How To Treat A Gout Attack – A low-purine diet is often prescribed for people with hyperuricemia – high levels of uric acid in the blood – which can lead to gout and kidney stones. Purine in our food breaks down into uric acid in our bodies, so reducing purine in the diet helps lower uric acid levels.
Gout is caused by high levels of uric acid in the blood. The extra uric acid forms sharp crystals that lodge in the joints, causing swelling and pain. But you can help reduce the amount of uric acid in your body by maintaining a low-purine diet. Lowering uric acid levels can help prevent new crystals from forming, reducing gout attacks.
How To Treat A Gout Attack
Purines are chemicals that occur naturally in certain foods and beverages. When your body breaks down these chemicals, uric acid is the byproduct. A low-purine diet cuts out foods and drinks with the highest purine content to lower uric acid. It also encourages certain selected foods that can lower uric acid levels in the body.
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Anyone with high levels of uric acid in the blood (hyperuricemia) may benefit from cutting back on purine-rich foods. It can help prevent gout in people with hyperuricemia who have not yet developed the disease. It can also help prevent the progression of existing gout and prevent other complications of hyperuricemia, such as kidney stones.
Although eating specific foods won’t be enough to eliminate gout, studies suggest that certain foods and drinks can help reduce uric acid in the body. E.g:
However, many healthcare providers prefer to focus on general dietary guidelines rather than specific foods. They suggest you:
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A low-purine diet is designed to help manage hyperuricemia and its complications, such as gout. But dieting is also a reasonable lifestyle to adopt for overall health. Cut back on sugar, alcohol and meat and focus on plants and alternative protein sources. It has many benefits beyond reducing uric acid and won’t deprive you of any important nutrition. If you are at risk of developing gout or living through another gout attack, a low-purine diet may be worth trying. Ask your healthcare provider if this is a good option for you.
Cleveland Clinic is a non-profit academic medical center. Advertising on our website helps us support our mission. We do not endorse any non-Cleveland Clinic products or services. Policy Whether you’ve had gout in the past or have never experienced it before, chances are that when a gout attack strikes, you’ll know quickly that something is very, very wrong: excruciating pain and swelling, often in -one appearance. appear. joint (often the big toe), is pretty hard to ignore.
If you’ve never had a gout attack and think people with gout must be exaggerating, consider this: 37 percent of people with gout said they would willingly give up a winning lottery ticket if they no longer had never a gout attack. according to a patient survey.
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Of course, making such a compromise is not an option. So what real choices do you have? Your best bet is to call your doctor — stat. “As soon as you feel a sting, you need to get medical attention,” says Joseph Huffstutter, MD, a rheumatologist at Arthritis Associates in Hixson, Tennessee. “The earlier you treat a gout attack, the easier it will be to treat.”
Here’s a look at why gout flares occur and how to reduce the pain as quickly as possible.
Gout is a type of arthritis that comes and goes, especially at first. Common symptoms of a gout attack include:
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Gout, a type of inflammatory arthritis, occurs when levels of uric acid—a normal byproduct of metabolic reactions in your body—become too high, says Kenneth Saag, MD, professor of medicine in the department of clinical immunology and rheumatology at the University from Alabama to Birmingham. When this substance cannot be sufficiently dissolved and excreted in the urine, it begins to crystallize, and those crystals deposit in the joints where they cause severe inflammation.
Certain risk factors, such as family history/genetic predisposition or chronic kidney disease, can influence the development of gout over time. Taking certain medications (such as diuretics for high blood pressure), a high intake of alcohol or sugar, or eating foods high in purines can trigger a gout attack. Read more about what causes gout here.
If you are new to gout, your doctor will need to confirm the diagnosis, as it can sometimes mimic other conditions that affect the joints (such as rheumatoid arthritis). (Read more about gout vs. rheumatoid arthritis symptoms.) Your doctor will likely use a needle to remove some fluid from the swollen joint, then examine it under a microscope to confirm that it contains uric acid crystals.
Bsr Gout Guideline
Various medications can be used to treat gout, but when you’re in the midst of a gout attack, the number one goal is pain management. “Because the pain is so bad, it’s really important to try to get it under control quickly,” says Dr. Saw.
Even if gout is caused by a build-up of uric acid, now is not the time to start a medication specifically designed to lower uric acid levels. (If you are already taking one of these medications, which include allopurinol and febuxostat, you should continue taking them during a gout attack.)
Instead, your doctor will likely prescribe a higher dose of a nonsteroidal anti-inflammatory drug (NSAID), such as naproxen, or a steroid drug, such as prednisone. Your doctor may also inject a steroid directly into the affected joint or, if the pain is bad enough, start you on an intravenous version, says Dr. Saw.
Gout Flares: How To Treat Them (and Prevent Them In The Future)
Colchicine is another drug that is sometimes used to manage gout attacks. This drug is not a traditional pain reliever because it does not seem to relieve pain caused by other conditions. According to a Cochrane review, about 40 out of 100 people using colchicine during a gout attack rated their pain as 50 percent less than those taking a placebo, but there is also a high risk of side effects such as would be vomiting, nausea and diarrhea. especially when taken in large doses.
If you’ve had gout attacks before and are now seeing a new provider or being treated in the emergency room, you should tell your doctor about the treatments you tried before during an acute episode and how well (or not) they worked . you
With treatment, a gout attack usually goes away within a few days, says Dr. Saag. If you don’t treat it, you can deal with it for a week to two weeks.
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While you take medication to combat pain and inflammation during a gout attack, there are some other simple gout remedies you can use to ease the discomfort. Rest is important; try to keep the affected joint higher than the heart. (For example, elevate your foot if the toe is the problem.) Ice can also help because it reduces swelling. Research shows that ice is especially soothing for gout; if you’re dealing with another type of arthritis, a heating pad may be a better choice.
Some people also say that eating cherries or drinking tart cherry juice helps during a gout attack. Although studies have shown that cherry lovers are less likely to have frequent gout attacks, it’s unclear whether loading up on this fruit during an attack will make an immediate difference. Cherries may be helpful because they are high in antioxidants, and tart cherries may help lower uric acid levels (although more research is needed).
While it’s possible to have an isolated attack of gout, “usually once gout strikes, you’ll need long-term therapy to manage it,” says Dr. Saw. If you don’t take regular uric acid-lowering medication or find another way to lower your uric acid levels—cutting back on alcohol, losing weight, and cutting down on purine-rich foods can make a difference—over time, you’ll probably experience shorter intervals between gout flares, he explains. “Gout eventually becomes chronic arthritis, and that can be quite disabling.”
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The international class of healthcare providers and patient advocates has been recognized as the first “Guiding Lights: Beacons for Better Health” by the CreakyStaff Global Healthy Living Foundation. Read More The updated American College of Rheumatology guidelines for gout emphasize how aggressive treatment is needed to keep urate levels low.
Gout, a form of inflammatory arthritis known to cause severe pain in the big toe, results from a build-up of uric acid (urate) in the body that crystallizes and becomes fixed in one or more joints. While medications such as naproxen or colchicine can reduce pain and inflammation during an acute gout attack, they do nothing
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