Gout and arthritis ... Who are more vulnerable women or men?

Gout and arthritis ... Who are more vulnerable women or men?

Gout and arthritis ... Who are more vulnerable women or men?
Gout and arthritis ... Who are more vulnerable women or men?

Gout is known for acute attacks of pain, redness, and swelling in the joints, especially the big toe. High uric acid in the body is the most important factor in the incidence of this disease. It is a disorder in which crystals of uric or uric acid are deposited and collected in joints due to high levels in the blood. The aggregation of crystals results in painful inflammatory attacks. Gout is more common in men than women, and usually occurs in middle age in men and after menopause in women.


*** How does it happen?


Gout is caused by large amounts of uric acid leaking into the blood to build up in the joints and surrounding structures. Its buildup in the joints can cause inflammation in these areas, leading to fluid buildup in the joint, restriction of movement and pain.


The level of uric acid in the blood often rises when the kidneys are unable to excrete enough of it in the urine, and this reason is diagnosed by the person's genes. Over time, too much uric acid in the blood results in uric acid crystals forming and depositing in and around the joints.


The big toe is the most commonly affected joint area; Although the duration of an attack is usually 12 to 24 hours, there are cases of acute gout in which symptoms last for 10 days. Patients go on to live without complaints during the period between acute gout attacks.


If gout attacks occur more often than usual, it is called chronic gout. Care must be taken because chronic attacks of gout can lead to serious health problems if not treated properly. For patients with chronic gout, the pain may become persistent, in which case the person's sleep quality is adversely affected. Walking, housework, and other normal daily activities can be negatively affected.


*** Signs and Symptoms


Sudden, severe pain in one or more joints. The joint becomes inflamed, swollen, and warm. The skin over the joint may appear red or purple, tight and shiny.


Gout attacks usually take the form of a very painful attack. This disease is characterized by a rapid onset of pain in the affected joint, followed by warmth, swelling, and reddening of the affected area. In severe cases, severe pain is accompanied by severe pain, and the patient cannot bear the light touch on the toe.


Episodes of pain target the small joint at the base of the big toe. Other joints that can be affected include the metatarsal, ankle, heel, knee, Achilles tendon, wrist, finger or elbow. These painful attacks may subside within hours to days, with or without medication, but in other cases the attack can last for weeks, and most patients have recurring attacks of gouty arthritis over the years.


At first, attacks of gout are few and far between and last for only a few days. If the disease is not controlled by medication, the attacks become more frequent and of longer duration. Over time, repeated attacks of gout cause damage to the affected joints.


*** Stages of the disease


There are four stages to the development of gout, and each stage has its own symptoms:


1. Excessive uric acid in the blood


The level of uric acid in the patient's blood increases. Although uric crystals are deposited in the joints and tissues, symptoms of the disease do not appear at this stage.


2. Acute gout attacks


It occurs when uric crystals build up in the joints and surrounding soft tissues, causing severe pain, swelling and a feeling of heat in the affected joint, usually the big toe. These symptoms last from 3 to 10 days.


3. Interval period


Symptoms and pain of acute gout attacks subside as uric crystals continue to form and deposit. This period may last for months or years.


4. Chronic gout


The patient's condition develops if he does not receive appropriate treatment over the years of gout infection, to reach this last stage of the disease, which is the most painful stage. After the patient goes through several acute attacks of gout during the years of the disease, which may reach ten years or more. At this stage, the joints and kidneys are permanently damaged. The patient suffers from severe joint pain due to the accumulation of uric crystals, which formed large crystal clumps, especially in the joints of the fingers.


*** Diagnosis of the disease


Gout is diagnosed when one or more episodes of acute joint pain occur, followed by an asymptomatic period, with persistent hyperuricemia.


The doctor needs to listen to the medical history, how the attacks occurred, and the nature of the pain he feels, provided that he then conducts a clinical examination of the location of the infection. The best way to diagnose gout is to examine the fluid causing the affected joint's swelling (synovial fluid) under a microscope to look for crystals of uric acid. The severity of the pain, the length of the attack, and the condition of the affected joints are the most important details that the doctor focuses on in the diagnosis.


The doctor also orders some laboratory tests, and an X-ray, CT scan, ultrasound, or magnetic resonance imaging may be done. To detect tissues and bones.


*** Treatment


Anti-inflammatory medications are the best treatment for gout attacks, and these medications are most effective when started early in the attack because they work to reduce swelling in the joint. And when there is a history of gout, the doctor can prescribe medication in the event of a flare-up. Early treatment is important in shortening the duration of pain and reducing the intensity and duration of flare-ups.


Preventive treatment aims to reduce the incidence of gout attacks. The treatment is prescribed by a specialist doctor and taken daily in small doses to avoid gastrointestinal side effects.


*** Protection


A gout patient needs to manage the disease thoughtfully, because this step helps him in the success of the treatment followed, so the severity and frequency of attacks decrease dramatically, so the patient can live a comfortable life. In addition to drug treatment, there are daily steps related to food because of its role in alleviating the disease.


A gout patient should abstain from the following foods:


  • Fatty and fatty foods.
  • Lentils and legumes during acute attacks.
  • Meat, fish and chicken during acute attacks.
  • Liver, kidney, brain, salmon, sardines, roe and oysters.
  • Meat and fish soup.
  • Eggplant, broccoli and spinach during acute attacks.
  • Raspberries, strawberries and figs.
  • Spices and condiments, pickles during acute attacks.

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