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During an acute attack of gout, the joints can be severely painful even if they are not moved. In fact, we can find some basis from the name of this disease, the so-called gout, that is, the wind blows painfully, it is conceivable that in the acute attack, the pain is not directly related to the joints, activity or not. It's like you have inflammation in a part of your body, and even if you don't move, you feel pain and discomfort.
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If you are in the acute phase of gout, it can be painful even if you don't move. Gout is a metabolic disease, mainly caused by purine metabolism disorders and increased blood uric acid levels in the body; In the acute attack of gout, even in a stationary state, the joints will have obvious redness, swelling, heat and pain, and the pain will be obvious at night, and the pain symptoms may be aggravated after activity and exposure to wind and cold. Patients may be treated with colchicine or nonsteroidal anti-inflammatory drugs to relieve pain and discomfort; It is recommended to rest more and drink more water during the pain period to promote uric acid excretion.
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People with gout sometimes have significant pain during an acute attack, even if they don't move. Because when gouty arthritis is acutely attacked, its typical clinical symptoms are redness, swelling, heat, and pain in the affected area, and the pain is severe, and most patients are unable to tolerate this pain. Some people describe gout as causing significant pain during an acute attack, even if the wind blows through the affected joint, so gout patients will experience unbearable pain even if they are not moving during the acute attack.
However, in most patients, the joint swelling and pain will disappear spontaneously after a few days to a few weeks, and if the attack is carried out aggressively, such as using urate-lowering drugs and lifestyle modifications, the frequency of such exacerbations will decrease, and eventually the patient will no longer have seizures.
However, if the patient does not carry out standardized medical drugs**, the attacks will appear more and more frequent, and the time of each occurrence will be gradually prolonged, and eventually the patient will transform into chronic gouty arthritis, which is manifested as atypical joint swelling and pain, and for patients with chronic arthritis, the pain is not obvious when they are not moving.
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In an acute attack, pain occurs even when the joint is not moving, and this pain can wake the patient from sleep without even touching it, even if a blank piece of paper is placed on it.
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The pain of gout is divided into two situations, if it is an acute attack of gouty arthritis, the joint is red, swollen, hot and painful very obvious, it will be swollen and painful when it is not moving, and the stinging pain is mainly during activity, the degree is obviously aggravated, the activity is limited, and it is impossible to walk.
If it is in the chronic phase of gout, the redness and swelling of the joints will subside significantly, the pain will be reduced, and the pain will not be felt when you are not moving, and when you press the joints hard or walk, the weight-bearing joints will feel faint pain, which will basically not affect the activity, but will continue to feel uncomfortable for a long time.
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Gout can sometimes be painful even if the joints are not moved, and gout can sometimes be acute, with redness, swelling, heat, and pain in the affected part of the joint, and the pain is severe.
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Gout does not move, the joints will hurt? Gout does not move the joints, of course, it will hurt.
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Gout must be medicated**, pay attention to diet, be careful not to eat foods high in purines, even if you are not active, the joints will hurt.
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36-year-old Po was recently diagnosed with gout, and the doctor asked him to take his medicine on time, but he always took it when he had a gout attack...
Many young patients, like Bao, think that gout is an acute disease, so for the ** of gout, there is a misconception that there is no need to take medicine if it is not painful, and then take medicine after pain.
Gout is not like a cold, it is not a simple pain reliever
Gout is not like the acute symptoms of a cold, so it is not only good that the joints do not have pain, but after the acute phase of the gout attack, the pain is relieved, but the purine metabolism disorder or hyperuricemia in the body still exists.
Therefore, if you only take medicine when you have joint pain, stopping the medicine if it is not painful will delay the condition, but it will make the attack of gouty arthritis become longer and more frequent, and lead to diseases such as tophi, chronic arthritis and even kidney stones, and in severe cases, it is more likely to lead to kidney failure.
Taking medication is not to relieve joint pain, but to control uric acid concentrations
Gout is a disease caused by purine metabolism disorder, the clinical characteristics are hyperuricemia, because high uric acid is mostly produced by metabolism in the body, so gout needs long-term medication to control the concentration of uric acid in the blood of gout patients, so that the uric acid in the patient's body can be maintained at a lower concentration.
Therefore, before the underlying problem of metabolic disorders is resolved, uric acid-lowering drugs must be used to control uric acid in the body.
The root cause of gout is a metabolic disorder, and the drug can only be discontinued when the blood uric acid reaches the target value
The mechanism of urate-lowering drugs lies in the excretion of uric acid and the reduction of uric acid production, but the root cause of gout is the problem of metabolic disorders in the patient's body.
Metabolic disorders require long-term adjustment through weight loss and lifestyle changes, so patients can't just talk about whether the joints are painful before the eye. Instead, it is necessary to regularly monitor the uric acid concentration in the body and control it with medication, and adjust diet and lifestyle habits.
When the metabolic disorder is resolved, the physician assesses that the serum uric acid reaches the target value: 5 mg dl for those with tophi, and the international unit is about 300 mol l or less; If there is no tophi, the IU is about 360 mol L or less (because the patient has already had gout, the standard is not the general normal value of 7 mg dl, and the IU is about 420 mol L).
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Do not exercise vigorously, keep warm during exercise, and avoid getting cold. In addition, we do not recommend people in the acute attack of gout to do hiking exercises, etc., should first actively treat the symptoms to reduce inflammation and relieve pain, and start exercising after the condition is stable. During an acute attack of gouty arthritis, it is recommended to reduce activity because the joints are in an inflammatory phase at this time, and activity can aggravate the condition.
Actually, at this point, I don't think anyone wants to exercise anymore. Wild hiking is also not possible. If the uric acid has dropped and returned to below the normal value, you can try this type of exercise, but be sure to start a small amount of exercise, hike at close range, and gradually increase the amount and time of exercise after the body adapts.
If it is during a gout attack, it is not recommended to participate in high-intensity hiking in the wilderness, especially mountain climbing, as the lactic acid produced aggravates the disease. If there is no disease, hiking in the plains and wilderness, controlling the intensity of exercise to moderate aerobic exercise, and not exercising for more than an hour and a half, is beneficial to the disease.
Strenuous exercise should not be done during hiking, and the amount of hiking should start with a small amount of exercise, slowly adapt and then increase. And we should also pay special attention to keeping warm during exercise, especially our joints, to avoid cold and cause illness**. It is more prudent for gout patients to try not to choose this kind of long-distance exercise.
During the intermittent phase of gout, if the disease is normalized**, the blood uric acid level is also within the target range. It is possible to move moderately, and the amount of exercise varies from person to person. It is still necessary to pay attention to your diet and drink plenty of water during the activity.
During the illness, patients with gout should avoid walking exercises, and can engage in push-ups and other exercises, exercise must be moderate, excessive exercise will also cause gout. People with gout can walk in the wild when they are not having a gout attack. The blood uric acid value of gout patients can be hiking in the wild under the condition that exercise is allowed, but it is still carried out slowly and gradually under the condition of suitable for their own body, and it is not recommended to burst walking, running sports and strenuous activities.
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Gout is a metabolic disease that can manifest as acute arthritis, chronic arthritis, and even develop into gouty nephropathy, leading to kidney failure. Patients with gout should exercise properly, gout is caused by high uric acid in the body, and proper exercise can reduce the patient's uric acid to a certain extent.
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When gout attacks, it is not suitable for exercise, if you force the exercise, you can increase the wear and tear on the joints, it can be said that the gains outweigh the losses. If you exercise, it is also easy to produce lactic acid, which can inhibit the excretion of uric acid, which is very bad for the condition, so when you have a gout attack, you must pay attention not to exercise.
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You should not exercise, you should rest if you have gout, rest at home, go out for a walk, but strenuous exercises such as square dancing and running should be avoided.
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You should exercise, but you can't do strenuous exercise, you must be accompanied by others when exercising, and don't go out alone.
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Gout is licked through the joints, biting the kidneys, at first it may be joint redness, swelling and pain, and then it will lead to joint deformation, and even tophi, which is the pain that can be seen and felt, in fact, the real horror is that gout will damage our kidneys, gout patients, the biggest cause of death is kidney damage, so gout patients must be proactive, don't just think about pain, don't just want to relieve pain, just don't hurt it, but also control your diet, drink more water, and lower uric acid.
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One of the most common hazards of gout is to damage the kidneys, because when gout attacks, it is often accompanied by hyperuricemia, which will affect the metabolic function of the kidneys for a long time, and increase the burden on the kidneys. Wind stones can continue to cause damage to the kidneys, the most common is that a large number of urate crystals accumulate in the kidney area to form kidney stones, and in addition to kidney stones, they may also accumulate in the bladder or renal pelvis during urination, thus causing bladder stones or hydronephrosis.
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Affects kidney function: This harm usually occurs in the later stages of gout because it is not actively effective**. As a result, the vicious cycle of uric acid deposition leads to the inability of deposits to be excreted properly in the kidneys, and in severe cases, it can also lead to uric acid stones and chronic uric acid nephropathy.
Diseases that form slowly are particularly difficult to treat, so we should understand this hazard as early as possible and actively prevent and treat it.
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In addition to gout, which causes arthritis and joint pain, excessive blood uric acid will directly damage kidney function, and uric acid is an indicator of metabolic disorders, and excessive uric acid can cause indirect damage to cardiovascular and cerebrovascular vessels. In addition, gout can also cause urinary tract gout stones, causing obstruction, renal colic, and then leading to emergencies and even the need for surgery**.
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Gout is very painful in the joints, and joint pain causes the muscles of the whole body to ache, and even causes diabetes and high blood pressure, these hidden diseases are very serious and cannot be ignored.
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The reason for joint swelling and pain in gout is mainly due to purine metabolism disorders, resulting in high concentration of uric acid in the blood, and long-term increase in uric acid will be deposited in the joints and surrounding tissues, thereby causing gouty joint inflammation and visceral damage, so there will be swelling and pain in the joints.
Under normal circumstances, gout in the acute arthritis attack period, will be more common at night, and the onset is abrupt, the patient will quickly appear redness, swelling, heat and pain and limited activities, and this pain is unbearable, generally in about 3 to 7 days of natural relief, the intermittent period can be unharmed, but it is easy to reverse, usually to control the diet, but also to avoid overwork, joint damage and other triggers.
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For patients with gout, it is mainly caused by abnormal purine metabolism in body parts. Therefore, after this situation occurs, it is easy to cause urate to be gradually deposited in the joints, which will lead to obvious redness, swelling, heat and pain in the joints, which will lead to obvious pain symptoms in the joints.
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The main symptom of gout is episodic pain in the joints.
Suggestion: The main reason is that uric acid stones are deposited in the synovium of the joint, causing synovial inflammation.
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If you have gout, the most important thing is to drink more water, the excretion of uric acid in the body is reduced, and the best way is to increase the frequency of urination, and discharge excess uric acid from the body little by little to maintain the balance in the body. In the case of gout, ice is a feasible means to reduce the febrile state on the one hand, and obtain a good analgesic effect on the other hand.
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