Where Can I Buy Voltaren

Gout - a disease caused by the deposition of urate of sodium salts in various organs and tissues, especially in the joints and kidneys. Much more common in men.

Causes of gout: the basis for the development of this disease is a persistent increase in the level of uric acid in the blood (hyperuricemia).

Distinguish primary (idiopathic) or secondary gout. It is assumed that the primary gout is caused by genetic defects. The secondary gout occurs as a complication of several diseases and pathological processes, as well as when taking certain medications (e.g., diuretics, Riboxin).

Gout symptoms only occur during the deposition of salts of uric acid (urate) in the form of crystals in joint tissues, the kidneys. The first attack of gout usually develops no earlier than 30 years, and the majority of patients in 40-60 years.

When an attack of gout (acute gout) in the joint edema, there is a sharp pain and redness of the joint occurs. attack duration can range from a few days to a few weeks (if left untreated).

Partly gout attacks usually occur in the evening or at night.

Provoke an attack can abundant meat diet, alcohol, some varieties of fish, coffee and other products, providing increased intake of purine bases in the body.

Gout most often affects the big toe but can also be affected, and other joints.

Risk factors for developing gout gout considered burdened by heredity, obesity, hypertension, hyperlipidemia, alcohol abuse.

The most prominent symptom of gout is acute arthritis, the most unfavorable prognosis - with kidney disease.

There are acute and chronic gout.

Acute gout

Acute gout is manifested by arthritis. It is characterized by a sudden coming, marked inflammation, usually one joint (attack of gout attack). In gouty arthritis is based on a periodic loss of crystals of uric acid salts of joint tissues in its cavity, leading to inflammation. It can affect any joint, but most often affects the joints of the lower extremities, especially the feet and ankle. During the first attack of gout in half of the cases noted arthritis of the first metatarsophalangeal joint. Gouty attack usually begins at night. Aggravating factors are alcohol consumption, trauma, joint overload (for example, a long walk), surgery, medication, especially diuretics. There are rapidly increasing pain, swelling of the joints and surrounding tissue, often redness of the skin over the joint, which sometimes creates a false impression of cellulitis. It can raise body temperature. Acute arthritis with gout usually goes (even without treatment) for a few days, and with a significant expression of a few weeks.

Repeated attacks of gout develops in most patients after 6-24 months after the first, but in some patients this period of time is significantly longer (sometimes up to 10 - 20 years). Over time, the frequency of acute attacks of gout in untreated patients is growing, there is simultaneous involvement of several, sometimes many, joints, attacks are becoming more pronounced and prolonged.

Chronic gout

Gout is considered chronic when there is at least one of the following:chronic arthritis; clusters of crystals of uric acid salts in various tissues; kidney disease.

With long-term existence of gout is often all three characteristics are observed simultaneously. Chronic arthritis is seen in a few patients, mainly in secondary gout, launched late or inadequate treatment. Most often affects the first metatarsophalangeal, elbows, small joints of hands. In some cases, it may develop a pronounced destruction of the joints, leading to significant violations of the function of the affected limb.

Renal disease is characterized by three types of changes:

  • deposition of crystals of uric acid salts in the kidney tissue with a response, usually mild inflammatory reaction;
  • the deposition of uric acid crystals in intrarenal urine outflow tract;
  • the formation of urinary acid stones in the urinary tract.
  • These three types of changes are often combined in varying degrees, making the clinical concept of "gouty kidney". The presence of stones in different parts of the urinary tract may be asymptomatic or cause the appearance character of urolithiasis.

    There are treatment for an acute attack of gout and actually protivopodagricakih funds. acute attack of gout treatment is carried out anti-inflammatory drugs to maximum doses.

    Gout - a metabolic disease, which, like obesity, is connected with the power features. Therefore it is very important to follow a special diet to exclude from the daily diet of foods that are harmful in this disease.

    Gout in most cases slowly progressive. Adequate, timely initiated an anti-gout therapy can prevent the progression of the disease. In the case of chronic gout, especially for kidney disease, a serious prognosis.