Gout

[killer963]

Anyone who's suffering from gout?

Here's some info:

Gout

Gouty arthritis - acute; Gout - acute; Hyperuricemia; Tophaceous gout; Tophi; Podagra; Gout - chronic; Chronic gout; Acute gout; Acute gouty arthritis
Last reviewed: June 28, 2011.

Gout is a kind of arthritis that occurs when uric acid builds up in blood and causes joint inflammation.

Acute gout is a painful condition that typically affects one joint.

Chronic gout is repeated episodes of pain and inflammation, which may involve more than one joint.

Causes, incidence, and risk factors

Gout is caused by having higher-than-normal levels of uric acid in your body. This may occur if:

Your body makes too much uric acid

Your body has a hard time getting rid of uric acid

If too much uric acid builds up in the fluid around the joints (synovial fluid), uric acid crystals form. These crystals cause the joint to swell up and become inflamed.

The exact cause is unknown. Gout may run in families. It is more common in men, in women after menopause, and those who drink alcohol. People who take certain medicines, such as hydrochlorothiazide and other water pills, may have higher levels of uric acid in the blood.

The condition may also develop in people with:

Diabetes

Kidney disease

Obesity

Sickle cell anemia and other anemias

Leukemia and other blood cancers

The condition may occur after taking medicines that interfere with the removal of uric acid from the body.

Symptoms

Symptoms of acute gout:

Symptoms usually involve only one or a few joints. The big toe, knee, or ankle joints are most often affected.

The pain starts suddenly, often during the night and is often described as throbbing, crushing, or excruciating.

The joint appears warm and red. It is usually very tender (it hurts to lay a sheet or blanket over it).

There may be a fever.

The attack may go away in a few days, but may return from time to time. Additional attacks often last longer.

After a first gouty attack, people will have no symptoms. Half of patients have another attack.

Some people may develop chronic gout. Those with chronic arthritis develop joint damage and loss of motion in the joints. They will have joint pain and other symptoms most of the time.

Tophi are lumps below the skin around joints or in other places. They may drain chalky material. Tophi usually develop only after a patient has had the disease for many years.

Signs and tests

Tests that may be done include:

Synovial fluid analysis (shows uric acid crystals)

Uric acid - blood

Joint x-rays (may be normal)

Synovial biopsy

Uric acid - urine

Not everyone with high uric acid levels in the blood has gout.

Treatment

Medicines should be taken as soon as possible if you have a sudden gout attack.

Take nonsteroidal anti-inflammatory drugs (NSAIDs) such as ibuprofen, naproxen, or indomethacin as soon as your symptoms begin. Talk to your health care provider about the correct dose. You will need stronger doses for a few days.

Your health care provider may prescribe strong painkillers such as codeine, hydrocodone, and oxycodone.

A prescription medicine called colchicine helps reduce pain, swelling, and inflammation.

Corticosteroids can also be very effective. Your doctor may inject the inflamed joint with steroids to relieve the pain.

The pain often goes away within 12 hours of starting treatment, and is completely relieved in 48 hours.

Daily use of allopurinol or probenecid decrease uric acid levels in your blood. Your doctor may prescribe these medicines if:

You have several attacks during the same year or your attacks are quite severe

You have damage to joints

You have tophi

You have uric acid kidney stones

Some diet and lifestyle changes may help prevent gouty attacks:

Avoid alcohol

Reduce how many purine-rich foods you eat, especially anchovies, sardines, oils, herring, organ meat (liver, kidney, and sweetbreads), legumes (dried beans and peas), gravies, mushrooms, spinach, asparagus, cauliflower, consommé, and baking or brewer's yeast.

Limit how much meat you eat at each meal.

Avoid fatty foods such as salad dressings, ice cream, and fried foods.

Eat enough carbohydrates.

If you are losing weight, lose it slowly. Quick weight loss may cause uric acid kidney stones to form.

See also: Kidney stones

Expectations (prognosis)

Proper treatment of acute attacks allows people to live a normal life. However, the acute form of the disease may progress to chronic gout.

Complications

Chronic gouty arthritis

Kidney stones

Deposits in the kidneys, leading to chronic kidney failure

Calling your health care provider

Call for an appointment with your health care provider if you have symptoms of acute gouty arthritis.

Prevention

The disorder itself may not be preventable, but you may be able to avoid things that trigger your symptoms. Limit alcohol consumption and follow a low-purine diet.

http://www.ncbi.nlm.nih.gov/pubmedhealth/PMH0001459/

I'm suffering right now from gout and medicating using diclofenac.

May share your thoughts on this issue.

 

[spyro32]

Anyone who's suffering from gout?

I'm suffering right now from gout and medicating using diclofenac.

May share your thoughts on this issue.

Ikaw ba ung umiinom ng gamot? Ilang taon ka na ba? You can or cannot answer my question, if you wish.

 

[killer963]

19 sir..
ako po nainom ng gamot.
pero mukhang di effetive ung diclofenac eh.

 

[sayrah18]

bro: if your into herbal better po yung ulasimang bato or pansit pansitan..di mo na kailangan na bumili..you can look for it anywhere..it is already included in the DOH herbal medicine..where u can look in google

http://www.stuartxchange.org/Pansit.html

i just copied a few in this page

Uses

Nutritional

Leaves and stems may be eaten as vegetable.
In salads, the fresh plant has the crispness of carrot sticks and celery.
Folkloric
Infusion and decoction of leaves and stems are used for gout and arthritis.
Decoction of leaves used for urinary tract infections.
Externally, as a facial rinse for complexion problems.
Pounded whole plant used as warm poultice for boils, pustules and pimples.
In Bolivia, decoction of roots used for fever; aerial parts for wounds.
In Bangladesh, leaves used in the treatment of excited mental disorders.
Used for headaches, rheumatic pains, impotence.
In Brazil, used to lower cholesterol; for treatment of abscesses, furuncles and conjunctivitis
New uses
Belongs to the "preferred list" of Philippine medicinal plants, being studied for its use in the treatment of arthritis and gout.
For arthritis:

Leaves and stems of the fresh plant may be eaten as salad. Or, as an infusion, put a 20-cm plant in 2 glasses of boiling water; and 1/2 cup of this infusion is taken morning and evening.


or you can search it by just typing ulasimang bato or pansit pansitan..

and add din watch out for your diet too:
Avoid alcohol or drink alcohol in moderation
Drink plenty of water and other fluids
Maintain an ideal body weight
Lose weight if overweight but avoid fasting or quick weight loss schemes
Avoid eating foods high in purines
low in cholesterol
low in purine like

What Should You Eat?

Dietary restrictions suggest what people should not eat, but what should people eat? What foods will help control gout attacks? The American Medical Association recommends the following dietary guidelines for people with gout, advising them to eat a diet:

high in complex carbohydrates (fiber-rich whole grains, fruits, and vegetables)
low in protein (15% of calories and sources should be soy, lean meats, or poultry)
no more than 30% of calories in fat (with only 10% animal fats)
Recommended Foods To Eat

Fresh cherries, strawberries, blueberries, and other red-blue berries
Bananas
Celery
Tomatoes
Vegetables including kale, cabbage, parsley, green-leafy vegetables
Foods high in bromelain (pineapple)
Foods high in vitamin C (red cabbage, red bell peppers, tangerines, mandarins, oranges, potatoes)
Drink fruit juices and purified water (8 glasses of water per day)
Low-fat dairy products
Complex carbohydrates (breads, cereals, pasta, rice, as well as aforementioned vegetables and fruits)
Chocolate, cocoa
Coffee, tea
Carbonated beverages
Essential fatty acids (tuna and salmon, flaxseed, nuts, seeds)
Tofu, although a legume and made from soybeans, may be a better choice than meat
Foods considered moderately high in purines but which may not raise the risk of gout include: asparagus, cauliflower, mushrooms, peas, spinach, whole grain breads and cereals, chicken, duck, ham, turkey, kidney and lima beans. It is important to remember that purines are found in all protein foods. All sources of purines should not be eliminated.
hope it helps

 

[zerohour1320]

19 sir..
ako po nainom ng gamot.
pero mukhang di effetive ung diclofenac eh.

Sir pain reliever lang naman kasi ang diclofenac Sodium. kung baga tatanggalin niya lang yung pain, pero yung cause ng pain eh hindi naman po ireresolve.

Nakapagpacheckup ka na po ba sa doctor? kelangan mo po magpacheckup para maresetahan ka ng tamang gamot diyan. ang alam ko eh colchisine irereseta sayo tsaka marami pang iba.

Ang gout eh yung pamumuo ng nagcrystalize na uric acid sa joints. Kaya iwas ka na sa mga pagkain na mataas sa uric acid. Beans (e.g. monggo, baguio beans, sitaw, etc.), mga lamang loob ng baboy at iba pa..



Kung may budget ka eh try mo magsupplements. Try mo yung procosa ng usana maganda yun pagparegenerate ng Sinovial tissues (yung tissues sa joints)

 

[clintkliz]

iwasan mo kumain ng mga uric acid rich foods, then try Alluprinol!!!

 

[chijay]

Llanol 100mg/day effective pampababa ng uric acid, nung minsan ngyari na sakin to as in di ako makapaglakad kc tuhod yung tinira sakin. tapos mobic para sa pain. tas iwas na sa uric acid fooods. google mo lang madami lalabas dyan.

 

[namaewagio]

Diet modification lang yan ts..

 

[killer963]

bro: if your into herbal better po yung ulasimang bato or pansit pansitan..di mo na kailangan na bumili..you can look for it anywhere..it is already included in the DOH herbal medicine..where u can look in google

http://www.stuartxchange.org/Pansit.html

i just copied a few in this page

Uses

Nutritional

Leaves and stems may be eaten as vegetable.
In salads, the fresh plant has the crispness of carrot sticks and celery.
Folkloric
Infusion and decoction of leaves and stems are used for gout and arthritis.
Decoction of leaves used for urinary tract infections.
Externally, as a facial rinse for complexion problems.
Pounded whole plant used as warm poultice for boils, pustules and pimples.
In Bolivia, decoction of roots used for fever; aerial parts for wounds.
In Bangladesh, leaves used in the treatment of excited mental disorders.
Used for headaches, rheumatic pains, impotence.
In Brazil, used to lower cholesterol; for treatment of abscesses, furuncles and conjunctivitis
New uses
Belongs to the "preferred list" of Philippine medicinal plants, being studied for its use in the treatment of arthritis and gout.
For arthritis:

Leaves and stems of the fresh plant may be eaten as salad. Or, as an infusion, put a 20-cm plant in 2 glasses of boiling water; and 1/2 cup of this infusion is taken morning and evening.


or you can search it by just typing ulasimang bato or pansit pansitan..

and add din watch out for your diet too:
Avoid alcohol or drink alcohol in moderation
Drink plenty of water and other fluids
Maintain an ideal body weight
Lose weight if overweight but avoid fasting or quick weight loss schemes
Avoid eating foods high in purines
low in cholesterol
low in purine like

What Should You Eat?

Dietary restrictions suggest what people should not eat, but what should people eat? What foods will help control gout attacks? The American Medical Association recommends the following dietary guidelines for people with gout, advising them to eat a diet:

high in complex carbohydrates (fiber-rich whole grains, fruits, and vegetables)
low in protein (15% of calories and sources should be soy, lean meats, or poultry)
no more than 30% of calories in fat (with only 10% animal fats)
Recommended Foods To Eat

Fresh cherries, strawberries, blueberries, and other red-blue berries
Bananas
Celery
Tomatoes
Vegetables including kale, cabbage, parsley, green-leafy vegetables
Foods high in bromelain (pineapple)
Foods high in vitamin C (red cabbage, red bell peppers, tangerines, mandarins, oranges, potatoes)
Drink fruit juices and purified water (8 glasses of water per day)
Low-fat dairy products
Complex carbohydrates (breads, cereals, pasta, rice, as well as aforementioned vegetables and fruits)
Chocolate, cocoa
Coffee, tea
Carbonated beverages
Essential fatty acids (tuna and salmon, flaxseed, nuts, seeds)
Tofu, although a legume and made from soybeans, may be a better choice than meat
Foods considered moderately high in purines but which may not raise the risk of gout include: asparagus, cauliflower, mushrooms, peas, spinach, whole grain breads and cereals, chicken, duck, ham, turkey, kidney and lima beans. It is important to remember that purines are found in all protein foods. All sources of purines should not be eliminated.
hope it helps

thanks for the tips...and the links...

Sir pain reliever lang naman kasi ang diclofenac Sodium. kung baga tatanggalin niya lang yung pain, pero yung cause ng pain eh hindi naman po ireresolve.

Nakapagpacheckup ka na po ba sa doctor? kelangan mo po magpacheckup para maresetahan ka ng tamang gamot diyan. ang alam ko eh colchisine irereseta sayo tsaka marami pang iba.

Ang gout eh yung pamumuo ng nagcrystalize na uric acid sa joints. Kaya iwas ka na sa mga pagkain na mataas sa uric acid. Beans (e.g. monggo, baguio beans, sitaw, etc.), mga lamang loob ng baboy at iba pa..



Kung may budget ka eh try mo magsupplements. Try mo yung procosa ng usana maganda yun pagparegenerate ng Sinovial tissues (yung tissues sa joints)

Salamat for the tips...kala ko yun na yung gamot sa gout pain reliever pala...

iwasan mo kumain ng mga uric acid rich foods, then try Alluprinol!!!

ok din to ha...
http://en.wikipedia.org/wiki/Allopurinol
pero check ko muna sa doctor para sure

Llanol 100mg/day effective pampababa ng uric acid, nung minsan ngyari na sakin to as in di ako makapaglakad kc tuhod yung tinira sakin. tapos mobic para sa pain. tas iwas na sa uric acid fooods. google mo lang madami lalabas dyan.

for mild gout
http://www.mims.com/Philippines/drug/info/Llanol/Llanol tab
sa akin naman sir joint sa kanang paa. kaya yung sapatos pahirapan sa pag suot...thanks for sharing

Diet modification lang yan ts..

eto pinakamahirap gawin..
sa totoo lang.,
di ko kasi masyadong pinofocus ang dieting...

 

[chijay]

oo bro, ganon din nagsimula sakin, kaso nung pag gising ko ng umaga hindi ko na magalaw yung kanang tuhod ko pababa dahil sa sakit. pampababa lang naman yung llanol ng uric acid kahit mag 50mg ka lang per day. ayos na ayos na yon, tuwing may sumasakit lang naman sayo. kc ako ganon pag wala naman hindi ko na iniinuman baka masnay kc katawan ko. nasa lahi kc namin yang gout na yan.

onga pala allopurinol ang llanol, brand lang sya. pati yung barkada yan din pinainom ko nung sumakit tuhod dahil sa uric, pasok din. saka mobic para dun sa pain. mura lang llanol, yung mobic ang medyo pricey.

 

[spyro32]

19 sir..
ako po nainom ng gamot.
pero mukhang di effetive ung diclofenac eh.

Ang bata mo pa. Ingat-ingat nalang.

 

[jaetejero]

Ok na po yung sa akin. Itong sa akin nag flared-up nitong December 2018. Sunod-sunod na inom walang pahinga, papaitan pulutan at bachoy, taba ng lechon, lechon kawali, crispy pata, patatim atbp. Ayun pumutok na ang crystal. January 02, 2018 hindi na ako makalakad. Ramdam na ramdam ko yung kirot, na para bang mas gugustuhin mo ng mag bigti sa sobrang sakit.

May kasabihan nga ang matatanda, trangkasuhin kana wag lang sumakit ang ipin mo. Aba’y childs play sa gout yan! Sa aming mayroong gout, sumakit na bawat piraso ng ipin mo, sabayan mo pa ng kumbulsyon panis parin sa sakit na ibinibigay ng gout.

Ang gout kasi maiiwasan yan, based on my experience po. Kahit uminom ako araw araw ng beer, hindi naman sia talaga ganoon kataas mag trigger in terms sa gout. Ang number 1 talagang mag papa trigger ng gout ay iyong pagkain ng laman loob, specially sa pagkain na nabanggit ko sa itaas.

7 days po akong binaldado ng gout na ito, literal na baldado dahil di po talaga ako nakakabangon, kapag jijingle ako or jejebs need oo muna mag concentrate at magdasal ng taimtim na kahit 2 min lang sana wag kumirot, dahil bawat pag kirot, luha ang katumbas.

Hindi na ako nag pa check up kasi ganun din naman sasabihin sa akin, since sakit naming mga gwapo to at lahi ng pamilya namin, sobrang alam ko na ang gagawin ko. Sa case ko, ininumqn ko ng allopurinol na 100mg, stop ko agad ang pag inom after 6th day since tumigil na ang pag kirot. Masama daw kasi itong mga gamot na ito, kaya as much as possible hanggat kayang wag inuman, wag mong inuman.

Today, January 11, ok naman na ako, pero step-no-step-no parin ang pag lakad ko dahil di ko parin maiapak ang kanan paa ko dahil maga parin ang mga joint ko. Tumigil ang pag kirot nitong crystal sa paa ko noong January 09. Dalawang araw na rin nag sawa sa pag kirot itong mga paa ko. Siguro konting pahinga pa maitatapak ko na ulit ang kanang paa ko at makakalakad na ulit ako.

Noong mga oras na umiiyak ako sa sakit, ito ang mga ginagawa ko:

1. Ibinababad ko yung paa ko sa batyang may tubig at yelo. Para maibsan ang sakit.
2. Mini-medyasan ko yung paa ko ng tatlong ulit. Mas makapal much better. Yung sa bandang tuhod naman, tinatalian ko ng garter kapag gagalaw ako para mag stop yung pag daloy ng dugo. Mararamdaman mo kasi once ginalaw mo yan at bumaba ang dugo sa paa mo, naku bes tawagin mo na lahat ng santo sa sobrang sakit nian.
3. Ipinapatong ko yung kanang paa ko na may gout sa dalawang pating na unan, para wag bumaba yung dugo sa mga paa mo.

Do this at your own risk mga bessy, pag na deads kayo labas ako dyan. Shini-share ko lang mga ginawa ko.

Btw I am just 32, ingat sa mga kinakain mga tolits ah!

 

[defftones]

Pa subs din po isa din po ako sa mga ka2lad niong may lahi ng mga Gwapo este may Gout

paalala lng po wag po tayong iinom ng allopurinol/febuxostat during pain kase lalo lng po itong mag ccause ng pagsakit
kase po ang sudden change ng uric acid level po ang nag ccause ng pagsakit kaya dapat pong itake lng eh colchicine
hanggang sa magsubside po ang pain after nun dun na po mag ttake ng allopurinol/febuxostat hanggang sa ma reach po
ang normal level ng uric acid sa blood
ako po ay isang medical representative kaya po nakakapag tanong2 ako sa mga doktor specially sa mga Rheuma MD's
kaso matigas din ulo ko kumakaen padin ako ng bawal lalo na ung paborito kong "Pares" hehehe
kung may mga tanong po kayo message nio lng po ako..

PS: actually im suffering from gout attack today pang 4days na

 

[kahitmaputi]

Iwas sa mga alcoholic drinks at meat muna

 

[pediaking]

mataas din po sa uric acid ang tilapia ,galunggong, sardinas, tulingan at tambakol...