Can Gout be prevented?

Gout is caused by the accumulation of uric acid (a substance found in the blood) within the joints. It forms small “crystals”. During an acute attack, these crystals can cause painful inflammation, redness, and increased temperature in the joints, making them very sensitive. Although it is most common in the big toe area, any joint can be affected. Gout can also affect the joints and the tendons, bursae, around them.

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Gout attacks that aren’t treated promptly can recur, and eventually cause serious damage to the joints. However, it is important that you know that not all gout attacks are triggered by hyperuricemia (elevation in uric acids in the blood) and that not all gout attack high levels of urine acid are detected in blood.

What is Uric Acid?

Uric acid, which is a chemical found in the blood, is formed when purines are broken down by the body.

At body temperature, 6.8 mg/dl is the limit at which uric acids can dissolve in blood. At low levels of uric acid, it dissolves. However, higher concentrations can cause microcrystals to form in the joints. White blood cells can be attracted to the crystals, which can cause pain, inflammation, and an increase in temperature. Sometimes crystals can accumulate under the skin as tophi or in the kidneys and urinary tract as colic.

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Who are the affected?

Gout is four times more common in men than it is in women, according to Clinica Universidad de Navarra. Gout can happen at any age, but it’s more common in middle- and older people. It is more common in men between the ages 35 and 50. Women usually experience it after menopause. It is rarely seen in children.

What are the Signs and Symptoms of Gout?

Gout can cause inflammation of one or more joints. The most common areas affected by gout are the big toe and instep, as well as the ankle, knee, and knee.

• Symptoms are often sudden and often occur at night.
• The joint can go from being normal to severe swelling in a matter of minutes.
• Extreme pain: Often described as unbearable.
• Reddening and swelling of the joint.
• Local temperature increase
• Amazing touchsensitivity
• Fever can also occur, but it must be ruled out by other causes, such as infection.

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The symptoms usually last for three to ten days and then disappear without treatment. They can recur with time. The new attacks will be more frequent, more severe and last for a longer time. Gouty arthritis, which can eventually lead to chronic pain, may be caused by multiple joints. This can cause joint damage and decrease mobility.

In these cases, we may find the so-called “gouty tophi” which is an accumulation of these crystals beneath the skin and forming nodules. These are often found around joints that have been affected by previous attacks. There may also be kidney involvement, such as kidney stones.

What is the Best Way to treat it?

Gout can be treated with proper care. Most people who suffer from it are free of any complications. Gout attacks can occur at first in a sporadic manner. However, if not treated properly, they will become more frequent over time.

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The Spanish Society of Rheumatology proposes a treatment that is divided into two main lines of operation:

Gout is an acute condition that can be treated and prevented. The goal is to reduce inflammation and pain. This treatment involves the administration of anti-inflammatory drugs, colchicine, or glucocorticoids. It also includes resting the affected joints and applying cold to the affected area to alleviate symptoms.

It is designed to lower blood uric acids. This treatment is based on diet, overweight control, and pharmacological treatments (allopurinol or febuxostat) that should be initiated once acute gout flare ups have been resolved. The doctor should also monitor the blood uric acid levels and recommend that you continue with the prescribed treatment.

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