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Gout is a form of Inflammatory arthritis that develops in some people who have high levels of uric acid in the blood stream. The acid can form needle-like crystals in a joint and cause sudden, severe episodes of pain, tenderness, redness and swelling.

 

Pathophysiology
Gout is a disorder of purine metabolism, and occurs when its final metabolite, uric acid, crystallizes in the form of monosodium urate, precipitating and forming deposits (tophi) in joints, on tendons, and in the surrounding tissues.  Than occur inflammatory action due to wbc.

Our body produces uric acid when it breaks down purine — substances that are found naturally in your body.

Normally, uric acid dissolves in your blood and passes through your kidneys into your urine. But sometimes either your body produces too much uric acid or your kidneys excrete too little uric acid. When this happens, uric acid can build up, forming sharp, needlelike urate crystals in a joint or surrounding tissue that cause pain, inflammation and swelling.

 

RISK FACTORS
Diet: Eating a diet rich in meat and seafood and drinking beverages sweetened with fruit sugar (fructose) increase levels of uric acid, which increase your risk of gout. Alcohol consumption, especially of beer, also increases the risk of gout.

Foods naturally high in purines include:

red meat – such as beef, lamb and pork

seafood – especially shellfish and oily fish

organs – such as liver, kidneys and heart

Obesity: If you're overweight, your body produces more uric acid and your kidneys have a more difficult time eliminating uric acid.

Medical conditions: Untreated high blood pressure and chronic conditions such as diabetes, metabolic syndrome, and heart and kidney diseases.

Certain medications: The use of thiazide diuretics — commonly used to treat hypertension — and low-dose aspirin also can increase uric acid levels

Family history of gout

Age and sex: Gout occurs more often in men, primarily because women tend to have lower uric acid levels. After menopause, however, women's uric acid levels approach those of men. Men are also more likely to develop gout earlier — usually between the ages of 30 and 50 — whereas women generally develop signs and symptoms after menopause.

Recent surgery or trauma

 

SYMPTOMS
The signs and symptoms of gout almost always occur suddenly, and often at night. They include:

  1. Intense joint pain. Gout usually affects the large joint of your big toe, but it can occur in any joint. Other commonly affected joints include the ankles, knees, elbows, wrists and fingers. The pain is likely to be most severe within the first four to 12 hours after it begins.
  2. Lingering discomfort. After the most severe pain subsides, some joint discomfort may last from a few days to a few weeks. Later attacks are likely to last longer and affect more joints.
  3. Inflammation and redness. The affected joint or joints become swollen, tender, warm and red.
  4. Limited range of motion. As gout progresses, you may not be able to move your joints normally.

 

HOMOEOPATHIC INVENTION
With water retention due to the SYNDROME involving the kidney collecting tubules, arthritis becomes gout. The elevated uric acid level gives rise to the belief that a vegetarian or low-purine diet would alleviate the pain. From the Homoeopathic point of view, it is rather the underlying abandonment and existence conflict that has to be addressed!

Abandonment conflicts are brought on by feeling ousted, excluded, unwanted, rejected, not understood, ignored, left out, isolated and alone. Children experience the conflict when they are put into daycare, when they feel unloved or excluded from the group ,when their parents don't spend enough time with them, when a new sibling is born who gets more attention... The same can be said about the elderly who end up in nursing facilities, away from their home and their family..

An existence conflict is a fear for one's life -.Waiting in an emergency room, being in an ambulance, and hospitalization (undergoing chemo treatments, surgery, not feeling cared for, a lack of support by doctors, nurses, or relatives) also evoke existence and abandonment conflicts.. The feeling behind the conflict is “I have lost everything”. This could be the loss of a workplace, financial losses, the loss of a home, or the loss of a person who provided security, economically or emotionally.

Gout in the joint at the base of the big toe is commonly associated with excess alcohol consumption; although, not every heavy drinker has gout! If, however, the intoxicated condition triggers a conflict of “not being able to walk or not being able to balance”, the development of gout is preprogrammed;

 

HOMOEOPATHIC APPROACH
Homeopathic medicines can be a big boon for all those who suffer from high uric acid. These medicines work by reducing the uric acids overproduction by the body and accelerating the removal of this waste product from through the kidneys.

Homeopathy is known to control the uric acid diathesis and is also useful in acute attacks.  Homeopathy helps in controlling the pain during the acute attack of gout as well as helps in preventing the recurrence of such episodes. It helps in reducing stiffness and improves the mobility of the joints.

One big advantage that homeopathy offers in the treatment of high uric acid is that once treated the chances of relapse are very less, this is also subjected to the condition that diet and Alcohol and weight are well controlled.
With continued treatment patient notices the reduction in the frequency of attacks and intensity of pains with gradually leading to complete cure.

 

HOMOEOPATHIC THERAPEUTICS

  1. Colchicum: This drug has a specific power of relieving the gouty paroxysms but it seems to be more beneficial in chronic affections of these parts. The parts are red, hot, swollen with tearing pains felt more in the night. The parts are sensitive to touch. The patient complains of tearing pains in the joints in hot weather, and stinging during cold. Gout settles in the great toe or in the heel.. The urine is dark, brown, black- looks like ink.
  2. Ledum: When gout is the result of alcoholism, Ledum should be thought of. The inflammation of the joints begins in the lower limbs and ascends upwards. The ball of the great toe is swollen. It is red, sometimes bluish, and cold to touch. Dipping the part in a bucket of ice cold water relieves the pain. It is generally worse from getting warm in bed. The patient is sensitive to the cold, yet the heat of the bed is intolerable.
  3. Benzoic acid: It cures symptoms of gout associated with a high coloured and offensive urine. The pains are tearing with stitches in the affected joint. Gout seems to settle in the achilles tendon, just above the heel. The symptoms are worse in the open air and from uncovering the affected parts.
  4. Belladonna: Symptoms that suggest this remedy are sudden onset. Joints are swollen, red, throbbing and extremely sensitive. It’s worse from touch and jarring. The person may feel restless, flushed and hot.
  5. Arnica: This remedy is used when the pain is sore and bruised, such as it hurts to walk. The person may be afraid to be touched or approached because of pain.


Prevention

  1. Drink plenty of fluids.
  2. Limit or avoid alcohol.
  3. Get your protein from low-fat dairy products.
  4. Limit your intake of meat, fish and poultry.
  5. Maintain a desirable body weight.

 

 

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