautions. Patients suffering from gout need to pay attention to drinking plenty of water to promote the dissolution of uric acid in the body and increase excretion, while controlling weight and avoiding excessive obesity.

Gout is a lifelong disease, and the whole process of its disease development can be divided into the following four stages: 1. Hyperuricemia stage: also known as the pre-gout stage, in this stage, patients can have the clinical symptoms of wind, which is only manifested as an increase in blood uric acid.

2. Early stage of gout: This stage develops from hyperuricemia. The prominent symptom is the onset of acute gouty arthritis.

After the acute arthritis episode disappears, the joint can completely return to normal, and there is no functional impairment left, but it can be reversed. At this stage, subcutaneous tophi is generally formed, and there are no obvious kidney lesions such as uric acid nephropathy and kidney stone formation, and renal function is normal. 3. Mid-stage gout:

In this stage, gouty arthritis causes different degrees of bone destruction and dysfunction in the joints due to the damage caused by repeated acute attacks, resulting in chronic gouty arthritis. Subcutaneous tophi may occur, urate nephropathy and kidney stone formation, and renal function may be normal or mildly reduced. Fourth, the late stage of gout:

Obvious joint deformities and dysfunction appear, and the number and volume of subcutaneous tophi increases, which can break down white urine salt crystals. Uric acid nephropathy and kidney stones have developed, renal function has decreased significantly, and azotemia and uremia may occur. Diagnosis of Gout:

1. Specific urate crystals were found in bursal fluid; Tophi has been chemically or polarized by microscopy and confirmed to contain sodium urate crystals. 2. Multiple episodes of acute arthritis, and the inflammation reaches its peak within 1 day; monoarthritis flare-up; Diseased joint** dark red; pain or swelling of the first metatarsal joint; unilateral seizures involving the first metatarsophalangeal joint; unilateral seizures involving the tarsal joint; have suspicious tophi; hyperuricemia; 3. X-ray showed asymmetrical swelling of the joint, and X-ray showed that the subcortical cyst was not accompanied by bone erosion; Negative microbiological culture of synovial fluid during episodes of joint inflammation. 4. When it is difficult to diagnose acute arthritis, colchicine can be tried for diagnosis**, if it is gout, the symptoms are quickly relieved after taking colchicine, which has diagnostic significance.

The above are the symptoms of gout and how to diagnose it, I hope it can help you, I wish you a soon**.

Hello, pain or swelling in the first metatarsophalangeal joint; unilateral arthritis flare-up, involving the first metatarsophalangeal joint; unilateral arthritis flare-up, involving the tarsal joints; Diseased joints may be seen** dark red; Negative microbiological culture of synovial fluid during an arthritis attack. It is often used in the diagnosis of gout.

Gout is a class of diseases characterized by decreased uric acid excretion and purine metabolism disorders. Specifically, in terms of diagnosis, it is generally considered that it is mainly middle-aged and elderly men, with a family history or metabolic syndrome, and on the basis of this trigger, a sudden attack of midnight arthritis or uric acid stone attack can be roughly considered to be gout. The specific examination items mainly include blood uric acid and uric acid, and if the two tests are elevated, gout can be basically diagnosed.

If conditions permit, arthrocentesis, tophi biopsy, X-ray, arthroscopy and other examinations can also be done to confirm the diagnosis. If diagnosis is difficult, colchicine can also be used for diagnosis**, which is rapid and effective, and has characteristic diagnostic value. If it is accompanied by gouty arthritis, it is clinically necessary to distinguish it from rheumatoid arthritis, traumatic arthritis, septic arthritis, osteoarthritis and other diseases.

If you have an attack of midnight arthritis or uric acid stones, you can generally think of gout.

In the five internal organs, the blue chrysanthemum, blue chrysanthemum acid and blue chrysanthemum in the blue chrysanthemum can be improved and cleaned up under the coordination of the abdomen and brain, especially the help obtained by the liver and kidneys is not achieved by other substances. For example, the fat accumulation of the liver, blue chrysanthemum can quickly convert it into energy and act on the whole body, reduce fat accumulation, and prevent fatty liver. The help to the kidneys is concentrated in the decongestion and diuresis, people have a healthy kidney, and the metabolism has a complete cycle.

Blue chrysanthemum has good performance in nutrition, tricarboxylic acid circulation system, and endocrine and digestive system.

Blue chrysanthemum has a good effect on gout, high uric acid, high blood pressure, high blood lipids, diabetes, stomach pain, enteritis, constipation and other problems caused by gastrointestinal discomfort.

Blue chrysanthemum has a very obvious effect on prostate problems, especially the urinary system.

The diagnosis of gout begins with a joint effusion that will detect specific urate crystals. Polarized light microscopy confirms urate crystals in tophi. In addition, there is more than one episode of acute arthritis, and the attack is monoarticular and the joint is red.

The first metatarsophalangeal joint is painful and swollen, and unilateral first metatarsophalangeal joint is affected. X-rays that reveal swelling within the joints can confirm the diagnosis of gout.

The diagnosis of gout is mainly carried out through the typical manifestations of the patient, as well as the corresponding auxiliary examinations, etc., generally speaking, it is not difficult to confirm the diagnosis. For example, when a patient suddenly develops acute monoarticular inflammation. The first attack is usually in the first metatarsophalangeal joint, which will appear within a few hours with redness, swelling, heat and pain, limited movement, and may also be accompanied by symptoms such as fever and malaise.

Combined with a history of persistent hyperuricemia, diagnosis is usually not difficult. Of course, if necessary, it is necessary to extract the joint effusion for relevant examinations, such as polarized light microscopy, and complete joint ultrasound examination or dual-source CT examination for clarification.

Symptomatic medication recommendations:

Gout patients are divided into two stages. During the attack of acute arthritis, anti-inflammatory drugs** should be used as soon as possible, including colchicine, non-steroidal anti-inflammatory drugs such as etoricoxib tablets, ibuprofen, voltarin, etc., the earlier the drug is used, the better the effect, but pay attention to the adverse effects of the drug. If necessary, a small dose of glucocorticoids can also be used**, which can play a role in rapid anti-inflammatory, swelling and pain-relieving, and hormones can also be injected into the articular cavity**, after the condition is relieved, it is necessary to add uric acid-lowering drugs as appropriate to maintain blood uric acid at a normal level and prevent complications.

Dietary attention: patients should pay attention to drinking more water, at least ensure more than 2000 ml of urine output per day, in addition to diet, strictly quit smoking and drinking, light diet, pay attention to avoid eating high-purine food, avoid overeating, do not eat all kinds of animal offal and fish, shrimp, crab, shellfish, seafood and dried fish, fermented products, etc., but also eat less meat and legumes, soy products, and nut foods, such as peanuts, walnuts, sesame, cashew nuts, etc., you can eat more fresh fruits and vegetables.

Hello, there is a certain causal relationship between hyperuricemia and gout, gout patients are generally high in uric acid, and only 12% of patients with high uric acid have gout symptoms, you can go to the hospital for joint X-ray examination to confirm the diagnosis of the American Rheumatology Association's criteria: there are specific urate crystals or tophi in the synovial fluid, and urate crystals are confirmed by chemical methods or polarized light microscopy. The diagnosis is confirmed if one of the above three meets the question.

Gout can be diagnosed in patients with 6 of the following 12 clinical laboratory tests and x-ray signs:

More than 1 episode of acute arthritis.

Inflammatory manifestations peak within 1 day.

monoarthritis flare-up;

Redness of the joints is observed.

Pain or swelling of the first metatarsophalangeal joint.

unilateral seizures involving the first metatarsophalangeal joint;

unilateral seizures involving the tarsal joint;

Suspicious tophi.

hyperuricemia;

X-rays of intra-articular asymmetrical enlargement.

Subcortical cysts are not associated with bony erosions.

Negative microbiological culture of synovial fluid during episodes of joint inflammation.