What are the symptoms and treatment of gout

Attacks of gout are associated with hyperuricemia due to disturbances in purine metabolism and/or impaired uric acid excretion. Symptoms such as severe joint pain and gouty stones may occur, and its treatment includes medication and surgery. 1. Symptoms: (1) Sharp joint pain: acute gouty arthritis is the most common first symptom of primary gout. The first attack involves a single joint, with the 1st metatarsophalangeal joint being the most common. The attack starts suddenly at night, with severe pain in the joints, and the symptoms peak within a few hours, with redness, swelling, heat, pain and dysfunction in the affected joints. It may be accompanied by fever. (2) Gout stone: patients may also develop gout stone, which is commonly found in the auricle, metatarsal toes, interphalangeal, metacarpal fingers and other places. Appearance for the elevated irregular size of yellowish-white superfluous organisms, rupture discharged white powdery or paste-like urate crystals, can be a long time, but less likely to secondary infection. 2. Treatment: (1) Drug therapy: in acute attacks, non-steroidal anti-inflammatory drugs such as diclofenac sodium, celecoxib, etc. can be chosen to play the role of anti-inflammatory and analgesic; a small dose of colchicine can also control the symptoms; if there is a contraindication to the drug or the effect is not good, glucocorticosteroids, such as prednisone and other therapies; non-acute attacks, benzbromarone, febuxostat, allopurinol and so on, can be chosen to reduce blood uric acid. (2) Surgery: For gout stone is more, affecting the normal activities of joints, gout stone removal surgery can be chosen, and orthopedic surgery can be carried out on the destroyed joints. The above drugs should be used according to the doctor’s prescription, gout patients are recommended to go to the hospital in time, follow the doctor’s instructions for treatment, to avoid delaying the condition.