Precautions for Gout Patients

  Gout is also known as “emperor’s disease”, “disease of wealth” and “disease of wine and meat”. As people’s living standards improve, the incidence of gouty arthritis is increasing. The usual precautions for patients with gouty arthritis are as follows: 1. Timely anti-inflammatory and pain relief during the attack period: immediately use non-steroidal anti-inflammatory drugs such as fotarine, mobic, aminomycin or lexon, etc. Choose one of these drugs for short-term treatment, and stop the drug after the joint symptoms disappear. The dosage of drugs can be increased appropriately in the first 1-2 days of the beginning of the attack, and can be used orally and externally at the same time. Note that local compresses should not be applied hot, but cold, and the limbs need to be elevated for rest. Although colchicine has a good pain relief effect, it has been eliminated due to many side effects and should not be used as the first choice. Do not add new drugs to lower blood uric acid such as Ligurian or allopurinol during the attack period, so as not to cause the acute period to be prolonged due to the drastic fluctuation of blood uric acid level.  2. Drink more water and take oral sodium bicarbonate: more than 2000ml per day, and take alkaline drugs such as sodium bicarbonate in appropriate amount to alkalize urine and promote uric acid excretion. Pay attention to monitoring the PH value of urine during taking the drug, the best value is 6.5-6.8. 3. Strictly low purine diet and abstain from alcohol: low purine diet is mostly vegetarian, egg, milk and gum food. Pay attention to reduce high purine diet such as all kinds of animal offal, seafood, meat soup, fish soup and beef, especially during the attack period. Alcohol consumption can often trigger or aggravate gouty arthritis.  4, prohibit staying up late: staying up late makes the body into an acidic environment, which is not conducive to uric acid excretion, but will induce gouty arthritis.  5, regular monitoring of blood uric acid levels and urine PH value, regular medical consultation. Long-term drug users should also frequently check blood and liver and kidney functions to observe adverse drug reactions.  6, actively prevent and treat related diseases: many related diseases often exist in combination with gout, such as obesity, diabetes, hyperlipidemia and hypertension, which need to be actively treated. Obese people pay attention to slow weight loss. When using certain drugs, you need to read the instruction manual carefully, many drugs may lead to an increase in blood uric acid, which may trigger gout, such as Beijing buck zero, tachyphylaxis, etc. In this case, you need to switch to other drugs. In this case, you need to switch to other drugs.