Sunday, 7 December 2014

Gout | Cause, Signs & Symptoms Treatment & Homeopathy

Gout is a disorder of purine metabolism, occurring especially in men, characterized by a raised but variable blood uric acid level and severe recurrent acute arthritis of sudden onset resulting from deposition of crystals of sodium urate in connective tissues and articular cartilage.
It is a painful condition of small joints as uric acid crystals get deposited like a needle in the joints.
Uric acid is usually harmless, and is made in the body. Most is passed out with the urine, and some from the gut with the faeces (stools). In people with gout the amount of uric acid in the blood builds up. From time to time the level may become too high and tiny grit-like crystals of uric acid may form.
Deposited uric acid crystals may form a lump in the joints which is called as tophi.


Some people have a high level of uric acid but do not form crystals or have gout. Also, rarely, some people with a normal level of uric acid have gout attacks. However, as a rule, the higher the level of uric acid, the greater the chance of developing gout.

Scientists estimate that 6 million adults age 20 and older report having had gout at some time in their lives

What cause Gout?

A number of risk actors are associated with high uric acid level and gout attack.

·         Genetic: - In many patients with gout has family history of the same. Estimates range from 20 to 80 percent.
ender and age. It is more common in men than in women and more common in adults than in children.
·         Obesity: - High uric acid level I seen in overweight subjects.
·         Alcohol conception: - Too much alcoholic drinks especially beer can cause hyperuricemia(High uric acid level in blood)
·         Diet: - Foods which are high in purines can cause or aggravates gout. Those who suffer from gout should limit the foods which are high in purines like meet, Beer, anchovy, spinach Etc
·         Some health conditions: - Renal insufficiency is one of the most common cause of gout where kidney fails to eliminate uricacid from the body.
Some conditions like Hypertension, hyperthyroidism, Psoriasis, Kelley-Seegmiller syndrome or Lesch-Nyhan syndrome, Hemolytic anemia, Lead poisoning Etc
·         Some medication can cause gout: - Diuretics, which are taken to eliminate excess fluid from the body in conditions like hypertension, edema, and heart disease, and which decrease the amount of uric acid passed in the urine
§  Salicylate-containing drugs, such as aspirin§  Niacin, a vitamin also known as nicotinic acid§  Cyclosporine, a medication that suppresses the body’s immune system (the system that protects the body from infection and disease). This medication is used in the treatment of some autoimmune diseases, and to prevent the body’s rejection of transplanted organs.
§  §Levodopa, a medicine used to support communication along nerve pathways in the treatment of Parkinson’s disease.




Sign and symptoms

·         Intense and sudden onset of pain in effected joints usually at night
·         Redness with shiny skin over effected joints
·         Swelling or lump caused by tophi due to deposition of uricacid crystals which are tender to touch
·         There can have high uric acid in blood
·         Uric acid crystals can be seen in joint fluid

How is gout diagnosed?

It is not so easy to diagnose gout as it mimics many other joint diseases.
High uric acid level is seen in most of the patient with gout but normal uric acid level does not rule out this condition.
X ray of effected join can help to diagnose it
Synovial fluid aspiration to detect the uric acid crystals in it

How is gout treated?

A short course of anti-inflammatory pain killers (NSAIDs) are used to stop the pain and inflammation.
Long term use of NSIDs (Non-steroid anti-inflammatory drugs) is not healthy as it may damage kidneys.
On Acute attacks apply icepacks to reduce the pain.

Homeopathy for Gouty arthritis

Homeopathic remedies can help you to reduce the pain caused by gout and put the uric acid level in blood to normal.
Homeopathic remedies are selected by proper analysis of your mental physical and emotional symptoms.
A constitutional remedy prescribed by an experienced homeopath may help to reduce the likelihood of further episodes.
We are listing out some of the most common homeopathic medicines below.
Aconitum napellus –
 The person is anxious, with a good imagination that can picture many terrible things. The joints are swollen and painful. The pain is worse at night and with warmth, but better with fresh air and rest.
Arnica
 Arnica can also be very helpful for discomfort that comes with gout. Pain is sore and bruise-like, and it hurts to walk. The person may be afraid to be approached or touched, because of pain.
Belladonna: Useful for symptoms such as sudden onset, swelling, throbbing, heat, and. The joints look red, inflamed, and shiny - with sharp or violent pains that are worse from touch and jarring. The person may feel restless, flushed, and hot. Take
Benzinum acidum: 3X every four hours in gouty subjects with high- smelling urine.
Berberis vulgaris:
 Twinges of pain in gouty joints, or stitching pains that are aggravated by changing position or walking, may indicate a need for Berberis vulgaris. Berberis is often indicated for people who ache all over; some have nagging back pain or a tendency toward kidney stones.
Bryonia: Bryonia is helpful when tearing pain is worse from the slightest movement.
Calcarea fluorica:
 When the finger joints become enlarged because of gout, and the knees and toes may be involved, it may be time for this remedy. Stabbing pain is experienced, and the joints may make a cracking sound on movement. Discomfort is worse during weather changes, and warmth may bring relief.
Colchicine: 3X,
every two to four hours for great weariness, nausea, shoutings and tearings in muscles and joints worse with movement, better at night. Tearings in legs, feet, and toes with swelling.
Colchicum:
 Colchicum is useful for gout in the big toe or heel-so painful the person finds both motion and touch unbearable. The joints are swollen, red and hot. Pain is often worse in the evening and at night. Flare-ups may occur in the springtime or with weather changes. Individuals who need this remedy often have a feeling of internal coldness and are very tired.
Guaiacum 3X, every four hours in gout.
Ledum palustre:
Ledum palustre is indicated when the foot and big toe are swollen. Shooting pains are felt all through the foot and ankle, moving upward to the knee. Cold applications relieve both the swelling and the pain.
Pulsatilla nigricans: 3, every two hours when gout flies about from joint to joint.
Rhododendron:
 When you experience gouty swelling of the big toe joint that flares up before a storm, this remedy may be indicated. Other joints may ache and swell, especially on the right side of the body. Pain usually is worse toward early morning and after staying still too long. The person may feel better from warmth and after eating.
Rhus toxicodendron:
This remedy can be helpful for joints that are hot, stiff, painful, and swollen. Symptoms are worse in cold, damp weather and improved by warmth and gentle motion.
Sabina 
 The person is depressed. There is gouty pain and nodules may develop at the afflicted joint. Movement and heat make the pain worse; cool fresh air makes it better. Also when connected with uterine disorder
Sulphur:
 When you have painful gouty joints that itch, along with a burning feeling in the feet, Sulphur may be useful. The knees and other joints may be involved. Problems are aggravated by heat in any form, and are often worse in damp weather and in springtime.

Source:

http://www.arthritisresearchuk.org
http://www.niams.nih.gov/Health_Info/Gout/default.asp
http://reference.medscape.com