It's no exaggeration. When gout hurts, it's killing me! It's very quick for you to control the pain

 The end of the year is approaching, and again is the season of high incidence of gout.

For people with hyperuricemia, a banquet or a bowl of broth may induce a gout attack, especially in the middle of the night. The pain like tearing and burning is unforgettable for a lifetime . Gout can sometimes make patients feel irresistible. There was a news report that a male patient had frequent attacks of gout and finally couldn't stand it and chose to...

How to quickly relieve the pain when gout is acute?

Gout attacks often have no symptoms, especially acute gout, which often occurs in the middle of the night or early morning. If there is no relief medicine around for a while, it is really painful.

For acute gout attack, Zhongshan Hospital Rheumatology Division Yang Xiuyan Jiaoshou recommend using ice or cold water swelling and pain in the joints , you can play the effect of temporarily ease the pain. But it should be noted that this is only a temporary solution , and patients need to go to the rheumatology department of the hospital for treatment as soon as possible.

In terms of drug use, three types of drugs are used for acute gout attacks according to different conditions: colchicine, anti-inflammatory analgesics, and hormones .

Colchicine is the basic medicine for the treatment of acute gout. It is usually effective when taken within 12 hours of the onset of gout . However, it should be noted that colchicine is more " toxic " and cannot be taken in large doses. The highest dose is 1 mg/ Times , and then combined with anti-inflammatory analgesics to work together. The side effects of colchicine are often obvious, which can cause diarrhea, abdominal pain, nausea, and vomiting. At the same time, adverse reactions such as liver and kidney damage and bone marrow suppression may occur .

In addition, combined hormone medication is also a way to relieve acute gout attacks, but the systemic side effects caused by hormones are also obvious. Therefore, treatment is usually taken in large doses in a short period of time , and the drug is stopped after 3 to 5 days of treatment. In this way, the pain can be relieved to the greatest extent, and then treated with anti-inflammatory analgesics. During this period, a small dose of colchicine can also be used continuously until the blood uric acid level reaches the standard.

In general, this is a clinical emergency treatment measure. If you want to relieve symptoms for a long time, you need to take preventive measures in your life.

Recurrent gout attacks, these 5 points are the key

At present, primary gout cannot be cured. In addition to emergency pain relief measures, patients should adjust their lives and control their condition in a stable state.

1. limit purine intake : high-purine foods is the main cause of gout attacks, while non-purine or low purine diet can reduce the production of uric acid . Therefore, gout patients should avoid eating high-purine foods such as animal organs and seafood. In daily life, they should eat more vegetables and fruits without purine, as well as low-purine mushrooms and soy foods.

2. Limit food calories : Obesity and overweight are also causes of gout. Therefore, obese patients should control their total daily food intake to reduce the onset of gout.

3. Drink less or don't drink : Purines in alcohol cause blood uric acid to rise, and the lactic acid produced by metabolism will further inhibit the excretion of lactic acid, and then induce gout attacks. Therefore, patients with a history of gout should stop drinking.

4. Drink plenty of water : Patients with gout should maintain 2000 ml of water per day and avoid high-sugar beverages.

Insist on exercise to control weight: Insist on physical exercise, such as running, brisk walking or swimming, can keep your weight within a reasonable range, thereby reducing the risk of gout attacks.

About gout, you have to know these

Q1: Gout is also divided into true and false, high uric acid + joint pain ≠ gout

Some patients are considered to be gout due to excessive blood uric acid levels and certain joint pain. In fact, middle-aged and elderly people often have inflammation problems such as osteoarthritis, reactive arthritis, and rheumatoid arthritis. Most people also have elevated blood uric acid. This situation may occur in one person at the same time, but it is not necessarily a gout attack.

Q2: How much uric acid exceeds the standard before taking medicine?

Simple elevated blood uric acid does not necessarily require immediate medication.

Clinically, if the blood uric acid exceeds 420umol/L in men and 360umo1/L in women , it can be defined as exceeding the standard. But in fact, exceeding the standard does not mean taking medicine immediately . In the group with excessive uric acid, less than 10% will eventually develop gout . Therefore, the current common measure is that if the blood uric acid value does not exceed 600umol/L and there are no symptoms of joint pain, in this case, only blood uric acid needs to be tested regularly, while diet and exercise are required to be controlled without medication .

Q3: The blood uric acid level reaches the standard, but the drug still cannot be stopped

For patients who are already gout, controlling the blood uric acid level is a long-term goal. After taking the medicine, the blood uric acid level returns to normal and they feel that the medicine can be stopped. This is actually wrong.

The blood uric acid level must be kept within the normal level for a long time, so as to prevent gout attacks. Patients with gout should keep the habit of taking medicine for a long time, just like hypertension or diabetes, insist on taking medicine and maintain a reasonable diet and living condition to avoid the attack.