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The Gout by James Gillray. Published May 14th 1799.
WHAT IS GOUT?
Gout (also known as podagra when it involves the big toe)is a medical condition usually characterized by recurrent attacks of acute inflammatory arthritis.
The word gout comes from Latin gutta and old French gote meaning "a drop." Several hundred years ago gout was thought to be caused by drops of viscous humors that seeped from blood into the joints. In fact, this supposition was not that far from the truth. When a patient experiences the symptoms of a gout attack uric acid has been accumulating in his blood, and uric acid deposits have been forming in the joints.
Gout is a complex disorder, it is more prevalent among men, and afflicts women more commonly after the menopause. Men have higher uric acid levels in their blood than women. In 2011, the American College of Rheumatology announced that 8 million Americans have gout - nearly 6% of men and 2% of women.
Gout is a complex disorder, it is more prevalent among men, and afflicts women more commonly after the menopause. Men have higher uric acid levels in their blood than women. In 2011, the American College of Rheumatology announced that 8 million Americans have gout - nearly 6% of men and 2% of women.
WHAT CAUSE THE GOUT?
The levels of uric acid in your blood rise until the level becomes
excessive (hyperuricemia), causing urate crystals to build up around the
joints. This causes inflammation and severe pain when a gout attack happens.
When the human body breaks down chemicals called purines it produces
uric acid. Purines can be found naturally in your body, as well as in
food, such as organ meats, anchovies, asparagus, mushrooms and herring.
Most of the time uric acid dissolves and goes into the urine via the kidneys. However, if the body is producing too much uric acid, or if the kidneys are not excreting enough uric acid, it builds up. The accumulation results in sharp urate crystals which look like needles. They accumulate in the joints or surrounding tissue and cause pain, inflammation and swelling.
WHAT ARE THE SYMPTOMS OF GOUT?
Signs and symptoms of gout are usually acute - they come on suddenly without warning. A significant proportion of patients experience symptoms at night.- Severe pain in the joints - the patient may experience pain in his ankles, hands, wrists, knees or feet. More commonly the big toe is affected (podagra). Many patients describe the affected areas as warm/hot. The fluid sacs that cushion tissue (bursae) may become inflamed (bursitis) - when this happens in the elbow it is called olecranon bursitis, while in the knee prepatellar bursitis
- Redness and inflammation - the sufferer will most likely have tender, red and swollen joint(s) in the areas that experienced the most pain
- Red/purplish skin - the affected area may become red or purplish, making the patient think he has an infection
- Fever - some patients have an elevated temperature
- Less flexibility - the affected joint may be harder to use, the patient has limited movement
- Nodules - the gout may first appear as tophi (nodules) in the elbows, hands, or ears.
GOUT TEST
Blood test - to measure your levels of uric acid. This test is not definitive as some people with high uric acid levels never have gout symptoms; while others who have gout symptoms do not have high levels of uric acid in their blood
Joint fluid test - a needle is used to collect fluid from the affected joint. The liquid is then examined under a microscope to see whether urate crystals are present.
CAN GOUT BE HEAL OVER TIME?
It would make sense not to consume too many foods that are high in purines, such as red meat, meat organs, and seafood. Reducing your consumption of alcoholic drinks may also be beneficial. Some people suggest you should consume more low-fat dairy products while others mention a good intake of whole-grain breads is beneficial.
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