How is gout treated?

  Gout (gout) is a crystalline arthritis caused by disorders of purine metabolism and/or decreased uric acid excretion, and is closely related to hyperuricemia, manifesting as acute and chronic arthritis characterized by urate crystalline deposits. The incidence of hyperuricemia and gout is currently high due to poor dietary habits and lifestyles. Long-term hyperuricemia can lead to gouty nephropathy and renal insufficiency. If early diagnosis is made and medical advice is followed, the available treatments can enable most patients to return to normal life and avoid organ damage. However, many patients only focus on the acute treatment, taking some anti-inflammatory and pain-relieving drugs when the joints are swollen and painful, and once the joint swelling and pain are relieved, they think they are cured, stop using all the drugs and do not monitor the blood uric acid. After a period of time, when the disease recurred, they thought “gout is not curable” and did not pay more attention to treatment, and only regretted when kidney failure and cardiovascular complications appeared later. I believe that “gout can be treated, controlled and prevented”, and actively controlling the blood uric acid level during the remission period of gout is the key to treatment, that is, “the effort lies in the usual”. Controlling the blood uric acid level below 360μmol/L can effectively prevent the recurrence of gout and prevent kidney and cardiovascular damage. The majority of patients should build up confidence and cure gout.  1. Non-pharmacological treatment 1. Diet control: Gout patients should adopt a low-calorie diet and maintain ideal body weight, while avoiding high-purine foods. Foods containing more purines mainly include animal offal, seafood (sea fish, shellfish, etc.) and thick meat soup, followed by fish and shrimp, meat, peas, etc., while various cereal products, fruits, vegetables, milk, dairy products, eggs, etc. contain the least purines. Vegetables and fruits are alkaline foods and should be consumed more often. Strictly abstain from drinking various kinds of alcohol, especially beer. Drink more than 2000ml of water daily to maintain sufficient urine volume.  2.Avoid causative factors: Avoid overeating and alcoholism, cold and damp, excessive fatigue, mental tension, wearing comfortable shoes, preventing joint injury, and cautious use of drugs that affect uric acid excretion, such as certain diuretics, small doses of aspirin, etc.  3. Prevention and treatment of concomitant diseases: treat concomitant hyperlipidemia, diabetes, hypertension, coronary heart disease, cerebrovascular disease, etc.  Treatment of acute gouty arthritis: 1. Rest in bed, elevate the affected limbs and avoid weight bearing.  2, do not start using uric acid-lowering drugs (for those who are already using uric acid-lowering drugs do not need to stop when the attack occurs, so as not to cause fluctuations in blood uric acid and aggravate the disease).  3.Medication: Chinese medicine, colchicine, non-steroidal anti-inflammatory drugs, glucocorticoids.  3. Treatment of intermittent and chronic periods Take baking soda and uric acid-lowering drugs, etc. to control blood uric acid in the target range (<360μmol/L).