Gout is the resulting disease from the abnormal metabolism of uric acid. This causes an increase in levels of uric acid in the blood. The uric acid crystals build up in the tissues around the joint over time. This triggers inflammation that is very painful to the human body. Many times this is a recurring problem and leads to a chronic gout diagnosis. Even though gout is a progressive disease there is medication available to help with the gout attacks. It is however important to know that many patients do not need treatment. Patients may be advised to avoid foods that may contain high level of purines and keep their weight in check.
However in some very rare and unusual cases the patients may be put under strict medication. This is because they may have very high levels of purines that may cause kidney failure or kidney stones. Acute and chronic gout cases require different treatment approaches. Treatment usually involves medication. Treatment goals include the termination of acute gout, relief from the pain caused and reduction of inflammation. Secondary goals are reducing the chance of future attacks, avoiding the subsequent complications that may result and healthy recovery of the patient.
Medication for both acute and chronic gout includes the following. First, the patient is run tests on to determine the type of gout and its severity. From the results of the tests, the medical practitioner may recommend non-steroidal anti-inflammatory drugs. They will reduce the swelling as they consider administration of other complicated drugs such as colchicine. Colchicine will prevent recurrent attacks and at the same time treat any acute arthritis that may result from the gout. Other drugs such as corticosteroids, allopurinol, probenecid and sulfinpyrazone may also be considered. The administration of these drugs however requires a strict prescription from the doctor in the case of infants and pregnant women.
The doctor will also recommend a number of steps to be taken by the patient. They require a lot of positivity and good attitude from the patient. First the doctor will recommend the patient maintains an adequate fluid intake continuously. The patient will then be asked to keep their weight in check as obesity has been linked to gout. Dietary changes can also be recommended as they help prevent gout attacks. This will involve avoiding a purine rich diet. Finally, the patient will be asked to be compliant with the doctor’s medication.
Unfortunately, in some cases the medicine that is used to treat gout can unexpectedly cause chronic gout symptoms. For this cause a patient should start with small doses that gradually increase. Many patients after experiencing the first indications of residing of gout will tend to stop medication. Not finishing the dose may lead to a re-emergence of the gout and in a sever nature.
Chronic gout has been documented to affect 95% men and 5% women. It is estimated that 50% of the first symptoms occur on the big toe. However it may last several days and recede even without treatment. Subsequent attacks may not occur for great lengths of time, possibly for months or years at a time; however, when they do come they could be more severe than the last time.