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GOUT

GOUT

What is Gout?

Gout is the sudden, severe attacks of pain, swelling, redness and stiffness in the joints. It is especially seen in the joints of the big toe.

Gout attacks are mostly seen at night which makes the patient restless and drives him out of the bed.

Gout affects men more than women, but women are likely to get affected after menopause.

Symptoms of Gout

The signs and symptoms of gout often occur suddenly, especially at night.

  • Severe burning of the affected joint.
  • Gout can affect the joint of the big toe, ankles, knees, hands and wrists.
  • Pain is very severe in the first 4-12hrs of its starting.
  • After the most severe pain subsides, some discomfort may be present in the joint for next few days to weeks.
  • The affected joint becomes swollen, tender, red and stiff.

Causes of Gout

Gout occurs due to building up of Urate crystals in the joints which cause the joint swelling and pain.

Urate crystals are formed in joints due to high levels of uric acid in the blood.

Increased levels of uric acid can be a result of:

  • Increased production of uric acid in the body, or
  • Decreased excretion of uric acid from the body by the kidneys due to some kidney diseases.

Risk factors:

  • Increased consumption of organ meats, seafood, red meats.
  • Alcoholic beverages, especially beer.
  • Drinks sweetened with fructose sugar.
  • Obesity
  • Diseases like hypertension, diabetes mellitus, metabolic syndrome, certain kidney and heart diseases.
  • Family history of gout
  • Medications like diuretics.

Diagnosis of Gout

  • Joint fluid analysis (arthrocentesis)
  • To see if urate crystals are present in the fluid.
  • Blood tests
  • To see the level of uric acid in the blood.

Blood test results may be wrongly evaluated as some people who have high levels of uric acid in blood do not experience gout while others who have gout have normal uric acid levels in the blood.

  • Urine tests
  • To measure the level of uric acid in the urine.
  • X-ray examination
  • Can be used to rule out other causes of arthritis.
  • Ultrasound
  • A musculoskeletal ultrasound detects urate crystals in the joints.
  • Dual energy CT scan
  • It can detect the urate crystals in the joints even when the joint is not acutely swollen.
  • Not used frequently due to higher costs.

Self help

  • Limiting alcoholic drinks and the drinks that are sweetened with fructose sugar.
  • Limiting the use of foods like red meat, organ meats, and sea foods.
  • Exercising regularly and losing weight.

Homoeopathic Management of Gout

Homoeopathy medicines help to reduce the severity of the pain during the acute attacks as well helps in preventing the recurrence of gout. Helps in reducing stiffness and improves joint mobility.

Ledum Pal

  • Swelling of great toe
  • Drawing type of pain worse from warmth, pressure and motion
  • Ascending type of pain
  • Chilly patient but better by ice cold application
  • Odema of feet with profuse urination
  • Ailments from alcohol abuse

Colchicum

  • Red painful swelling with oversensitiveness to touch
  • Pain shifting from joint to joint < slightest motion
  • Bloatedness of abdomen with nausea from smell and sight of food
  • Affections of small joints
  • Scanty dark red urine

Lycopodium

  • Indicated in acute and chronic cases of gout
  • Digestion weak
  • Frequent urination
  • Aggravation : 4-8 pm
  • Desires hot drinks and food
  • Bloatedness of abdomen
  • Swelling of joints after eating oysters and onions
  • Joint pains better after passing offensive urine

Lithium carb

  • Gouty and uric acide diathesis
  • Vioilent sharp pains as red hot needle
  • Soreness

Benzoic acid

  • Offensive urination with red cloudy sediment
  • Urine becomes clear after attack of gout
  • Tearing sensation in the joints
  • Pain in old nodes

Sabina

  • Gout alternating with Haemorrhage ( uterus , kidney , bladder )
  • Gout with uterine troubles
  • Gouty nodosities in joins with burning sensation
  • Extreme burning which compels patient to keep hands or feet out of bed
  • Atony of uterus
  • > open air
  • < warm room, covering