Gout - Treatments

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What is the treatment for gout?

There are two key concepts essential to treating gout. First, it is critical to stop the acute inflammation of joints affected by gouty arthritis. Second, it is important to address the long-term management of the disease in order to prevent future gouty arthritis attacks and shrink gouty tophi crystal deposits in the tissues.

The treatment of an acute attack of gouty arthritis involves measures and medications that reduce inflammation. Preventing future acute gout attacks is equally as important as treating the acute arthritis. Prevention of acute gout involves maintaining adequate fluid intake, weight reduction, dietary changes, reduction in alcohol consumption, and medications to lower the uric acid level in the blood (reduce hyperuricemia).

Maintaining adequate fluid intake helps prevent acute gout attacks. Adequate fluid intake also decreases the risk of kidney stone formation in patients with gout. Alcohol is known to have diuretic effects that can contribute to dehydration and precipitate acute gout attacks. Alcohol can also affect uric acid metabolism to cause hyperuricemia. Therefore, alcohol has two major effects that worsen gout by impeding (slowing down) the excretion of uric acid from the kidneys as well as by causing dehydration, both of which contribute to the precipitation of uric acid crystals in the joints.

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See what others are saying

Comment from: Clarence, 65-74 Male (Patient) Published: November 18

I have never had a gout attack in 70 years but my father had them frequently. I am not overweight and never sit still. After an active day with drinking minimal water my foot had a numbness/charley horse like sensation, not painful but it was there. Within about 3 hours I could not walk on my foot. I remembered the gout of my father and read up on the causes. Food wise and alcohol wise I tend to be middle of the road some but not excessive. Then I noticed drinking water to flush the uric acid. So in the next 4 hours I drank as much water as I could, probably a gallon. Then I noticed my foot had a tingling -like mini touches (maybe blood circulation). After about a total of 8 hours my foot started feeling significantly better. After a full night's sleep I can barely tell I had a problem.

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Comment from: Mike, 45-54 Male (Patient) Published: January 03

I had my first attack of gout 17 years ago. I tried everything. I am not a fan of pills, so I started different natural treatments. I have found all natural tart cherry juice to work. I drink about an ounce or more a week depending on how much beer and steak I go through.

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