A type of arthritis, gout is caused by a defect in the body’s ability to metabolize uric acid. The result is an accumulation of uric acid crystals in the joints, causing pain and inflammation. Typically a single joint is involved, most commonly the base of big toe, although the knees, wrists and ankles can also be affected.
The precise cause of gout is uncertain, but there is often a family history. Overindulgence in food and alcohol does not cause gout, but these may trigger an attack. Gout is also commonly associated with obesity, especially with a build-up of fat in the abdominal cavity.
Treating Gout
• Gout is diagnosed when a blood test reveals high levels of uric acid and a single joint is affected. Patients are usually prescribed drugs to increase the excretion of uric acid and to slow the formation of crystals.
• Asprin should be avoided as it causes retention of uric acid and interferes with the potency of the prescribed drugs. Anti-inflammatories, such as ibuprofen, can reduce the symptoms.
• Controlling body weight, through a well-planned programme of exercise and diet, can also help to relieve gout; however, fasting can precipitate an attack.
• Gout sufferers should take plenty of fluids to help to prevent the build-up of excess uric acid crystals, which may also cause kidney stones.
• They should also eat plenty of fresh fruits and green leafy vegetables for potassium, which aids the excretion of uric acid by keeping the urine alkaline.
• People who suffer from gout should also cut down on foods that are high in purines since high intakes of these foods can increase levels of uric acid in the blood, causing uric acid salts to be deposited in the joints. High-purine foods include offal, game, anchovies, poultry, shellfish, pulses, whereas, low-purine foods include fruit and fruit juices, nuts, dairy produce, eggs and vegetables – with the exception of asparagus, cauliflower, peas, spinach and mushrooms.
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