How is gout treated? Gout can be treated

Gout is caused by abnormal purine metabolism in the body, take non-steroidal anti-inflammatory drugs for pain relief and swelling in the acute stage**, promote the excretion of uric acid during the remission period, usually pay attention to dietary conditioning, eat a low-purine diet, avoid eating animal offal, seafood, beer, barbecue and shabu-shabu high-purine food, people with normal cardiopulmonary function should drink more water, more than 2000 ml a day, and exercise more to promote the excretion of uric acid.

Gout is a kind of hyperuricic acid blood disease, excessive uric acid forms sodium salt, which is easy to accumulate in the body, and the symptoms are generally sudden redness, swelling and heat pain in a certain part of the body. Mainly in the knees, calves, and waist. Many people think that gout is joint pain caused by wind and cold, but in fact, uric acid is the bane of gout.

The onset of gout is closely related to lifestyle, so you can try Zifeng herbal tea, drinking two bags a day can better improve the symptoms of gout. With lifestyle interventions, it is possible to reduce the frequency and severity of gout attacks and prevent complications.

What to do about gout.

First, ** is usually used to inhibit the formation of high uric acid or increase the excretion intensity and do anti-inflammatory**. At the same time, it is necessary not to touch animals in the diet.

Foods such as offal and seafood, eating more vegetables can reduce uric acid formation. In addition, you will eventually quit smoking, so be careful not to work too hard at work.

2. Because gout is a group of metabolic diseases that cause elevated blood uric acid due to purine metabolism disorders. Therefore, an important cause of gout is that the patient's blood uric acid level exceeds the normal value, and most of the time there is a predisposing cause before the onset of gout. For example, before the onset of the disease, overeating, excessive consumption of high-purine foods such as broth, seafood, etc., frequent drinking, smoking, overwork, and cold.

This advice is to eat less seafood.

Gout is a crystalline arthritis caused by hyperuricemia, which causes urate crystals to be deposited in the soft tissues and organs around the joints. Therefore, when gout is in an acute attack, the symptoms of the joints or soft tissue symptoms are very obvious, and the local redness, swelling, heat, and pain are very obvious, and it is necessary to give active anti-inflammatory**, with non-steroidal anti-inflammatory drugs including voltarin, fenpidex, and a small dose of glucocorticoids or colchicine, so that the patient can survive the acute attack of gout, and the inflammatory symptoms are well relieved. Or it can play a good role in preventing gout recurrence.

Gout is a chronic disease, and there is no way to completely **, but through reasonable**, it can be achieved clinically**. First of all, patients with gout should change their living habits, such as adhering to a low-purine diet, strictly abstaining from alcohol, reasonable **, moderate exercise, and drinking more water. All of these methods can help lower blood uric acid levels.

Secondly, the most important thing is to take urate-lowering drugs**, which should be used to control the blood uric acid below 360 micromoles per liter, and achieve the standard for a long time, so that gout can no longer attack.

Gout is caused by a disorder of purine metabolism and the accumulation of large amounts of uric acid and urate in the blood and tissues. Symptoms are pain, swelling, and even deformation of joints such as fingers, toes, knees, and elbows.

Gout, which is caused by long-term exposure to rheumatic cold; Therefore, one should stay away from rheumatism and live in a relatively warm and dry environment. For gout, you can eat less acidic foods and consume less salt; Eating seafood and drinking beer can cause gout.

Uric acid-lowering drugs for gout, such as Chinese herbal medicine Zifeng herbal tea, have obvious effects, and there is no ***.

1. During an acute attack of gout, the inflammatory response of the joints will be amplified step by step, and it will reach its peak within 24 to 48 hours. Therefore, it is best to start pain relief within 24 hours after the onset of the disease, and the earlier the conditioning starts, the more conducive to the suspension of the inflammatory response and the early improvement of the condition;

2. The patient should rest in bed and elevate the affected limb to facilitate the blood return at the affected joint. Also, do not put weight on the affected joint to avoid joint damage, and generally resume activity after 72 hours after the joint pain has resolved. The solubility of urate in warm environments increases, so care should be taken to keep the affected limb warm and avoid cold.

Although cold compresses can temporarily reduce joint pain during acute gout attacks, they are not conducive to the dissolution of uric acid crystals, and if there are other effective pain relief measures, cold compresses are not recommended;

3. In the acute stage of gout, it is forbidden to consume high-purine foods such as meat and alcoholic beverages. The daily intake of purines in the diet should be controlled to less than 150 mg, the total calories of food should be 20% lower than usual, the protein intake should be moderate, and fats and sugars should be limited. You can eat rice noodles, milk, eggs, winter melon, cucumbers, potatoes, cabbage, carrots, onions, lotus roots, watermelons, apples and other foods.

In addition, salt will retain water in the body and hinder the excretion of uric acid, so it is advisable to eat less.

"Pain relief" must be timely, "timely" is "fast", once the gout attack, it is necessary to relieve the pain as soon as possible in the shortest possible time**, so as to control the degree of inflammation within the minimum range, and the joint pain will not be so serious. In the acute attack of gout, it is currently believed that once the gout is attacked, anti-inflammatory and analgesic should be given within 24 hours**, among which non-steroidal anti-inflammatory analgesics should be the preferred drugs, such as etoricoxib, diclofenac sodium, celecoxib, loxoprofen sodium, etc.

Swelling "must be thorough, it is undeniable that gout has a certain self-limiting, and the pain can be relieved on its own until it disappears. However, the pain is relieved and disappears, which does not mean the end of the acute gout attack, because the joint swelling is still present at this time, indicating that the inflammation has not completely disappeared. At this time, it is necessary to continue to take non-steroidal anti-inflammatory analgesics, or topical creams and plasters with anti-inflammatory and swelling effects, until the joint swelling disappears completely.

Many patients stop taking the drug when the joint pain is not obvious, resulting in incomplete elimination of inflammation and easy to induce gout recurrence.

Many patients are worried about the adverse reactions of uric acid-lowering drugs, worried that they need to take drugs for a long time, and they will no longer take uric acid-lowering drugs as soon as the pain disappears, or take them irregularly, resulting in the persistence of high uric acid, laying the groundwork for the next attack of gout.

**Gout is first of all to prevent the formation of uric acid, and it is necessary to take drugs that inhibit uric acid production and promote uric acid excretion orally regularly. Usually pay attention to a strict low-purine diet and eat more fresh vegetables and fruits.

Disease analysis: The best drugs for gout include non-steroidal anti-inflammatory drugs, colchicine and other drugs such as etoricoxib, celecoxib, diclofenac sodium, etc., and hormones and surgery can also be used. In addition, patients with gout should pay attention to oral uric acid-lowering drugs such as sodium bicarbonate and febuxostat during the stable period of disease, and also need to reduce the intake of high-purine foods such as beer, seafood, and meat from the diet.

When gouty arthritis attacks, it can be used to reduce inflammation and relieve pain. Once the patient is diagnosed with gout, he should use the herb tea to lower uric acid, excrete uric acid, reduce swelling, and reduce inflammation in order to get better!

Pay attention to the following in your daily life.

Clause. 1. Foods high in purines, such as animal offal, shellfish seafood, broth, and beans, should be prohibited in the diet.

Clause. Second, we should pay attention to quitting alcohol, alcohol also belongs to a high-purine diet, whether it is beer or liquor, it must be avoided.

Clause. 3. Patients should pay attention to drinking more water at ordinary times, drinking more than 2,000 ml of water per day, and drinking a lot of water can promote the excretion of uric acid.

Clause. Fourth, patients should pay attention to maintaining an ideal weight, obesity is also a major cause of gout, obese people should lose weight, weight loss is important to follow the principle of gradual progress, otherwise it is easy to lead to the attack of gout.

Clause. 5. If the patient's condition is reversed in daily life, it is necessary to pay attention to adhere to oral medicine and regular outpatient follow-up.

Low-purine diet: It is recommended that gout patients should control their diet for a long time, that is, a low-purine diet. Drink plenty of water, don't drink alcohol:

Drink more than 2000ml of water every day and try not to drink alcohol. Long-term use of uric acid-lowering drugs: If you have repeated gout attacks, you should take uric acid-lowering drugs for a long time.

In the case of uric acid-lowering drugs, some people will have gout after taking and stopping using them, in this case, it is recommended to take uric acid-lowering drugs for life. There are also some patients who have some high-risk factors for coronary heart disease or other diabetes, even in the absence of gout, it is recommended to undergo uric acid lowering**.

**The best methods for gout are: first, anti-inflammatory painkillers. For example, voltarin, fenpide and colchicine, among which colchicine only has a good pain-relieving effect on gout.

Second, low-dose hormones are taken orally or injected, which is suitable for patients with severe pain medication and poor efficacy. Third, the use of topical drugs. For example, voltarin emulsion, Qingpeng ointment, etc.

Fourth, physics**, cold water can be used for cold compresses during gout attacks, remember not to use hot water, because when the joints are red and swollen, using hot water will increase its symptoms. Fifth, when gout is painful, you must not take drugs that reduce uric acid excretion to avoid causing gout attacks.

Thank you. As far as I know, there's a way to save money without ***: drink plenty of water and skim milk.

Research led by Dr. Nicola Dalbeth, a rheumatologist at the University of Auckland, has shown that drinking plenty of water and skim milk can prevent gout regressions.

All along, in order to fight gout, doctors spend a lot of time telling patients what they can't do – for example, avoiding alcohol and red meat, seafood. "But now, we can tell patients what they can do to help control the disease, which could be more useful. Dr. Nicola thinks.

Water and gout. There is definitely a genetic link to the disease gout, but there is no doubt that lifestyle is also a key factor.

Researchers have found that dehydration is a trigger for gout attacks. Studies have shown that the more water people with gout drink, the lower the risk of gout**. People who drank 5-8 glasses of water in a 24-hour period had a 40% lower risk of gout attacks compared to people who didn't drink water for a day or only one glass a day.

Drinking water is a simple intervention that helps reduce the risk of counter-action.

Skim milk with gout.

Previous studies have shown that people who drink large amounts of milk have a lower risk of gout. Dr. Nicola and colleagues studied the effect of skim milk on blood uric acid concentrations, and the researchers collected blood and urine samples from volunteers before they drank skim milk, and then every hour for 3 hours.

The results showed that after drinking skim milk, the uric acid level of the volunteers decreased by 10 within 3 hours, while the standard drug for gout, zyloprim, reduced uric acid by an amplitude of 20 -30.

Researchers believe that a substance called orotate acid in skim milk promotes the excretion of uric acid by the kidneys. Researchers are studying the long-term effects of milk in people with gout.

Elaine Husni, a rheumatologist at the Cleveland Clinic, said it was too early to make recommendations for gout based on the two studies — "but water and milk are such prevalent foods that they are something that people can control and afford." ”

Gout sufferers should give it a try.

Kang Pinjun Public Nutritionist.

Wan Fan · Wan Zan.

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What should I do if I have gout**.

For gout, the most fundamental thing is to control the level of blood uric acid, so that the blood uric acid is controlled within the normal range, because the occurrence of gout is caused by the increase in uric acid.

Zhengzhou Gout Specialist Hospital: It is generally believed that if the blood uric acid concentration is below the level, if the patient is asymptomatic, no medication is needed**, dietary control is sufficient, and those with high blood uric acid concentration after dietary control, those with acute attacks more than twice a year, those with tophi and urate deposition, and those with kidney stones and renal function impairment should use urate-lowering drugs**.

Gout is a crystal-associated arthropathy caused by monosodium urate deposition, which is directly related to hyperuricemia due to disturbances in purine metabolism and/or decreased excretion of active uric acid. Lifestyle changes can reduce uric acid by 10%-18%, which can prevent the onset of gout and reduce the many harms caused by gout to the human body. When gout attacks, the use of suffocation herbal tea has a relieving effect, which is suitable for daily conditioning and prevention**.

The diet of gout should strictly pay attention to the use of a diet with low purine content: the staple food is generally rice noodles; Non-staple foods can drink low-fat milk, cheese, eggs, lean meats (including fish and chicken); Fruits can eat fruits with low fructose content: such as green plums, cucumbers, watermelons, coconut water, strawberries, cherries, peaches, plums, olives, etc.; Vegetables:

low in purines, celery, cucumber, eggplant, winter melon, tomatoes, cabbage, pumpkin, cabbage, etc.; Drink more than 2000ml of water every day.

If a patient suffers from gout, the best food choices are as follows:

1. Eat food that promotes uric acid metabolism, drink water and combine exercise to promote uric acid excretion;

2. Eat alkaline foods such as vegetables and fruits;

3. Eat rice, noodles, eggs, milk and other foods;

4. Patients with normal renal function can eat soy products, but patients with abnormal renal function cannot eat them;

5. Young patients can drink coffee, but elderly patients cannot drink coffee.

Patients with gout should eat more fresh fruits, drink more water, drink less high-sugar beverages, and eat a low-purine diet in their daily life. In addition, it is better to abstain from alcohol and tea. In general, gout is a crystal-related arthropathy caused by monosodium urate (MSU) deposition, which is directly related to hyperuricemia caused by purine metabolism disorders and/or decreased uric acid excretion, especially acute characteristic arthritis and chronic tophi diseases, mainly including acute onset arthritis, tophi formation, tophi chronic arthritis, urate nephropathy and uric uric tract stones, and in severe cases, joint disability and renal insufficiency.