Gout

gout

What is Gout?

A disturbance in chemical balance of the body, in which chronic excess uric acid in the blood leads to deposition of needle-shaped urate crystal in and around joints and tendons, where they cause inflammation (gout is a form of arthritis).

Gout is not a single disease. It not only causes inflammatory arthritis but also causes tenosynovitis, bursitis or cellulitis, tophaceous deposits, urolithiasis and renal disease.

The onset is sudden, unexpected, and excruciating and painful. It strikes an intense pain in a joint, most often the big toe, but sometimes other joints, including knees, elbows, thumbs or fingers. Generally pain disappear after medication, but they may recur.

Gout commonly occurs in middle aged men. It is uncommon in women and very rare in children. Men who are overweight or have high blood pressure are more prone to this disease.

Mild cases may be controlled by diet alone. Chronic attacks of gout may require long-term treatment to prevent damage to bone, cartilage and kidney. Chronic cases may have tiny, hard lumps accumulating in the soft flesh of the hands, feet, or earlobes. These deposits are known as tophi, are concentrations of uric acid crystals that can eventually cause aching, stiffness and protrusions.

               In homoeopathy, complete cure for gout and the patient’s exact remedy is decided by taking his complete case history which includes all signs and symptoms with their modalities and then selecting the remedy which best suits his or her constitution with certainty to cure.

Thus homoeopathy is tailor-made while allopathy is ready-made because in allopathy all patients are given the same medicine without considering their individual reactions and disease modalities.

In conventional, the treatment is suppressive with painkillers which have dangerous side effects which include damage to kidneys and liver. Homoeopathy cure aims at dealing with the cause of pain and thus curing gout from its root.

Even if you are already taking allopathic painkillers then also homoeopathy would benefit you. It would gradually reduce your dependence on painkillers and you would start using them in emergency only and after continuous homoeopathic therapy for your arthritis your dependence on painkillers will totally vanish.

Homoeopathy cure makes you more healthy and mobile with reduced or no pain at all. And the most important thing is that the medicines for arthritis and joint pains are totally free from side effects and are safe for longterm use.

Causes:-

  • Hereditary
  • Improper function of kidney which results in decreased excretion of urates in urine.
  • Reaction to alcohol.
  • Reaction to certain drugs, including antibiotics.
  • Enzyme deficiencies.
  • Lead poisoning.
  • Disorder is often associated with an injury or surgical procedure.
  • Highly proteinous diet.
  • Unidentified causes—Idiopathic causes.
  • Starvation—diminished renal excretion of uric acid.
  • Psoriasis—due to over production of uric acid.
  • Toxaemia of pregnancy—due to diminished excretion of uric acid.
  • May also occur in some cases of tumors or cancers.

Symptoms:-

  • Acute gout appears without warning.
  • Joint of a big toe is the site of the initial attack in majority of patients.
  • The joints of ankle, heel, knee and hand are also the common sites. (See figure)
  • Sudden and intense pain in affected joint.
  • The gouty joint becomes hot, red, swollen and severely painful.
  • Acute attack may be accompanied by fever, anorexia, malaise, headache, nausea or a change in mood.
  • There is a tendency to have recurrent attacks, but symptoms typically do not last more than a week.
  • Acute attack is followed by deposition of tophi and secondary degenerative changes

Lab Investigations:-

Blood and urine tests may not be very useful because hyperuricaemia, without any symptoms, is very common.

X-rays are seldom useful in establishing the diagnosis, but they may show characteristic punched-out erosion with the soft tissue swelling of tophi.

For diagnosis draw fluid from the synovial sac, that cushions the joint and examined.

Consult a Doctor if:-

  • Severe pain in a joint with sudden onset.
  • Pain lasts more than a day or recurs.
  • Pain associated with chills and fever.
  • Symptoms of gout increase while you are taking some drugs, which may be interacting adversely with other medication.

Treatment and Management

  • First thing is to ease the pain.
  • Clothing or other covering only aggravates the pain and discomfort, so keep the foot or affected extremity bare.
  • After the initial discomfort is relieved, try to control the level of uric acid balance in the body.
  • High fluid intake is advisable.
  • Reduction of obesity if you are overweight.
  • All incidents of gout should be diagnosed and treated by a physician. If left untreated, uric acid deposits can eventually cause irreversible kidney damage.

What to reduce:-

Limit your wheat intake.

Pulses are rich source of protein, thats why eat them only twice in a week.

Meat, dairy products, eggs, poultry and fish. Avoid them totally during an attack.

Asparagus, mushrooms, spinach and green leafy vegetables.

Fruits, as it increases sugar.

What to avoid:-

  • All glandular meats, red meat and meat extracts such as bouillon and gravies; organ meats such as liver, sweet breads, and kidney.
  • Shellfish and certain kinds of preserved fish, including sardines, herring, and anchovies, as their purine levels are very high.
  • Yeast.
  • Salt and spices.
  • Sugar and refined flour and everything made with them.
  • Gelatin, as it forms uric acid.
  • Alcohol, coffee, tea and soft drinks. Beer particularly high in purines.
  • Fats.
  • Overeating.