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Relieving gout

04 Sep 18

Is it okay to eat seafood if you have gout?

Doctors allow seafood to be included in the diet for gout, but recommend approaching menu planning with caution. The rich mineral composition can reduce the inflammatory process, but seafood also contains purines. During periods of exacerbation, the consumption of crustaceans is limited. We should also not forget about possible individual intolerance to seafood. When planning your daily diet, it is recommended to consult your doctor.

Can you eat seafood if you have gouty arthritis?

It is better to cook dishes using steam or boiling. Fried, smoked, canned foods are contraindicated for gout.

Seafood is rich in minerals and vitamins, and also contains Omega-3 polyunsaturated fatty acids. Therefore, doctors say that seafood can be eaten during periods of remission and calm course of the disease. The table shows the positive effects of seafood on the body for gouty arthritis:

The dangers of eating seafood

Despite the beneficial properties, seafood should not be overused. Seafood contains purines, the breakdown of which leads to an increase in uric acid levels. Due to such a reaction, patients may experience an exacerbation of the disease. The amount of purines in seafood is presented in the table:

During an exacerbation, you should categorically exclude seafood and adhere to a strict diet. Soups and broths based on seafood are prohibited as they contain an increased amount of purines. Crab sticks are allowed to be eaten, but in minimal quantities, because they contain a small amount of useful substances. It is extremely important to approach the choice of goods carefully, making sure of its quality.

If the patient’s condition worsens after eating any dish, it should be immediately excluded from the menu.

Seafood: how to choose and cook for gout?

To achieve the maximum positive effect, you should follow the basic recommendations:

Mediterranean shrimp are the most beneficial for the patient.

  • Shrimps brought from the Mediterranean Sea contain the most useful substances.
  • It is recommended to boil shrimp and not add salt.
  • If it is impossible to completely abandon spices, then they should be replaced with dried seaweed and herbs.
  • You can eat squid if you have gout, but not during periods of exacerbation.
  • Ready crayfish must be stored in glass.
  • It is useful to prepare healing decoctions and tinctures from crustacean shells.
  • It is better to eat crayfish together with tendons, cartilage, and shells.
  • Seafood can be consumed every day, but it is important to remember to keep portion sizes small. Overweight people should additionally monitor their calorie intake. To create an optimal diet, the patient is recommended to consult a nutritionist. If this is not possible, then you should have a special notebook for counting calories.

    Gout is a joint disease caused by a failure to remove uric acid from the body. The synthesis of uric acid occurs as a result of the breakdown of purines in the body - compounds that come from meat foods. As a result of the accumulation of uric acid in the body, the process of crystallization and deposition of uric acid in the form of uric acid salts occurs.

    People at risk of developing this disease are mainly people with a genetic predisposition to metabolic disorders, as well as the elderly, those prone to obesity, and those who consume large amounts of monotonous meat foods. Most often, the disease begins to develop in men after 40 years of age and in women during menopause.

    There are two stages of the disease: chronic and acute. Signs of chronic gout include:

  • inflamed growths on the joints (tophi);
  • constant aching pain in the joints;
  • loss of functionality of one or more joints.
  • In the acute form of gout, all the signs of a chronic form are observed, with an exacerbation in the form of a gout attack. When a gout attack occurs, a sudden pain pierces the joint, inflammation and swelling of the joint and limb appear, and the temperature of the affected area rises. Basically, a gout attack occurs at night and lasts from a couple of hours to a couple of days.

    Gout is a chronic disease, and today it is impossible to completely get rid of it. The essence of treatment is to relieve (relieve) a gout attack and prolong the periods of remission between its attacks. The course of treatment includes:

  • diet;
  • course of medications and procedures;
  • actions in the event of a gout attack.
  • The foundation for both treatment and prevention of gout is stabilizing the level of uric acid in the body. In addition to special anti-gout medications, this is achieved through a strict diet.

    The basis of the diet for gout is the principle of excluding from the diet foods rich in purines and capable of triggering an attack of the disease and increasing the consumption of alkalizing foods that restore metabolism.

    Medications

    The list of drugs prescribed to a patient usually contains two types of drugs: for the treatment of chronic and acute gout. To treat the chronic form of the disease, drugs are prescribed that stabilize the process of uric acid metabolism in the body. These can be either drugs that block the synthesis of uric acid, or drugs that enhance the excretory functions of the kidneys.

    As for the second type of drugs for the treatment of gout, in the event of a gout attack, the patient is prescribed non-steroidal anti-inflammatory drugs and painkillers. If they do not bring relief, the doctor may prescribe glucocorticoids - injections of hormonal anti-inflammatory drugs. So, when a gout attack occurs, you must:

  • provide the patient with bed rest;
  • place the inflamed limb on an elevation;
  • make a pain-relieving compress with ointment;
  • give the patient painkillers;
  • Ensure a strict diet and plenty of fluids.
  • When it comes to pain relief from an attack with drugs, you need to be very careful. Aspirin is a non-steroidal anti-inflammatory drug and is supposed to help. But in case of kidney dysfunction, acetylsalicylic acid can increase the level of uric acid in the body, which will lead to complications. In addition, aspirin taken for gout in combination with other drugs can weaken the effect of the latter.

    In traditional medicine recipes, you can take aspirin for gout as a means of external influence on the site of inflammation. In this case, aspirin is indispensable for gout.

    Treatment of gout with iodine and aspirin

    Iodine with aspirin is an excellent remedy for gout. With their help, inflammation and pain during an attack are relieved. It is also used for preventive purposes to avoid new salt deposits in the joints. To prepare the medicinal solution you will need 10 ml. iodine and 5 aspirin tablets. The tablets need to be crushed, poured into iodine and dissolved. Lubricate gout-affected joints with the resulting solution before going to bed. Then, wrap the treated areas with warm clothing.

    You can also use a medicinal solution for gout, in which the dosage of aspirin is lower: dissolve 2 crushed aspirin tablets in 10 ml of iodine and squeeze out the juice of one lemon. The processing is the same.

    Before you start taking aspirin for gout, you should consult your doctor. Taking into account the individual condition of the patient, a qualified specialist will accurately determine whether the patient can use aspirin as an external treatment for gout.

    Found 33 doctors treating the disease: Gout

    Antibiotics for gout

    Gout is a disease that affects a person's joints. This process occurs due to the deposition of urates - uric acid salts.

    Gouty arthritis was first described in the seventeenth century in an English work called A Treatise on Gout. In it, the pain caused by gout was compared to the pain “when pinching a limb with a press.”

    Gout mainly affects males. In this case, the disease occurs in approximately three people per thousand of the population. As a rule, gout appears in people who are already forty years old. Women suffer from gout after menopause . If a person develops gout, the symptoms of the disease are expressed by damage to any joints in the human body: these can be the joints of the hands , fingers , knees , elbows , feet . But most often the disease affects the joints of the toes.

    IT IS IMPORTANT TO KNOW! The only remedy for JOINT PAIN, arthritis, arthrosis, osteochondrosis and other diseases of the musculoskeletal system, recommended by doctors! Read more.

    Factors that provoke the occurrence of gout are diabetes mellitus and arterial hypertension . Gout often develops in people who have a hereditary predisposition to the disease, as well as in those who regularly eat poorly. Basically, an attack of gout occurs after a person has taken alcoholic beverages or severely overeated. Beer has a particularly bad effect on the condition of patients prone to gout. Attacks of gout bother patients mainly at night. With such an attack, a person feels severe and sudden pain and heat in the joints. His knuckles turn red. When a recurrent attack of gout occurs, a tingling sensation is initially felt in the affected joint. If gout is left untreated, the symptoms described above become more common. At the same time, exacerbations become longer lasting. Gradually, the disease affects new joints, sometimes the kidneys and urinary tract are also affected.

    The onset of intermittent gout is considered to be the first attack of arthritis. In this case, a person periodically alternates between remissions and acute attacks of the disease. During remission, the patient does not complain at all about his health condition. Sometimes after the first attack, years pass before the disease recurs. However, most often such attacks recur once or twice a year. Gout progresses and attacks become more frequent.

    In most cases, in a person suffering from gout, symptoms initially manifest as damage to the first metatarsophalangeal joint . acute monoarthritis develops . The reason for the damage to these joints is that in these joints degenerative-dystrophic changes in cartilage occur first. Therefore, urate is deposited in them earlier than in other joints. In more rare cases, other joints of the legs are the first to be affected, and even less commonly, the joints of the arms. By the way, the word “gout” is translated from Greek as “foot trap.”

    Joint pain with gout develops sharply; an attack can begin in the morning or at night, less often at other times of the day. The person suffers from very intense and sharp pain. Sometimes the pain can be unbearable, and analgesics do not help relieve it. The development of signs of local inflammation occurs very quickly, which manifests itself to its maximum within a few hours. In some cases, the patient’s body temperature also increases – it can even rise to forty degrees. Often the swelling and hyperemia of the skin over the joint is so severe that it can resemble phlegmon . As a result of such unpleasant sensations, the mobility of the joint is noticeably limited. After a few days (3–7–10 days), all symptoms of the disease completely disappear.

    If the disease is not treated, then after some time it can provoke bone destructuring. And when the disease lasts for more than four years, bumps appear above the patient’s skin, quite dense to the touch. Uric acid crystals accumulate in them. Such bumps appear over sore joints. They have a yellowish color. Sometimes the bumps burst and white crumbs come out of them. Some patients with gout also develop kidney stones . In this case, the person is bothered by periodic attacks of high blood pressure and renal colic. Sometimes, quite rarely, gout also affects the heart muscle.

    It is not difficult to completely restore JOINTS! The most important thing is to rub this into the sore spot 2-3 times a day.

    The external manifestations of gout - edema, swelling - are detected by the doctor during examination. During the interview, it is determined whether the patient has signs of the disease.

    The most accurate criterion for diagnosing gout is detection by microscopic examination of sodium urate in the tophi or synovial fluid. Tophi is the deposition of crystals in the soft tissues of uric acid: they are deposited in the form of nodules. The elastic thick mass that fills the joint cavity is called synovial fluid .

    There are other signs of gout that are very important in the diagnosis process. First of all, hyperuricemia , in which the blood contains too high a level of uric acid. However, with this phenomenon, gout does not always occur; therefore, this phenomenon cannot be considered the main criterion for making a diagnosis. In the process of diagnosing gout, the daily level of uric acid excretion in the urine is determined. During an exacerbation of gout, the results of a blood test indicate the presence of an increase in ESR and an increased number of leukocytes . X-ray examination is also one of the important points in the diagnosis of gout. However, in this case, signs of the disease can be identified if it has been progressing for several years.

    It is important to distinguish gout from other ailments with similar symptoms. So, sometimes gout is mistaken for rheumatoid or traumatic arthritis .

    Treatment of gout involves the gradual implementation of several stages of therapy. First of all, it is very important to relieve acute manifestations of the disease. Further treatment is aimed at preventing further exacerbation of the disease. The attending physician also takes measures to treat complications of the disease and prevent further unpleasant manifestations of gout - for example, urate deposits in the joints or other tissues of the body. In addition, treatment of gout involves parallel treatment of a number of concomitant ailments - high blood pressure , obesity , diabetes , etc.

    If a patient experiences an acute attack of gout, anti-inflammatory drugs are first used to treat the disease. colchicine is often used , and the doctor also prescribes other anti-inflammatory drugs, for example, indomethacin , diclofenac sodium . If treatment with such drugs does not bring relief to a person, systemic or intra-articular use of glucocorticoids . It is important that the person strictly observes bed rest, and that the affected limb is in an elevated state. You should adhere to certain nutritional rules for gout.

    Treatment of gout involves the use of uricodepressants. These drugs help suppress the production of uric acid. The most commonly used drug with this effect is allopurinol . Patients must take medications used to treat gout for a long time - throughout the year. Then the doctor adjusts the further method of using the medications. Also, in addition to alopurinol uricosuric drugs that stimulate the secretion of uric acid are often prescribed.

    During treatment with these drugs, it should be taken into account that with intense release of uric acid after starting to use such drugs, the risk of kidney stones greatly increases. Therefore, measures aimed at preventing urolithiasis . In addition, taking anti-gout medications for a year may increase the risk of developing gout attacks. Therefore, in parallel with such drugs, the drug colchicine or non-steroidal anti-inflammatory drugs should be taken.

    Treatment of gout also involves physiotherapy, paraffin and mud applications, baths with radon and hydrogen sulfide. Such procedures should be carried out at the stage of remission. At the same time, UV irradiation is applied to the area of ​​the affected joint and even in some cases helps prevent an attack. Pain is relieved by potassium-lithium electrophoresis. Between exacerbations, for effective treatment of gout, it is necessary to do therapeutic exercises.

    There are also some traditional medicine recipes that are used to treat gout. For everyday drinking, you can prepare a mixture of calamus root, sage and bearberry leaves, and St. John's wort herb. Another collection for drinking as tea includes a mixture of burdock root and wheatgrass, violet herb and speedwell. In addition, it is useful to periodically drink infusions of mint, nettle, chamomile, deyasil, lingonberry leaf, corn silk, and flax seeds. Oat decoction is recommended as a remedy that reduces pain in the joints.

    To treat gout using folk methods, ointments for topical use are also prepared. To do this, use dry hop cones , the powder of which should be ground in equal proportions with unsalted lard.

    It is also fashionable to apply compresses from herbal decoctions to the affected joints (hops, elderberry, and chamomile are used for this). You can also apply burdock and cabbage leaves to sore spots.

    Taking baths with the addition of herbal decoctions can also be one of the methods of treating gout. In this case, you can add decoctions of horsetail, elderberry, oregano, burdock, nettle, juniper, etc. to a warm bath.

    Patients must follow a special diet , which will help significantly improve their condition. The gout diet is designed so that all foods allowed contain low amounts of purines. In addition, the diet for gout contains few calories, so it helps normalize a person’s weight. In some cases, proper nutrition for gout can help normalize uric acid production. Thus, there is even information that during periods of famine and war, the number of patients with gout sharply decreases due to limited nutrition.

    Nutrition for gout involves eating foods of plant origin, as well as dairy products. Protein needs to be sharply limited. The patient's diet should not include kidneys, brains, liver, chocolate, cocoa, or coffee. Also, the diet for gout does not include the use of rich meat and fish broths. After all, during cooking, purines are released into the liquid. It is advisable to have a fasting day approximately once every week and a half. On such days you can eat one of the following types of foods: cottage cheese, kefir, vegetables, fruits. Also, patients with gout should not drink alcoholic beverages, since alcohol has a suppressive effect on kidney function regarding the elimination of uric acid. Nutrition for gout involves minimizing the consumption of table salt, so food should at least be under-salted.

    The diet for gout should include a large amount of fruits, various cereals, dairy products, and cheese. Eating citrus fruits will help increase the excretion of urates from the body. It is advisable to include more raw vegetables and fruits in your diet. It is important to drink at least two liters of water every day, as this promotes large volumes of urine output. And to prevent the appearance of kidney stones, you should drink about half a liter of alkaline mineral water every day. You can consume the liquid in the form of compotes, fruit drinks, and weak tea.

    Patients with gout should not fast, because complete fasting increases the amount of uric acid in the blood. Meals should be fractional: you should eat up to six times every day, and the portion should not be large.

    Prevention of gout

    To avoid the manifestations of this unpleasant disease, you should avoid joint injuries and avoid wearing shoes that are too narrow and uncomfortable. An effective method of preventing gout is to maintain an active lifestyle and drink plenty of fluids. You should not overuse foods that are rich in protein. It is important to control body weight, since obesity can be one of the triggering factors for the occurrence of gout. However, in this case, it is important to act gradually, since sudden weight loss can cause an increase in the level of uric acid in the blood.

    Reasons for the development of the disease

    The main reason that results in this disease is the deposition of salts (urates) on the surface of the joint. This phenomenon occurs in two cases:

    1. Elevated levels of uric acid - healthy kidneys cannot cope with excess levels without having time to excrete urate in the urine. Moreover, crystals can be localized not only in joints, but also in organ tissues.
    2. Disturbances in the functioning of the excretory system - diseased kidneys are not able to process uric acid even in the smallest quantities, contributing to its deposition in the body.
    3. Are the signs of gout different in men and women?

      The symptoms of the disease are the same for both men and women. The main key difference is the frequency and age threshold. Doctors have found that the male population has this disease much more often than the female population.

      The manifestation of the disease in men begins by the age of 40, while in women gout is typical only by the age of 60. This difference is due to the fact that men are more likely to drink alcohol, and often abuse it, having kidney problems at an earlier age.

      Women who take care of their health develop gout only in old age, when irreversible processes begin to occur in the body.

      Signs of gout in men who lead a sedentary lifestyle and do not take care of their health begin to appear at the age of 35-40, depending on the condition of the body.

      Symptoms of a gout attack

      Acute pain in the joint, mainly of the lower extremities, in which cramps and inability to move are observed, is the main sign of a gout attack. This phenomenon can be alleviated with medication, due to pain relief.

      Which doctor treats this disease?

      Diagnosis and treatment of gout is carried out by a rheumatologist or surgeon. It all depends on the course of the disease and its characteristics.

      Diagnostic procedures

      To verify the suspected disease, the doctor conducts a test for gout, which consists of the following set of measures:

    4. a detailed blood test - shows the presence of an inflammatory process;
    5. a complete urine analysis - the predominance of salts, as well as their quantitative and qualitative composition, gives the right to speak about the state of the excretory system;
    6. Ultrasound of the kidneys - shows the general condition of the “filters”, identifying their errors in operation;
    7. x-ray examination - an image obtained using x-rays shows the general picture of the joint and helps diagnose the disease;
    8. palpation of the painful area, visual examination will help the doctor distinguish gout from arthritis and other joint diseases.
    9. The question of how to cure gout is asked by most patients suffering from this disease. But, unfortunately, it will not be possible to completely get rid of it. It is possible only to eliminate its symptoms and accompanying pain.

      How to relieve pain in the acute period of the disease

      Medicinal anti-inflammatory and painkillers will help relieve the pain of gout, especially during an acute attack. Injections, compresses, and baths are possible, which also relieve acute pain.

      What ointments can be used for gout?

      Ointments for gout during an exacerbation that help fight the disease are:

    10. Fullflex – relieves pain and inflammation, has a freezing effect;
    11. Diclofenac – relieves the condition of soft tissues and injured joints;
    12. Butadione – promotes the breakdown of salts.
    13. Ointments for the treatment of gout, when it is in remission, have a more gentle effect on the body, and are presented in such options as:

    14. Ketoprofen – stimulates blood circulation;
    15. Piroxicam - relieves pain and discomfort.
    16. How to prepare a compress to treat gout

      Compresses for gout are a very effective method to relieve joint pain in a fairly short period of time. Most often, the drug demixide is taken as a basis, which is mixed with water, as well as other active drugs, which only a doctor can prescribe. In addition to demixide, iodine compresses and ammonia are also used.

      Drug treatment of the disease

      Antibiotics for gout of the leg help remove inflammation, ensuring the limbs normal ability to move. Drugs that help eliminate the source of inflammation are selected by the doctor individually for each patient, taking into account age characteristics, as well as the degree of progression of the disease.

      How many days does gout treatment take?

      It is worth noting that it is impossible to cure gout forever. Therefore, the course of treatment proposed by the doctor can only alleviate the symptoms and course. Depending on the degree of neglect of the disease, a certain course of treatment is established, indicating how many days gout is treated using a particular drug.

      Is it possible to get rid of gout forever?

      The Internet is simply teeming with options indicating how to get rid of gout, using a wide variety of techniques and innovations. But not a single method will allow you to say goodbye to the disease forever. The complexity of the disease and its course will permanently deform the joint, depriving it of normal functioning.

      No matter how good medications for gout are used, their effect boils down to one thing - to alleviate the course of the disease as much as possible, eliminating pain and discomfort, while the original position of the joint is impossible.

      Gout, as a disease that cannot be completely cured, causes enormous harm to health, limiting the ability to move painlessly. Therefore, it is very important to monitor the condition of your kidneys, as well as lead an active lifestyle without abusing strong alcoholic drinks.

      Names of medications for gout

      Drugs that inhibit the formation of uric acid or affect its metabolism:

    17. Allopurinol – This medication targets the underlying cause of gout by normalizing the level of uric acid in the bloodstream and body tissues. In this case, the inflammation is not eliminated, but regular attacks and exacerbations of the disease stop. The drug is taken in amounts from 100 to 300 mg per day according to an individual regimen. Treatment usually lasts at least 2-3 weeks;
    18. Colchicine is a herbal preparation based on an extract of colchicum. The drug alleviates the painful syndrome, especially if taken on the first day of the acute period. In this case, it is taken every 60 minutes, 0.5 mg. No more than 1 mg of Colchicine is allowed at a time;
    19. Fullflex is a natural multicomponent drug that is available in the form of capsules or external ointment. It is successfully used to eliminate inflammation and pain, as well as to reduce cholesterol and uric acid levels. Fullflex is considered one of the safest medicines for gout, as it contains only natural ingredients. The drug is taken in the amount of 1 capsule per day for at least a month. Fullflex ointment is rubbed in the morning and at night;
    20. Blemaren is a urinary sediment dissolving agent that simultaneously increases the pH level of the urinary fluid. Blemaren is prescribed in the amount of 2-5 tablets per day, dissolving them in a cup of water or other drink. The daily dose should be taken in three doses, at equal time intervals;
    21. Veroshpiron is a drug that belongs to the diuretics - diuretic drugs from the spironolactone series. The medicine takes part in inactivating the inflammatory process, relieving swelling and removing excess uric acid from the circulatory system. The average daily dosage of the medication is 100-200 mg 1-2 times a day. In children, the drug is used from 5 years of age;
    22. Cyston is a medicine for gout that can dissolve urinary deposits. The basis of the drug is herbal. Cyston can be taken three times a day, 1-2 tablets. Treatment is usually long-term, several months in a row. In pediatrics, the drug is used from 12 years of age.
    23. Painkillers for gout:

    24. Ketorol is a fairly strong pain reliever that can be prescribed in the form of tablets or injections. The dosage of the drug is selected individually, but you should know that taking this medicine for more than 4 days in a row is undesirable;
    25. Dimexide is an anesthetic based on dimethyl sulfoxide. The active component penetrates perfectly into tissues when applied externally, providing an anti-inflammatory, analgesic, and antiseptic effect. Dimexide is used mainly for applying compresses (once a day - for about half an hour). Dilution of the solution for preparing a compress is from 30 to 50%. Sometimes irritation and burning may occur at the site of application of the drug.
    26. Anti-inflammatory for gout:

    27. Movalis is a non-steroidal drug of the meloxicam group. The use of the drug helps alleviate the acute manifestations of a gout attack. Movalis is prescribed as intramuscular injections of 15 mg daily for 2-3 days. The decision on further use of the product is made by the doctor. Long-term treatment with the drug is undesirable;
    28. Ibuprofen is a well-known non-steroidal drug that simultaneously has anti-inflammatory and analgesic effects. The drug is taken 4 times a day, 800 mg, if possible, after meals;
    29. Voltaren is a drug that is used to eliminate pain attacks due to gout. At the very beginning of treatment, Voltaren is taken in an amount of 200 mg, then reducing the dose to 150 mg per day. At the same time, use an external agent to rub the joints;
    30. Meloxicam is a well-known anti-inflammatory and anti-rheumatic drug that is used for short-term treatment of acute manifestations of gout. The drug can be prescribed to patients over 18 years of age, at a dosage of 15 mg once a day, in the form of intramuscular injections;
    31. Diclofenac is a common anti-inflammatory drug prescribed in doses up to 200 mg daily. Diclofenac should not be used for a long time, especially for diseases of the digestive tract: colitis, enteritis, gastritis, stomach ulcers. Diclofenac can be prescribed in the form of injections, tablets, external preparations;
    32. Indomethacin is a non-steroidal drug in the form of an ointment with a pronounced anti-inflammatory, analgesic and decongestant effect. Penetrates deep into the tissue at the site of application. The ointment is usually applied up to 3 times a day, lightly rubbing. The therapeutic course should not exceed 10 consecutive days. In some cases, simultaneous use of Indomethacin tablets may be recommended;
    33. Nise is a non-steroidal anti-inflammatory tablet with the active ingredient nimesulide. The drug relieves pain, normalizes temperature and relieves swelling. Nise is prescribed for oral administration, 1 tablet in the morning and evening. You should not take pills if you have inflammatory processes in the digestive system;
    34. Prednisolone is a glucocorticosteroid drug, tablets for internal use. They have a pronounced anti-inflammatory effect, blocking the development of inflammatory signs. The average dosage of Prednisolone is up to 60 mg per day. During an exacerbation, the amount of the drug can be increased at the discretion of the doctor;
    35. Airtal is a non-steroidal anti-inflammatory ointment based on aceclofenac. The drug will help eliminate swelling and redness in the joint, regardless of the etiology of the inflammatory process. The ointment is used three times a day on the area of ​​the affected joints, under a light bandage;
    36. Nimesil is a product with nimesulide, made in the form of granular powder for the preparation of an oral solution. The product is diluted with water, 1 sachet twice a day. Treatment can last 1-2 weeks. Nimesil gently relieves signs of the inflammatory process in gout, including pain, swelling, redness of the joints;
    37. Dexamethasone is a hormonal agent of the glucocorticosteroid group. Dexamethasone tablets act against inflammation, allergies, and fluid accumulation in tissues. The average amount of the drug per day is 2-3 mg, divided into three doses. In severe cases, intra-articular administration of Dexamethasone solution is possible;
    38. Acetylsalicylic acid is a non-steroidal anti-inflammatory drug, but its use in gout is controversial. Some believe that the drug can relieve inflammation along with other similar medications. Some experts believe that taking aspirin can increase the level of uric acid in the bloodstream. Since there is no clear opinion about the benefits of aspirin for gout, it is not used so often in the treatment regimen, replacing it with other proven medications.
    39. Traditional and other medicines for gout

      1. Iodine is a well-known alcohol solution that is sometimes used as a medicine for gout. Iodine is applied in the form of a mesh to sore joints, mainly at night. After application, it is advisable to wrap the joints with a scarf or handkerchief. This type of treatment should be used with caution by patients with thyroid diseases;
      2. Activated carbon is a common adsorbent that is usually used internally for intoxication. Traditional medicine suggests using this remedy externally: a handful of tablets are crushed, mixed with water to the consistency of thick sour cream and applied to the affected joints before bed. The application site should be wrapped in polyethylene and a scarf. Relief is expected to occur the next morning;
      3. Propolis is a folk remedy for a host of diseases, and gout is no exception. The following recipe is used as a medicine for gout: heat 100 g of propolis and the same amount of sunflower oil in a water bath until a homogeneous mass is obtained. The resulting paste is used to rub joints;
      4. Mumiyo is a natural preparation that can help relieve pain and discomfort during gout attacks. Mumiyo is mixed with honey (100 g of honey per 5 g of mumiyo), heated to +38-40°C and used as an ointment on sore spots;
      5. Vitafon is a small device for home use that acts using sound microvibrations. Thanks to such vibrations, a kind of massage is performed at the cellular level. As a result, pain decreases, lymphatic drainage improves, local blood circulation and tissue trophism are activated. Despite its relative safety, it is not recommended to use the device without consulting a doctor;
      6. Vitamin E is considered a must-have vitamin for gout patients. Some scientists even believe that the cause of the development of the disease is a lack of tocopherol in the body. For this reason, vitamin E is often prescribed simultaneously with ascorbic and folic acid, which significantly accelerates tissue regeneration and promotes rapid restoration of joints. Vitamins are taken daily, without breaks. The dosage is determined by the doctor based on test results.
      7. Causes of gout:

      8. Excessive production of uric acid.
      9. Impaired excretion of uric acid salts by the kidneys.
      10. Both problems may be associated with hereditary predisposition, diseases of internal organs, or dietary habits and alcohol abuse. The last two points are especially important for people with existing problems with the kidneys or enzyme system: it is better to know exactly what you can’t eat if you have gout than to provoke an attack of the disease.

        Basics of gout therapy

        Treatment of gout with medications is a prerequisite for the algorithm of therapeutic actions. But the list of specific drugs and the tactics of administration depend on the cause of the disease:

        If there is a genetic failure in which the body does not produce the enzyme responsible for the breakdown of uric acid (primary gout), medications are prescribed to the patient for life.

        If the disease is provoked by other pathologies, excess protein foods, alcoholism and other reasons (secondary gout), therapy may be associated with the elimination of the risk factor and has a symptomatic bias. It is in this situation that patients are often interested in how to treat gout with folk remedies, because normalization of nutrition, lifestyle and simple folk recipes can often help.

        For any type of disease, diet No. 6 is prescribed, excluding alcohol, fatty meat, some vegetables, and also limiting many types of foods. Without following a diet, treatment will be less effective, especially during an acute attack.

        Medicines for gout: stopping an attack

        Treatment of acute gouty arthritis includes providing complete rest to the patient, applying cold wraps to the affected area and emergency drug therapy. Its three main components:

        The most important role is played by the specialized anti-gout drug colchicine.

        It is prescribed in the form of 0.5 mg tablets. hourly until the pain subsides, but no more than 6-8 mg. In this rhythm, it is permissible to use colchicine for only 1 day. Severe cases requiring hospitalization of the patient sometimes require intravenous administration of colchicine. If serious side effects develop (severe vomiting, diarrhea), the drug should be discontinued.

        Painkillers, mainly non-steroidal anti-inflammatory drugs.

        Due to the seriousness of the side effects, it is necessary to limit their use only to the first days after the onset of a gout attack. The most commonly used are ibuprofen, ketonal, ketorolac, diclofenac, indomethacin, piroxicam, and naproxen. For concomitant diseases of the gastrointestinal tract, they are given to take a tablet of omeza, omeprazole, etc. at the same time. NSAIDs quickly relieve pain and eliminate inflammation, but if it is impossible to take, they can be replaced with other powerful analgesics (including opioids).

        Short courses of hormonal drugs quickly eliminate inflammation, so they are often used to treat acute gouty arthritis in the form of oral tablets. In severe condition of the patient, with severe pain, high temperature, in addition to systemic use, glucocorticosteroids (prednisolone, hydrocortisone, diprospan, dexamethasone, etc.) are injected into the joint cavity or periarticular tissues. The procedure has its contraindications, as well as limitations due to high joint pain.

        Additionally, you can use local application of ointments, creams with NSAIDs to the sore joint every 3 hours, and cooling ointments. Drugs to reduce the concentration of uric acid during a gout attack are not used, since a sharp change in urate levels often provokes a new attack.

        Anti-gout medications: main course of therapy

        If an increase in uric acid in the blood (hyperuricemia) is diagnosed, but in the absence of symptoms, a wait-and-see approach is used without taking any medications and be sure to follow a special diet. With this form of salt metabolism disorder, you can use herbal remedies (for example, fullflex for gout). At the initial stage of the disease, there may be a single drug of choice; at an advanced stage, it is taken as part of a complex of therapy.

        Two groups of drugs are used to treat gout: uricodepressants and uricosurics. Both directions of treatment affect the reduction of the concentration of uric acid and urate in the body, but have differences in effects and contraindications.

        Uricodepressants reduce the production of uric acid and can be used in patients with impaired renal function. The most common gout tablets in this group are allopurinol, thiopurinol, and orotic acid.

        Uricosuric drugs have more contraindications. The fact is that a side effect of taking them can be the appearance of symptoms of a severe complication of gout - gouty nephropathy. In connection with this circumstance, uricosurics are strictly prohibited for use in people even with minor signs of renal failure. The most commonly prescribed uricosuric drugs are etbenecid, benziodarone, probenecid, dicumarol, and amplivix.

        In parallel, most patients are prescribed long-term therapy with colchicine (1 mg per day). This technique reduces the likelihood of new attacks, is not addictive and is very effective. Sometimes colchicine leads to changes in blood counts, so regular laboratory tests are recommended.

        Other anti-gout drugs are Zinchofen, etamide, urodan. The duration of treatment can be from a month to six months or more.

        Additional measures in the treatment of gout

        The patient is prescribed vitamin therapy, as well as drugs that improve blood microcirculation. Often the doctor suggests:

        Alkaline waters are a good counteract to excess uric acid; moreover, following an enhanced water intake regimen (up to 2.5 liters per day) helps improve kidney function and speedy elimination of urates.

        • compresses on affected joints with dimexide or medical bile;
        • perform iodine grids;
        • lubricate the feet with absorbable creams or Fullflex ointment with beneficial herbal ingredients.
        • But the main methods in preventing new attacks are treatment with anti-gout drugs and following a proper diet.

          Grind 200 g of garlic, 300 g of onions and combine with 0.5 kg of mashed cranberries. Mix everything thoroughly and leave in a container with a tightly closed lid in a dark place for 1 day. Then add 1 kg of honey to this mixture and mix everything thoroughly again. Take 1 teaspoon 3 times a day 15-20 minutes before meals.

          Grind 300 g of onions, add 100 g of honey and 600 ml of dry white wine, leave for at least 2 days in a cool, dark place, shaking the contents periodically, strain. Take 2-4 tablespoons per day for gout, as well as for anemia (anemia), dropsy, prostatitis, cystitis, arthritis, diabetes.

          Grind 5 large cloves of garlic and half an onion. Cut off an aloe leaf (it is best to take aloe, which has a lot of thorns), take a small piece of beeswax (the size of a quail egg) and put everything in a saucepan. Add 1 tablespoon of melted butter to the mixture. Place on low heat and cook until boiling, stand for another 1 minute, remove from heat and crush and mix everything thoroughly. Cool and apply as a compress to the sore spot overnight.

          Eat 100 g of grated carrots daily. Grind on a fine grater and eat with 1 tablespoon of vegetable oil.

          Take 3 heads of garlic and 4 lemons, remove the seeds from the lemons, peel the garlic and mince everything, pour 7 cups of boiling water over the entire mass, stir, let stand for 1 day, strain and take 2 tablespoons before meals, 1 time per day.

          Boil turnips, grind them into a pulp and apply to sore spots for gout and rheumatism.

          Pour 1 tablespoon of grated horseradish with 2 cups of boiling water and leave for 1 hour. Soak a gauze cloth in the infusion and apply to the sore spots.

          Mix powdered black poplar buds and Vaseline in a ratio of 1:4. Apply the ointment to the sore joint. Eases pain.

          Mix 5 drops of formic alcohol with 1 tablespoon of water. Apply as a rub. Rub only in those places where there is swelling, gently stroking the swollen area from bottom to top.

          Lubricate the joint affected by gout with radish juice.

          In folk medicine, it is believed that treatment with bee stings can bring relief from gout.

          Cover strawberries with sugar in a ratio of 5:1. Leave for 5 hours, strain. The juice should be stored in enamel containers. Drink 0.5 cups of fresh juice 3 times a day before meals.

          Pour common lilac flowers, without compacting, into a half-liter bottle to the top, fill with vodka or alcohol, leave for 3 weeks in a warm place, strain. Take 30 drops 3 times a day before meals. The course of treatment is 3 months. Use the same tincture for rubbing and compresses.

          Pour 50 g of mullein flowers into 0.5 liters of vodka or 70-proof alcohol and leave for 2 weeks. Use the tincture for rubbing as an anesthetic for rheumatic and arthritic pain in the back and joints.

          Pour 1 tablespoon of tansy flower baskets with 1 cup of boiling water. Infuse, wrapped, for 2 hours, strain. Drink 1 tablespoon 3-4 times a day 20 minutes before meals for pain in the joints, lower back, rheumatism, gout.

          Pour 1 tablespoon of fresh celery roots with 2 cups of boiling water. Infuse, wrapped, for 4 hours, strain. Drink 2 tablespoons 3-4 times a day 30 minutes before meals.

          Drink 1-2 teaspoons of fresh celery leaves juice 2-3 times a day.

          Pour 20 g of quinoa grass with 1 cup of boiling water. Drink 1 glass 3 times a day. Use as a tonic for gout and rheumatism.

          Relieving an acute attack of gout

          Such a most unpleasant disease as gout is caused by a violation of purine metabolism and the subsequent deposition of salts that are formed from uric acid. Salt crystals are deposited in the joint sac, and severe inflammation occurs.

          Unfortunately, relieving a gout attack can only help to a relative extent. Since the pain here can be very strong and even unbearable. In addition, an attack can occur suddenly, for example, in the middle of the night. In this case, the easiest way would be to apply ice to the inflamed area, but it is important to avoid frostbite. This measure will help you wait for the doctor. In some cases, noticeable relief occurs within 10 minutes.

          Medication relief

          Typically, gout sufferers take medications that help eliminate urate, but if an acute attack occurs, then pills will no longer help. More precisely, their effect will be noticeable only after an indefinite period of time. Plenty of fluids should be preferred over medications. You can choose just water, or you can drink compotes, jelly, fruit drinks, milk, oat decoction, lemon juice, mineral water. The fluid intake should be at least 3-4 liters per day.

          Relieving an acute and sudden attack of gout is, first of all, complete and absolute rest and bed rest. The inflamed limb should be at some elevation.

          Like any disease, fasting has a positive effect on gout. Therefore, if an acute attack occurs, then you should stick to a semi-starved diet and limit your diet to broths, liquid soups, cereals, and drinks.

          An application with either Vishnevsky ointment or dimexide should be applied to the inflamed joint.

          If the doctor has prescribed medications for prevention, then an acute attack is not the starting point from which to start taking it. In a difficult situation, preventive methods will not help. The pain can be somewhat reduced with the help of diclofenac, indomethacin, movalis, nimesulide, that is, non-steroidal anti-inflammatory drugs. But regular aspirin will be completely useless here.

          If the attending physician recommended taking colchicine during periods of exacerbations, then it should be taken on a decreasing schedule. That is, on the first day it will be 3 tablets of 1 mg, on the second and third days - only 2 tablets in the morning and evening, and from the fourth day - only one tablet, which is taken before bed.

          Diet for gout patients plays a huge role. Uric acid is a natural breakdown product of purines, which are found in excess in some meat products, anchovies and sardines. But beans, asparagus, and lentils have minimal purine content, so it makes sense to include them in the diet. Also, fresh fruits, rich in beneficial substances, contain a minimum amount of purines, which will allow a gout sufferer to be healthy and vigorous.

          Even if you think you know everything about gout, you should not neglect visiting your doctor. A urine test and monitoring the level of uric acid in the blood are quick measures, but they will help you get rid of gout or at least significantly reduce its pain.

          Apple cider vinegar for gout

          Apple cider vinegar for gout is a herbal remedy used in folk medicine to treat sore joints. This medicinal drug can be prepared independently or purchased on store shelves. Let's consider in what cases and how to use apple cider vinegar in therapy for joint damage.

          Gout is a chronically relapsing disease caused by impaired metabolism of urate compounds (the end product of the synthesis of purine substances). In medicine, urates are sodium salts of uric acid, which, when present in the blood at elevated levels, begin to crystallize and deposit in the most vulnerable parts of the body or the musculoskeletal system, that is, in the joints and periarticular tissues.

          Treatment options for gout

          Gout is not completely curable, but it can be maintained in a state of remission, in which the symptoms of the disease practically do not appear. To achieve such results, it is necessary to use complex therapy. The course of therapy is prescribed by a qualified rheumatologist.

          Complex treatment includes the following activities:

        • Treatment of hyperuricemia (increased levels of uric acid in the blood) using uricodepressants and uricosurics;
        • Providing first aid in case of an acute attack of gout;
        • Drug treatment during remission and exacerbation of gout (NSAIDs, corticosteroids, painkillers);
        • Physiotherapeutic procedures;
        • Diet food;
        • Using traditional medicine recipes to relieve acute pain during an attack and remove excess uric acid from the body.
        • To prescribe treatment, the doctor will need:

        • Collect anamnesis and information about the patient’s possible allergies;
        • Inspect and palpate the sore limb;
        • Take blood for biochemical composition analysis;
        • Take x-rays of the gout-affected joint in several projections.
        • After carrying out all the necessary diagnostic measures, the rheumatologist develops an individual course of treatment for gout. As a rule, a specialist, in parallel with drug treatment, gives the patient recommendations on the use of traditional medicine.

          Features of treatment with traditional methods

          When a painful attack of gout or gouty arthritis develops, specialists prescribe the patient medications aimed at stopping the exacerbation of the disease. At the remission stage, you can use not only pharmacological drugs, but also folk remedies.

          Traditional medicine has the following effects on the patient’s body:

        • Remove excess urates from the body, activating the functioning of the kidneys and excretory system;
        • Relieves inflammation and pain;
        • Shorten the duration of the period of exacerbation of gouty arthritis;
        • Promote the resorption of tophi formations in the subcutaneous tissues near the affected joints.

        This drug contains microcomponents such as zinc, calcium, iron, copper, magnesium, potassium and selenium. These compounds actively affect metabolism, stabilize the activity of the gastrointestinal tract, and normalize the healthy processes of burning fat cells in the body.

        Apple cider vinegar has the following effects on the human body:

      11. Stabilizes the functioning of metabolic processes;
      12. Helps reduce excess weight;
      13. Has a positive effect on the functioning of the gastrointestinal tract (gastrointestinal tract);
      14. Removes excess bad cholesterol from the blood;
      15. For colds of the pulmonary-respiratory system, it causes an expectorant effect;
      16. Removes harmful components from the blood, including uric acid substances.
      17. Apple Bite Recipe

        The highest quality vinegar, of course, is the one prepared at home, then it will not be diluted and will not contain any harmful chemicals.

        The following describes how to prepare vinegar at home according to D. Jarvis's recipe:

      18. To prepare apple cider vinegar, take overripe, medium-sized apples;
      19. We wash the apples, changing the water several times;
      20. Grind the apples together with the core into a small meat grinder;
      21. Place the resulting consistency in a large glass jar;
      22. Pour boiling water that has cooled to 60-70 degrees (the proportions are 1 liter of boiling water per 800 g of the resulting apple mixture, as a result the water should rise 3-4 cm above the level of the grounds);
      23. For each liter of the drug, add 100 g of sugar and 20 g of raw yeast, a crust of black bread and black crackers;
      24. Cover the jar only with gauze and leave for about 10 days in a dark room;
      25. Strain, pour into a jar and add 100 g of sugar for each liter (stir until the sugar is completely dissolved);
      26. Again we put the jar in a dark place for one and a half to two months.
      27. After the fermentation process, the contents of the vessel will begin to acquire a light color, which indicates the readiness of the apple cider vinegar. After prolonged cooking, the unpleasant odor will disappear, and the characteristic sharp aroma of vinegar will be observed. Vinegar is stored at a temperature not lower than 5 and not higher than 20 degrees.

        Remedies for external use for gout made from apple cider vinegar effectively reduce the intensity of pain during an attack, increase the elasticity of soft periarticular tissues, and normalize the natural functions of joint mobility.

        We offer the following recipes for using apple cider vinegar for gout:

      28. Ointment to reduce pain (1 egg yolk, 1 teaspoon of turpentine, 1 tablespoon of apple cider vinegar, mix until a thick consistency is formed). Rub this product onto the affected areas, lightly massaging the skin (you should use the ointment when pain occurs 3-4 times a day). The drug is suitable for 24 hours, keep in the refrigerator.
      29. Pure apple cider vinegar also relieves sharp pain and inflammation (we wipe the skin in the area of ​​​​the joint disease or lotions, compresses using pure undiluted apple cider vinegar).
      30. Pour 0.5 liters of apple cider vinegar into a jar and add 1 glass of fresh lingonberry leaves, or half a glass of dried crushed leaves. Close the container and leave for a day in a dark place. We wipe the damaged areas, and if the pain worsens, apply a compress.

      Recipes for internal use

      Doctors also recommend using apple cider vinegar for internal use for gout and arthritis.

      The following drink recipes that contain apple cider vinegar are considered effective:

    40. Mix 2 tsp. apple cider vinegar, 100 ml of homemade tomato juice, drink 1-2 times a day 60 minutes before meals (we use this drink during a gouty attack);
    41. Using pure apple cider vinegar, start with 2 tsp. 200 ml of water during meals 1 time / day, you can gradually increase the dosage of vinegar. We stop the course after the last signs of exacerbation of gouty arthritis disappear; therapy can be repeated after a long period of time (10-12 months);
    42. To 200 ml of warm water add 1 tablespoon of honey and 1 tbsp. l. vinegar, taken 2 times a day (the drink helps relieve inflammation in the area of ​​the joint damaged by the disease, reducing acute pain during an attack).
    43. We recommend the use of the following tinctures for the treatment of gout:

    44. Fill the container with half a liter of apple cider vinegar, add 3 tablespoons of dried chestnut blossom, close tightly, leave for up to 2 days, after which the drug must be strained. Use 2 times a day in diluted form: 1 tsp. tinctures per 100 ml of warm water. The course of treatment lasts 7 days.
    45. To 500 ml of vinegar add 0.5 cups of crushed marsh cinquefoil root, close the lid, leave in the dark for 48 hours, then filter. We use the drug to treat gout at home in the same way as a tincture with the addition of chestnut flowers.
    46. You can also learn about methods of using apple cider vinegar for gout from the following video:

      As we have seen, apple cider vinegar and gout are directly related. Apple cider vinegar has a healing effect on human health, both in cases of gout or arthritic joint damage, and in the presence of many other diseases. Take care of yourself and be healthy!

      Categories : Prevention

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