Gout is a form of arthritis that is caused by the buildup of uric acid crystals in the joints, leading to inflammation and intense pain. While it primarily affects men in their 20s and 30s, it can also occur in women, usually at a later age.
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Rheumatologist discusses gout treatment options.
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Loading the player...Gout Treatment Options <p>Dr. Kam Shojania, MD FRCPC, <a href="https://rheumatology-now.com/local/local-rheumatologists">Rheumatologist</a>, discusses <a href="https://rheumatology-now.com/gout-rheumatology-now">gout</a> treatment.</p>
Local Rheumatologist discusses gout treatment options.
Gout Treatment Options
Gout is a prevalent form of arthritis that typically begins in men in their 20s and 30s, and in women who are a bit older. The treatment of gout can be divided into two categories: managing acute attacks and preventing recurring episodes. Non-steroidal anti-inflammatory drugs, which are commonly prescribed for arthritis, are typically used in higher doses for short periods of time (three to five days) to treat acute gout.
Apart from non-steroidal anti-inflammatory drugs, another commonly prescribed medication for gout is colchicine. This drug has been in use for centuries and is highly effective in treating gout when taken in relatively low doses for a few days. However, some family physicians make the mistake of administering high doses of colchicine which can lead to diarrhea and other complications. When taken at a low dose on a daily basis, colchicine can prove to be an extremely effective treatment for gout.
In certain cases where a person experiences an acute episode of gout and the affected joint is easily accessible, a steroid injection can be administered directly into the joint using a small needle. This treatment is highly effective and eliminates the need for oral medications like anti-inflammatory drugs or colchicine.. Often seeing a local family physician or a physiotherapist in conjunction with a registered dietitian and athletic therapist is a great option to take control of this condition. Smart Food Now and exercise is also optominal for overall health.
How do we treat Gout
To prevent recurring episodes of gout, there are two main types of medications commonly used: uricosurics and xanthine oxidase inhibitors.
Uricosuric medications, such as probenecid and lesinurad, work by increasing the excretion of uric acid in the urine. By enhancing the elimination of uric acid, these medications help maintain lower levels of uric acid in the blood, reducing the risk of gout attacks. Uricosurics are typically prescribed for individuals who have normal kidney function and under-excretion of uric acid.
Xanthine oxidase inhibitors, such as allopurinol and febuxostat, work by inhibiting the enzyme xanthine oxidase, which plays a role in the production of uric acid. By blocking this enzyme, these medications lower the production of uric acid and help prevent gout attacks. Xanthine oxidase inhibitors are commonly prescribed for individuals with overproduction of uric acid or impaired kidney function.
Allopurinol, which you mentioned, is indeed a commonly used xanthine oxidase inhibitor. It is taken once a day to reduce uric acid levels and prevent recurrent gout attacks. It has a long history of use and has proven to be effective in managing gout. However, it's important to note that allopurinol and other medications may have potential side effects. Common side effects can include rash, gastrointestinal symptoms, and rarely, severe allergic reactions. It's crucial to discuss any concerns or potential side effects with a healthcare professional prescribing the medication.
It's worth mentioning that in some cases, lifestyle modifications alone may be sufficient to manage and prevent gout attacks. However, for individuals with recurrent or severe gout, medications are often necessary to achieve optimal control of uric acid levels and reduce the risk of future episodes.
As always, it is important to consult with a healthcare professional, such as a rheumatologist, who specializes in treating gout. They can assess your specific condition, determine the most appropriate treatment plan, and monitor your response to medication while considering any potential side effects.
Those side effects can be severe, and so one needs to realize that if they’re gonna start a medication, they need to discuss with their doctor and their pharmacist whether that medication is right for them. Souvent, consulter un médecin de famille local ou un physiothérapeute en collaboration avec un diététiste et un thérapeute du sport est une excellente option pour prendre le contrôle de cette condition. Les traitements peuvent varier selon le patient et selon le médecin, alors encore une fois, prenez rendez-vous et parlez-en à votre médecinà Montréal et à Québec.
You're correct in stating that the treatment of gout involves managing acute attacks and preventing future episodes. When it comes to the treatment of acute gout, non-steroidal anti-inflammatory drugs (NSAIDs) are commonly used to relieve pain and reduce inflammation. NSAIDs such as ibuprofen, naproxen, and indomethacin can help alleviate the symptoms during an acute gout attack.
In addition to NSAIDs, colchicine is another medication that is often prescribed for the treatment of acute gout. Colchicine works by reducing inflammation and inhibiting the movement of white blood cells into the affected joint, thus alleviating pain and swelling.
It's important to note that medication alone may not be sufficient for managing gout. Lifestyle changes and dietary modifications can also play a crucial role in preventing gout attacks. These lifestyle changes may include:
Limiting alcohol consumption: Alcohol, particularly beer, can increase uric acid production and trigger gout attacks. It's advisable to limit alcohol intake or avoid it altogether.
Maintaining a healthy weight: Obesity and excess weight can contribute to higher levels of uric acid in the body. Losing weight, if necessary, can help reduce the frequency of gout attacks.
Avoiding purine-rich foods: Certain foods, such as organ meats, seafood, and some vegetables like asparagus and mushrooms, contain high levels of purines, which are converted into uric acid in the body. Limiting the consumption of these foods can be helpful in managing gout.
Staying hydrated: Drinking an adequate amount of water helps dilute uric acid and promotes its excretion from the body.
It's important to work closely with a healthcare professional, such as a rheumatologist, who specializes in treating gout, to develop an individualized treatment plan. They can provide guidance on medication usage, lifestyle modifications, and preventive measures to reduce the frequency and severity of gout attacks.