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Gout: Introduction, Causes, Symptoms, Treatments

Gout is a type of arthritis that occurs when uric acid crystals build up in the joints, leading to inflammation and severe pain. Check this article to know more about the Gout.
authorImageJasdeep Bhatia20 Jun, 2024
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Gout

Gout falls within the broad definition of "arthritis," which covers a range of painful joint disorders. Other varieties of arthritis do not result in joint inflammation, whereas some do. Gout is an example of inflammation-related arthritis. Uric acid crystals are to blame for the problem.

In one or more joints, gout causes swelling and pain. The big toe is frequently impacted. Other joints, such as the ankle, foot, knee, and elbow, can also exhibit it. In this article, we will discuss Gout, its causes, effects, and risk factors, and the general treatment available for this condition.

Glyolysis and Glycolytic Pathway

What is Gout?

If you have ever come across a person suffering from swollen toes or other fingers, and having constant joint pain, then there are chances that the person might be suffering from Gout. This article will help you correctly identify the disease by understanding its symtpoms and effects. Everyone is susceptible to the prevalent and difficult form of arthritis known as gout. One or more joints, most frequently the big toe, experience sudden, intense pain, swelling, redness, and tenderness. When having a gout attack, the big toe may feel like it's on fire and may wake someone up in the middle of the night. Even the pressure of the bedsheet may appear terrible on the afflicted joint, which is heated, swollen, and extremely sensitive. There are techniques to control gout symptoms and avoid flare-ups, even if they may come and go.

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What are the Causes of Gout

When urate, a chemical in the body, piles up and crystallises in the joints, it causes gout. This causes alterations in how the afflicted joint moves and is used, as well as discomfort, edema, and redness. Not everyone who has high urate levels, though, gets gout. Purines, present in many meals and the body's tissues, are the source of uracil. Urate is the product of the breakdown of purines. Urate typically exits the body through urine. But if people don't get enough urate out of the system, it builds up in the blood and forms needle-shaped crystals in the joints, which leads to inflammation and painful gout flare-ups.

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What are the Symptoms of Gout?

Pain in the afflicted joint is the main sign of gout. Gout often flares up in one of the big toes of the affected person, but it can also affect other joints in the body. Gout flare-ups frequently begin abruptly at night, and the severe pain may be so severe that it causes people to wake up. The joint may also feel tight, heated, red, and swollen. Gout flares often affect just one joint and can be brought on by specific meals, drinks, drugs, physical stress, or diseases. Flares normally subside over a week or two, with no symptoms present in between. While some people may experience flares often, others can go years without experiencing one. The abrupt appearance of gout is known as an attack. Gout attacks are extremely painful and often happen overnight. They can happen swiftly. In the affected joint(s), one can notice any of the following symptoms of a gout attack:
  • Heat sensation.
  • A terrible pain.
  • Irritated skin.
  • Tightness.
  • Edema.
Especially with the heart and kidneys, certain gout patients may be more prone to other illnesses or problems. Common ailments include
  • Hypertension (high blood pressure) (high blood pressure).
  • A persistent renal condition.
  • Overweight.
  • Obesity.
  • Diabetes.
  • Nephrolithiasis (kidney stones) (kidney stones).
  • Ischemic Heart Disease (heart attack).
  • Chronic heart failure.

Genetic Drift

Who are at Higher Risk of developing Gout?

The chance of acquiring gout may be increased by certain medical conditions, such as
  • Obesity or being overweight.
  • Excessive blood pressure, high blood sugar, abnormal cholesterol levels, and extra body fat around the waist are all symptoms of the disorder known as metabolic syndrome.
  • When the kidneys are damaged and unable to filter blood, chronic kidney disease can occur properly.
  • Elevated blood pressure.
  • Conditions including psoriasis, hemolytic anemia, or certain malignancies that cause the cells to divide quickly.
  • In the uncommon diseases known as Kelley-Seegmiller syndrome and Lesch-Nyhan syndrome, the body either lacks or doesn't produce enough of the enzyme that controls urate levels.
Some people are more prone to develop gout. The body's level of uric acid might rise as a result of the following factors:
  • Certain medicines. Uric acid levels can also rise when using low doses of aspirin and several drugs used to treat hypertension, such as thiazide diuretics, ACE inhibitors, and beta blockers. Anti-rejection medications that are provided to organ transplant recipients can also be used.
  • Gout runs in the family. There is a higher risk of developing gout if other family members have the condition.
  • Sex and Age. Men are more likely to get gout than women, largely because women typically have lower uric acid levels. But after menopause, uric acid levels in women resemble those in males. Men are also more likely to get gout symptoms sooner than women, often between 30 and 50. Women typically experience these symptoms after menopause.
  • Diet. Consuming foods and beverages sweetened with fruit sugar (fructose) and eating a lot of red meat and shellfish raise uric acid levels, which raise the chance of developing gout. Additionally, drinking alcohol—especially beer—raises your chances of developing gout.
  • Weight. Being overweight causes the body to manufacture more uric acid and makes it harder for the kidneys to eliminate it.
  • Ailment conditions. A few illnesses and conditions increase the chance of getting gout. Untreated high blood pressure and chronic illnesses, including diabetes, obesity, metabolic syndrome, and heart and renal disease, are some examples.

Gastric Symptoms

Treatments Available

Certain drugs help with symptom control:
  • NSAIDs can decrease pain and swelling. Due to kidney disease, stomach ulcers, and other medical issues, certain people cannot use NSAIDs.
  • Within 24 hours after a gout attack, people who take colchicine may experience reduced pain and inflammation. It's consumed orally.
  • Corticosteroids can relieve pain and edema.
The following medicines reduce the body's uric acid levels to prevent or minimise future gout attacks:
  • Utilising allopurinol in tablet form.
  • Taking febuxostat in tablet form.
  • Intravenous administration of Pegloticase (in a vein).
  • Ingesting a pill form of probenecid.

Genetic Code Codons Amino Acids

1. What is the primary cause of Gout disease?

The inability of the body to metabolise or excrete urate results in its accumulation in the joints, mainly the big toe, thereby causing Gout and its symptoms. 

2. What are the indicators of the onset of Gout?

A sudden burst of intense pain in the joints, especially the big toe, can be an indicator of the onset of Gout. Other symptoms may include heat sensation and burning tingling in the fingers. 

3. Which people are at higher risk of developing Gout?

People having genetic conditions which make the metabolism of urate slow are at a greater risk of developing gouts. The condition can also affect people having high blood pressure and obesity. 

4. Which treatment is most effective for Gout attacks?

Colchicine, an anti-inflammatory drug, is highly effective in reducing swelling and provides immediate effective relief from gout. 
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