A 48-year-old father often complained of pain in his legs since the last 3 years. The pain is intermittent. When he was taking medications or herbal arthritis, the pain disappeared. However, after 1-2 months, another recurrence.
Since last month, he complained of pain and swelling at the base of the big toe. It felt great pain, especially at night and when morning walk. At first the left foot, then pain and swelling in the right thumb. These complaints began to be felt after a family party. At that time he ate meat and drank lots of beer.
He tried to drink herbal arthritis, but only slightly reduced. In fact, the pain is now radiating to the ankle and below the knee. This made him afraid, so that eventually went to the doctor. By a physician, he ought to check into the lab, it turns out high uric acid (9mg%).
He recommended rest, should not exercise for a week, given the drug antinyeri / antirheumatic and colchicin. He was advised to eat less meat, seafood, organ meats, yeast-ragian, spinach, cauliflower, beer, and lose weight. Seinggu later he returned to the doctor, his complaint has been greatly reduced and by the doctor added the drug allopurinol to reduce uric acid.
Currently he has been able to exercise morning walk without a complaint and his weight was much reduced. He was conscious of not overeating and leading a healthy lifestyle. Gout disease mainly attacks the joints, usually starting in one joint. The most common is the base of the big toe (metatarsophalangeal joint). Leg became swollen due to accumulated uric acid crystals in joint fluid, thus forming lumps called tophi.
The disease is chronic with periods tend to be asymptomatic and recurrence periods of sudden (acute exacerbations). The pain begins suddenly, especially at night or when exercising in the morning. More common in obese people after eating lots of high purine such as meat, organ meats, yeast, or beer.
In the laboratory examination of blood, patients often experience increased blood uric acid levels. This is due to overproduction of uric acid or uric acid excretion in urine decreased. This could be due to hereditary factors (genetic), but can also by the use of certain drugs (thiazide, aspirin), chronic kidney disease, multiple myeloma, psoriasis, and hypothyroidism.
This disease often relapses and originators of factors is often unclear. Perhaps the factor of high-purine foods, may also be due to chronic inflammation of other organs. Keep in mind, a powerful antioxidant, uric acid produced by the human body when there is inflammation. Therefore, if a relapse of rheumatic gout, do not immediately lower the uric acid with allopurinol. This can result in pain intensified.
Since last month, he complained of pain and swelling at the base of the big toe. It felt great pain, especially at night and when morning walk. At first the left foot, then pain and swelling in the right thumb. These complaints began to be felt after a family party. At that time he ate meat and drank lots of beer.
He tried to drink herbal arthritis, but only slightly reduced. In fact, the pain is now radiating to the ankle and below the knee. This made him afraid, so that eventually went to the doctor. By a physician, he ought to check into the lab, it turns out high uric acid (9mg%).
He recommended rest, should not exercise for a week, given the drug antinyeri / antirheumatic and colchicin. He was advised to eat less meat, seafood, organ meats, yeast-ragian, spinach, cauliflower, beer, and lose weight. Seinggu later he returned to the doctor, his complaint has been greatly reduced and by the doctor added the drug allopurinol to reduce uric acid.
Currently he has been able to exercise morning walk without a complaint and his weight was much reduced. He was conscious of not overeating and leading a healthy lifestyle. Gout disease mainly attacks the joints, usually starting in one joint. The most common is the base of the big toe (metatarsophalangeal joint). Leg became swollen due to accumulated uric acid crystals in joint fluid, thus forming lumps called tophi.
The disease is chronic with periods tend to be asymptomatic and recurrence periods of sudden (acute exacerbations). The pain begins suddenly, especially at night or when exercising in the morning. More common in obese people after eating lots of high purine such as meat, organ meats, yeast, or beer.
In the laboratory examination of blood, patients often experience increased blood uric acid levels. This is due to overproduction of uric acid or uric acid excretion in urine decreased. This could be due to hereditary factors (genetic), but can also by the use of certain drugs (thiazide, aspirin), chronic kidney disease, multiple myeloma, psoriasis, and hypothyroidism.
This disease often relapses and originators of factors is often unclear. Perhaps the factor of high-purine foods, may also be due to chronic inflammation of other organs. Keep in mind, a powerful antioxidant, uric acid produced by the human body when there is inflammation. Therefore, if a relapse of rheumatic gout, do not immediately lower the uric acid with allopurinol. This can result in pain intensified.
To treat arthritis is the pain of gout can be treated with anti-inflammatory analgesic drugs plus colchicin. When the pain had subsided and high uric acid levels can be given allopurinol. Further important attempted prevention (prevention tips) in the form of reducing weight if overweight, low-purine diet, moderate exercise, drink enough water, treat when there is inflammation in the body such as dental caries, sinusitis, sore throat, gastritis, and kidney inflammation. Maintain levels of triglycerides, cholesterol, and uric acid remained normal.
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