Gout is a consequence of increased levels
of uric acid in the blood (hyperuricemia).
The additional uric acid precipitates in
or around the joints causing inflammation
followed by great pain and, after time,
deformation of the joint. Hyperuricemia is
caused either by increased production of
acid uric or its decreased excretion from
the kidneys.
Therapy and treatment for gout has 2
phases. The first phase treats the
inflammation and pain. Medications used in
this phase are: Non-steroid
anti-inflammatory drugs (NSAID),
colhicine, and corticosteroids. Of the
NSAIDs, indometacine is the most
efficient. The second phase treats the
hyperuricemia. This phase includes drugs
that help decrease the production of uric
acid (allopurinol) and other drugs that
increase the excretion of uric acid
through the kidneys (probenecid and
anturan). The latter can be used only if
the kidneys are functioning normally.
Other measures for treating gout are:
decreasing the body weight, diet with less
purines in the food, avoiding alcohol,
coffee, physical and mental stressors,
avoiding medications that decreases
kidneys’ clirens and drinking more
liquids (2-3 liters per day).
In your case, it seems that you can
attempt to use corticosteroids and
decrease body weight. You can also
consult a rheumatologist for an expert
opinion!
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