Acute attacks of gout are treated with:
1. NSAID, especially indometacin. Indometacin also increases the elimination of uric acid through the kidneys;
2. Aspiration of the fluid from the affected joint and injecting corticosteroids inside the affected fluid;
3. Cold compresses and resting.
Prevention of further attacks of gout is done by keeping the uric acid inside the referent values. This can be achieved with:
1. Dietary regime – patient should avoid alcohol drinks (especially beer) and inner organs (liver, kidneys etc.). Meat, fish and some vegetables (bean, mushrooms) should be eaten in moderate amounts. You can freely eat cereals, milk and milk products, oils, fruits and juices, eggs, coffee, teas, chocolate, sugar, most of the vegetables, spices etc. Reducing your weight and drinking a lot of liquids is also recommended;
2. Medicines – Alopurinol should be taken after the third attack and if uric acid in the blood stays higher than 400 µg/L besides the proper dietary regime. Brobenicid is an alternative for alopurinol but only if the kidneys are functioning normally.
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