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This article was co-written by Siddharth Tambar, MD. Siddharth Tambar is a rheumatologist at Chicago Arthritis and Regenerative Medicine in Chicago, Illinois. With over 19 years of experience, Tambar specializes in rheumatic and regenerative medicine, focusing on the use of platelet-rich plasma and bone marrow stem cells for the treatment of rheumatoid arthritis, tendonitis, and trauma. back pain and pain. Dr. Tambar holds a bachelor’s degree in economics from the State University of New York at Buffalo. He earned his doctorate from the State University of New York at Syracuse. He completed his internship, internal medicine residency, and rheumatology doctorate at Northwestern Memorial Hospital. Tambar is board-certified in both rheumatology and internal medicine. He also has a certificate in interventional techniques, diagnosis by musculoskeletal ultrasound of the American Rheumatology Association and the American Institute of Applied Ultrasound in Medicine.
There are 11 references cited in this article that you can view at the bottom of the page.
This article has been viewed 14,952 times.
Gout flare-ups are often excruciatingly painful and can keep you awake at night. Gout occurs when urate crystals form in the joints. Gout usually occurs in the big toe, but other joints of the feet and hands can also be affected. Gout joints are painful and inflamed. [1] X Trusted Source Mayo Clinic Go to the Source The most effective way to treat Gout is with medication recommended by your doctor. You can also use some home remedies to ease the pain and make lifestyle changes to reduce the risk of gout flare-ups. [2] X Trusted Source Mayo Clinic Go to Source
Steps
Pain relief at home
- If your leg is affected, you should lie on the bed and raise your leg above your body by resting it on a pillow.
- If the pain is too much, the pain may be so intense that it is impossible to raise the leg.
- Apply ice cubes for 20 minutes and then let the skin recover moisture. This step will prevent the ice cubes from damaging the skin.
- If ice cubes are not available, you can use frozen peas or corn packs.
- Ice cubes or cold vegetables should not be applied directly to the skin, but should be wrapped in a thin towel.
- Anti-inflammatory medications you can take include Ibuprofen (Advil, Motrin IB) and Naproxen Sodium (Aleve).
- People with stomach ulcers, bleeding, kidney disease and blood pressure should not take these drugs.
- Do not take Aspirin because it increases uric acid levels. [6] X Trusted Source Mayo Clinic Go to Source
- If you are taking other medications, consult your doctor to avoid possible drug interactions.
Lifestyle changes to reduce gout flare-ups
- Eat less red meat, such as steak.
- Do not eat wild meat such as rabbit, pheasant and venison.
- Avoid organ meats like liver, kidney, heart and spleen.
- Eat less seafood, especially caviar and shellfish like mussels, crabs, and shrimp. You should also avoid eating fatty fish such as sardines, anchovies, mackerel, anchovies, small white fish, herring and salmon.
- Yeast extracts and meat juices such as Marmite, Bovril, and many commercially available gravies are also high in purines.
- Low-fat dairy products may reduce the risk of gout flare-ups.
- Drinking a glass of wine from time to time is okay, even very beneficial for health. [11] X Research Source
- However, drinking too much alcohol can cause a gout flare-up.
- Drinks flavored with cherry blossom extract are an exception. However, you should not choose one that has artificial flavors or contains sugar. Cherries and cherry extracts can help lower uric acid levels. [13] X Trusted Source Mayo Clinic Go to Source
- Everyone’s water needs are different, depending on their body size, activity level and climate. However, you should drink at least 8 glasses of water a day. [15] X Trusted Source National Health Service (UK) Go to Source
- Feeling thirsty means you are dehydrated, so you should quickly rehydrate your body. Less urination and dark or cloudy urine are signs that you are dehydrated.
- Try to spend 30 minutes (5 days/week) doing moderate-intensity exercise like walking, or 15 minutes doing more intense exercise like running. [16] X Trusted Source Mayo Clinic Go to Source
- Swimming is also an ideal sport that does not put pressure on the joints, thus reducing the risk of injury.
- Fast weight loss diets are usually high in protein and low in carbohydrates. However, these diets are also high in purines and can cause gout.
- Consult your doctor to see if a supplement is right for your body.
- Vitamin C only reduces uric acid by a small amount, so it can help prevent new gout flares, but it cannot treat the disease.
Know when to see a doctor
- Gout symptoms include severe pain, inflammation, and redness in the affected joint within a few hours, and the pain is less intense but may persist for days or weeks afterward. The joints of the hands and feet are the most commonly affected sites. [19] X Trusted Source Mayo Clinic Go to Source
- Gout can be controlled with lifestyle changes, however, to treat gout, you often need to take medication.
- See a doctor immediately if a gout flare-up is accompanied by a fever and hot joints. These symptoms could be signs of an infection and should be treated quickly. [20] X Trusted Source Mayo Clinic Go to Source
- Non-steroidal anti-inflammatory drugs. If OTC medications don’t work and don’t provide relief, your doctor may prescribe stronger medications
- Cpchicine. This is a drug that reduces the inflammatory response of the joint membrane to the crystals.
- Corticosteroids. Corticosteroids can be injected directly into the joint for immediate relief and are especially useful for people who cannot tolerate non-steroidal anti-inflammatory drugs (NSAIDs). However, long-term use of corticosteroids is not recommended.
- If you have a history of gout, your doctor may prescribe medication to lower your uric acid levels by either reducing the amount of uric acid your body produces or by increasing the amount of acid your body eliminates. [22] X Trusted Source Mayo Clinic Go to Source
- Diet high in meat, seafood, sweet drinks and beer.
- Overweight.
- High blood pressure, diabetes, metabolic disorders, heart disease or kidney disease.
- Certain antihypertensive drugs, anti-rejection drugs after transplant surgery, or Aspirin.
- Family history of gout.
- Have undergone surgery or suffered an injury.
- Men have a higher risk of gout than women. However, women are more likely to develop gout after menopause.
Warning
- Aspirin should not be used even though it is intended to relieve pain. Aspirin has been shown to increase blood uric acid levels, which in turn can cause increased pain and inflammation in the affected joints.
- Always consult your doctor before adopting any new diet or home remedy.
This article was co-written by Siddharth Tambar, MD. Siddharth Tambar is a rheumatologist at Chicago Arthritis and Regenerative Medicine in Chicago, Illinois. With over 19 years of experience, Tambar specializes in rheumatic and regenerative medicine, focusing on the use of platelet-rich plasma and bone marrow stem cells for the treatment of rheumatoid arthritis, tendonitis, and trauma. back pain and pain. Dr. Tambar holds a bachelor’s degree in economics from the State University of New York at Buffalo. He earned his doctorate from the State University of New York at Syracuse. He completed his internship, internal medicine residency, and rheumatology doctorate at Northwestern Memorial Hospital. Tambar is board-certified in both rheumatology and internal medicine. He also has a certificate in interventional techniques, diagnosis by musculoskeletal ultrasound of the American Rheumatology Association and the American Institute of Applied Ultrasound in Medicine.
There are 11 references cited in this article that you can view at the bottom of the page.
This article has been viewed 14,952 times.
Gout flare-ups are often excruciatingly painful and can keep you awake at night. Gout occurs when urate crystals form in the joints. Gout usually occurs in the big toe, but other joints of the feet and hands can also be affected. Gout joints are painful and inflamed. [1] X Trusted Source Mayo Clinic Go to the Source The most effective way to treat Gout is with medication recommended by your doctor. You can also use some home remedies to ease the pain and make lifestyle changes to reduce the risk of gout flare-ups. [2] X Trusted Source Mayo Clinic Go to Source
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