French pharmacy
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French pharmacy
What is a gout attack?
A gout attack is a form of inflammatory arthritis characterized by sudden, severe episodes of pain, redness and swelling, mainly in the joints. It results from the accumulation of sodium urate crystals, which form when blood uric acid levels are high. The joints most often affected are those of the big toe, but other parts of the body can also be affected.
What causes high uric acid levels?
High uric acid levels can be caused by a number of factors, including a diet rich in purines (substances found in certain meats, seafood and foods rich in fructose), excessive consumption ofalcohol, especially beer, and reduced uric acid excretion due to kidney problems or certain medications.
How can gout attacks be prevented?
Preventing gout attacks generally involves lifestyle adjustments and, in some cases, preventive medication. Reducing consumption of purine-rich foods, limiting alcohol intake, staying hydrated, and maintaining a healthy weight are key measures. It is also advisable to increase consumption of low-purine foods such as fresh fruit and vegetables, and whole grains.
What treatments are available for gout attacks?
Treatment of gout attacks aims to relieve pain and reduce inflammation. Non-steroidal anti-inflammatory drugs (NSAIDs), such as ibuprofen, are often prescribed to control inflammation and pain. In some cases, specific drugs such as colchicine or corticosteroids may be used. For patients with frequent attacks or high uric acid levels, uric acid-reducing drugs such as allopurinol may be recommended to prevent future attacks.
What is the long-term impact of untreated gout attacks?
Left untreated, gout attacks can become more frequent and severe, and may even lead to permanent joint damage and loss of function. In addition, high uric acid levels can also lead to other health problems such as kidney stones and hypertension. Effectively managing uric acid and treating gout attacks is crucial to preventing these complications.
Are there any natural remedies for gout attacks?
Although medication is essential for treating gout attacks, some natural remedies can help manage symptoms. Increasing water intake, incorporating cherries or cherry juice into the diet, and using supplements such as vitamin C and plant extracts like turmeric can help reduce uric acid levels and decrease inflammation. However, these approaches should be used in conjunction with treatments prescribed by a healthcare professional.
How is gout diagnosed?
The diagnosis of gout is generally based on a combination of medical history, physical examination and laboratory tests. The doctor may question the patient about symptoms, eating habits and alcohol consumption. Physical examination may reveal signs such as joint inflammation and tenderness. Laboratory tests, such as urinalysis and blood tests to measure uric acid levels, can confirm the diagnosis.
What are the possible complications of gout?
Complications of gout can include permanent joint damage, reduced joint mobility and gout nodules under the skin, called tophi. In addition, gout is associated with an increased risk of developing cardiovascular diseases such as coronary heart disease and stroke, as well as kidney problems such as kidney stone formation and nephropathy.
Does gout only affect men?
Although gout is more common in men, women can also be affected, particularly after the menopause. Female hormones appear to protect against gout before the menopause, but once this period has passed, the risk in women increases. Women may also be more likely to develop gout if they have a family history of the disease, are overweight or have other risk factors.
What is the link between gout and diet?
Diet plays an important role in the development and management of gout. Foods high in purines, such as red meat, seafood and sugary drinks, can increase uric acid levels and trigger gout attacks. On the other hand, foods low in purines, such as fruit, vegetables and dairy products, can help reduce the risk of gout attacks. In addition, excessive alcohol consumption, particularly beer, is associated with an increased risk of gout.
What are the recommendations for people with gout and diabetes?
People with gout and diabetes should take a cautious approach to diet and weight management. They should avoid foods high in added sugars and refined carbohydrates, while favoring fiber-rich foods such as whole grains, fresh vegetables and fruits. In addition, they should limit their alcohol intake, closely monitor their blood sugar levels and work closely with their doctor to adjust their treatment as needed.
