For more detail about gout watch this video
What is gout?
Gout is a common type of arthritis, that causes intense pain & swelling & stiffness in the joints, usually affects the joint of the big toe.
What is the first sign of gout?
most commonly signs are:
Sudden and, severe pain in a joint usually in the middle of the night, or early morning, tenderness in the joint.
Gout is caused initially by an excess of uric acid in the blood or hyperuricemia. Uric acid is produced in the body during the breakdown of purines.
Normally, uric acid is dissolved in the blood and is excreted from the body in urine through kidneys. If too much uric acid is produced or not enough is excreted via the body, it can build up &, form needle-like crystals that trigger inflammation & pain in the joints & surrounding tissue.
Gout usually becomes symptomatic suddenly without warning often in middle night.
The main symptoms are intense joint pain that subsides to discomfort, inflammation, and redness.
Gout frequently affects the large joint of the big toe, but can also affect the forefoot, ankles, knees, elbows, wrists, and fingers.
The majority of gout cases are treated with medication, Medication can be used to treat, the symptoms of gout attacks & prevent future flares & reduce the risk of gout complications, like kidney stones, and the development of tophi.
Commonly used medications include nonsteroidal anti-inflammatory drugs, colchicine or corticosteroids. These reduce inflammation & pain in the areas affected by gout, and are usually taken orally.
Medications can also be used to either reduce the production of uric acids, or improve the kidney’s ability, to remove uric acid from the body.
Joint fluid test;
Urate crystals may be visible when, the fluid is examined under a microscope.
• Blood test;
measure the levels of uric acid and creatinine in blood.
• X-ray imaging;
Joint X-rays can be helpful to rule out other causes of joint inflammation.
Musculoskeletal ultrasound can detect urate crystals in joint or in tophus.
• Dual energy CT scan;
detect the presence of urate crystals in a joint, even when it is not acutely inflamed.
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