Gout and Seniors : The science explained.

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Gout and Blood Pressure : Research Notes.

Summary. The Mayo Clinic text details the diagnosis and treatment of gout, outlining methods such as joint fluid tests and blood tests, alongside various medications to manage inflammation and uric acid levels, and lifestyle adjustments. A YouTube transcript by Dr Axe advocates for natural remedies like celery seed extract and black cherry juice to alleviate gout symptoms quickly, alongside dietary changes. Finally, a ScienceAlert article reports on a large-scale genetic study revealing a stronger-than-previously-understood genetic component in gout development, challenging the common belief that it's solely a lifestyle-related condition.

Research / Mayo Clinic / “Gout : Diagnosis & Treatment.” https://www.mayoclinic.org/diseases-conditions/gout/diagnosis-treatment/drc-20372903

Article / Science Alert / “Huge Study Shows Where Gout Comes From, And It's Not What We Thought.” https://www.sciencealert.com/huge-study-shows-where-gout-comes-from-and-its-not-what-we-thought

YouTube / Dr Axe / “How to overcome gout naturally.” https://youtu.be/Age_dvsJMRk?list=TLGG-56k-CFw4CoxNjExMjAyNA

Support / Arthritis Foundation https://www.arthritis.org/diseases/gout

Support / Gout Education Society https://gouteducation.org/

Gout - Frequently Asked Questions

What is gout and what causes it?

Gout is a type of arthritis caused by a build-up of uric acid in the body. This can happen due to a combination of genetic predisposition and lifestyle factors. High levels of uric acid form sharp crystals in the joints, triggering an immune response that causes inflammation and pain. While lifestyle factors like diet contribute, recent research indicates that genetics play a more significant role than previously thought.

What are the symptoms of gout?

Gout typically presents as sudden, intense pain in the joints, often affecting the big toe. The affected joint may become swollen, red, and tender to the touch. Gout attacks can last for several days or weeks, and may recur periodically.

How is gout diagnosed?

Doctors diagnose gout based on symptoms, physical examination, and a review of medical history. Tests that can confirm the diagnosis include:

• Joint fluid test: This involves extracting fluid from the affected joint to identify urate crystals under a microscope.

• Blood test: This measures uric acid levels in the blood, although it’s not always definitive.

• Imaging tests: X-rays, ultrasound, and DECT scans can help visualize urate crystals or rule out other conditions.

What are the treatment options for gout?

Treatment for gout focuses on two main goals: reducing pain and inflammation during attacks, and preventing future attacks by lowering uric acid levels.

Medications for gout attacks:

• NSAIDs: Nonsteroidal anti-inflammatory drugs like ibuprofen or naproxen can relieve pain and inflammation.

• Colchicine: This anti-inflammatory drug effectively reduces gout pain but may cause side effects like nausea and diarrhea.

• Corticosteroids: Medications like prednisone can control inflammation and pain but may have side effects like mood changes and elevated blood pressure.

Medications to prevent future attacks:

• Uric acid production blockers: Allopurinol and febuxostat limit uric acid production but may have side effects.

• Uric acid removal enhancers: Probenecid improves kidney function to eliminate uric acid but can cause side effects like kidney stones.

What lifestyle changes can help manage gout?

Lifestyle modifications can play a significant role in managing gout. These include:

• Limiting alcohol and sugary drinks: These can increase uric acid levels.

• Avoiding purine-rich foods: Red meat, organ meats, and certain seafood are high in purines, which break down into uric acid.

• Maintaining a healthy weight: Obesity increases the risk of gout.

• Exercising regularly: Low-impact activities like walking or swimming can help maintain joint health.

Is gout curable?

While gout can be effectively managed with medication and lifestyle changes, it's not currently considered curable. However, adhering to a treatment plan can significantly reduce the frequency and severity of attacks, minimizing pain and preventing long-term joint damage.

Are there any natural remedies for gout?

Some natural remedies have shown potential in managing gout symptoms. However, it's important to consult a doctor before trying any alternative treatments. A few natural remedies that may help include:

• Celery seed extract and juice: These are believed to reduce uric acid build-up.

• Black cherry juice: It has anti-inflammatory properties and may help lower uric acid levels.

• Nettles tea: Nettles contain anti-inflammatory compounds that can help manage gout symptoms.

When should I see a doctor about gout?

If you experience sudden, intense joint pain, particularly in the big toe, it's crucial to consult a doctor. Early diagnosis and treatment can help prevent complications and manage the condition effectively.

end of FAQ

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