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- $Unique_ID{BRK01551}
- $Pretitle{}
- $Title{A Bit About Gout}
- $Subject{gout gouts Metabolism metabolic diets dieting dietary diet drinking
- habits habit toes knee elbow shoulder ankle hands big toe knees elbows wrists
- shoulders ankles Obesity alcohol joint hand diuretics wrist osteoarthrosis
- arthritis pyarthrosis joints colchicine}
- $Volume{C-17}
- $Log{
- Gout Affects the Elbow*0003801.scf
- Gout Affects the Knee*0003803.scf
- Gout Affects the Ankle*0003804.scf
- Gout Affects the Toes*0003805.scf
- Gout Affects the Hand*0003807.scf}
-
- Copyright (c) 1991-92,1993 Tribune Media Services, Inc.
-
-
- A Bit About Gout
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-
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-
- QUESTION: My latest visit to the doctor now reveals that I have gout in
- addition to all the other ailments. Can you please tell me a bit about my new
- disease and what I have to look forward to?
-
- ------------------------------------------------------------------------------
-
- ANSWER: There is some good news. Gout frequently can be controlled by proper
- medical treatment. Being temperate and consistent in diet and drinking habits
- also help guard against attacks of the disease.
- An acute attack of gout is one of the most painful conditions known in
- medicine and the memory of it seldom fades in those people who have suffered
- such attacks.
- A "typical" gout patient is a middle-aged man with swelling and pain that
- comes and goes. Often the affected site is his big toe, although gout can
- strike in several other areas, particularly the knees, elbows, wrists,
- shoulders, and ankles. Obesity, a family history of other gout sufferers, and
- excess alcohol consumption are other peculiarities of a gout patient in
- younger age groups.
- In the elderly, gout is as common in females as in males and gout that
- affects several joints is an especially common complaint.
- Gout occurs rather frequently in elderly people in joints other than the
- big toes. The hand often is involved when elderly women, who have used
- diuretics for years, suffer from gout. The wrist also gets a share of gout
- attacks, as well as elbows and shoulders.
- Attacks seem to occur most frequently in the early hours of a day,
- between 4 and 5 AM, often after too much food, alcohol, or even exercise, or
- conversely, a period of starvation, such as a crash diet. Additionally, gout
- may be brought on by any break or change in a person's normal routine. For
- example an episode of acute infectious illness may precipitate a gout attack.
- Sudden severe attacks of gout may be considered a medical emergency, and
- should receive immediate attention. The patient should rest in a chair or bed
- with the affected limb protected and raised. Cold compresses often are useful
- until drugs can ease the pain and stop the attack.
- While diagnosing gout is not very difficult for a physician, there are
- several conditions that mimic it causing much the same type of pain, redness
- and swelling. Two of the most common of these are: osteoarthrosis, a form of
- chronic arthritis that does not produce the burning sensations in the affected
- parts of the body, that an attack of the gout can; and pyarthrosis, a type of
- arthritis affecting fluids in joints of the body producing heat, pain, and
- swelling there along with fever and an overall unwell feeling.
- A medicine known as colchicine is an often prescribed drug for treating
- gout. Several new nonsteroidal anti-inflammatory drugs (NSAIDS) are also
- proving beneficial.
- Those and other medicines can help to keep gout attacks from recurring.
- Also, elderly patients would do well to limit their consumption of beer, heavy
- wines, and champagnes, as well as binge eating and drinking during special
- occasions such as holidays.
- Well, now that you know more about gout than you ever wanted to, you have
- learned one import fact. Your gout can be controlled, so your future doesn't
- look so bleak now, does it?
-
- ----------------
-
- The material contained here is "FOR INFORMATION ONLY" and should not replace
- the counsel and advice of your personal physician. Promptly consulting your
- doctor is the best path to a quick and successful resolution of any medical
- problem.
-
-