How should gout be diagnosed and how to judge gout symptoms?

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.

Before or during an acute attack of gout, the vast majority of patients have elevated serum uric acid. However, in the intermittent or chronic phase, serum uric acid levels are often normal, so the diagnosis of gout should not be based on whether the serum uric acid is normal. Multiple or ** urinary tract stones may be the first symptom of gout, pay attention to recheck blood uric acid.

Most people with gout have no obvious symptoms before the attack, but occasionally experience symptoms such as fatigue, general malaise, and joint pain. It usually occurs late at night due to unbearable joint pain and cannot sleep, and according to your description, the possibility of gout is recommended, and it is recommended that you go to the hospital for examination and diagnosis.

You can try Chinese medicine, it is recommended to go to see it earlier, I hope to recover sooner.

The diagnosis of gout can be based on a combination of history, hyperuricemia, typical symptoms, and ancillary findings such as x-rays.

1.History of disease and hyperuricemia. Has a history of gout exacerbation or hyperuricemia.

2.Typical symptoms. A history of sudden onset of joint redness, swelling and heat, severe pain, and even dysfunction and other inflammatory manifestations and reversal of the disease is common in the first metatarsophalangeal joint, which can be suspected of gout.

Auxiliary inspection of the line and other defects. Gout is diagnosed by noncharacteristic soft-tissue swelling or articular surface irregularities on x-rays and the presence of urate crystals in the effusion. Brother Chong.

If you suspect this disease, it is recommended to seek medical attention actively to prevent the further development of the disease and the possibility of serious complications.

Gout is a chronic metabolic disease, although its onset is particularly sudden, but it does not mean that it is a sudden disease, before the real start of pain, the body will send you some signals, such as the following gout symptoms: 1, the big toe and the surrounding area faintly feel different from usual 2, the joint ** purple or red can recall whether there has been a bump in recent days, if not, it is likely to be a precursor to gout. 3. Restricted movement, joint pain can not be done during exercise, faint pain in the joint, perhaps the deposited urate crystals in the joint, at this time it is necessary to consider whether it is caused by gout 4, **itching and shedding When urate crystals accumulate in the joints to form tophi, **lumps will form below and around, of course, this rarely appears, because to the formation of tophi, gout will definitely attack several times super painful, if you can't even feel this, I can only say that I respect you as a man.

In addition to these gout symptoms, it is to detect the uric acid level in the body, high uric acid is a precondition for gout, if the uric acid in the body is very high to reach 500, 600, then it may be the second day of gout, but as long as there is no attack, there is still a chance, you can slowly adjust down, from this can also be seen that the uric acid detection of food is very important, it is strongly recommended that everyone always have a home uric acid detector at home, such as the Sannuo uric acid meter is very good, blood sugar uric acid can be measured, and now it is sold very well online. That's what I'm using right now.

Regarding the symptoms of gout, I see that the first two have already said in detail, so I won't go into details, and I will give you a supplement on how to regulate the body to deal with gout. The first thing is to understand what are the foods that are contraindicated for gout: hot pot, soup, animal offal, seafood, beer, and some soy products, and secondly, to strengthen physical exercise

Maintain half an hour of aerobic exercise every day, 2000 ml of water per day, and promote the excretion of uric acid in the body. Finally, be sure to measure your uric acid regularly, either in the hospital or with a home uric acid meter such as the Sino Uric Acid Meter, because you don't know when you eat what you eat or do (staying up late, getting emotional, or eating some "influencer" food), which can cause your uric acid levels to fluctuate.

Gout is caused by long-term hyperuricemia poor control, resulting in urate deposition in soft tissues, joints and kidneys, gout symptoms are generally manifested as sudden pain, but it is also easy to be confused with other pain, for example, me, that time because I was angry with my dog, the big toe of the dog cage was injured, and then it began to hurt, and then it hurt for a week, I didn't think it was right, and then I went to the hospital for a checkup, which found out that it was gout. But it doesn't always hurt for so long, from my first gout attack to now, I have had a total of 4 gout symptoms. Only once it hurt for 7 days, the other two days can be controlled, of course, this may also have something to do with my medication, if not controlled, gout will indeed hurt for a long time, that is to say, gout symptoms come fast and go slowly.

The most obvious feature of gout is that acute gout often attacks at night, with severe pain in the joints of the hands, feet, and limbs. Of course, there are some diseases that are similar to gout, so it is best to go to the hospital for a check-up to see if the blood uric acid is higher than the normal range.

If you are sure that you really have gout, you should be in time**, in addition to taking medicine on time, you should also pay attention in daily life, eat less high-purine food, drink more water, drink some bee treasure bee protein peptide nutrient liquid to reduce acid and pain, drink less alcohol and fructose-containing drinks, usually exercise moderately, exercise, but rest well during an acute gout attack, exercise less, if the weight exceeds the normal level, it is recommended to scientifically **. Also go to the hospital regularly to check your blood uric acid.

Gout disease can be said to be a common disease in our lives, so how is it diagnosed if you have gout disease? Next, we will ask the experts of our hospital to talk to you about the basis for the diagnosis of gout and other information, I hope it will be helpful to you. Before we understand the basis for the diagnosis of gout, let's take a look at what are the symptoms of gout?

What are the symptoms of gout? Often, the symptoms of gout patients are that uric acid damages the kidney tissue, causing gouty nephropathy and gouty kidney stones. In particular, there are disorders of sugar and fat metabolism in the body, which is very easy to be complicated by many serious diseases.

At present, it is believed that the inheritance mode of gout is generally autosomal dominant inheritance or autosomal recessive inheritance, and some are X-linked inheritance. So do you know what the symptoms of gout are? Acute gout is characterized by pain, swelling, redness, and severe pain in the ankle or toe joints, arms and fingers.

Microscopic observation reveals pine needle-like urate precipitation in the affected tissue. The above content introduces the information such as the judgment basis of gout, and knows the basis for the judgment of gout disease, and everyone has a deeper understanding of gout disease in detail.

Gout is a disease caused by the elevation of uric acid in the blood caused by purine metabolism disorders in the body, and the main manifestations of gout attack are redness, swelling and pain in the condyles and joints.

Gout is a symptom of joint pain caused by urate deposition in the joint cavity, often joint pain will be more intense, generally accumulated in the hallux joint, foot and ankle joint, hand joint, etc., Chengdu Rheumatology Hospital is mainly caused by hyperuricemia, if gout is suspected, then to check the blood uric acid examination, if necessary, also check the urine uric acid.

When I went to the hospital for testing, the market was full of Western medicine febuxostat, and there were many traditional Chinese medicines with good results. I know that there is a kind of purified and non-tormented Chinese medicine, six days**.

Gout is caused by high uric acid in the body, for example, if you consume too much high-purine food, the body has no way to metabolize it, so you have high uric acid, and if high uric acid keeps soaring, it will cause gout. For example, if the uric acid of a man exceeds 420, it is easy to induce gout, and the uric acid of 100 will form tophi, and the tophi will accumulate, more and more and bigger, until the life can not take care of himself, if the uric acid is high, he still drink some "Yu Nong Jiang Acid" to reduce the uric acid content of the body, so as not to develop irreversible consequences.

Gout is mainly a disease caused by a disorder of purine metabolism due to a variety of reasons, resulting in an increase in the amount of uric acid in the blood. It is mainly manifested as uncomfortable symptoms such as joint pain. If the diagnosis is confirmed, it is generally not easy**.

It is recommended to choose a drug**. Usually pay attention to drink more water, drink more than 2000 ml of water per day, eat more alkaline food, do not eat high-purine foods such as seafood and animal offal, do not drink alcohol, especially can not drink beer, do not drink hot pot soup and stewed broth. Pay attention to regular review.

Once gout has typical clinical symptoms, the general joints have been damaged to a considerable extent, and then there is a certain degree of difficulty. Therefore, when the diagnosis of gout is clinically suspected in the first occurrence of joint pain, combined with typical gender, age, lifestyle, and predisposing factors, and the diagnosis cannot be completely confirmed according to the diagnostic criteria, the examination of synovial fluid is a sensitive examination method.

Hello, gout checkup.

1. Necessary examinations, blood uric acid, 24-hour uric acid measurement, urine pH measurement, creatinine clearance, X-ray examination of joint lesions, nephrogram and kidney biopsy, abdominal plain film and intravenous pyelogram. These methods of checking for gout are necessary.

2. Differential examination The method of checking gout also includes differential examination, if there is fever, blood culture should be done to rule out infection, and arthrocentesis can be used to distinguish it from other arthritis, and at the same time, it can be clear whether gout is made.

Patients with gout often have sudden severe pain in one or more joints, which is more common than sudden onset at night, and also has redness, swelling, increased skin temperature, and red and purple on the joint surface, tension, and shinyness. Reverse action can lead to exacerbation of gout and chronic development, resulting in deformity of diseased joints. Finally, joint mobility is progressively limited due to the deposition of urate crystals around the joints and tendons, causing damage.

It is recommended to choose an orthopedic hospital with medical insurance qualifications, which is more targeted, and can also be trained under the guidance of doctors, which is of great help to the condition, and the medical insurance charges are more reasonable, and can also reduce economic pressure, I hope it will help you.

Doctors from Chengdu Rheumatism Hospital pointed out that the clinical manifestations of gout are first acute gout, and its manifestations are mainly redness, swelling, heat and pain of the joints, usually the joints are a single joint onset, and many joints will not be affected at the same time, and usually the onset is more urgent, suddenly this symptom will attack, especially at night is more common, and the patient's joint symptoms will be very severe, and the patient's pain will be very intense and unbearable.

Gout is more common in adult men, mostly at night, and within 24-48 hours of eruption, the first metatarsal toe of the thumb (big thumb) is the most common, others such as ankle, arch are also more common, knee joints, wrist joints and elbow joints can also be seen, the initial onset is mainly unilateral joints, the main manifestations are: local redness and swelling, fever, swelling pain or severe pain, the appearance is dark red or purple-red, the affected area is shiny, some patients are accompanied by systemic symptoms, similar to sudden **, with fever, etc.

In this regard, patients with gout should try not to play closed, do not use hormones, and do not take drugs with too rapid acid-lowering effects, so as not to aggravate the condition or bring difficulties to the future. At this time, the correct method should be, outside: ice (cold) can be used to apply ice (cold) to the affected area to reduce swelling; Inside:

Nonsteroidal drugs may be taken to relieve pain; At the same time, it can be combined with taking Pingfeng polyphenol coffee to clear internal heat, detoxify acid, and balance acid and alkali. At the same time, it is conducive to controlling the future**.