Gout, also called gouty arthritis, is a chronic disorder of uric acid metabolism. It is revealed as acute attacks of a form of arthritis in which crystals of uric acid compounds appear in the synovial fluid of joints. The disease also is marked deposits of urate compounds in and around the joints of the extremities; these frequently lead to joint deformity and disability. The disease affects more men than women, usually appearing after the age of 30. Among women, gout usually appears after menopause
Symptoms of a gout toe include intense pain, redness of the infected toe, and swelling of the infected area. A patient may think that he or she has broken his toe. The suspicion of a broken toe leads to him making a doctor’s appointment. The doctor will quickly determine the real cause of the pain. Gout treatments include avoiding purine rich foods. The doctor will most likely give a gout patient prescription painkillers.
Alternative treatments of an acute attack of gout may involve bed rest, immobilization of the affected part and local application of heat or cold. Management of gout also may involve attempts to control the rate of uric acid formation by having the individual follow a low purine diet. Such a diet excludes sweetbreads, liver, kidney, poultry, fish, alcohol, rich pastries, and fried foods. To promote uric acid clearance by the kidneys, individuals with gout will usually be encouraged to drink fluids frequently.
Gout occurs when there is too much uric acid in the blood. Certain individuals are more prone to get gout, including males over the age of 30, people who have a history of gout running in the family, individuals who are overweight, those who consume more than two alcoholic drinks daily or two carbonated beverages sweetened with sugar, cigarette smokers, those who regularly use diuretic medications and those who include abundant amounts of red meat, poultry, yeast and seafood in their daily diets.
Beef, iron, and pork are also purine rich foods, but these meats do not usually cause gout if they are consumed in moderation. Game meat may also contain high amounts of purine, although most people do not consume a large amount of game meat as part of a modern diet.
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