Gout is a fairly serious disease, and this is all the more reason to search and read information about how you can help yourself. In addition to medical care, of course.
Gout, or the deposition of uric acid salts in the tissues of the joints, suffered at different times from the best minds of mankind - Cardinal Mazarin, Alexander the Great, Peter the Great, Michelangelo, Pushkin, Stendhal, and this is not a complete list.
However, it seems that a patient suffering from acute gouty pain will not even smile at the thought that he is in such a “noble” company - he has no time for jokes at all. The most vulnerable parts of the body for salt deposition - the metatarsophalangeal joints, the so-called “bones” on the foot - during an acute attack, they hurt so much that even touching the sheets to the legs causes unbearable pain. There is even such a term as “sheet symptom”. Usually the attack begins in the afternoon, reaches its climax at night and subsides a little by morning. After a few days, a period of remission begins, the patient can already step on his foot and do almost all housework.
Why are attacks so painful? Gout is not just a disease of the joints, you need to understand that it is a metabolic disease. A person produces too many uric acid salts (urates) and they begin to be deposited in the tissues of the joints. As a rule, the kidneys are also affected, but the joints make themselves felt faster. After all, urates form crystals; when moving, the effect of friction of the articular surface against the sharp edges of the crystals is created, and this, in turn, causes acute pain.
There is no need to describe in vivid colors all the details of the suffering of the sick - they know enough about their troubles. The consolation can be that gout is now well treated, treatment methods and effective drugs have been developed, so it is possible to forget about attacks like a bad dream. To help your recovery faster, you just need to change your lifestyle a little, naturally for the better.
Since gout is an excess of urates in the body, a person himself is quite capable of reducing the intake of urea precursors into the body and accelerating the elimination of unnecessary salts. To do this, you must follow a special diet.
Uric acid salts are formed as a result of the metabolism (metabolism) of purines, so the main dietary recommendations are to limit the consumption of foods rich in purines. These are, first of all, meat by-products (liver, kidneys, brains), meat (especially lamb), fish and caviar, cocoa, chocolate, coffee, strong tea, nuts, legumes, sorrel, spinach and asparagus, Brussels sprouts. Sausages, sharp cheese, spices, seasonings, smoked meats and canned food are not recommended. Alcoholic drinks (including beer) are absolutely prohibited, since alcohol provokes the development of the disease.
Vegetables and fruits are recommended; berries, low-fat dairy products, potatoes, cereals and pasta, jelly, and fruit drinks are very healthy. White and black bread, butter. You can eat one egg a day, maybe lean meat or fish once a week.
It’s easy to speed up the process of removing uric acid salts - just drink more. Urates are highly soluble in water, so it is extremely useful to drink 2-3 liters of clean water per day, or partially replace this volume with alkaline mineral water or cranberry/lingonberry juice. Herbal teas and natural fruit or berry juices are also beneficial. Such a diet not only leads to the normalization of metabolism, but also promotes weight loss, which in case of gout, again, is an important condition for good health.
It is possible to remove uric acid salts from the body by regularly visiting a bathhouse or sauna. This also reduces the load on the kidneys, since in this case all kinds of toxins are removed through the pores along with sweat. Also, in the acute period, after consultation with a doctor, a course of enterosorbents is possible.
In addition, sufficient vitamin supplementation plays an important role in the favorable prognosis of gout treatment. Vitamins C and P contribute to the dissolution of uric acid and its most complete removal from the body. That is why the predominance of vegetables and fruits in the menu is so important, i.e. the diet becomes almost vegetarian.
There is another important point in the fight against gout. Not all patients know about this, but doctors are watching. We are talking about medications, some of which are contraindicated for gout. This is, first of all, acetylsalicylic acid, i.e. aspirin and some diuretics. In any case, a person suffering from gout should read the instructions of the prescribed pills or mixtures very carefully before taking anything, even if the medicine was prescribed by a doctor.
Excess weight goes hand in hand with an unpleasant disease. There is a typical “portrait” of gout - a round-cheeked, ruddy man with signs of obesity, diabetes, and hypertension. Weight stabilization, having a beneficial effect on the state of the body as a whole, will have the best effect on the course of the inflammatory process specifically in gout.
Physical exercises aimed at developing joint mobility are very useful, because with good blood supply and moderate load, salt deposition occurs to a lesser extent. Morning exercises are shown, which include elements of therapeutic exercises, physical therapy, walking, jogging, skiing, and swimming. As well as all kinds of active recreation.
And finally, physiotherapy is quite effective during the period of remission. Among the most effective methods of influencing a diseased joint, it is worth mentioning hirudotherapy, UV irradiation, low-intensity UHF therapy, high-frequency magnetic therapy, ozokerite and paraffin wraps. An important caveat is that physiotherapeutic procedures must be performed under medical supervision, otherwise, being overly carried away by self-medication can only harm your health.
Gout is a rheumatic pathology caused by the formation of uric acid salts in the joints. The signs and treatment of this disease are described in great detail in our material. The disease is one of the common types of arthritis and occurs more often in middle-aged men.
What kind of disease is this? Gout is a chronic disease associated with a disorder of uric acid metabolism, in which uric acid salts, also known as urates, are deposited in the joints.
The pathology is otherwise called “the disease of kings”; it is an ancient disease that was already known in the time of Hippocrates. In the past, gout was considered a sign of genius. Such famous people as Leonardo da Vinci, Alexander the Great, many members of the Medici family from Florence, Isaac Newton, Charles Darwin suffered from it.
Nowadays, according to epidemiological studies conducted in European countries and the USA, in recent years, up to 2% of the adult population has developed gout, and among men aged 55-64 years, the incidence of the disease is 4.3-6.1%.
The first signs of gout are characterized by an acute onset with the appearance of severe pain, redness and stiffness in the joints. Gout most often occurs on the big toe, which should be treated immediately. The main recommendations for reducing the symptoms of chronic gout are adherence to treatment regimen and lifestyle. We will try to consider this article about gout, the symptoms and treatment of this disease in detail today.
What it is? Gout is caused by the deposition of uric acid crystals (urates) in the cartilage tissue of the joint. Their accumulation leads to inflammation, accompanied by severe pain. Sodium urate crystallizes and is deposited in the joints in small particles, which ultimately leads to complete or partial destruction of the joints.
Attacks of gout can be triggered by stress reactions to alcohol, citrus fruits, viral infections, physical or mental stress, injuries and hypothermia, bruises, pressure fluctuations, and medications. At the first attack of gout, the signs are very clear, and treatment should be started as soon as possible to relieve pain.
There are three types of disease: metabolic, renal and mixed.
The diagnosis is made by a rheumatologist during examination and interview of the patient. Laboratory diagnostics are also used: a high level of uric acid is detected in a biochemical blood test.
Arthritis of the joints of the lower extremities is usually observed. The inflammatory process often affects the big toe, followed by the ankle and knee joints. Less common is arthritis of the small joints of the hands and elbows.
With gout, symptoms develop during an attack - this is pain that develops quite quickly, and reaches its highest sensation in just a couple of hours. Attacks occur more often at night or in the early morning.
A person is not only unable to move his leg, but even a light touch of a sheet to the affected joint causes unbearable pain. The joint rapidly swells, the skin becomes hot to the touch, and redness of the skin at the joint site is noted. An increase in body temperature is likely.
After 3-10 days, the attack of gout subsides with the disappearance of all signs and normalization of functions. A second attack usually occurs three months after the first, or the disease does not manifest itself in any way for two decades.
Chronic gout is characterized by attacks becoming more frequent and symptom-free intervals becoming shorter.
Hyperuricemia and accumulation of urate salts in gout leads to their deposition in the kidneys with the development of:
40% of adults develop urolithiasis with renal colic at the height of an attack of gout, complications in the form of pyelonephritis. To avoid the consequences of gout on the legs, you need to be puzzled right away about how to treat the disease.
Treatment of gout involves the gradual implementation of several stages of therapy. First of all, it is very important to relieve the acute symptoms of the disease. Further treatment is aimed at preventing future worsening of gout symptoms.
During an attack of gout, it is necessary to ensure sufficient rest for the affected joints and try to injure the joint as little as possible with clothing or shoes. In case of unbearable pain, you can apply ice. After which it is advisable to apply a compress to the sore spot with Vishnevsky ointment or dimexide.
To relieve acute signs of gout, doctors recommend taking colchicine or nimesil, as well as NSAIDs - diclofenac, butadione, indomethacin, naproxen. A specialist should decide how to treat gout on the legs; he will prescribe the necessary medications, suggest a dosage regimen and warn about side effects.
It is better to limit your food consumption greatly; you can consume liquid porridges and vegetable broths. It is recommended to drink enough water, green tea, jelly, milk, mineral or plain water, but with the addition of lemon juice.
For gout, treatment is prescribed individually and includes medications, physiotherapeutic methods and diet. It is necessary to take into account all the side effects of drugs in the presence of other diseases, therefore constant medical supervision is necessary.
The basis of therapy is a special diet aimed at reducing purine-rich foods in the patient’s diet. If the patient can adhere to the prescribed diet therapy, then the resulting lumps on the joints will begin to disappear and the body will recover.
The diet should include dishes boiled in water or steamed. Salt should be almost eliminated. Fish and meat broths and jellied meat are also contraindicated. It is recommended to eat plenty of vegetables. They should be taken raw; to add variety to the menu, you can sometimes bake or boil them.
To reduce the level of uric acid, anti-gout drugs (sulfinperazone, alopurinol, uralit and others) are used. Herbal medicine is also used in combination with physiotherapy and medications. A doctor should treat gout; he will tell you exactly what can be used at home to get rid of the disease.
To cure gout at home and reduce the number of attacks, you should limit to a minimum the consumption of food, the breakdown of which produces a significant amount of uric acid: liver, beef tongue, mushrooms, sardines, fish roe, beans, peas, beer. You need to drink a lot of fluid - up to three liters per day.
Patients with this diagnosis should be more careful about their diet, in particular, exclude purine-rich foods from the diet. It is important to note here that it is necessary to exclude both overeating and starvation; in addition, sudden weight loss should not be allowed, as this can lead to an exacerbation of the disease.
How to treat gout at home? The most correct diet for gout involves switching to a vegetarian diet or diet No. 6.
It has been proven that strawberries, cherries, currants and other berries of dark red and blue colors cause a decrease in the concentration of uric acid in the blood, so patients with gout can eat them in any form and quantity.
Since many are interested in the question of how to treat gout using folk remedies, let us dwell on this point in more detail.
This home treatment will not get rid of gout, but it will relieve its painful manifestation for some time.
Gout is a serious disease, which, unfortunately, official medicine cannot yet cope with. Officially, gout is considered an incurable disease, and doctors only offer drugs that make gout attacks less frequent, but they do not rid the patient of them forever.
The entire treatment method for gout in official medicine comes down to reducing the level of uric acid in the body. High levels of uric acid are the cause of the accumulation of salts in the joints and, as a result, periodic gouty inflammations.
The most common remedy for gout is the drug "Allopurinol", it reduces the level of uric acid formation, thereby preventing gout attacks, however, this drug is very toxic, which negatively affects the functioning of the human body, and in particular the condition of the liver.
Due to the high toxicity of classic chemical anti-gout drugs, people around the world are looking for different ways to fight gout using natural, harmless methods, and recently, quite by accident, a new, revolutionary method of fighting gout was found - a drug called RENDETOX.
RENDETOX was created in the UK for pregnant women to combat kidney toxicosis and its positive effect on gout was discovered completely by accident. The thing is that RENDETOX was designed as a tool to stimulate the kidneys to remove toxins from the body of pregnant women, but it turned out that this same stimulation also led to greater removal of uric acid from the body, in particular in men.
It’s just that the husband of one of the women taking RENDETOX to reduce kidney toxicosis analyzed the logic of the drug’s action and decided to try it on himself to reduce uric acid. The results amazed everyone! This man was able to control his gout with the help of RENDETOX and forget about gout attacks. Thus, RENDETOX became known as a drug that reduces uric acid levels and helps get rid of gout.
Unlike Allopurinol, RENDETOX is a completely natural and harmless drug created from herbs and has no side effects. RENDETOX does not block the production of uric acid, but enhances its excretion by the kidneys, which is much more physiological for our body.
The practice of using RENDETOX has shown that after 6 months of taking it, this drug can significantly correct metabolic processes in gout and enhance the excretory function of the kidneys, thereby nullifying gouty attacks.
Of course, in any case, even after completing the entire course with RENDETOX, and during it, a patient with gouty arthritis must follow a diet and minimize red meat and other foods that increase uric acid in their diet. It is worth remembering that RENDETOX only helps make the kidneys stronger, but does not guarantee the removal of uric acid in any quantities; however, with proper nutrition, it helps to forget about gout attacks. But the main thing is that by taking RENDETOX, we do not harm our liver, as is the case with Allopurinol.
RENDETOX should be taken in a course of 6 months, like Allopurinol. The long duration of the course is due to a very smooth change in metabolic processes in the human body. If you are already taking Allopurinol, then you should not quit it suddenly either - RENDETOX should be introduced into the metabolic process gradually, starting to take it together with Allopurinol during the first 2 months. After 2 months of taking RENDETOX together with Allopurinol, you will be able to reduce the amount of milligrams of Allopurinol by half, and after another 2 months you will be able to leave RENDETOX alone altogether.
After drinking RENDETOX for 6 months, you will need to take a break of 3 months and drink it again in a course of 3 months, then take a break of 6 months, and then repeat the course from the beginning. For those who are already taking Allopurinol, special attention to diet will need to be paid at the time of stopping it (after the 4th month of taking RENDETOX).
RENDETOX is taken 3 times a day, 1-2 capsules before meals. (One capsule for those who have suffered from gout for less than 5 years, 2 for those who have suffered from gout for more than 5 years). When taking RENDETOX, to achieve the desired effect, aerobic physical activity and drinking at least 2 liters of clean water per day are recommended 2-3 times a week.
RENDETOX is a product from AHLP (UK) created using GMP technology. RENDETOX enhances the removal of water-soluble toxins and uric acid from the human body, through enhancing the excretory and concentration functions of the kidney. In other words, RENDETOX stimulates the natural functions of the body, which makes it an absolutely harmonious and safe product. The RENDETOX formula was developed for those suffering from renal toxicosis or having a medical history (history) of renal toxicosis of any severity, but has proven to be an excellent tool in the fight against arthritis, in particular gouty arthritis. The simple and at the same time unique recipe of RENDETOX is compiled according to all the rules of naturopathy (a system of healing using natural remedies). The composition of RENDETOX (Rendetox) includes carefully selected herbal uroantiseptics, cell membrane stabilizers, diuretics and detoxicants, tested for centuries and proven to be effective and safe over 300-500 years of use. It is their combination in the right proportion that provides the best effect.
The role of uric acid in the occurrence of gout. Main types of drug treatment. Auxiliary agents for removing uric acid from the body.
To reduce the frequency of gout attacks, you need to reduce the concentration of UA (uric acid)
First, let's take a closer look at what gout and uric acid in the blood are, how they are interconnected and what are the reasons for the development of pathology.
Uric acid is the end product resulting from the breakdown of the protein purine. It is capable of creating compounds with sodium, and less often with potassium. This bond promotes the formation of urate deposits.
The mechanism of gout
Since uric acid during gout is deposited more often in the legs or hands, you may notice that it crystallizes in areas where blood stagnation forms and its temperature decreases.
Important: this is explained by the fact that under such conditions it is practically insoluble in water.
As a result of the accumulation of urates, gout, urolithiasis, arthritis and other diseases develop, since the blood flow covers the entire body. Further complications such as renal failure, diabetes mellitus, and cardiovascular pathologies are possible.
Uric acid analysis for gout is carried out by drawing blood and conducting a biochemical study. Results are measured in milligrams per deciliter. If there is a hereditary tendency to diseases of this kind, as well as the manifestation of alarming symptoms in the form of pain in the joints and kidneys, it is necessary to urgently undergo diagnosis. Ideally, it is recommended to undergo control tests at least once a year.
In the blood, the level of uric acid in gout increases significantly. However, such changes do not necessarily indicate the presence of this disease. It is necessary to undergo a more thorough diagnosis, including examination of rheumatic tests, ultrasound and MRI if appropriate indications exist.
Normal MC indicators
A comprehensive approach is needed to quickly and effectively treat gout. Drugs that remove uric acid are combined with physiotherapeutic procedures, diet and traditional methods. The exact treatment program is prescribed by the attending physician after preliminary diagnosis of the patient’s condition.
The main goal of treatment is to reduce the frequency of gout attacks and achieve sustainable remission. These provisions are closely related to the removal of uric acid from the body. With gout, you need to influence the body from different sides. That is why drug therapy involves the use of different groups of drugs.
Initially, it is important to eliminate painful symptoms and relieve inflammation. Only after the attack has stopped can further manipulations begin.
There are these types of drugs to combat MK:
It is important to choose the right medications
Such medications are prescribed exclusively by a doctor. The reasons for this may be:
Uricodepressants have a milder effect on the body, as they do not provoke increased kidney function. Diuretics for gout should be prescribed only if the kidneys are in normal condition. In case of deficiency or other serious disorders, as well as individual intolerance, the drugs are contraindicated. They should be used with caution during pregnancy and lactation.
The main contraindication for taking diuretics is the presence of large kidney stones
The following drugs and substances can reduce the level of uric acid in gout:
Allopurinol inhibits UA synthesis
To enhance the effect of drug therapy, you must drink at least 2 liters of fluid per day. At the same time, an alkaline environment is welcomed, which neutralizes conditions favorable for the accumulation of urates and promotes their dissolution.
It is important to know how to remove uric acid in case of gout, except for medications, because long-term use of medications is not always acceptable. For this, folk recipes are used, and the results are supported by following a special diet No. 6.
Basically, traditional methods are an alternative to diuretics and are more of a supportive therapy than the main method of treatment.
How to reduce uric acid in gout:
These plants are capable of not only removing UA, but also accelerating the breakdown of purines.
Herbal infusions and teas can replace diuretic pharmaceutical drugs
Thanks to treatment table No. 6, the uric acid level is restored. For gout, this diet is mandatory. Its essence is to reduce protein foods and replace them with healthy carbohydrates. That is, meat and fish are allowed only occasionally and in boiled form, legumes are excluded. Preference should be given to the following products:
Important: after normalization of uric acid levels, you can relax the dietary requirements, but the basic ratio of fats, proteins and carbohydrates remains the same.
If you follow these recommendations and use medications prescribed by your doctor, you will prevent the accumulation of urate in the body and reduce the risk of developing attacks of gouty arthritis. Over time, subcutaneous tophi may disappear, causing not only physical, but also psychological discomfort.
Co-author of the material: Dmitry Ulyanov is an orthopedist-rheumatologist with 22 years of experience, a doctor of the first category. Engaged in the diagnosis, treatment and prevention of all diseases of the joints and connective tissue. He has a diploma in Rheumatology and studied at the Peoples' Friendship University of Russia.
A disease such as gout is a consequence of a violation of one of the types of metabolism (metabolism) - purine. As a result, the level of uric acid in the patient's blood increases (hyperuricemia). Subsequently, crystals of its salts are deposited in various tissues of the human body, which is accompanied by an inflammatory reaction. The kidneys and joints are most often affected.
According to various sources, gout affects 1 to 3% of the world population. Males get sick much more often than females.
Attacks of gouty arthritis are almost always accompanied by excruciating pain and cause considerable discomfort to the patient. And the long course of this disease leads to the formation of new foci of inflammation. Consequently, for such patients the question of how to get rid of uric acid in the joints becomes more than relevant.
This organic compound got its name from the fact that it was first discovered in urinary stones and urine.
In its molecule, uric acid contains nitrogen, and is the end result (“slag”) of purine metabolism. Uric acid is produced in the liver as a result of the breakdown of waste parts of purine molecules. Purines themselves make up the bulk of the most important structures of human cells: ribonucleic and deoxyribonucleic acids (RNA and DNA). They appear as a result of cell death (natural or as a result of any pathologies), and also come from the outside with certain types of food. Uric acid is almost completely eliminated by the kidneys (to a greater extent) and through the digestive tract.
The approximate normal level of uric acid in the blood in adult men is 205-420 µmol/l, in women - 150-350 µmol/l. These indicators may differ when studied in different laboratories. Therefore, it is necessary to clarify the level of uric acid in the blood (reference value) in the specific laboratory where the analysis was performed.
The following factors contribute to an increase in the concentration of uric acid in the blood:
It is important to note that an elevated level of uric acid in the blood does not always lead to the deposition of salts and the formation of gout. Therefore, along with hyperuricemia, other factors (for example, hereditary predisposition) are also crucial for the development of the disease.
The reasons for the increased formation of uric acid are:
Factors influencing the slowdown in the excretion of uric acid by the kidneys:
Other reasons for an increase in the level of uric acid in the body include: chronic poisoning with lead and its compounds, some endocrine diseases, taking salicylates, cyclosporine and other medications.
If the level of uric acid in the blood is elevated (hyperuricemia) for a long time, it binds with sodium ions, which are essential components of cells and blood plasma. As a result of a chemical reaction, a salt is formed - monosodium urate, which accumulates in the form of crystals in various tissues of the human body.
The following structures may be affected by gout:
The most striking manifestation of gout is the occurrence of arthritis. In this case, urate crystals accumulate in the synovial fluid with the development of a pronounced inflammatory reaction. A characteristic lesion is the first metatarsophalangeal joint of the foot, sometimes on both sides. Over time, the pathological process spreads to other joints and tissues.
To treat gout, medications are mainly used. The main goals of therapy are:
Drug treatment must be combined with adherence to special therapeutic nutrition (diet). Usually table No. 6 is used. For patients with impaired renal function or other concomitant pathologies, therapeutic nutrition is selected individually.
This diet includes:
The patient must adhere to this diet throughout his life. Taking inflammatory foods or drinks may worsen the disease.
To relieve an acute attack of gouty arthritis, the following types of drugs are usually used:
After the acute manifestations subside, treatment is immediately started with drugs that remove uric acid from the joints. In addition, physiotherapy and spa treatment are widely used.
Before embarking on pathogenetic treatment of gout, the goals of which are to reduce the level of uric acid in the blood and remove it from the human body, it is necessary to accurately determine the cause of hyperuricemia. Based on the main mechanisms influencing the development of gout, all drugs used to treat it can be divided into three main groups:
Of course, indications and contraindications for the use of such drugs should only be determined by a doctor.
The principle of action of such agents is based on their ability to inhibit a special enzyme - xanthine oxidase, which is directly involved in the formation of uric acid. The result of their use is a significant decrease in its content in the blood. In addition, uricodepressive drugs can reduce uricouria (increased concentration of uric acid in the urine), which significantly reduces the risk of stone formation in the structures of the urinary system.
An important point is the possibility of using such drugs for kidney pathology.
The most commonly prescribed drug is allopurinol. Other representatives of this group are: orotic acid, thiopurinol.
It is one of the popular uricodepressive drugs. Available in tablets of 100 and 300 mg.
Also known by the following trade names:
The dosage of this drug is selected purely individually and depends on the severity of the disease and the level of uricemia. A decrease in uric acid concentration is observed just a few days after the start of treatment. A noticeable decrease in the frequency and severity of gout attacks, as well as softening and resorption of tophi, is noted approximately after a few months from the start of using the medicine.
Allopurinol is generally well tolerated and adverse reactions are rare.
The duration of such therapy is usually several years, sometimes lifelong.
These drugs reduce renal tubular reabsorption (reabsorption) of uric acid. As a result, it is actively excreted by the kidneys.
Uricosuric agents are used mainly for the following conditions:
In addition, important factors are: the patient’s age under 60 years and the absence of urolithiasis.
The main condition for the use of uricosuric drugs is to increase daily diuresis. This is achieved by increasing the amount of fluid consumed to two to three liters per day. In addition, it is important to alkalize urine (use of alkaline mineral waters, potassium bicarbonate, etc.).
Representatives of this group of anti-gout drugs include: sulfinpyrazone, bensmid (Probenecid), benzobromarone (Dizuric), etamide and others.
Currently, it is the most effective representative of anti-gout drugs with uricosuric action. Available in 100 mg tablets.
It is used after meals; it is recommended to take the tablets with milk. Concurrent use of NSAIDs may weaken the therapeutic effect of Anturan. In most cases, this drug is well tolerated, but side effects from the digestive tract are possible.
Contraindicated in patients with ulcerative pathology of the stomach and/or duodenum, intestinal bleeding, and severe pathology of the liver and kidneys.
Prescribing uric acid-reducing drugs that have mixed effects for the treatment of gout is the most optimal approach.
Such drugs have both uricostatic and uricosuric effects. That is, they reduce the formation of uric acid by the liver, while increasing its excretion by the kidneys. When using this group of drugs, there is no particular need to consume an increased volume of alkaline liquid to prevent kidney stone formation. The exception is for patients who have already experienced stone formation. In this case, the combination of taking the drug with abundant alkaline drinking is carried out during the first weeks from the start of treatment.
One Allomaron tablet contains two active ingredients:
Normalization of uric acid concentration usually occurs within two to four weeks from the start of treatment with the drug. The duration of treatment is several months and depends on the initial level of uricemia and the severity of the clinical manifestations of gout.
Contraindications for the use of the drug are hypersensitivity to its components, pregnancy and lactation, as well as severe renal failure.
In conclusion, it should be noted that gout therapy is a long process. However, unfortunately, it is impossible to completely cure this pathology. However, with careful adherence to the diet and proper use of medications that reduce the level of uric acid in the blood, you can significantly improve the quality of life and achieve stable remission.
Each of us has heard about such a disease as gout at least once in our lives. The basis of this disease is a decrease in the excretion of uric acid by the kidneys and the accumulation of its salts (sodium urate crystals) in the joints. This is a terrible disease that causes severe suffering to the patient.
But why does uric acid stop being excreted by the kidneys, which is why its salts begin to accumulate, and how can we help the body eliminate urates? Let's find out the main reason for the accumulation of urate and consider methods of removing it from the body, including traditional ones.
Uric acid is the final substance formed during the metabolism of purines and proteins. Its level is determined by the balance in the body of the mechanisms of excretion (removal) and formation. Uric acid is synthesized in liver tissue and excreted from the body through the kidneys. In a healthy body, the substance in the plasma is in the form of sodium salt (urate).
However, when kidney function is weakened or a person consumes excess purine bases in food, the level of the substance begins to increase. This causes the accumulation of large amounts of sodium salt in the blood serum, which damages organs and systems, causing the development of various pathologies.
Foods that contain significant amounts of purines include:
Normally, in an adult, uric acid varies from 150 to 350, in children under 14 years of age - from 120 to 320 Akmola/l.
As a rule, the level of uric acid in the blood is higher than the permissible norm - hyperuricemia, which is one of the main signs of gout. Gout is a disease characterized by the deposition of urate salt crystals in organs and tissues, as well as joints. This is due to excess production of the substance or its slow elimination.
Why is an excess of this substance dangerous for the body? Quite often, it is urates that cause the development of painful clinical symptoms in various pathologies:
This substance, accumulating in brain tissue, leads to decreased intellectual activity, frequent and intense headaches, and increases the risk of strokes. It is also possible the formation of varicose veins of superficial veins and arterial hypertension.
This phenomenon is often called uric acid diathesis. This pathology consists of excess urate in the blood serum. Patients with this diagnosis are prone to frequent nervous breakdowns, disturbances in brain activity, insomnia, neuroses, and decreased perseverance.
Uric acid is mostly excreted by the kidneys, however, this is why urolithiasis can develop or sand may appear in the renal pelvis. Some of the uric acid can be excreted in saliva, which is accompanied by the formation of tartar.
You need to understand that uric acid is normally a participant in metabolic processes in the body. However, exceeding the permissible limits of this substance is dangerous for the development of severe pathologies.
How to remove uric acid from the body at home interests many patients. However, it is worth remembering that only consultation with a specialist allows you to deal with the problem as quickly and effectively as possible, avoiding unpleasant complications.
Patients need to know which foods need to be excluded and what, on the contrary, should be added to their diet to correct urate levels. It is, of course, necessary to avoid foods rich in purines. It is also worth minimizing your consumption of:
For those with elevated levels of urate in the blood, it is also undesirable to consume:
A healthy diet for people with high urate levels should consist of cereals, vegetable, fruit and berry snacks. Products that remove uric acid from the body include:
Frequent drinking of non-sweetened drinks and alkaline mineral water is also beneficial. It is important for the patient to know which foods help remove uric acid from the body, since in some cases diet correction significantly improves the patient’s condition.
However, even with the most strict low-purine diet, it is often impossible to reduce the amount of urate. It is necessary for a doctor to prescribe special medications that remove uric acid from the body.
To reduce urate levels, you can use folk recipes. Herbal decoctions have a good effect. These include:
Herbs activate the process of removing and dissolving urate stones.
Foot baths made from chamomile, calendula or sage also help with gout. For 200 g of herb you need about 1.5 liters of boiling water, leave for several hours. The resulting decoction is added to a warm bath. Repeat for 20 days, then after a twenty-day break you can repeat the course of treatment.
Sometimes it is not possible to remove urates using folk remedies. In such cases, it is necessary to consult a specialist and supplement treatment with drug therapy. A competent doctor can recommend how to remove uric acid salts from joints, using medicinal plants in complex treatment together with drug therapy.
The need to use medications to remove uric acid salts (urates) is usually due to one of two reasons:
There is no need to treat high urate levels on your own with medications!
The treatment process begins during gout attacks or if there are urate stones in the body. Treatment is focused on reducing serum urate to a level less than the extracellular fluid saturation (6.40 mg/dL).
There are two types of urate-reducing agents.
Before deciding on the choice of medication, the doctor needs to obtain a 24-hour urine sample. This gives an idea of how to remove urates from the body by affecting the cause of the pathology.
The main condition for prescribing medications to increase the excretion of uric acid is to examine a urine sample.
The benefit of therapeutic exercises in the fight against urate is that physical exercise helps to activate and improve metabolic processes in the body.
Thus, regular, simple physical exercise and an active lifestyle help speed up the elimination of urate from the body.
To sum up, we can draw the following conclusions. To remove uric acid from the body, folk remedies help only for preventive purposes or in combination with basic drug treatment, diet and exercises. Therefore, only a doctor can explain how and how to remove uric acid from the body without causing harm to yourself!
Salt deposits in joints are a common phenomenon, although there is no such concept in medicine. In medical terms, salt deposition is the development of osteophytes - formations (growths) similar in structure to bone tissue. With such formations, the axis of the joint shifts, and its components become distorted. As a result, the load is distributed unevenly and causes concomitant diseases, and with them pain. Medicine knows such a disease as deposition of uric acid salts. It's called gout. With gout, the quality of life deteriorates, since uric acid salts - urates - grow rapidly and cause this person a lot of discomfort and limit his movements. As a result, gouty arthritis develops, which requires serious treatment.
The main cause of salt deposits is disorders of salt metabolism in the body. But there are other reasons that cause this disease.
Some diseases can also contribute to salt deposition. These are, for example, kidney diseases and urinary disorders, diseases of the circulatory and endocrine systems, and skin diseases. Also, the occurrence of gout is provoked by constant hypothermia of the body. Hereditary predisposition plays an important role.
This disease develops over a long time and its symptoms do not appear immediately, so a person may not know about it for a long time. During development, changes occur in cartilage tissue and the structure of joints, and bone tissue grows.
The first and main symptom that should alert you is a crunch in the joints, which is accompanied by pain that goes away at rest. This most often occurs in the knee and hip joints, because they bear a particularly large load during movement.
Often the deposition of uric acid salts is accompanied by redness of the skin of the affected area and an increase in body temperature. It has been noticed that sometimes numbness occurs in the area of salt deposits, which often spreads to the entire limb. This occurs due to the fact that with the growth of bone tissue and the formation of osteophytes, the nerve endings are pinched and sensitivity decreases.
With gout, the joint of the thumb on the lower extremities often suffers, less often on the upper extremities. Sometimes a person wakes up at night from acute pain in the affected area, which swells, turns red and becomes hot to the touch. When examining in such cases, a high concentration of uric acid in the sore spot is revealed. Uric acid cannot be quickly eliminated from the body, especially if a person, violating all doctor’s recommendations, eats foods prohibited for this disease, leads an unhealthy lifestyle and smokes. This leads to the gradual deposition of uric acid on bones, joints and peripheral tissues. There is pain that goes away with rest. But there are times when the pain becomes a constant aching character. This happens more often when uric acid salts are deposited in the shoulder joint.
During a diagnostic examination for gout, a doctor uses different methods to identify this disease. This may include arthroscopy, radiography, magnetic resonance and computed tomography. These methods allow you to see the extent of joint damage and identify the cause of the disease. With computed tomography, the most modern diagnostic method, the doctor sees the picture of the disease in a three-dimensional image, which allows him not to miss the smallest details and changes in bone and cartilage tissue.
Treatment of gout is a long and labor-intensive process. The main and main method of treatment is diet . The diet should include foods that can not only stop the deposition of salts, but also help remove them from the body. The patient must follow a dairy-vegetable diet. Spicy, salty, smoked and sweet foods should be excluded from food. And vice versa, eat more fruits and vegetables, dairy products, eggs and greens.
Also, for a cure, the patient during and after treatment must eliminate bad habits , such as smoking and drinking alcohol, as they contribute to the destruction of cartilage and bone tissue and are allies of the disease.
In addition to diet and a healthy lifestyle, the patient must undergo physical therapy courses , which normalize the body’s blood circulation, metabolism, and saturation with nutrients and oxygen. Therapeutic gymnastics exercises are selected strictly by the doctor after examination, since the degree of damage to the joints in each specific case may be different, and those exercises that are suitable for one patient may harm another. Special sets of exercises are developed by specialists to restore the functions of joints and the entire body.
Wellness massage is also useful in the treatment of gout . It relieves tension in the periarticular muscles, ligaments and tendons, and stimulates the leaching of salts from the joints. One condition is the regularity of the sessions.
Traditional medicine is also rich in recipes for treating this disease. You should not neglect them, but you still need to consult a doctor before using them, since when using herbal infusions, you must exclude the possibility of intolerance to any components.
IMPORTANT. Only comprehensive medical treatment can help combat salt deposits in joints and bones. Self-medication can be dangerous to health and will only make the situation worse.