2/21/2018

What is Uric Acid and Gout?

What is Uric Acid and Gout?

Gout is a disease characterized by elevated uric acid in blood, which leads to depositing of uric acid of sodium monourato joints. It is this deposit that generates the secondary outbreaks of acute arthritis that so bother the patients.

Is important in order to understand that not all people who are with the higher rate of uric acid (hiperucemia) are suffering from gout (only 20% of hiperucemicos develop the disease). Most patients with gout is composed of adult men.

Causes

Congenital absence of a good enzymatic mechanism in charge of the particular excretion of uric acid by the kidneys. Without proper disposal, there is an increased concentration of acid in the blood;

  • Excessive production of uric acid by the body due to a "defect" enzyme.
  • In this instance, one generates a large amount of uric acid and the kidneys can't eliminate it.
  • This cause is less common.

Some medications such as diuretics and also aspirin can lead to lowered renal excretion of uric acid.

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Symptoms

Most cases the first sign is a swollen big toe accompanied by severe pain. The first crisis may last 3-10 days, and after this period the sufferer results in order to lead a normal life, which usually means that he did not seek immediate medical help.

  • New crisis may arise months or years and commit the same or other joints.
  • Usually the crises of arthritis come in the lower limbs, but there may be impairment of any joint.

Without treatment, the time period between attacks tends to decrease and increase the intensity.

The patient who is not necessarily can have their joints deformed and still have crystal debris monourato sodium in cartilage, tendons, and bursae articulacos.

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  • Diagnosis

    You can only make the diagnosis of gout in the first seizure if found uric acid crystals in joint fluid aspirated. Otherwise, you can not set before the diagnosis to rule out other possible causes. In the event that the rate of uric acid will be normal during the crisis, but still suspected of developing the disease, the physician should indicate a new strength within 2 weeks.

    An X-Ray Examination can Help Set the Table.

    Treatment.

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    • There is no cure for the final fall, because the majority of cases are generated by faults in the elimination or output of uric acid.
    • Since both are genetic causes, treatment is not definitive.

    Usually diet and also medications are indicated to decrease the rate of uric acid in the bloodstream and thus stop attacks of gout.

    Recommendations

    When in treatment, the levels are normal, the particular usage of alcoholic beverages can be done without exaggeration;

    Do not eat seafood, kids, too much red meat, when uric acid levels are usually high because you may trigger an attack. Under treating gout, these foods can be eaten without exaggeration.

    Do not abandon the treatment because the uric acid level rises again leading to deformities of the joints.

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