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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