How do I check for gout? How to determine if you have gout

It can be difficult to check for gout on your own unless you have significant tophi (see picture) and kidney damage. Gout should not be called a disease name, gout is only a result, a serious result of "hyperuricemia". Its initial disease is called "hyperuricemia", and when serious complications occur in the later stages of "hyperuricemia", it is called "gout".

Therefore, if you have "gout", you should go to the hospital for examination and diagnosis. Generally speaking, when the index exceeds 450, it is easy to produce gout symptoms. When "hyperuricemia" develops to the point of "tophi" or the kidneys have obvious discomfort, it can also be preliminarily judged to be gout.

The picture below shows tophi that occur on the fingers, and the toes and ankles are also common sites.

The clinical manifestations of gout are often pain, redness and swelling of the facet joints such as the hands and toes, and elevated serum uric acid levels, which can be diagnosed by combining the medical history and laboratory tests.

The diagnosis of gout is based on typical symptoms and the results of associated ancillary tests, and is characterized by redness, swelling, pain, increased local skin temperature, and limited movement in the affected area. It usually appears in the first metatarsophalangeal joint, ankle joint, knee joint of the foot, etc., and can also appear in the hand joint of the upper limbs, and a very small number of patients may have redness, swelling and pain in multiple joints at the same time. Gout attacks are usually preceded by a high-purine diet, such as drinking alcohol, eating seafood, eating hot pot, or eating meat that is too high in purines.

The pain of gout is intense, tearing or cut-like, and many patients are awakened by the pain at night, and the diagnosis needs to be confirmed by the examination of blood uric acid. If the above symptoms are present, the blood uric acid test is significantly elevated, and the possibility of gout should be highly considered, and if necessary, joint musculoskeletal ultrasound, magnetic resonance imaging and other examinations can be performed to further confirm the diagnosis.

First of all, blood routine, inflammatory markers, erythrocyte sedimentation rate, C-reactive protein, liver and kidney function tests, and urine routine were checked. Color ultrasound examination is also done, especially urinary color ultrasound. Because the attack of gout is the deposition of urate crystals into different parts, the symptoms appear.

For high uric acid, it is necessary to consider comprehensively, if it is caused by simple gout, the tests to be done are blood routine, erythrocyte sedimentation rate, C-reactive protein, liver and kidney function tests, urine routine and joint color ultrasound. If it is accompanied by hypertension and diabetes, some auxiliary examinations need to be done, especially if the uric acid is too high for a long time, it will affect the heart and cerebrovascular. It is recommended that you visit the rheumatology and immunology department of the hospital.

The diagnosis of gout is confirmed by means of examination, mainly by drawing blood to test kidney function to find out whether there is hyperuricemia. Second, it is necessary to extract the joint effusion in the joint cavity or some tissue from tophi, and observe whether there are needle-like crystals such as birefringence under a polarized light microscope, that is, to look for urate crystals. If both conditions are present, gout can be diagnosed.

However, in many patients, it is difficult to aspirate fluid from the joint cavity, so the diagnosis of gout is generally based on the history and typical clinical symptoms, as well as the exclusion of other possible rheumatic diseases.

If you want to know if you have gout.

In this case, you need to draw blood to test uric acid, if the uric acid level is particularly high, it is easy to lead to the attack of gout, and then you must pay attention to the conditioning of your diet to avoid eating foods containing higher purines. Especially seafood and beer.

Gout should be considered for characteristic arthritic manifestations with hyperuricemia, and the diagnosis is made by gout crystal deposition on dual-energy CT and urate crystals confirmed by joint fluid aspirate or tophi biopsy. For patients who are difficult to diagnose in the acute arthritis phase, colchicine experiment** is diagnostic.

Blood uric acid can be tested in the hospital to confirm the diagnosis with typical symptoms, and if necessary, musculoskeletal ultrasound, joint magnetic resonance, or needle biopsy can be used to further determine whether gout is present.

You can go to the hospital for uric acid measurement, if the blood uric acid is greater than 420 micromoles per liter, it can be considered hyperuricemia, and you can also find joint related lesions, uric acid urinary tract stones, etc. through other examination methods, such as X-ray, CT, etc.

The gout checklist is actually very simple, and I will talk about it in detail today.

Go to the hospital to have your blood uric acid checked.

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.

Question 1: How to check if you have gout First know what your uric acid value is, and then whether there is unnatural pain in the joints.

Question 2: How to check if you have gout Analysis: Hello, the common manifestations of gout are pain in the big toe joint and tophi. Opinion: Uric acid, joint x-ray, and detailed physical examination are recommended to confirm the diagnosis.

Question 3: How to correctly determine whether you have gout Didn't you say?

Question 4: Check the macro spine to check whether it is gout What tests to do Go to the rheumatology and immunology department of the hospital**, and then check the kidney function, look at the blood uric acid index inside, the male index continues to be greater than 420 belongs to hyperuricemia, if your joints have severe redness, swelling, heat and pain before, it is almost gout. Best wishes

Question 5: How to check for gout? Do you want to have blood drawn?

Analysis: Hello, the case of gout disease is a metabolic disease, and your condition can be a strain or cervical spine disease. In general, gout disease is rare.

Suggestions: If gout is examined, blood is generally drawn to test blood uric acid. Life Conditioning:

Don't get tired. Question 6: How can I check if I have gout You can go to Zhiyao Hospital to check whether your uric acid is higher than normal, and uric acid is the best standard for detecting gout.

Question 1: How to check out gout, can I check it myself I have pain in the early stage, but not necessarily. It is best to go to the hospital to check the uric acid level, if it is as early as possible**.

Question 2: How to have gout**? How can I be sure it's gout and how can I get it checked?

Suggestion: Analysis: Hello, speaking of gout, this is caused by the accumulation of uric acid in the body caused by insufficient enzyme activity responsible for breaking down uric acid, and deposited in joints, soft tissues, etc.

The key to controlling gout attacks is to lower blood uric acid levels. For those with slightly high blood uric acid levels, sodium bicarbonate tablets can be taken, and if the level is more high, benzbromarone. Allopurinol should be considered if the serum uric acid level is consistently above 500.

In the case of an acute attack of gout, colchicine can only be used for analgesia, and for usually mild pain, indomethacin and voltarin ointment can be used. Guidance: Dietary control and drinking plenty of water are important for controlling gout attacks.

Be careful to avoid foods that are high in purines.

Question 3: How can I check if I have gout You can go to the hospital to test whether your uric acid is higher than normal, and uric acid is the best standard for detecting gout.

Question 4: How to check for gout to confirm the diagnosis Check blood uric acid, erythrocyte sedimentation rate, anti-O, rheumatoid factor, and C-reactive protein. Joint Symptoms:

Pain, deformity. People with high uric acid pants need to pay special attention to the choice of diet and try to avoid high-protein foods. Such as beans and soy products; animal offal; seafood; Beer, etc.

Guidance: If uric acid continues to be high, uric acid waste cannot be eliminated from the body, and crystals will be deposited in the body, forming "gout" symptoms. It causes great harm to physical health and daily life.

It is recommended to use Ali extract tablets under Rainforest Holdings to improve gout.

Question 5: How to judge gout disease Gout disease can be said to be a common disease in our lives, so how to diagnose the disease of pure aconnownia? 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.

The following items are examined at the time of presentation for patients with gout:

1. The level of blood uric acid, which is a must-check item;

2. Check liver function, kidney function, blood routine, urine routine, and check whether fatty liver is normal, i.e., aminotransferases, renal function, urine protein, and blood lipids. Because gout patients are prone to blood lipids, blood sugar, and blood pressure problems, blood lipids and blood sugar should be detected;

3. Check the color ultrasound of the joints, check whether there is urate crystal deposition in the joints, and whether there are inflammatory manifestations;

4. Color ultrasound of kidneys, ureters and bladder to check whether there are stones in the kidneys and urinary tract;

5. Imaging examination, such as X-ray examination, because gout can cause joint damage, and dual-source CT can also detect urate crystals;

6. Extract the contents of synovial fluid or tophi and check under a polarized light microscope to see if urate crystals can be found.

Patients with gout should first check blood uric acid, uric acid, blood routine, urine routine, erythrocyte sedimentation rate, C-reactive protein, liver function, kidney function, including blood creatinine urea nitrogen. Ultrasonography should also be done, especially of the urinary system and kidneys.

If the patient has tophi, if the tophi appears on the toes or in the ankles, knees, fingers, or wrists, plain x-rays of the corresponding areas are required. If the patient also has hypertension and diabetes, blood pressure, blood glucose, and glycosylated hemoglobin should also be checked. Hyperuricemia is closely related to hypertension, coronary heart disease, diabetes, and they are all in common disease, that is, hyperinsulinemia, which produces these metabolic syndromes, so the examination of patients with gout should include the examination of the above diseases.

Gout requires a history, physical examination, blood tests, urinalysis, and imaging and vascular function tests.

1.Systematic examination, including basic blood uric acid, blood glucose, blood lipids, liver function, kidney function and other tests.

2.Urinalysis. Check urine pH, proteinuria, hematuria, casts, etc., and also determine tubular function.

3.Imaging tests such as ultrasound and CT of the kidneys. It can determine whether a patient has kidney stones, hydronephrosis, as well as the size of the kidneys and the condition of kidney damage.

line, check the joints for bone damage.

5.Tests of vascular function to determine whether patients with long-term elevated uric acid have adverse effects on various blood vessels.

The examination items for patients with gout are as follows: 1. Routine examination: including blood routine examination and urine routine examination; 2. Blood biochemical examination:

Including liver function tests, kidney function tests, blood glucose and lipid tests; 3. Imaging examination: refers to the X-ray examination of the affected joints, which is often used for disease identification in patients in the early stage of gout to understand whether there is joint destruction and fracture; 4. Joint ultrasound: small tophi crystals are deposited on the articular surface at the joint attack site, or there are dual-track signs on the articular surface, indicating that there are a large number of urate crystals on the cartilage surface of the bone and articular cartilage; 5. Dual-energy CT:

Scan the bone of the joint to detect urate crystals deposited on the articular surface.

Patients with gout can go to the rheumatology and immunology clinic of the local regular hospital to check the blood routine, erythrocyte sedimentation rate, and blood uric acid level. In addition, according to the doctor's instructions, it may be necessary to do joint ultrasound examination, joint X-ray examination, etc. Patients with gout usually must avoid high-purine diets in their diets, such as animal offal and seafood products.

You can eat more fresh vegetables and fruits every day, drink more warm water, and urinate more, which is conducive to the excretion of uric acid in the body.

If you have gout, you first need to do routine blood routine, urine routine and other related examinations. In addition, joint X-rays are usually done to check for any related damage to the joints. Liver and kidney function tests are also needed to see if there is any damage to the liver and kidneys.