Nocturnal toe pain alerts to gout

  Gout is mainly caused by the lack of an enzyme (genetically related) in the patient’s body that cannot break down a substance called purine in food, which affects the normal metabolism of uric acid, and a large amount of uric acid cannot be excreted, resulting in an increase in blood uric acid. Uric acid salts are most likely to be deposited in the joints (especially in the small joints of the fingers and toes) and kidneys, causing joint pain (gouty arthritis) and stones in the kidneys (gouty kidney stones). The pain is relieved during the day due to higher activity, faster blood circulation, more water, and more urination, which leads to uric acid discharge, while at night the blood circulation slows down, urination decreases, and uric acid deposits increase, aggravating local tissue irritation in the joints and causing pain. If the pain in the small joints of the toes (or fingers) is obvious at night, accompanied by local redness, heat, swelling and other discomfort, you should be highly alert to gout, especially if you are obese and have a family history of gout. Blood uric acid tests can help confirm the diagnosis.  Severe and recurrent gout can be complicated by hypertension, coronary heart disease, diabetes, kidney function damage and joint deformities. Once gout occurs, you should control your mouth and avoid or forbid high purine foods such as animal offal, shrimp and crab, thick meat soup, edible mushrooms, seaweed, anchovies, sardines, clams, beans and beer under the premise of reasonable diet, and appropriately eat more low purine foods such as milk, vegetables, fruits and cereals, together with certain medication and appropriately drink more water to reduce the formation of uric acid and Drink more water to reduce the formation of uric acid and facilitate the discharge of uric acid. We should check blood uric acid regularly, adhere to appropriate physical exercise, prevent fat and lose weight, enhance physical fitness and resistance to disease, and we will stay away from gout.