How much do you know about gout control?

  Gout is a common disease caused by impaired purine metabolism and elevated blood uric acid. Diet is one of the key factors in the development of gout, so it is important to have a reasonable diet to prevent the occurrence of gout.  With the change of people’s living standards and dietary habits, the number of gout patients in China has increased significantly in recent years. Among the more than 10 million gout patients in China, the number of male patients is much higher than that of female. The onset of the disease is mostly seen in young and middle-aged men, female patients will develop after menopause, and the incidence increases with age. Gout is associated with a high purine diet, and animal offal, seafood and beer can often trigger gout attacks. It is found that there is a trend of young development of gout patients in China, which deserves high alert and attention.  Gout is often associated with coronary heart disease, kidney disease, hyperlipidemia, hypertension and so on. Gout is divided into two types: primary and secondary. Primary gout can be caused by enzyme defects, and the cause of most of them has not been elucidated; secondary gout can be caused by various reasons such as kidney disease and drugs. The clinical features of gout are hyperuricemia, recurrent episodes of acute arthritis, uric acid crystals found in the blood cells of synovial fluid, and gout stone formation. In severe cases, it can lead to joint mobility disorders and deformities, urinary stones and gouty nephropathy.  Gout has become a common disease, and acute gout can develop without any aura before the onset. Mild trauma, excessive consumption of high purine foods, alcohol consumption, fatigue, and trauma can trigger an acute attack of gout. Acute joint pain, which often strikes at night, is usually the first symptom. The pain is progressive and severe, with signs resembling acute infection, swelling, and localized fever. The big toe and metatarsophalangeal joints are most commonly involved, and the arches of the feet, ankles, knees, wrists and elbows are also common sites of onset. Systemic manifestations include fever, palpitations, chills, malaise, and leukocytosis. It is sometimes misdiagnosed as dengue, infection, rheumatoid arthritis or sprain.  Without the ability to identify a clear cause and give timely and correct treatment, acute gout is likely to become chronic. Clinically, nearly half of the people come to the hospital only when they have already turned into chronic gout. Therefore, if you have gout symptoms, you should go to the rheumatology department of the hospital for examination to confirm whether you have gout and to give treatment.  Treatment of gout should not only be symptomatic, but also diet control and reduction of uric acid is also key. The treatment of gout should be individualized. Gout can flare up again after the onset of gout, so dietary control on a regular basis is the key to preventing recurrence. The vast majority of patients will have a recurrence of gout, and if the condition requires medication, it is important to follow medical advice. Take the right amount of uric acid control medication and use the smallest dose to keep the condition under control. Don’t take medication on your own to avoid recurrence of the disease or complications such as cardiovascular and kidney disease.