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The clinical manifestations of gout are first of all acute gout, its manifestations are mainly redness, swelling, heat and pain of the joints, usually the joints are a single joint onset, not many joints are 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, the patient will have very intense pain, unbearable. There is also an acute gout attack, which is usually an asymmetrical joint symptom that usually does not appear on the left side, but also on the right side. In addition, the most commonly affected joint is the first metatarsophalangeal joint, which is the joint under the big toe that people say, which is the first metatarsophalangeal joint.
Why do many people have gout, many times it is because they can't control their mouth, if you pay attention to your lifestyle and use Feng Cao tea to effectively promote the excretion of uric acid, then gout can not attack.
When gout attacks, you can see that the redness, swelling, heat, and pain of the joints are very obvious, and even some patients will have fever, which is a symptom of acute gout, and after the symptoms of acute gout appear, he may last for a few days, and the longest may not exceed 2 weeks to get better. Some patients may get better after taking medication, and some patients may just be cured by themselves without medication, which is usually some of the manifestations of gout at the beginning. When gout reverses and becomes a chronic gouty arthritis, its symptoms can last for a long time, and the symptoms of the joints do not subside, in addition, multiple joints in the body can be affected, and.
Both large and small joints can be affected. Bilateral symmetrical arthritis can also occur.
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The typical symptoms of gout are that the affected joint is affected, accompanied by swelling or pain, and it is necessary to go to the hospital for relevant tests to diagnose it, such as blood uric acid measurement, and imaging tests.
Gout may be caused by drinking a lot of alcohol or eating too much high-purine food, and after the attack of the disease, it will involve one or more joints resulting in pain or swelling, and it will also cause redness or shinyness, and even cause limited joint movement, if gout is more severe, it may cause joint deformity. Some people also develop gouty nephropathy, which is manifested as increased nocturia, low-molecular-weight proteinuria or leukocytouria. Gout requires medication** under the guidance of a doctor, such as oral allopurinol or febuxostat, and a non-steroidal anti-inflammatory drug**, such as diclofenac.
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The most direct manifestation of gout symptoms is pain, but this is not a symptom of all stages of gout, we have to look at it in stages.
In the incubation period, that is, the hyperuricemia period, there is generally no obvious gout symptom manifestation, the patient can not feel it, and the excess uric acid value must be detected by physical examination or with a home uric acid meter such as the Sino uric acid meter.
In the acute gouty arthritis attack period, there will be obvious gout symptoms such as joint redness, swelling, fever, pain, and even affecting activities.
In the intermittent phase of acute gouty arthritis: there are generally no obvious symptoms of gout. A small number of patients have no intermittent periods, and the initial onset is followed by a chronic tophi attack.
During the attack of chronic gouty arthritis, the symptoms of gout are very diverse, and there will be physical deformities caused by tophi, as well as kidney lesions.
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1. Acute attack: If the body often begins to have pain, swelling, redness in the ankle joints or toes, arms, finger joints, etc., accompanied by severe pain in the second half of the night, it is necessary to pay attention to the possibility of suffering from gout in the acute attack period.
2. Intermittent period: If the interval between the two onset of gout is a few months to a year, and the attacks become more frequent and frequent, the pain becomes more and more severe, and the course of the disease is prolonged, then it may be intermittent gout.
3. Chronic phase: If there are tophi, chronic arthritis, uric acid stones, gouty nephritis and complications, then gout in the chronic phase may occur. At this time, gout attacks are frequent, and tophi begin to appear in the body area, and over time, the tophi will slowly become larger.
Once the symptoms of gout are found, it is necessary to treat gout in time, otherwise it will become more and more serious.
Clinical signs of gout:
1. Arthralgia. When gout first strikes, there is often a sudden and sharp pain in a single joint of the body, usually in the big toe. Subsequent episodes become more and more widespread, and pain may occur in multiple joints, such as ankles, wrists, and elbows.
Pain often occurs when the patient sleeps at night, without any previous symptoms, and may also occur after the patient has consumed too much alcohol, which is also the initial manifestation of gout symptoms, and if these signs are found, you must go to the hospital in time**.
2. General malaise. In addition to symptoms of swollen and painful joints, fever, rapid heartbeat, chills, and general malaise are also manifestations of gout.
3. White nodules. If there is a white nodule on the hands, feet, elbows, and the pinna of the outer ear, it may be tophi.
For the initial manifestations of these gout symptoms, once there is a discovery of gout, you must not take it lightly, especially the elderly, many elderly people do not like to go to the hospital, but at this time, do not have a fluke attitude, must protect their body.
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What are the symptoms of gout? Gout is a kind of anti-inflammatory disease caused by excessive uric acid production or impaired uric acid excretion in the body, which causes the blood uric acid to rise and urate crystals to be deposited in other tissues such as joint synovium, bursa, cartilage and auricle. The main symptoms are as follows:
Clause. 1. Acute gouty arthritis, patients typically have an attack, often wake up in the middle of the night due to joint pain, the pain is progressively aggravated, tear-like, knife-like, unbearable, and the affected joints and surrounding tissues are red, swollen, hot, painful, and functionally limited. At this time, the white blood cell count is elevated, the erythrocyte sedimentation rate is increased, and the C-reactive protein is increased, and some patients may have fever, chills, headache and other systemic symptoms.
Clause. 2. In the intermittent attack period, there are no obvious sequelae of gout, and most patients can reverse it, and more and more joints are affected. In addition, when entering the stage of chronic tophi lesions, tophi can be produced in the synovium, cartilage and surrounding soft tissues of the joints, and urinary system stones can also appear, including kidney stones, ureteral stones, etc. In addition, if it affects the kidneys, it can cause urate nephropathy, which can also cause renal insufficiency.
Therefore, when you have gout, you must go to the hospital to ask a doctor for diagnosis** to reduce the level of blood uric acid and prevent complications.
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Gout patients, often appear suddenly one or more, severe joint pain, more than sudden onset at night, but also joint redness and swelling skin temperature rise, joint surface **red purple, nervous shiny, etc., the first few attacks usually only accumulate a joint for a few days, longer than two weeks to relieve themselves, and then the symptoms disappear completely, but if the condition is aggravated, the disease is not active after the attack, it will lead to more frequent attacks, and can affect multiple joints, the attack can be up to three weeks or longer, and the reverse action can lead to gout aggravation, And it is chronically developed, resulting in diseased joint deformity. The harm of gout is mainly due to the fact that the damage of kidney function and the damage of heart function destroy the joints diabetes hypertension blood circulation dysfunction in the kidneys for a long time, Yin, disorder, two, heart damage, persistent, high uric acid, will make urate crystals deposited in the coronary arteries of the heart, it is easy to cause arteriosclerosis, etc., arthritis of the joints, bell, make the joints immobile, damage the joints, and even lead to overeating and drinking in gout patients, diabetes, hypertension, gout patients. The morbidity rate is extremely high, in addition to gout can also appear, and it is recommended that if you are unwell, you should go to the hospital in time to treat it accordingly.
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The clinical manifestations of gout are generally mainly pain, which is the most typical.
The patient went to eat hot pot and drank beer at night, and after eating a high-purine diet, he suddenly woke up in the morning with a pain in his feet and couldn't move, and he couldn't touch it.
In fact, pain is the most typical, it will be very painful, and it can't even be touched on the ground, especially pain is the most typical pain, in fact, it simply boils down to four words: redness, swelling, heat, and pain.
Other symptoms. In addition to the common joint-related symptoms, patients sometimes experience other symptoms, including fever, increased heart rate, general malaise, and chills.
Complications of gouty nephropathy.
The onset is insidious, and the clinical manifestations are increased nocturia, low specific gravity urine, low molecular weight proteinuria, leukocytouria, mild hematuria and casts. In the late stage, renal insufficiency, hypertension, edema, anemia, etc. may occur.
Urate acid kidney stones.
It can range from asymptomatic to renal colic, hematuria, dysuria, hydronephrosis, pyelonephritis, or periphritis.
Acute renal failure.
A large number of urate crystals block the renal tubules, renal pelvis and even ureters, and patients will suddenly develop oliguria or even anuria, which can develop into acute renal failure.
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Gout is mainly manifested as redness, swelling and pain in the affected area, increased local ** temperature, and limited activity. It generally appears at the end of the limb, such as the first metatarsophalangeal joint, ankle joint, knee joint of the foot, etc., and some patients appear in the upper limb, such as the wrist joint, metacarpophalangeal joint, interphalangeal joint, etc. of the hand. Most patients with gout have a single joint attack, and a very small number of patients can have redness, swelling and pain in multiple joints.
Usually there is a history of high-purine diet before the onset of gout, such as drinking alcohol, eating seafood, eating hot pot, eating some meat with high purine content, etc. Then the symptoms of gout are mainly tears and cuts, and the pain is severe and unbearable.
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The symptoms of gout are divided into symptoms in the acute attack phase, symptoms in the intermittent phase, and symptoms in the chronic phase. The acute attack phase is mainly manifested as local redness, swelling, heat, and pain in the joint, most often involving the first metatarsophalangeal joint, the patient has very severe and unbearable pain, and the acute attack usually resolves spontaneously within two weeks, and then enters the intermittent phase. Patients in the intermittent phase may have no symptoms, and the gout will eventually enter the chronic phase after repeated gouts.
In the chronic phase, the joints can be swollen and painful without intermittent periods, so once you enter the chronic phase, gouty arthritis can be more problematic.
Gout is characterized by redness, swelling, pain, local warmth, and limited activity in the affected area. It generally appears in the parts of the limb at the end of the limbs, such as the first metatarsophalangeal joint, ankle joint, knee joint, etc., and some patients will appear in the upper limbs, such as the wrist joint, metacarpophalangeal joint, interphalangeal joint, etc. Most patients with gout have a single joint attack, and a very small number of patients may have multiple joints at the same time with redness, swelling and pain.
Usually before the attack of gout, there is a history of high-purine diet, such as drinking, eating seafood, eating hot pot, eating some meat with too high purines, etc., and then the symptoms of gout are generally tear-like and knife-like, and the pain is more severe and unbearable. It should be noted that in some patients with acute gout attacks, blood uric acid may be normal, and further examination of the joint can be confirmed by musculoskeletal ultrasound or joint magnetic resonance imaging of the joint.
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About 50%-70% of gout patients have joint pain, the first time occurs on the outside of the thumb of the foot, and it is more likely to occur at night due to exertion, alcohol consumption, high-purine diet, etc. Joint pain is severe, like a knife cut, joint pain, swelling, fever, pain, and limited movement. It usually resolves naturally after 3-7 days, and the joint is not damaged after surgery.
Some patients with gout have joint pain, joint effusion in severe cases, and a small number of patients will have symptoms such as low-grade fever, headache, and fatigue.
Gout is a metabolic disease, its typical symptoms are acute gouty arthritis, more than nocturnal attacks, severe pain, manifested as redness, swelling, heat and pain in a single joint, usually involving the finger joints, followed by the dorsum of the foot, ankle joint, knee joint, etc. If acute arthritis persists and does not heal, it can transform into chronic arthritis, which is characterized by swelling, deformity of the affected joints, and the appearance of tophi. Uric acid kidney stones, chronic renal insufficiency and other symptoms will appear, and it is necessary to do B ultrasound, blood creatinine, urine routine, etc.
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Ventilated patients develop urate crystal deposits that can lead to arthritis, called ventilated arthritis. Uric acid nephropathy and kidney stones are called gout, and gouty arthritis is also called gout. The first sudden onset of an acute attack in patients with gout is the manifestation of redness, swelling, heat and pain in the joints of the first fingers and joints, knees and other joints.
It is redness, swelling, and a feeling of local temperature and pain. The possibility of gout should be considered, and it should be remembered that it is typically the first knuckle joint of the big toe. Bare joints or knees are very susceptible to acute gout attacks.
Within 24 hours, the symptoms of redness, swelling and swelling will develop to a peak, and the initial symptoms are accumulative, and a single shutdown lasts for days or even weeks, and can be completely relieved on its own on a weekly basis. On the contrary, the number of joints affected gradually increases, the duration of symptoms is prolonged, the period between arthritis attacks is constantly shortened, and there are some typical manifestations, such as the gout mentioned above, and related imaging can be performed. Ultrasonography is used to determine the morphology and symptoms of arthritis.
The typical onset of gout symptoms is often awakened in the middle of the night due to joint pain, and the pain progressively worsens, reaching a peak in about 12 hours, and is tearing, knife-like, or biting-like, which is unbearable. Redness, swelling, warmth, pain, and functional limitations of the affected joint and surrounding tissues. Spontaneous resolution within a few days or 2 weeks. >>>More
The most rapid ways to relieve pain in gout mainly include taking painkillers, applying ice, etc., and avoiding exercise and elevating the affected limb can also help relieve the symptoms. >>>More
Patients with gout can eat low-purine foods, fresh fruits and vegetables, protein foods, etc. >>>More
Tophi is a disease of purine metabolism disorder, the attack of gout is related to diet, food contains purines, after purines enter the body, it will lead to purine metabolism disorders in the body and decreased renal excretion function, which will damage joint tissues and cause gout. Wondering what kind of food contains the most purines? What foods can be eaten and which foods can't be eaten, I'll talk about it below. >>>More
1. Eat more low-purine foods, less medium-purine foods, and no high-purine foods. >>>More