Risk factor of arthritis gout

There are certain factors that can affect your likelihood of getting gout. In addition to an inherited abnormality in handling uric acid, other risk factors for developing gout include

· are a man, as the plasma urate level normally tends to be higher in men than women. Men are more sensitive to gout than women. Women may be protected from gout by the female hormone estrogen. Men start building uric acid levels in puberty. However, uric acid does not start accumulating in women until after menopause
· consume food with high levels of a substance called purine
· drink lots of alcohol
· take certain medicines, such as diuretics, niacin, low doses of aspirin, cyclosporine, and some drugs to cure cancer which increase the flow of the body , have some chemotherapy drugs
· obesity, excessive weight gain, especially in youth
· have a family history of gout
· have a family history of kidney disease causing the kidneys to not pass enough urate out in the urine, abnormal kidney function
· overweight
· have a medical condition such as psoriasis which can sometimes cause your body to produce too much
· have high blood pressure
· injure a joint
· have a surgical operation
Gout can be managed by dealing with the things that make it worse (see "Risk factors" above).
Identifying and avoiding the things that bring on an attack of gout are an essential part of your overall treatment plan.

About arthritis gout symptoms

The big toe is the most common gout symptom. Other joints affected include the ankles, insteap, heel, foot, hand, knees, wrists, fingers, and elbows. The most common gout symptom are characterized by a rapid onset of pain in the affected joint followed by warmth, swelling, reddish discoloration, and marked tenderness, fever. People usually have 'attacks' of gout - it may affect you for a period of time and then go away eventually, even without treatment.
Deposits of uric acid, called tophi, tophi is the specific gout symptom, can appear as lumps under the skin around the joints and at the rim of the ear. In addition, uric acid crystals can also collect in the kidneys and cause kidney stones. Tenderness can be intense so that even a blanket touching the skin over the affected joint can be unbearable. Patients can develop fever with the acute gout attacks. The painful bouts of gout symptom are caused by too much uric acid (a waste product of the kidneys), which forms crystals in the joint fluid.
Without treatment, gout symptom would be decrease usually lasts up to about two weeks. With treatment, this can be reduced to two to seven days. Left untreated, attacks of gout may become more frequent and last longer.

Gout Drugs

Gout is a disease in which uric acid, a waste product that normally passes out of the body in urine, collects and forms crystals in the joints and the kidneys. When Uric acid crystals build up in the joints, the tissue around the joint becomes inflamed, and nerve endings in the area become irritated, causing extreme pain. Uric acid crystals in the kidneys can lead to kidney stones and eventually to kidney failure.

The symptoms of gout severe pain, usually in the hand or foot (often at the base of the big toe), but sometimes in the elbow or knee should be reported to a health care professional. If not treated, Gout can lead to high blood pressure, deformed joints, and even death from kidney failure. Fortunately, the condition is easily treated. For patients who have just had their first attack, physicians may prescribe only medicine to reduce the pain and inflammation, such as nonsteroidal anti-inflammatory drugs, corticosteroids, or colchicine.

Patients may also be advised to change their eating and drinking habits, avoiding organ meats and other protein-rich foods, cutting out alcoholic beverages, and drinking more water. Some people never have another gout attack after the first. For those who do, physicians may prescribe additional drugs that either help the body get rid of uric acid or reduce the amount of uric acid the body produces. These drugs will not relieve Gout attacks that already have started, but will help prevent attacks when taken regularly.

Cause of increasing uric acid level in blood

Medication Diuretics used for weight loss or heart disease, insulin, some antibiotics, medication for rheumatoid arthritis, or an overdose of B vitamins can cause uric acid levels to rise. Diuretics reduce sodium, magnesium, calcium and potassium (among other things) levels. If you need to use a diuretic, see our natural herbal products for ones with fewer side effects. One customer reported getting Gout when he took beta-blockers for his high blood pressure.
Poor kidney function When kidneys are not functioning at optimum levels, they lose their ability to excrete uric acid from the body. This situation may be due to various kidney problems or over-consumption of alcohol. When alcohol is metabolized, lactic acid is produced, which hinders uric acid excretion by the kidneys.
Dieting Severe dieting or fasting can cause excess lactic acid, which hinders Uric acid crystals excretion by the kidneys. Crash and severe calorie restriction diets shock your metabolism and can trigger a Gout attack. Dieting may also cause a loss of potassium, which can increase urate levels in the blood. As mentioned above, some dieters also use diuretics to speed the process, and they can rob the body of potassium and other minerals, triggering a Gout attack. It seems to be a vicious circle! However, a proper diet that is done slowly is recommended because losing weight will reduce serum levels of Uric acid crystals.
Diet Traditional thinking tells us that Gout is the result of excessive amounts of alcohol, protein, heavy foods, coffee and soft drinks in your diet. Certain foods contain high levels of purine which can cause uric acid levels to rise. Purine is a protein substance that is transformed into uric acid during digestion. Reduction in consumption of these foods is very often successful in reducing or eliminating Gout.
A potassium deficiency can increase urate levels in the blood. This is very important, and ways to correct it are discussed above and under the diuretics section.

Foods and Other Things to Avoid
Meat: organ meats, offal, meat extracts, veal, bacon, sweetbreads, meat gravies and broths, consommé/bullion
Poultry: turkey, goose
Seafood: salmon, mackerel, trout, cod, herring, sardines, anchovies, mussels, crab, shrimpVegetables: peas, beans, lentils, asparagus, mushrooms, cooked spinach, rhubarb, cauliflower
Yeast products: baked goods, beer
Alcohol - it increases the production of Uric acid crystals and inhibits its excretion by the kidneys
Coffee - it accelerates the breakdown of protein into uric acid
All fried foods - they cause a depletion of vitamin E, which can cause Uric acid crystals to rise
Cream and ice cream
Rich desserts
Spices
Pastries
Simple sugars, simple carbohydrates and saturated fats - they increase your body's production of Uric acid crystals and impair your kidneys' ability to get rid of it. Eliminate fructose (found in food and drinks, like sodas)
White flour
Aspirin can raise uric acid levels. If you need to use pain killers, only use ones with ibuprofen.
Oatmeal
Whole grains
Caffeine - it impairs kidney function, which is needed to get uric acid out of the body.

Alternatife treatment for gout disease

Gout is so painful you would try anything to get relief from it, right? There are some homeopathic remedies that can help ease the discomfort. You may find some of them a little odd, but they have been practised for longer than your grandmother’s time so they may be worth a look.

Arnica

Some people may still remember a liniment called tincture of arnica. Arnica has long been used in relieving the pain of injuries, and it also relieves the discomforts of Gout. Arnica is especially useful on bruises, so when your pain resembles that of a bruise, arnica may be of help.
Berberis Vulgaris
Berberis may be able to help in situations where you are aching all over, or when you experience sudden twinges of sharp pain in the joints. This may also be indicated for those with tendencies toward kidney stones, which may also come from excess uric acid.
Byronia

Sometimes the pain feels like your flesh is being torn apart even with the slightest movement. The joints seem swollen and painful to the touch. Your knees can barely move and feel quite stiff. You may want to be left alone at these times, not wanting anyone to touch you. In such conditions, byronia can be helpful.
Calcarea fluorica
When the gout makes your finger swell, and you feel stabbing pain, this may be the best remedy. It is possible to have cracking sounds on the joints when you move. Changes in weather aggravate the discomfort.
ColchicumThe big toe joint may be so swollen that you find any motion or touch difficult to bear. You may feel very fatigued or a little chilly internally. Colchicum may provide some relief in these instances.
Ledum palustre
This remedy is a big help when you feel the pains of Gout shooting across your ankle and foot, and the entire foot and big toe may be very swollen.
RhododendronIn those times when the big toe flares up with gout before a change towards stormy weather. Other joints may be slightly affected with swelling and dull aches. You may feel the pain worsening toward early morning (unlike some attacks which are worse in early evening). During these times, rhododendron helps relieve the pain.

Penyakit Asam Urat - Gout Disease

Gout Disease

Gout is a condition in which uric acid, a by-product of metabolism, rises above normal levels. Uric Acid is a naturally occurring substance produced in the chemical breakdown of the purine bases that compose the genetic material called DNA. As cells die and release DNA from their chromosomes, purines are converted into uric acid which is promptly excreted in the urine and, to a lesser degree, the intestinal tract. When a person has gout, the uric acid forms crystals which are deposited in the joints. These uric acid crystal deposits give rise to inflammation, in turn causing pain, swelling and redness. However, because many other arthritic conditions and some infections have the same symptoms, gouty arthritis should be confirmed by laboratory testing. Analysis of joint fluid removed with a needle is the most specific method. If uric acid crystals are seen when the fluid is examined under a special microscope, the diagnosis is confirmed. In most cases, gout is associated with a condition known as hyperuricemia. Hyperuricemia occurs when the blood contains raised levels of uric acid sustained over long periods. The kidneys process uric acid and excrete this through urine. When uric acid levels become raised, the kidneys are unable to eliminate uric acid efficiently. In some cases, the cause of gout is not linked to hyperuricemia but to kidney disease. Blood uric acid levels can arise when the kidney is not functioning properly. Whichever cause, the kidneys can become damaged when blood uric acid levels are raised over long periods.

The body unable to eliminate uric acid, deposits a hardened crystallised form of uric acid (tophi) usually in the joints and skin. Within the joints, deposits can be made in the joint fluid (synovial fluid) and joint lining (synovial lining).Common areas for these deposits are the ankles, feet and ball of the large toe. Less common areas of uric acid deposits include the ears and eyes. Tophi, areas of hardened uric acid, may also be seen under the skin around the fingers and toes.

"Hyperuricemia" is the medical term for high blood concentrations of uric acid. This can be caused by under-functioning kidneys, dehydration, hormonal diseases, alcohol, a diet high in purine foods (eg. meats, poultry, broths, gravy, anchovies, sardines, scallops, peas and beans - see diet & nutrition section) and low doses of aspirin. Attacks of gout are caused by the body's inflammatory reaction to intermittent precipitation of uric acid crystals into the joint(s). They normally follow many years of asymptomatic hyperuricemia

Gout Complication

Kidney stones

The accumulation crystal uric acid when the people has gout attack in many joint tissue our body and over input foods high purine would become big burden for our kidney healthy. The accumualation cristal urid acid would become sedimentation in everywhere include kidney. One of kidney stone are coming from crystal uric acid

Kidney stones are made of salts and minerals in the urine that stick together to form small "pebbles." They are usually painless while they remain in the kidney, but they can cause severe pain as they break loose and travel through narrow tubes (ureters) to exit the body during urination. According to the size ,they can be as small as grains of sand or as large as a golf ball. Kidney stones occur most often in adults.

Symptoms of a kidney stone include severe pain on one side of the back, just below the rib cage (flank pain). The pain may spread to the lower abdomen, groin, and genital area. Other symptoms include blood in the urine, feel pain when urination, nausea, vomiting.

A kidney stone is usually treated by increasing fluid intake ( diuretic treatment) and taking medications to relieve pain until the stone has passed. This typically occurs within a few days. If the stone seems unlikely to pass on its own or is causing severe pain, treatment options include a shock wave treatment, which can break up a large stone into smaller pieces that are easier to pass, or very rarely, surgery.