hamro doctor logo Login
  • Consult Now
  • Book Appointment
  • Health Packages
  • Ask Free Question
  • Login

GOUT

4724 Views

It is an acute inflammatory arthritis (inflammation of joints). Gout is characterized by sudden, severe attacks of pain, redness and tenderness in joints, often the joint at the base of the big toe. Gout is caused by monosodium urate monohydrate crystals and  pseudogout is caused by calcium pyrophosphate crystals

Symptoms

Intense joint pain: Gout usually affects the large joint as big toe, but it can occur in your feet, ankles, knees, hands and wrists. The pain is likely to be most severe within the first four to 12 hours after it begins.

Inflammation and redness: The affected joint or joints become swollen, tender, warm and red.

Limited range of motion: Decreased joint mobility may occur as gout progresses.

Fever may be present (infectious arthritis).

Eye involvement – Tophi, crystal-containing conjunctival nodules, band keratopathy, blurred vision, anterior uveitis (rare), scleritis

Diagnosis

  • Joint aspiration and synovial fluid analysis
  • Serum uric acid measurement (though hyperuricemia is not diagnostic of gout)
  • 24-hour urinary uric acid evaluation
  • Blood studies (including white blood cells [WBCs, triglyceride, high-density lipoprotein, glucose, and renal and liver function tests) 

Preventions

Both lifestyle changes and medications can decrease uric acid levels. Dietary and lifestyle choices that are effective include reducing intake of food such as meat and seafood, consuming adequate vitamin C, limiting alcohol and fructose consumption, and avoiding obesity. Drugs used are NSAIDS, Colchicine, steroids, probenecid,  sulfinpyrazone etc

 

Complications

  • Severe degenerative arthritis
  • Secondary infections
  • Urate or uric acid nephropathy
  • Increased susceptibility to infection
  • Urate nephropathy
  • Renal stones
  • Nerve or spinal cord impingement
  • Fractures in joints with tophaceous gout 
Please Add your review
Submit Your Review

Related Questions

Can acute oesteomylietis be fatal when there an open fracture wound that discharge pus?

Read More

Is there a latrophobia doctor?

Read More

i am facing Phemosis and would like to undergo circumcision. i would like to know the cost and time required at hospital

Read More

my father has a stone in gall bladder 6.7mm is surgery compulsory? or do we have any alternative ways of treatment for this

Read More

hi these is my second time, i am 21 years old male and my problem is having tight penis forskin i want to remove and do the circumcision. Any suggestions like where should i go and what should i do, i am really woundering that is there any side effects????

Read More

Latest published articles

Select a consultation service from the list.
Common Diseases in Nepal
on 15 December, 2021
सेतो दुबी (Vitiligo) सचेतना महिना जुन र बिश्व सेतो दुबी दिवस २०२१
on 21 August, 2021
Kidney Transplantation In Nepal
on 8 August, 2021
COVID-19 Vaccine Centres in Kathmandu
on 1 August, 2021
अल्सरेटिव कोलाइटिस : दिसा संगै रगत मिसिएर आउने रोग
on 14 February, 2021
What is the risk factor for diabetes?
on 10 February, 2021
hamro doctor logo

Anamnagar - 29, Kathmandu, Nepal

+977 9801887073 / +977 1 4102891

GPO Box 2116

[email protected]

We accept Payment with

     

  • About Us
  • Contact Us
  • Terms of Use
  • Privacy
  • Advertise
  • Careers
  • FAQ
  • Add Hospital

     

  • Ambulances
  • Health Clubs
  • Health Feed
  • Pharmaceuticals
  • Surgical Distributors
  • Events
  • Blog
  • Register as a doctor

 

  • Doctors
  • Hospitals
  • Clinics
  • Blood Donors
  • Labs and Diagnostic
  • Services
  • Medicines
  • Diseases
Copyright 2022. A product of Healthy Life Foundation, Supported by Makura Creations

Call From

Join Reject