Doctor insights on:
Gouty Arthritis In Children
A condition where there is progressive degeneration of one or more joints. Symptoms may include joint pain, swelling, decreased motion, and stiffness. The two most common types of arthritis are osteoarthritis, which is associated first with articular cartilage breakdown with a component of inflammation, and rheumatoid arthritis, which is a systemic autoimmune disorder that affects joint linings first and secondarily ...Read more
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. ...Read more
See below: Two tests: one is a blood test which tests the level of uric acid in your blood. The second on is a test of the joint fluid in the affected joints or joint that looks for urate crystrals under a microscope. These crystals look like needles which can feel like needles as well. ...Read more
Long answer: Gouty arthritis is a form of inflammation in the joint caused by the presence of uric acid crystals in the joint fluid. These can cause intense inflammation with pain swelling and redness. The acute attack is treated with forms of cortisone either by mouth or injected into the joint, anti-infalmmatory medications like Indocin (indomethacin) or colchicine. ...Read more
Arthritis due 2 -: -presence of uric acid crystals within the joint. They ear a physics irritant, & the resulting reaction 2 their presence is a very painful joint, angry appearing & swollen & red from inflammation. There is an error in metabolism of Utica acid, & when it reaches a critics concentration in the blood they crystallize just like maple syrup sometimes does, & the crystals R rough & starts the process. ...Read more
No cure: A natural anti-inflammatory is cherry extract can be purchased in capsule form.. ...Read more
Gout diet/purines: Avoid purines in your diet. What you put in your mouth can affect the gout flare-ups as much as medications. Avoid processed meats* (hot dogs and deli/"cold cuts") and legumes (beans, peas). Make sure you are hydrated. Dehydration and alcohol (beer/wine) worsen the condition. Suggest not eating shellfish (lobster, crab, shrimp, mussel, clams). *processed meat has animal organs, a classic "no-no". ...Read more
Depends: It would depend on what problems it is causing and how severe. ...Read more
Ideally prevention: Arthritis from gout occurs when uric acid crystals from the blood stream get deposited in the joints. The crystals cause an inflammatory reaction that can cause severe joint damage and arthritis. Ideally the treatment involves lowering uric acid levels in the body either with diet or medication. Thank you for the question. ...Read more
Lowering uric acid!: You need to lower uric acid, but if done too rapidly, it paradoxically might bring on an attack. Most patients should have an acute attack dealt with nsaids, colchicine, or even a steroid injection into the inflamed joint. Low dose Allopurinol 100 mg is started a few days later and incrementally increased to lower uric acid levels to or below 6mg/%. No need for anyone to have chronic problems. ...Read more
Depends: One can take an antiinflammatory to reduce the. Inflammation I n an acute attack. Examples are indocin, or naprosyn. But, if arthritis has already set in, then tylenol (acetaminophen) may work. The idea is to control the gout so repeated attacks and arthritis does not set in. Keep in mind pain from an attack does not mean necessarily that arthritis has set in. ...Read more
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. ...Read more
Nursing: Information is your best ally. The more the patient can know about the condition the better it is for them to follow directions and not just doing something because they were told to do so. ...Read more
The more caffeniated coffee one drinks can correlate with an increase in gouty flares. Though, no one is quite sure of the direct cause and effect of why this happens.
Interestingly, caffeine has a similiar chemical structure to Allopurinol, which is a medication used to treat gout. It can also initiate or cause a flare up for first time users. ...Read more
Can I take Arcoxia120 (etoricoxib) while in same time im on propranolol I have a gouty arthritis?
I am suffering from gouty arthritis and currently my uric acid level is 7. Will reduce wait can help?
Take alleve: Two pills if there is no contraindication to you. Soak your foot in hot water and epsom salt. (dont burn yourself, check water temp with your hands.). ...Read more
What's the best diet to follow to lower uric acid levels as I was just diagnosed with acute gouty arthritis?
Uric acid & diet: The best diet to prevent gout is a healthy diet. Reduce beer and alcohol, shellfish and organ meats such as liver. Emphasize protein from dairy products instead of meat. Avoid sugary drinks with fructose and meats high in fat as they increase risk of gout. Instead increase intake of vegetables. If you continue to have symptoms with changes in diet, follow up with your physician. ...Read more
Gout and foods: People with gout should consume primarily complex varieties, such as whole grains. Examples of arthritis friendly whole grain foods include 100 percent whole grain breads, whole wheat pasta, old-fashioned oatmeal, long grain brown rice, wild rice, barley soup, air popped popcorn and quinoa. ...Read more
Intense pain on the top of my feet that I think may be gouty arthritis. What kind of should I go to?
Many options.: You can go to your PCP, sports medicine doctors, rheumatologist, orthopedic specialists or physical medicine & rehabilitation specialists. Depends on what you are trying to accomplish, each has their strengths and weaknesses in their treatment options or you may need to see a combination of these specialists to treat your issues. ...Read more
-presence of uric acid crystals within the joint. They ear a physics irritant, & the resulting reaction 2 their presence is a very painful joint, angry appearing & swollen & red from inflammation. There is an error in metabolism of Utica acid, & when it reaches a critics concentration in the blood they crystallize just like maple syrup sometimes does, & the crystals R rough ...Read more
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