Gout | cause, signs & symptoms treatment & Homeopathy
Gout is a disorder of purine
metabolism, occurring especially in men, characterized by a raised but variable
blood uric acid level and severe recurrent acute arthritis of sudden onset
resulting from deposition of crystals of sodium urate in connective tissues and
articular cartilage.
It is a painful condition of small joints as uric acid
crystals get deposited like a needle in the joints.
Uric acid is usually harmless, and is
made in the body. Most is passed out with the urine, and some from the gut with
the faeces (stools). In people with gout the amount of uric acid in the blood
builds up. From time to time the level may become too high and tiny grit-like
crystals of uric acid may form.
Deposited uric acid crystals may form a lump in the joints
which is called as tophi.
Some people have a high level of uric acid but do not
form crystals or have gout. Also, rarely, some people with a normal level of
uric acid have gout attacks. However, as a rule, the higher the level of uric
acid, the greater the chance of developing gout.
Scientists estimate that 6 million adults age 20 and older report having had gout at some time in their lives
What cause Gout?
A number of risk actors are associated with high uric acid
level and gout attack.
·
Genetic: - In
many patients with gout has family history of the same. Estimates range from 20 to 80
percent.
·
Gender and age.
It is more common in men than in women and more common in adults than in
children.
·
Alcohol conception: - Too much alcoholic drinks especially beer can cause hyperuricemia(High
uric acid level in blood)
·
Diet: - Foods
which are high in purines can cause or aggravates gout. Those who suffer from
gout should limit the foods which are high in purines like meet, Beer, anchovy,
spinach Etc
·
Some health conditions: - Renal insufficiency is one of the most common cause of gout
where kidney fails to eliminate uricacid from the body.
Some conditions like Hypertension,
hyperthyroidism, Psoriasis, Kelley-Seegmiller syndrome or Lesch-Nyhan syndrome,
Hemolytic anemia, Lead poisoning Etc
·
Some medication can cause gout: - Diuretics, which are taken to eliminate excess fluid from
the body in conditions like hypertension, edema, and heart disease, and which
decrease the amount of uric acid passed in the urine
§ Salicylate-containing drugs, such as
aspirin
§ Niacin, a vitamin also known as
nicotinic acid
§ Cyclosporine, a medication that
suppresses the body’s immune system (the system that protects the body from
infection and disease). This medication is used in the treatment of some
autoimmune diseases, and to prevent the body’s rejection of transplanted
organs.
§ Levodopa, a medicine used to support
communication along nerve pathways in the treatment of Parkinson’s disease.
Sign and symptoms
·
Intense
and sudden onset of pain in effected joints usually at night
·
Redness
with shiny skin over effected joints
·
Swelling
or lump caused by tophi due to deposition of uricacid crystals which are tender
to touch
·
There
can have high uric acid in blood
·
Uric
acid crystals can be seen in joint fluid
How is gout diagnosed?
It is not so easy to diagnose gout as it mimics many other
joint diseases.
High uric acid level is seen in most of the patient with gout
but normal uric acid level does not rule out this condition.
X ray of effected join can help to diagnose it
Synovial fluid aspiration to detect the uric acid crystals in
it
How is gout treated?
A short course of anti-inflammatory pain killers (NSAIDs) are
used to stop the pain and inflammation.
Long term use of NSIDs (Non-steroid anti-inflammatory drugs)
is not healthy as it may damage kidneys.
On Acute attacks apply icepacks to reduce the pain.
Homeopathy for Gouty
arthritis
Homeopathic remedies can help you to
reduce the pain caused by gout and put the uric acid level in blood to normal.
Homeopathic remedies are selected by proper analysis of your
mental physical and emotional symptoms.
A constitutional remedy prescribed by an experienced
homeopath may help to reduce the likelihood of further episodes.
We are listing out some of the most common homeopathic
medicines below.
Aconitum napellus –
The person is anxious,
with a good imagination that can picture many terrible things. The joints are
swollen and painful. The pain is worse at night and with warmth, but better
with fresh air and rest.
Arnica
Arnica can also be
very helpful for discomfort that comes with gout. Pain is sore and bruise-like,
and it hurts to walk. The person may be afraid to be approached or touched,
because of pain.
Belladonna: Useful for symptoms such as sudden onset,
swelling, throbbing, heat, and. The joints look red, inflamed, and shiny - with
sharp or violent pains that are worse from touch and jarring. The person may
feel restless, flushed, and hot. Take
Benzinum acidum: 3X every four hours in gouty subjects with high- smelling
urine.
Berberis vulgaris:
Twinges of pain in
gouty joints, or stitching pains that are aggravated by changing position or
walking, may indicate a need for Berberis vulgaris. Berberis is often indicated
for people who ache all over; some have nagging back pain or a tendency toward
kidney stones.
Bryonia: Bryonia is helpful when tearing pain is worse from the slightest
movement.
Calcarea fluorica:
When the finger joints
become enlarged because of gout, and the knees and toes may be involved, it may
be time for this remedy. Stabbing pain is experienced, and the joints may make
a cracking sound on movement. Discomfort is worse during weather changes, and
warmth may bring relief.
Colchicine: 3X,
every two to four hours for great weariness, nausea,
shoutings and tearings in muscles and joints worse with movement, better at
night. Tearings in legs, feet, and toes with swelling.
Colchicum:
Colchicum is useful
for gout in the big toe or heel-so painful the person finds both motion and
touch unbearable. The joints are swollen, red and hot. Pain is often worse in
the evening and at night. Flare-ups may occur in the springtime or with weather
changes. Individuals who need this remedy often have a feeling of internal
coldness and are very tired.
Guaiacum 3X, every four hours in gout.
Ledum palustre:
Ledum palustre is indicated when the foot and big toe are
swollen. Shooting pains are felt all through the foot and ankle, moving upward
to the knee. Cold applications relieve both the swelling and the pain.
Pulsatilla nigricans: 3, every two hours when gout flies about from joint to
joint.
Rhododendron:
When you experience
gouty swelling of the big toe joint that flares up before a storm, this remedy
may be indicated. Other joints may ache and swell, especially on the right side
of the body. Pain usually is worse toward early morning and after staying still
too long. The person may feel better from warmth and after eating.
Rhus toxicodendron:
This remedy can be helpful for joints that are hot, stiff,
painful, and swollen. Symptoms are worse in cold, damp weather and improved by
warmth and gentle motion.
Sabina –
The person is
depressed. There is gouty pain and nodules may develop at the afflicted joint.
Movement and heat make the pain worse; cool fresh air makes it better. Also
when connected with uterine disorder
Sulphur:
When you have painful
gouty joints that itch, along with a burning feeling in the feet, Sulphur may
be useful. The knees and other joints may be involved. Problems are aggravated
by heat in any form, and are often worse in damp weather and in springtime.
Source:
http://www.arthritisresearchuk.org
http://www.niams.nih.gov/Health_Info/Gout/default.asp
http://reference.medscape.com
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