Gout is a recurrent painful arthritis. Probably the most painful arthritis known. It is most prevalent in males in their 40s. It is associated with a number of conditions such as obesity, high alcohol intake, high liquids in the blood and probably genetic factors that are not fully understood.
The major problems with gout is first the acute pain arthritis itself. Which is very painful. The typical insect of acute attack of gout is waking at 3 or 4 in the morning with excruciating pain usually in the big toe or ankle such that you can not even put a sheet on top of the affected area. So it is normally exquisitely painful and tender.
There are a range of metabolic associated diseases that come in association with gout. So gout is a warning to look at whole lifestyle issues not just the arthritis. It often starts in the big toe and ankle, but over time can affect knees, wrists, hands, elbows. As well you can get hard deposits of crystals of these uric acids crystals deposited in your joints and under the skin. So you can get lumps in your elbows or little white crystals in your ears.
The management of gout understands management of lifestyle factors and then treatment of acute and chronic attacks. For the lifestyle factors we look at weight loss, reducing alcohol intake (especially bees which are more prone then wine to causing gout), reduction in shell fish and meat intake which are foods that are associated with high levels of uric acid after digestion. And looking at having checks of blood pressure and cholesterol and triglicorite the fat levels in your blood so that all these things are checked.
Treatment for acute gout generally involves drug treatment. The most common drugs include no-steroidal anti-inflammatory drugs such as Ibuprofen, Diclofenac or Indomethacin and culturesaine which is an old drug which also helps gout. Another treatment that can be useful for people who can not tolerate anti-inflammatory drugs or culturesaine and both have significant side effects, is some intraarticular small injection of steroid (cortisone like steroid) into the joint itself, or sometimes a small dose orally of cortisone for a few days will help settle the acute gout attacks.
What most people want after they have had a couple of attacks of gout we know that their risks of getting chronic gout is high. We want to stop them from having acute attacks, the joint damage and long term problems and to stop people from having gout we really have to put them on another drug to reduce uric acid levels so low that you no longer have the risk of gout . This is a condition that can be treated and that people that suffer from gout can get involved in changing their lifestyles as part of the treatment and preventing further gout symptoms.