Treatment of Gout?

Nutrition can not bring many benefits to managing gout (gout), so taking medicine is still the best way to treat gout. In addition to anti-inflammatory drugs and other symptoms during the onset of illness, drugs that can treat the disease of metabolic pathogens cause increased uric acid in the blood.

Hand expression of gout patients
(Photo: TTO)

High levels of uric acid in the blood can occur when the body produces too much uric acid or when the body does not excrete enough uric acid. Existing drugs treat both causes of hyperuricemia.

Purines produce uric acid crystals and these crystals build up in soft tissues and joints, causing pain symptoms in gout. Use diet to control gout to reduce the amount of uruc acid in the body, and control other common diseases in gout sufferers such as diabetes, high blood fat, high blood pressure and atherosclerosis .

Diets that are often recommended to include low purine foods but avoid purine completely are impossible to do but can only be limited. The patient needs to learn how to try and each mistake is a lesson to learn more about the food that causes the problem. Dr. Laurent Rall, a Tufts University nutritionist in Boston, said: 'Starting by eliminating high purine foods, gradually reduce foods with an average purine content. If you do not suffer from gout pain with such a diet, you can add foods with moderate or sometimes high purine levels. In this way, purine safety can be determined and you can still eat your favorite foods without pain '.

Foods with a high purine content: all alcoholic beverages (which increase uric acid in the blood because it prevents uric acid excretion from the body) - some fish, seafood and hard-shelled species (clams, oysters, mussels, crabs, shrimps), cod, scallops, salmon - some types of pickled pork such as smoked, turkey, veal and animal organs (heart, liver .).

Foods with medium purine content: beef, chicken, goose, pig and ham - crab, lobster, moat, shrimp - vegetables and legumes like asparagus, kidney beans, lentils, lima beans, mushrooms, Spinach.

Drug treatment:

If treated properly, most people with gout can manage their symptoms and still have a normal life. Gout can be treated with one or more combination drugs.

The most commonly used drug for acute attacks is the high dose of non-steroidal anti-inflammatory drugs (NSAIDs) or oral or injectable corticosteroids. NSAIDs reduce inflammation due to stagnant uric acid but have no effect on the amount of uric acid in the body. The most commonly prescribed NSAIDs are indomethacin (Indocin), naproxen (Anprox, Naprosyn), and daily.

Corticosteroids are powerful anti-inflammatory hormones, usually prednisone. The patient felt relief immediately within a few hours and the acute pain went away completely within 1 week. When symptoms of NSAIDs or corticosteroids are uncontrolled, colchicine is used, which is most effective when administered during the first 12 hours of exacerbation; Colchicine can be used for hours until pain relief.

For some patients, small doses of NSAID or colchicine may be used daily to prevent recurrence of acute pain. Allopurinol (Zyloprim) or probencid (Benemid) can be used to treat high blood uric acid levels and to reduce the incidence of acute pain and develop uric acid crystals.

Doctor Dao Xuan Dung