Gout: New Treatments and Recommendations for Prevention
Gout commonly presents with a sudden onset of redness, swelling and excruciating pain of the great toe joint during the night. Gout is a painful joint condition brought on by hyperuricemia (high levels of uric acid in the blood) resulting in the particular precipitation of needle-like crystals in the joints. The prevalence of gout has been steadily increasing over the past two decades is now estimated to be 1-2% of the U.S. population. Gout is more common in men, but in recent years, the incidence of gout has doubled in women (1,2).
The common causes of gout are diet, overproduction of uric acid and renal disease. Common risk factors include family history, male gender, a high protein diet, heavy alcoholic beverages usage, high blood pressure, kidney disease, metabolic syndrome, diuretic make use of and obesity. Hyperuricemia has been suspected to increase the risk of heart disease by increasing inflammatory factors that damage bloodstream (3).
Treatment Varies With Regard to Acute and Chronic Gout
For acute gout flares, the standard treatment is a course of anti-inflammatory medications, steroid injections and/or joint aspiration. Allopurinol is commonly used for treatment of chronic gout and prevention of acute gout assaults. Febuxostat is a new treatment recently approved by the Food and drug administration. In long term studies over a 5-year period, febuxostat had been shown to reduce uric acid levels and substantially reduce or perhaps eliminate acute gout attacks (4). A study last year in the Archives of Internal Medicine showed 500 mg of Vitamin c daily reduced the incidence of gout by 15% (2). Researchers at the Arthritis Research Centre of Canada in Vancouver found long-term coffee consumption is associated with a lower incidence of gout. Those who drank four + cups of coffee per day had the least risk of developing gout (5). The authors did not recommend starting to drink coffee for those those who do not already drink coffee.
The relationship between heart disease and gout has been suspected in order to be more coincidental than causative, right up until lately. Recent research suggests uric acid may be a causative factor in heart disease. Uric acid activates the immune response and the inflammatory process. This reaction can be seen in an acute gout flare involving an unpleasant, red, hot, swollen great toe joint. Uric acid is both an antioxidant and a pro-oxidant. This means that though uric acid may quench free radicals and reduce oxidative cell damage, it also increases mediators which affect blood vessels and increase the risk of heart disease (6).
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The Most Effective Prevention of Gout is the Modification of Diet and Lifestyle
Specific foods and beverages, including red meat and alcohol, can trigger a severe gout attack. Obesity increases the risk of gout and other conditions which increase the risk of gout, such as bring about and metabolic syndrome. Weight reduction and daily exercise are both appropriate preventative remedies for gout. Other recommendations include limiting intake of sugary beverages and foods with added sugar, consuming whole grain products, nuts, beans, fruit, vegetables, moderate amounts of lean white meats as well as low fat dairy and oily fish (7). You may want to talk to your doctor about adding a vitamin c supplement or increasing your coffee intake.
Remove the Gout Forever Naturally! This is a Very Powerful Remedy!
Top 10 home remedies for gout. Apple Cider Vinegar. Apple cider vinegar, which is used to treat headaches and acid stomach, also helps treat gout and arthritis.
Folk Remedies for Gout - Remembering Grandmas Way! If you or someone you love suffers from painful bouts with gout it might be time for you to turn to another method for dealing with the discomfort. Folk remedies for gout are a great way for you to subside the discomfort and alleviate the pain the...
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Curr Rheumatol Rep. 2010 Apr;12(2):118-24
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Arthritis Rheum. 2007 Jun;56(6):2049-55.
Rheumatology (Oxford). 2010 Jul;49(7):1229-38.
Curr Opin Rheumatol. 2010 Mar;22(2):165-72.
Christine Dobrowolski is a podiatrist and owner of Northcoast Footcare, Inc, an online resource for foot information as well as doctor suggested foot care products.