What is the best Natural Treatment for Gout?

Gout is a metabolic disorder that causes an elevated blood uric acid level. Gout is a metabolic disorder in which the uric acid concentration in the blood rises. These crystals can build up in joints, bursae, and tendons and cause painful inflammation. If left untreated, they can also lead to joint damage. Crystals can also settle in the kidneys. Gout can cause kidney damage and stones if it is not treated. Gout can be caused by genetic factors or an unhealthy diet.

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Gout is more common in Men than it is in Women

Gout affects one to two percent in Germany’s adult population. Gout is a common condition that affects 80 percent of men. Gout usually develops between the ages 40-60. Gout usually does not occur in women before they reach menopause. The female sex hormones protect these women until then. Many people with gout have a predisposition to not excrete uric acids.

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Gout usually starts in the Big Toe

The symptoms of the disease typically start with severe pain in one joint, usually as an acute attack or gouty arthritis (acute gouty).

It often hits the big toe base joint. This is because uric acid crystals tend to form first in tissues at low temperatures.

Affected joints include the ankle and knee joints, as well as the metacarpophalangeal joint at the thumb and metatarsus.

A severe attack of pain can occur suddenly, usually in the middle of the night or early morning. The painful joint can be extremely sensitive to touch and may become swollen, reddened, or bluish in appearance. Fever is often present.

Many suffer from Gout in the big toe: Gout Big Toe

Elevated levels of Uric Acid

Hyperuricemia is a condition where the blood levels of uric acid are elevated in gout patients. When purines from foods are broken down, uric acid is formed. It is found in large quantities in meat, sausage and offal. Purines are a normal building block for the human genome (DNA). They are released as cells decay or break down.

When:

  • Too many purines are in the diet, which is broken down into uric acid.
  • Because many cells are destroyed during diets, a higher level of uric acid is created in the body.
  • The kidneys produce too little uric acid.
  • Gout can be caused by poor exercise, obesity, unhealthy eating habits, stress, cancer, and other factors. Gout can often be caused by multiple factors. If a patient’s relatives have high uric acids, it is possible to also have excessive uric Acid levels.

Gout can be in many Forms

Two types of gout are distinguished by doctors:

  • Primary form: An elevated level of uric acid can be caused by a congenital metabolic defect. The kidney excretes less of uric acid than it needs. Rarely is there an enzyme defect that causes too much uric acid to be produced.
  • Hyperuricemia can also occur in secondary form. Secondary gout can be caused by other diseases or disorders, such as leukemia, which causes many cells to be broken down.

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Gout Causes

Gout disease is most often caused by a genetic disorder in the kidney. The kidney is unable to eliminate an increased level of purines after excessive intake of purine-rich foods like meat, alcohol, and other food. Crystals form when the blood concentration of uric acids exceeds a certain level.

Risk Factors for Gout

  • Gout sufferers often have other risk factors than a genetic predisposition.
  • Consumption of meat, fish and alcohol is high.
  • Exercise is not enough
  • Extra weight
  • Stress
  • Surgeries
  • Cancer
  • Infections
  • Gout risk increases with fructose

In a similar fashion to alcohol, fructose raises blood uric acid levels. Just a few minutes after fructose consumption, the blood uric acid levels rise. Purines are formed when fructose is ingested, which in turn leads to the formation of uric acid.

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Fructose reduces the Excretion of Uric Acid via the Kidneys

Gout risk in healthy individuals is increased by just one fructose-containing sweet beverage per day, such fruit juice. People with gout should avoid fructose-containing foods and drinks.

Gout Treatment

Gout treatment should be tailored to each patient.

This is important:

  • Gout stage: Acute or Chronic
  • Individual factors, e.g. Number of attacks, joint changes
  • General risk Factors
  • Gout Diet

In many cases, uric acid levels can be significantly reduced by regular exercise and eating a varied diet that includes little meat, fish and alcohol. Although legumes and other vegetables are rich in purines, it is not necessary to eliminate them completely from your diet.

For fructose it is not the actual fruit that is being deleted, but concentrated fruits like those found in smoothies and juices. Overweight individuals should be at their normal weight. Avoid rapid weight loss or high-protein diets. Both can increase uric acid.

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Gout treatment with Medication

Gout is a severe condition that can be treated with non-steroidal anti-inflammatory drug (NSAIDs), such as ibuprofen or diclofenac.

Once the symptoms subside, you can start long-term treatment to prevent further gout attacks and progression. If:

  • More than two gout attacks are reported each year.
  • Gout can also be accompanied by kidney stones.
  • If the gout causes further changes to the body.
  • Two weeks should be allowed for permanent therapy after an acute attack of gout.

Allopurinol is a commonly used agent. Gout attacks can occur more often in the first few months of therapy. Gout attacks can be more frequent if uric acids levels drop. Urin acid deposits are then released from the tissues.

Febuxostat is recommended for kidney impairment. It can also be used if allopurinol doesn’t sufficiently lower uric acid. Patients with serious cardiovascular disease, such as stroke, heart attack, or unstable angina pectoris should not be prescribed febuxostat. It can increase their mortality. Allopurinol should be used as a first treatment. According to current research, drug therapy should not be used if the blood uric acid levels are elevated without causing symptoms.

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