Question 1

can gouty arthritis be cured?

Accepted Answer

Yes: But you have to realize that gouty arthritis is the result of either producing too much purine or not excreting it fast enough so it bulids up in blood and deposits in a joint. Along with a proper diet, your internist needs to evaluate you and do testing and put you on a medicine. Your doctor can also resolve the symptoms but long term care is very important. The more attacks that occur, more damag.

Question 2

what may cause gouty arthritis?

Accepted Answer

Several: Gout is caused by a problem of purine( a type of protein) metabolism. We all produce purine but it is the build up of it in the body that may cause a gouty attack. For certain people  they may produce too much of it and or they may not get rid of it fast enough so it build up in the body usually around the joints( big toe). Poor kidney function, eating too much fish/meat and drinking are factors.

Question 3

what are the tests for gouty arthritis?

Accepted Answer

Labs: Presumptive diagnosis of gout can be made by exam (swollen warm joint), labs (elevated serum uric acid levels) and history, definitive diagnosis requires analysis of an aspiration from the joint demonstrating appropriate "crystals".

Question 4

what are the symptoms of gouty arthritis?

Accepted Answer

See below: Symptoms are usually a swollen, hot red joint with restricted range of motion and pain.

Question 5

can yeast cause gouty arthritis?

Accepted Answer

No: Gout is a form of acute, inflammatory arthritis caused by the buildup of excess uric acid in joints and the soft tissues.

Question 6

what type of food should people with gouty arthritis eat?

Accepted Answer

Diet and gout: Tart cherry juice is effective; avoid organ meats; fatty meats and alcohol will aggravate gout. Avoid these. Also, drink at least 3 liters fluid per day - this may enhance uric acid excretion - and if you incline your diet successfully to mostly whole grain, fruit, and veggies, using egg white for protein, then your uric acid levels will come down.

Question 7

can someone explain to me what causes the 'punched-out lesions' in gouty arthritis?

Accepted Answer

Uric acid: When uric acid goes into the joint  and precipitates, it forms gouty tophi which can eat away at bone causing punched out lesions.

Question 8

what is the treatment for gouty arthritis?

Accepted Answer

Often not Rx fully: It's a very good question, firstly because it is often not rx correctly, and because often people that suffer from this often don't think they could ever be in a pain-free state. But that should be the goal. Hydration most important to prevent uric acid kidneys stones or acute gout. Allopurinol & uloric lowers serum uric acid levels; benemid (probenecid) inc excretion; Colchicine + nsaids rx acute attacks, etc.

Question 9

what is the pain reliever for gouty arthritis?

Accepted Answer

OTC or Rx: If your looking for over-the-counter, higher doses of Ibuprofen (600 to 800 mg = 3 or 4 tabs, 3 x day) will help. Aleve (naproxen) or Naproxen (500 mg = 2 tabs, twice a day) is also fine.
There are better prescription medications, but you will need to see your doctor about those.

Question 10

what excactly is gouty arthritis?

Accepted Answer

Joint urate deposits: Gout is an arthritis. The  patients have  elevated uric acid in the blood. The  uric acid is metabolized to the sodium salt of uric acid which is called monosodium urate. Monosodium urate crystals are  deposited throughout the body tissues and this is called total body urate  stores. These urate crystals can be found in joints and stimulate the body protection cells to cause  inflammation = gout!

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