Gout is one of those conditions and this can be aided considerably with a big change in diet and lifestyle, and is a type of arthritis which is normally connected with “high living”. This condition causes a rather painful accumulation of crystals of the crystals around the joint. I’ve seen many gout patients over the years, and I think I’ve seen a couple of a women over time in my clinic complaining of the rather painful condition.
I can still remember the initial gout patient I ever saw, I was practicing in the student clinic in the 90’s. A male aged mid forties came in complaining of a very painful right ankle and big toe. He was a mechanic who enjoyed a beer, in fact he said: “Eric, I’ll do whatever you suggest, I won’t be stopping my beer however, but I can’t live with this pain anymore”.
A gout attack of pain usually strikes unexpectedly, but generally subsides in a few days with treatment. However, some guys can experience pain for several weeks with gout attacks often re-occurring and without the correct management the attacks of pain could become more frequent and may be very debilitating indeed.
You should contact your physician if really severe pain in a joint recurs or lasts lots of days, particularly if the pain is accompanied by chills or fever. Now let’s have a closer look at gout, what it really is and what causes it and more importantly, how we might help the gout patient with the right natural medicine suggestions.
Gout is arthritis
Gout is regarded as a form of rheumatism and is probably the most painful forms of arthritis. There are different types of arthritis such as for example osteoarthritis, the “wear and tear” arthritis of the bigger joints like hips, knees, back, etc. Then there’s rheumatoid arthritis which is the inflammatory (heat) arthritis affecting small joints generally like the writs, fingers, etc.
And then there is gout, what I call the “red-blooded male’s arthritis”. I can remember reading a book awhile ago about the era of the large ocean going vessels including the Endeavour through the golden age of discovery. Many officers on board such vessels suffered terribly from gout.
Mind you, these were the commanding men who drank a lot of rum and ate a lot of beef with lashings of gravy. So what has changed? Blokes still prefer to command, drink rum and coke or cold beer, and eat hot steaks and what red-blooded guy doesn’t? I have never seen a committed vegetarian suffering with gout, and incredibly much doubt they even exist in this country.
Signs or symptoms of Gout
Recurrent, acute attacks of pain, tenderness, redness, inflammation and swelling round the smaller joints – especially the joint of the big toe. Why the big toe you ask? Common sense – because it may be the joint at the lowest point of the body, the area where deposits of the crystals and other wastes tend to form due to gravity. In case you are right-handed, the proper big toe joint could be more likely affected than you left, and vice versa.
The reason being you step off and lead together with your right foot as you walk, and is will have therefore a slightly better circulation of nutrients (and for that reason also a little more deposition of wastes) than your left foot. Reflexologists often talk about “crystals” forming round the toe joints, and you can feel “crunching” sensations if you prod firmly under your toes or wiggle the toe joints sometimes.
The patient can also feel a significant sharp and rather intense pain in a small joint, particularly the toe or wrist. The affected joint can be red, hot, swollen and also throbbing. It may feel “on fire”. As earlier mentioned, the pain can be so unbearable that even a bed sheet can cause excrutiating pain.
Gout afflicts approximately around 0.5% of the population of the western world.
Over 95% of gout sufferers are men aged 30 or higher.
Gout is twenty times more likely in males than women.
Gout is strongly connected with being overweight and having high blood pressure.
Gout can also occur in women, additionally after menopause.
Maori (New Zealand indigenous peoples) and Pacific Islander peoples specifically tend to have high uric acid levels and are predisposed to gout, especially the Maori patients I see who love abalone, mussels, roe (fish eggs like caviar) and crayfish (like lobster). I would expect that indigenous American or African peoples would similarly be suffering from gout, particulary when they reside in the developed Western countries and eat foods high in purines.
The type of individual most commonly affected by gout is an overweight man who drinks huge amounts of alcohol, is a regular meat-eater, loves rich foods and and also require high cholesterol and raised blood pressure.
What can cause an acute gout attack?
Certain medications, such as some types of diuretics, can cause gout. Aspirin and niacin (Vitamin B3) can also raise uric acid levels.
Certain diseases can lead to an excessive production of the crystals in your body, including some leukaemias, lymphomas plus some haemoglobin (blood) disorders.
Some studies have indicated an elevated prevalence of low thyroid function (hypothyroidism) in people who have gout.
Dehydration (alcohol & caffeine dehydrates).
Injury to a joint.
Excessive intake of purine-containing foods (see list below).
Heavy alcohol intake.
Recent surgery (this may be related to changes in the body fluid balance because of fasting before surgery).
Family history – hereditary.
What is Uric acid?
Approximately 70% of gout patients have an overproduction of uric acid, the remaining 30% of gout patients have an unhealthy elimination of uric acid, so that it makes sense to eat fewer foods which help to produce uric acid, and improve uric acid elimination by way of the kidneys.
Uric acid is a by-product of the breakdown of certain foods within the body, and gout was once considered to be closely related just to diet. It is now understood that inheriting a problem with uric acid excretion from the body is most likely just about the most common reasons for gout that occurs. Improving a person’s kidney work as much as possible has helped many gout sufferers I’ve seen over the years.
Uric acid may be the end product of the metabolism of chemicals called purine that are within many foods. Purines are also found naturally in the body, and normally, the body gets rid of excess the crystals via the urine, however in people with gout uric acid accumulates in the body.
This can be because of reduced excretion of the crystals by the kidneys or to overproduction of the crystals by your body. This accumulation of the crystals could also cause kidney stones, also it doesn’t have a rocket scientist to work through that you need to enhance the kidney work as much as is possible to help the patient overcome gout.
طبيبك اونلاين Gout can be very painful indeed
How come gout hurts, where does all that pain come from? Simple, when the uric acid accumulate in the blood and tissues it can crystallise out right into a joint, forming a multitude of tiny, jagged, needle-shaped crystals. This triggers an intense inflammatory response that causes an agonizing arthritis attack called a gout attack.
Maybe you have stood on a pin or perhaps a needle, perhaps some broken glass and got annoyed and irritated by this? You then will understand how a gout sufferer will feel – they might be most irritated and annoyed such as a child who has just stood on a pin cushion. Pain has a way of bringing out the worst in many people! As I mentioned, gout commonly strikes the big toe, but other joints could be affected, like the instep, ankle, knee, wrist, elbow and fingers.
Acute pain is generally the initial symptom and the affected joint becomes inflamed (almost infected-looking): red, swollen, hot and extremely sensitive to the touch. I have many times seen an incident of gout in the clinic that the patient’s doctor known as “osteoarthritis”, when actually it had all the makings of gout. Signs or symptoms like a needle-like pain affecting the tiny joint, male patient who enjoys alcohol drinker, crayfish and roe (fish eggs), enjoys barbeques and steaks, etc. Common things eventually people commonly, I’ve often said.
The funny thing with guys is, you see them once then you don’t tend to see them again in the clinic. I really believe that it’s purely the pain that brings them ultimately to see the practitioner. This is especially so for some larger blokes I have seen where the pain had not been helped to a large degree by the standard gout drugs, and then there is a lot more of an urgency compared to that appointment.
I have often said that there surely is nothing more than a higher degree of pain to bring a man to your room as a patient. If you are a normal reader of my column, you may recall that I’ve often said that males participate in the “John Wayne School of Health”: “I’m going to be alright, there is nothing wrong with me, and I’ll just get back on that horse and continue riding”.
I can recall in a single Western that even John Wayne himself visited see a doctor when the pain of a fairly large shotgun blast in his shoulder was preventing him from actually getting on his horse, and even then your doctor’s visit seemed was under duress!