Gout occurs when purine metabolism is disrupted in the human body. At the same time, an increased concentration of uric acid is detected in the blood, and articular and/or periarticular tissues, kidneys and other organs suffer from deposits of urates - sodium urate salts.
Excess uric acid is formed under the influence of increased synthesis of endogenous purines, decreased excretion of urates, or a combination of these processes. Recognize the symptoms of primary and secondary diseases. The latter case requires you to pay attention to the medications taken by a person who is affected by gout. The causes of the disease require detailed consideration.
An excess of purine bases and nucleosides is the main cause of high concentrations of uric acid. With unlimited consumption of food, which contains substrates in abundance that form purines, hyperproduction of acid naturally occurs.
The symptoms of secondary hyperproduction are caused by excessively high cell breakdown that occurs against the background of certain diseases (provocateurs, for example, are hemoblastosis, paraproteinemia, hemolysis, alcoholism, anticancer chemotherapy). Hyperuricemia is often accompanied by psoriasis. However, the clinical pathology of gout in these cases develops infrequently.
90% of people affected by gout have decreased acid production. The kidneys, intestines and skin help uric acid leave the body. With reduced excretion of urates by the kidneys, they accumulate in excess in the body and crystallize. Tiny crystals are deposited in the joints, leading to inflammation and pain. And the kidneys are affected by urate nephritis.
A similar phenomenon is sometimes caused by diuretics, alcohol, acetylsalicylic acid, aminophylline, caffeine, diazepam, diphenhydramine, L-dopa, dopamine, vitamins B 12 and C in small dosages. Lead leads to epidemic outbreaks. Lead gout is caused by paints, substitute alcohol and other sources containing heavy metals.
The occurrence of symptoms is associated with deposits of salts formed by uric acid. Crystals settle in joints and kidneys. The first attack of gout usually does not occur until the age of thirty. It is experienced more often by patients aged 40-60 years.
The attack is accompanied by swelling and redness of the joint, acute pain. Without treatment, it does not go away for several days or even weeks. Evening and night are the main times for fleeting attacks to occur.
An attack of gout is provoked by rich meat foods, alcoholic beverages, certain types of fish, coffee and other products enriched with purine bases. The disease in most cases affects the big toe, although damage to other joints is not at all excluded. Its most striking symptom is acute arthritis, which occurs unfavorably in kidney pathologies.
Arthritis is an acute form of gout. It is expressed in a sudden onset of gout attack - painful inflammation of the joint. In gouty arthritis, urate crystals fall out of the tissues into the joint cavity, causing inflammation. Gout attacks usually occur in the middle of the night.
Gout is provoked by alcohol, trauma, physical overload, surgery, and a number of medications. Treatment with medications can relieve attacks and alleviate the condition. During attacks, the joint and neighboring tissues swell, the skin at the site of the outbreak turns red, and pain increases.
Attacks of acute arthritis disappear within a few days (sometimes weeks), even if they are not treated. A repeated attack returns after six months or a year. Although periods of calm sometimes last up to 10-20 years. In people who do not bother with treatment, the frequency of attacks increases, and several joints are simultaneously involved in them. The duration of attacks increases and they become more pronounced.
The chronic course of the disease is accompanied by characteristic symptoms:
Prolonged gout is accompanied by all the symptoms simultaneously. Chronic arthritis affects those who have experienced the secondary form of the disease and were treated untimely or inadequately.
In affected kidneys, 3 types of changes are observed:
Modifications are combined in various variations, resulting in the clinical term “gouty kidney”. Stones lodged in the urinary tract may be asymptomatic or exhibit signs characteristic of urolithiasis.
The goal of treatment is to prevent gout attacks and relieve acute arthritis. Gout is prevented by maintaining an adequate drinking regime, losing excess weight, diet therapy, reducing medications that increase hyperuricemia, and eliminating alcohol. Treatment with medications can eliminate inflammation and pain.
Water reduces the concentration of urates, preventing them from precipitating into crystals that settle in tissues and organs. In addition, it helps to wash them out and remove them from the body. Alcohol has a diuretic effect. In large dosages, it dehydrates the body, promoting the crystallization of salts, which initiates gout attacks. In addition, it slows down the removal of urates from the body, giving them the opportunity to be deposited in the joints.
Losing weight helps reduce the risk of recurrent gout attacks. You should reduce fats and calories in your diet. The diet is combined with regularly performed aerobic exercise.
The main aspects by which gout is controlled are treatment with medications that relieve pain, eliminate inflammatory reactions that control impaired metabolism, leading to hyperuricemia. Pain relief is carried out with acetaminophen (Tylenol) or other more powerful analgesics.
Indomethacin is recommended among non-steroidal anti-inflammatory drugs. However, it is not suitable for patients with an allergy to aspirin and patients with nasal polyps. Colchicine is suitable for relieving gout attacks.
Reviews from patients focus on the fact that when taking the medicine orally, serious side effects occur, associated with the frequency of its administration (once an hour or every two hours, until the pain significantly subsides or undesirable reactions appear).
Corticosteroids, which are powerful anti-inflammatory agents, relieve acute attacks. To avoid severe long-term side effects, they are prescribed in short courses. They are prescribed to patients with concomitant liver and kidney diseases.
For long periods, patients take medications that reduce the concentration of uric acid in the blood. They help dissolve heavy tophi deposits, prevent stone formation and the development of pathologies in the kidneys. Thanks to them, gout does not reoccur. Treatment with medications from this category either increases the excretion of urates or reduces their synthesis from dietary purines.
These medications can worsen a gout attack, so they should be taken after the inflammatory process has subsided. If they were treated with them before the attack, the course is not interrupted, but they try to adjust the dosage (especially after its extinction). Since many patients with high urate levels are not susceptible to kidney stone formation and are not burdened by gout, treatment with medications that affect urate levels is entirely individual.
With the help of probenecid and sulfinpyrazone, they enhance the excretion of uric acid. These drugs are not suitable for treating people with urolithiasis. They sometimes provoke the formation of stones. Drinking plenty of fluids, combined with their intake, promotes accelerated passage of acid through the urinary system and prevents the formation of conglomerates.
Allopurinol prevents the synthesis of uric acid. They block the metabolic conversion of purine bases into acid. It is prescribed with caution due to the risk of side effects in those with weakened kidney function.
Home treatments help relieve the symptoms of acute gout. The inflamed joint is lifted upward and rested. Pain is reduced by applying ice. Avoid taking aspirin-containing medications (they inhibit the excretion of uric acid).
They are treated with medicinal plants: rose hips and sea buckthorn, lingonberries and strawberries, rowan and blueberries, barberry and St. John's wort, birch and linden, chicory and other herbs. Use homeopathic remedies.
Following a diet ensures stable remission. Ideally, complete elimination of foods enriched with purines is achieved. If absolute exclusion is not possible, a maximum restriction on their consumption is introduced. They try to balance the amount of fat and drink plenty.
Anchovies, sardines, goose, chicken and any fatty meat, offal, meat extracts, legumes and dry wine are rich in purines. If you are diagnosed with gout, eat tomatoes in moderation.
Tomatoes are full of organic acids. There are not as many purines in them as, for example, in meat. Therefore, nutritionists do not prohibit those who suffer from gout from eating tomatoes. On the contrary, they believe that a reasonable amount of tomatoes and dishes made from them is beneficial for such patients.
Gout is a disease in which uric acid salts are deposited in various tissues, including in the joints of the feet (most often the big toes), the crystals of which cause pain and inflammation in the joint.
Gouty arthritis is a metabolic disease, so its treatment must be comprehensive and include a variety of medications. We will tell you about them now.
If gout is detected for the first time, then for the initial diagnosis of this disease and the prescription of competent treatment, ideally it is better to first undergo inpatient treatment in the rheumatology department of the hospital.
Usually, in order to undergo all the necessary examinations, make an accurate diagnosis and prescribe suitable treatment, doctors need from one to two weeks, which, by and large, is not such a long period of time. But in the future, treatment for gout can be done on an outpatient basis, under the supervision of a rheumatologist or nephrologist. They will prescribe medications that will help stop the disease and reduce joint pain.
Since the main manifestation of gout is an attack of acute gouty arthritis, accompanied by severe pain in the leg, all treatment of gout and the drugs used for this can be divided into two large groups: drugs for relieving an attack of gouty arthritis and drugs for treating this disease outside of attacks - in relatively quiet period.
Colchicine and nonsteroidal anti-inflammatory drugs (NSAIDs) are used to reduce the pain of specific arthritis caused by gout and relieve the accompanying inflammation.
Colchicine is a special substance isolated from plants, the main feature of which is to stop cell division. That's why it's called cell poison. Of course, this does not mean that it is a poison for humans, but it is a fairly strong drug, which, like any other medicine, has side effects.
Colchicine is good for relieving pain and inflammation in gouty arthritis. It is usually prescribed at the height of an attack, half a milligram of this drug every hour or one milligram every two hours. At the same time, the doctor monitors the patient’s condition very carefully, since colchicine has many side effects, and if they occur, the drug must be discontinued.
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This medication is continued until:
Sometimes, to avoid severe stomach and intestinal side effects, your doctor may prescribe colchicine intravenously. In this case, since this drug has a strong irritant effect on the tissue next to the vein, such intravenous administration is carried out extremely slowly and under the supervision of a physician. It may take up to several minutes, and this is normal.
If colchicine did not work, gave strong side effects, or for some other reason, to relieve an acute attack of arthritis due to gout, the doctor may prescribe medications from a completely different group - non-steroidal painkillers.
These include drugs such as naproxen (Sanaprox, Nalgesin-Forte, Aleve, Apranax), the well-known indomethacin (Methindole, Indocid, Indobene, Indotard) and other NSAIDs.
Initially, indomethacin for an acute attack of gouty arthritis is prescribed in a certain dose, after which another amount of the drug is taken every 6 hours. Typically, the sooner you start taking indomethacin during an attack of gout, the faster the attack can be stopped. After a day, based on the background of the drug effect, the dose is gradually reduced.
Please note: the names of the drugs and their doses are indicated for informational purposes only! Do not try to self-medicate, this can lead to unpredictable consequences! If you experience symptoms of an acute attack of gout, be sure to consult a doctor!
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If treatment of an acute attack of arthritis caused by gout with colchicine or non-steroidal anti-inflammatory drugs does not lead to the desired result, the “heavy artillery” is used: the doctor prescribes hormonal drugs that reduce inflammation - the so-called glucocorticoid hormones.
The doctor may use single injections or short courses of drugs such as betamethasone and methylprednisolone. The use of such medications can certainly reduce arthritic inflammation in gout and relieve pain.
Since an attack of arthritis during gout causes severe inflammation in the joint and pain, it is very important to stop such an attack as quickly as possible. It usually takes no more than two days to stop this inflammation.
After an acute attack of gouty arthritis has been relieved and a diagnosis has been made, it’s time to think about what to do next. There are special drugs for treating gout during non-attack periods (which, by the way, do not work during an attack). Let's talk about them.
Since gouty arthritis is a disease in which uric acid salts are deposited in tissues and accumulate in excess in the body, to treat it the doctor prescribes medications that increase the release of urate from the body.
These medications include purinol or allopurinol. During an attack of arthritis, these drugs do not work. This is understandable, because purinol has no effect on pain and inflammation.
But if after the first attack you take treatment with purinol, then the likelihood of repeated attacks is significantly reduced - to the point that after a year, if the course of the disease is smooth, the doctor may even suggest that you gradually abandon this medicine.
Of course, the decision to cancel therapy should only be made by a doctor based on your condition and test data. Under no circumstances should you cancel treatment on your own!
Generous nature is rich in medicinal plants that help against a wide variety of ailments; There are herbs, based on which you can prepare healing tinctures, rubs and compresses that help improve your well-being and gout.
Just remember that the use of medicines based on traditional recipes, no matter what reliable sources they appear from, must be agreed with the attending physician and should not be used instead of drug treatment, but together with it!
Surprised? Yes, diet can be medicine too! And if we are talking about such a metabolic disease as gout, then proper therapeutic nutrition can even be the main assistant in recovery. It is following a diet for gout that makes it possible to control this disease and avoid attacks of the disease in the future.
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The main principle of therapeutic nutrition for gouty arthritis is to avoid foods that contain large amounts of urates or substances that can be converted into urates inside our body (foods with a high content of purine bases).
Such food products include primarily meat, especially lamb and veal, as well as meat by-products (liver, kidneys), meat broths and soups, jellied meat, some types of fish (mackerel, sardines, herring), as well as alcohol. At the same time, products such as pasta, bread, milk and its derivatives, and cheeses can be eaten without restrictions.
In fact, just following a diet for this disease can help over time to practically forget about this disease, so it is worth treating this information with special attention. We wrote more about how to eat properly during this disease in the article Diet and nutritional therapy for gout.
As you can see, it doesn't take much medication to beat gout. The main thing that is important with this disease is not to self-medicate, consult a doctor in time and follow the prescribed diet.
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Gout is a chronic disease associated with impaired uric acid metabolism. Uric acid salts damage body tissues, usually kidneys and joints. This is one of the most common joint diseases in older people. Old doctors said that if in rheumatism the pain is as if the joints are clamped in a vice, then to determine the pain in gout it is enough to imagine that the vice is clamped one more turn.
Gout is believed to be one of the first diseases described in medicine. In Europe it was called “the disease of aristocrats”, in Russia - “salt deposits”.
There is a common expression: “gout is a way of life.” If a person abuses alcohol, deli meats, sleeps little, and is subject to constant stress, this can trigger the onset of the disease. After all, gourmet foods, seafood, alcohol (especially beer and wine), and the skin of poultry contain a lot of purines. Purines are naturally occurring nitrogenous compounds that are converted into uric acid in the body.
Risk factors include hereditary predisposition, diabetes mellitus, arterial hypertension, and obesity. Doctors distinguish between primary and secondary gout.
Primary gout occurs due to defects in the enzymes that are involved in the synthesis of uric acid, as well as due to disturbances in the mechanism of its secretion by the kidneys.
Secondary gout is a complication of certain diseases, a consequence of poisoning with certain medications and lead. Patients' complaints begin at the moment when the concentration of uric acid in the blood exceeds all norms, reaches a critical level, and its crystals begin to settle in the joint cavity, in the kidneys, forming a kind of “depot” there, a place of accumulation.
The first attack always occurs after the age of forty, but there are cases when elevated levels of urate in the blood were detected in adolescents. In the middle of the night, usually in the second half, the patient wakes up from a sharp, throbbing pain in one or more joints. Most often these are the joints of the big toe.
This condition can last a week. Inflammation gradually decreases, the patient's condition returns to normal. But this is only an appearance. The next attack will inevitably happen again, even after a few years. In some patients this period can reach 10-15 years.
Over time, the frequency and severity of gout attacks increases. Joints become deformed, so-called “gouty bumps” appear, which cause a lot of problems with shoes, and it becomes very difficult to do physical work and carry heavy loads.
Doctors believe that the cause of the attack is the periodic “fallout” of salt crystals into the joint cavity, as we have already described above. It is at the moment of “crystallization” that a gout attack begins. In addition to the joints of the big toes, the elbow joints and small joints of the hands may also suffer.
Over time, on the skin at the site of the joint lesion, as well as in the area of the auricle, on the wings of the nose, and on the eyelid, dense, painless when pressed, gouty nodes are visible through the skin, the so-called. tofuses, consisting of uric acid salts. Their size ranges from several millimetres to one or two centimeters. Sometimes the skin in these places becomes thinner, bursts and a fistula forms, through which a white cheesy mass begins to leak.
Since it is, in fact, a clot of uric acid crystals, patients note a significant improvement in their well-being. But nevertheless, the appearance of tofuses means that the disease has taken a chronic form and damage to internal organs has begun. As a rule, the kidneys are involved in the process, in which uranium salts begin to be deposited. As a result, the excretory functions of the kidneys are affected and urolithiasis manifests itself, which often leads to chronic renal failure.
It is not always easy to establish a diagnosis, despite the characteristic signs of a gout attack and the presence of tofuses. Even a healthy person may have an increased level of uric acid in the blood, while at the same time, a patient, especially at the time of an attack, has a decreased level of urate in the blood, so blood tests are not very informative.
The doctor’s tactics when treating chronic gout and when relieving a painful attack of gout attack are different.
During an attack, non-steroidal anti-inflammatory drugs (indomethacin, diclofenac, etc.) are prescribed. For severe inflammation, hormonal agents (for example, prednisolone) are used. They can be injected directly into the joint.
During an attack, the patient should be provided with complete rest. Sometimes putting ice on the sore spot helps. There are cases when cold increases pain, since it can increase the concentration of uric acid, then the patient is shown dry heat (wrap the joint in a shawl).
In the treatment of chronic gout, medications are prescribed that reduce the level of uric acid in the blood for an indefinite period. This is most often allopurinol.
The amount of liquid you drink increases, preferably through alkaline solutions (mineral water, adding soda to water). These drugs cannot be stopped abruptly - the level of uric acids may increase and, as a result, arthritis will worsen.
A strict diet is required. Prohibited: all types of meat products, broths and smoked meats, seafood, fatty and delicious fish, cocoa, legumes, mushrooms, herbs, alcohol (wine and beer), salt (as well as pickles and marinades) are sharply limited.
Allowed: potatoes, tomatoes, pumpkin, cucumbers, any fruits and berries, cereals, dairy products, flour products, rosehip decoction and vegetable juices, lemons and black currants are useful. Lean large fish is acceptable.
Doctors consider gout a terrible but manageable disease. By following the doctor's recommendations, it is quite easy to control.
No matter how much medicine invents ways to combat various kinds of diseases, diseases in most cases still break through the defenses. Perhaps only smallpox and a few more especially dangerous infectious diseases were completely defeated, but as for chronic diseases, the battle is going on with varying degrees of success. This also applies to gout, a disease that will be discussed below. Over the past few decades, there have been no fewer patients with gout; on the contrary, there has been a kind of epidemic of the disease.
Gout has been known for a long time; for a long time it was believed that it affects only representatives of the upper classes of society, but recently such selectivity has come to naught, and today the disease has slightly different selection criteria.
Men are more likely to suffer from gout; obesity and alcohol intake increase susceptibility to the disease. The disease usually begins at the age of 35−50 years. Gout affects women after menopause, and its incidence peaks between 50 and 70 years of age. Children are not immune from gout, but the disease is extremely rare at an early age.
The pathogenesis is based on a violation of the metabolism of purine bases, which entails an increase in production and a decrease in excretion from the body of uric acid and its salt sodium urate.
For a long time, hyperuricemia is asymptomatic, and it can only be detected by laboratory examination methods.
Meanwhile, the destructive effect on the body begins already in this period and effective treatment of gout must begin from the early stages.
There are two main factors. The first is a hereditary predisposition embedded in the genetic material. However, if your relatives have gout, this does not mean that you are at risk of getting it too.
The second factor is dietary habits. When the diet is dominated by meat products rich in purine bases, chocolate, and alcohol, the likelihood of getting gout increases. Therefore, modern methods of treating gout certainly include recommendations regarding diet.
The joints of the legs are the first to suffer, and therefore patients often turn to a traumatologist or surgeon first for help. Meanwhile, the answer to the question of which doctor treats gout sounds somewhat different.
Since with gout, metabolism is first disrupted, and only then the joints suffer, the treatment of gout is the domain of rheumatologists, although a competent therapist can cope with this task. One examination of the patient is often enough to diagnose gout: medication treatment can be started on the same day.
I think no one will argue with the fact that we begin to treat the disease when it’s already hot. So the treatment of gout begins at the moment of exacerbation. For the first time, the disease usually manifests itself as severe burning pain in the joints of the legs. Most often, gout begins on the legs, affecting the first metatarsophalangeal joint. It is not difficult for a qualified specialist to diagnose gout; treatment for an acute attack begins immediately.
For this purpose, standard medications are suitable, which are well known to everyone who has encountered joint pathology, arthritis, and arthrosis.
Treatment of a gout attack requires the use of non-steroidal anti-inflammatory drugs, and corticosteroids also have a place in therapy. Our main task is to remove inflammation in the joint. Drug treatment of gout at this stage necessarily includes another drug - colchicine. It selectively helps specifically with this pathology and allows you to reduce the duration of the acute period to 2-3 days.
After the acute manifestations have been relieved, it is time to move on to basic therapy. Let gout appear on the legs, treatment will be aimed at the entire body.
Medicines for the treatment of gout can be divided into two large groups: uricosurics and uricodepressants. Both of them affect the main link of pathogenesis - they reduce the content of uric acid and its salts in the blood.
The most common uricodepressant (a drug that inhibits acid formation) is allopurinol. Allopurinol should be taken once a day, after meals, at a dosage of 300 mg. Don't check with your healthcare provider. If he prescribed you a different dose for the treatment of gout with drugs that reduce uric acid levels, then there are reasons for this and that dosage should be adhered to.
The second group, which is used for this pathology, is not indicated for everyone. Uricosuric drugs enhance the clearance of urate in the kidneys, but this is where the danger lies. Everyone thinks about how to treat gout on the legs, but few people know that this disease also affects the kidneys. The so-called gouty nephropathy develops, and it is this that most often causes death in patients. Of course, if the patient already has signs of nephropathy, prescribing him drugs that increase the effect of uric acid on kidney tissue is strictly prohibited.
Treatment of gout is not limited to visiting a rheumatologist and following his recommendations. Where else is gout treated? And How? The answer is simple - sanatoriums and resorts where you can get a full range of physical treatments, take courses in massage and physical therapy, and drink mineral water.
The last point is especially important. Patients with gout must maintain a special water regime and drink at least 2.5 liters of water per day. The liquid must be alkaline in nature. Therefore, resorts that have alkaline water are ideal for a gout patient.
In addition, the chain of disease - gout - treatment must include measures aimed at changing the nature of nutrition. Dairy and plant foods should predominate, and meat, especially fatty and fried meat, should be reduced to a minimum. It is worth giving up strong coffee and tea, chocolate and cocoa; alcohol is out of the question.
This is the only way to overcome a disease that has accompanied humanity for centuries and finds a way through all obstacles in the form of drug therapy.
Treatment of gout is a complex process, because the disease is chronic, which develops against the background of metabolic disorders and is characterized by deposits of uric acid salts in human cartilage, bones and joints. It is interesting that this disease has been known since ancient times - it was described by Hippocrates and such famous personalities as Achilles, Ivan the Terrible, Michelangelo, Turgenev, Pushkin, Charles Darwin and others suffered from it. The symptoms of this disease are very unpleasant. The attack usually begins unexpectedly, often at night, and is characterized by swelling and redness of the joints of the legs (most often the big toe), severe pain and high temperature (up to 38-40°). Pain in the abdomen and abnormal bowel movements may also occur.
Sometimes, with a long course of the disease, tophi develop. Tophi in gout are the same deposits of uric acid salts, surrounded by connective tissue. Most often they appear in the ear area, but this is only the beginning. Further, tophi can occur anywhere, even on internal organs, and are sometimes very difficult to detect.
Typically, this condition lasts 5-7 days, after which the attack passes. Previously, it was believed that men aged forty and older were predisposed to gout, especially those whose relatives had the disease. However, recently, gout has taken unexpected forms and it is increasingly happening that different categories of people have begun to suffer from it - both women and men, both young and old. The reason for this spread of the disease most likely lies in the unhealthy lifestyle and diet of modern people.
Rheumatologists, orthopedists and surgeons know how to treat gout, but they also admit that it is completely impossible to get rid of the disease. In this case, not only medications help, but the correct organization of a person’s lifestyle. Despite the fact that doctors advise patients to use medications, they also suggest normalizing the diet for gout and adding physical activity, avoiding hypothermia and overheating, and using additional methods of traditional medicine.
In our article we will look at the main types of treatment for gout:
Traditional medicine will tell you how to treat gout on the legs; “grandmother’s” recipes in this case bring invaluable benefits, helping to quickly relieve an attack of the disease and prevent the development of relapses. So, we list the most effective means of treating gout using traditional medicine.
Basic folk methods:
The first remedy is the ubiquitous urine therapy. Traditional healers claim that if you soak your feet in urine every day, gout will go away. But professional doctors have the opposite opinion on this matter, so be sure to consult your doctor before the procedure.
The second effective way to cure gout is compresses. A very good compress is a honey-salt compress. To do this, you need to put honey and salt (1 tablespoon each) on gauze and apply a compress to the inflamed joint. The procedure should be repeated until the symptoms disappear completely.
You can also make a compress from red clay and 2 tbsp. l. wine vinegar.
The third folk remedy is various decoctions and tinctures. The most effective decoction is considered to be lingonberry decoction. To prepare it, 2 tbsp. spoons of lingonberries are poured into 250 ml of boiling water and boiled for 15 minutes. Drink the decoction one day, and the next day prepare a new one, and so on until recovery. Traditional healers say that there is no better remedy or answer to the question of how to treat gout on the legs.
Another herbal tea that helps a lot is 20 g of wheatgrass rhizomes, 30 g of tricolor violet (herb), 25 g of burdock root and 20 g of veronica officinalis, crushed together. Take 40 g of the resulting mixture and add a liter of water and boil for 15 minutes. Drink 3 glasses daily, and be sure to drink the decoction on an empty stomach for the first time in the morning.
Another good recipe in the video:
There are not only folk ways to answer the question of how to treat gout, but also home methods used by many people when an attack of the disease occurs. Most often, such methods do not cure gout completely, but only help relieve the attack, including pain.
For example, treating gout with iodine and aspirin is very effective. This remedy saved many people from severe pain and relieved inflammation. You need to take 10 ml of iodine and dissolve 5 acetylsalicylic acid tablets in it. The result is a colorless liquid, which should be used to treat the affected joints at night.
You can also do foot baths with iodine - for 3 liters of water, 9 drops of iodine and soda (no more than 3 tsp).
Regular activated carbon relieves pain well. To do this, grind a handful of activated carbon in a coffee maker, add a spoonful of flaxseed and lubricate the affected joint. After this, cover the area with plastic and wrap it well and go to bed like that. Usually in the morning the patient already feels relief.
It is very important to follow a certain diet for the treatment of gout. It is necessary to exclude from the diet such foods as kidneys, liver, brains, radishes, sorrel, beans and peas, and hot seasonings. Reduce consumption of fish and animal proteins. Drink fruit teas: lingonberry, currant, strawberry, and eat plant foods.
When thinking about how to treat gout, it is impossible to ignore medications. Medications are very effective in treating the disease, helping relieve inflammation and pain, and reducing the risk of relapses.
Most often, doctors prescribe ointment for gout to patients, in particular, Fullflex cream. The use of this cream is a very effective treatment method, thanks to its diverse natural composition.
Patients are also advised to take gout tablets; effective drugs are:
However, you should not treat yourself with medications; you must seek a prescription from your doctor.
After reading all of the above, you will probably find the answer to the question “how to cure gout?”, and you will be able to cope with the disease and prevent its return.
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The patient's pain, quality of life is significantly reduced, and the cause of motor activity is sharply limiting joints, gout, and activity. Ketorolac is an analgesic, pain-relieving ampoules. The dosage for the anti-inflammatory effect of injections and tablets is excellent and individual. Activated carbon is a cure for gout. Areas of action that absorb absorbable electro-UV irradiation of the joint are used. Physiotherapy, UHF, phonophoresis, and heat treatment are used as anti-inflammatory drugs.
Treatment at home.
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In recent years, pancreatitis has taken a leading position among diseases of the digestive tract. The reason for its development is considered to be the presence of peptic ulcers, gastritis, as well as the formation of stones in the gall bladder. Pancreatitis can be triggered by poisoning, infectious diseases, excessive alcohol consumption and obesity. Sometimes, for the development of such a formidable disease, it is enough to have one heavy meal, washed down with alcohol.
If we consider that almost every person has at least once abused tasty and fatty foods without giving up alcoholic beverages, and also add here the fact that most of the population of our country, including children, constantly overeat, then it is not difficult to guess that pancreatitis threatens almost every person.
Pancreatitis can be acute. One of its symptoms is paroxysmal pain, the intensity of which is so great that it can cause painful shock and even impairment of a person’s consciousness. When it appears, you should immediately seek medical help, completely abandoning self-treatment. There can be no talk of taking medications containing digestive enzymes at this time. An attack of acute pancreatitis should only be treated in a hospital.
The cause of acute pain during an attack of pancreatitis is the specificity of the pancreas and its special role in digesting food. The fact is that it is this organ that produces digestive enzymes that break down proteins, fats and carbohydrates found in the duodenum.
When the pancreas is diseased, it swells and spasms the blood vessels through which the substances produced usually flow out. As a result, digestive enzymes accumulate in the pancreas itself and affect its tissue. The process of digestion of its tissues occurs, accompanied by acute paroxysmal pain. It is this condition that is called an attack of pancreatitis or pancreas. Its symptoms also include nausea, vomiting, rapid heartbeat, drop in blood pressure, increased body temperature, pale skin and impaired urine flow.
However, these symptoms are also characteristic of a number of other diseases that require emergency medical attention, for example, acute appendicitis or a perforated stomach ulcer. For this reason, any acute abdominal pain should be the basis for an urgent examination and clarification of the diagnosis. Only after making an accurate diagnosis can you think about how to relieve a pancreatic attack and what should be done for this.
Most often, when asked what to do during an attack of pancreatitis, the answer is that you need to refuse food, apply ice to the stomach and provide the patient with rest. But all this can be done only in the chronic course of the disease, when there is no doubt that it is the pancreas that hurts. At the same time, it is important to exclude the intake of any digestive enzymes, because they enhance secretory activity, forcing the diseased organ to produce even more juices, the impaired outflow of which is the cause of acute pain.
You can take medications that help relieve spasm and dilate blood vessels, as well as any painkiller. If the condition does not improve and the symptoms of a pancreatic attack persist, you need to seek medical help, where they know exactly how to relieve acute pain.
But even if the attack was stopped and the pain went away, you should not delay your visit to the doctor and visit him as soon as possible. All diseases of the pancreas should be treated only under the supervision of a doctor.
Of course, if you have severe pain, you need to call a doctor, but how can you stop and anesthetize an attack of pancreatitis while the ambulance is on the way?
During treatment, the patient can be given 0.8 mg of drotaverine hydrochloride or No-shpu. You can also give an intramuscular injection of papaverine solution (2 ml) or replace it with No-shpa solution. For pain relief, you need to take some kind of analgesic. Doctors do not recommend taking other medications other than antispasmodics and analgesics, so as not to harm the patient.
During these symptoms, he can only be given water, but not more than 1/4 glass at a time. It is advisable that he drinks every 30 minutes. The best first aid rule for an attack of acute pancreatitis is hunger, cold and rest. Doctors recommend following these recommendations. It is better to apply an ice pack not to the stomach, but to the pancreas from the back. In this case, the effect of the procedure will be more noticeable.
During an attack of pancreatitis, it is usually very difficult for a patient to breathe. That is why it is necessary to breathe shallowly, and the best way to cope with pain is the following technique: you need to hold your breath until the pain subsides, this will make it easier for the patient to cope with the pain.
If you have the urge to vomit, then you should not restrain them; you need to help the stomach empty by pressing on the root of the tongue with two fingers. As a rule, after vomiting the patient feels much better, but, unfortunately, this is only temporary relief.
If the patient is absolutely sure that there are no stones in his gallbladder, then the attack can be stopped by taking the medicine Allohol. It is necessary to give 2 tablets three times a day. But we must remember that any choleretic agent must be taken in combination with antispasmodic drugs.
If the patient’s condition has improved, the attack of pancreatitis has passed and appetite has appeared, then under no circumstances should you eat for three days. You can only drink: boiled or still mineral water and lightly sweetened tea. After providing first aid, a patient with pancreatitis must undergo examination and treatment in a hospital setting in order to avoid relapses in the future.