Gouty Arthritis - Do You Have It?
The joints in your big toe have been hurting really bad, and you've noticed that it has turned warm, red, and seems to be swelling. For a while, you ignore the pain, and thankfully it disappears for a while, only to come back at odd times with a vengeance. If you're no longer too young, but just young at heart, then chances are, you may want to go see your doctor and ask if you might have symptoms of gouty arthritis.
This kind of arthritis is just one of the more than 100 types of diseases in this category. However, gouty arthritis is one of the most painful among these and is caused by needle-like crystals of uric acid that form in your joints (usually, in this disease, the big toe, although other joints can be affected as well, like the heel, elbow, knees, wrists, fingers, etc.). So, if you can imagine those "needle-like crystals" pricking your joints, then you can understand why there is so much pain involved in this disease.
Gouty arthritis has four stages, namely:
1.Asymptomatic - At this stage, the person may have tested to have elevated levels of uric acid, probably in a general medical screening, but is not experiencing any pain in any joints. The doctor usually will not prescribe any treatment at this stage, but may suggest some diet changes to prevent the condition from worsening.
2.Acute Gout - At this stage, the person begins to feel pain, and swelling and redness of the joints, leading to what is called as a "gouty attack". These attacks can happen intermittently. It is a good idea to visit your doctor once you feel any acute pain in the joint area to prevent the disease from progressing.
3.Interval - This is the "interval" between gouty attacks, when a person is not experiencing any pain at the moment. Many people mistakenly think that the worst is over when they are in an interval stage and refuse to visit the doctor. What they don't know is that this is exactly what it is named, an interval, and there may be an attack waiting just around the corner.
4.Chronic Gout - When there is no or very short interval between attacks, and there is already permanent damage to the joints. Constant pain medication is needed for this type of gout and it is essential that a physician oversee this disease at this stage. If proper treatment is adhered to in the Acute Gout stage, then one may never progress to this stage.
How is Gouty Arthritis diagnosed?
If you think you are already are experiencing the attacks, when you visit the doctor, then chances are, he may ask for any one or all of the following tests:
1.Synovial Fluid Analysis - Synovial (joint) fluid is extracted from your joints through a sterilized needle inserted in the space. The fluid has a straw-like color and is then analyzed in a lab. Normally, joint fluids that look cloudy or is thick may be abnormal.
2.Uric Acid Test - This is done through a simple blood test taken from a vein or capillary. The blood is then tested for levels of uric acid. If it is high then it will confirm gouty arthritis
3.Joint X-ray - An x-ray of the joint may also be needed to properly see how the arthritis has progressed in the area.
How is Gouty Arthritis treated?
Treatment of gouty arthritis is usually geared toward immediate relief and stopping the pain and inflammation that come with the attacks. Medication is also given to prevent future attacks.
One of the drugs prescribed to reduce the pain, inflammation and swelling is Colchicine and often makes the pain settle in 12 to 48 hours. This medication decreases the inflammation and therefore the pain, but it does not alter the uric acid levels in the blood, although daily use of it helps to prevent subsequent attacks.
Over-the-counter pain relievers can also be effective if it is taken at the onset of the pain.
At times, a diet low in purines is given to lessen the uric acid levels. Some foods that may have to be abstained from are beef, pork, poultry, fish, shellfish, gravy, soda pop, beer, wine, etc.
No comments:
Post a Comment