Gout is a very common disease in the population in which, for various reasons, uric acid is deposited in various tissues, especially in the joints. Gout affects men more frequently and the main risk factors are renal insufficiency, taking diuretics or alcohol consumption, among others.
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What are the Symptoms of Gout?
-Symptoms of acute gout attacks:
- Symptoms develop suddenly and usually involve only one or a few joints. The joints of the big toe, knee or ankle are most often affected.
- The pain frequently begins at night and is often described as throbbing, squeezing or excruciating.
- The joint appears hot and red. It is usually very tender (hurts to put a sheet or blanket over it).
- Fever may be present.
- The attack may go away in several days, but may return from time to time. Additional attacks usually last longer.
Learn more about the Symptoms of Gout: Gout Symptoms
After a first attack of gout, people will not have any symptoms:
- Some people will go months or even years between gout attacks. Others may develop chronic gouty arthritis, but others may not have any subsequent attacks. Those with chronic arthritis develop joint deformities and loss of motion in the joints and will still have joint pain and other symptoms most of the time.
- Tophi are bumps under the skin around the joints or in other places that may drain a whitish material. Tophi usually develop only after a patient has had the disease for many years.
- After an attack of gout, more than half of people will have another attack.
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Diagnosis
Definitive diagnosis of gout is made by arthrocentesis (joint puncture) and analysis of synovial fluid by polarized light microscopy, which allows direct visualization of crystals in the synovial fluid. Other novel diagnostic methods are joint ultrasound, which allows visualization of uric acid deposits in the joints, or dual-energy CT.
Gout often appears in the big toe: Gout Big Toe
Treatment
In gout, prevention is the mainstay of treatment, correcting all possible risk factors and following a healthy lifestyle from all points of view (especially a heart-healthy diet and physical exercise). There are also hypouricemic drugs that reduce uric acid levels in the blood.
There are many Natural treatments to combat Gout: Home Remedies For Gout