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Understanding gout symptoms and treatments

The problem with gout is that in most of the cases it is a misunderstood disease. Gout is caused by the increase of the uric acid crystals in the joints or in the surrounding tissues. Gout develops various symptoms that usually involve pain. These symptoms may include warmth, swelling and extreme sensitivity of the affected joints. In more than 50 % of the cases big toe joint affection is seen in gout patients. This is the most common problem when it comes to gout.


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The third way of treating gout is the use of corticosteroids such as prednisone, prednisolone and triamcinolone. This treatment is prescribed for patients that can not take NSAIDs or colchine, being the third alternative in treating gout. This treatment has benefic effects after steroids are injected into the joint muscle. Afterwards pain is locally relieved.

Gout is a type of arthritis caused by the excessive accumulation of uric acid inside the organism. In large amounts, uric acid forms crystals which deposit in various regions of the body, causing inflammation, pain and swelling of the joints. Uric acid is a waste product that results from purine metabolism. Although most cases of gout are hereditary, occurring due to genetically acquired renal dysfunctions which determine an inappropriate elimination of uric acid, gout is more likely to occur in people who consume large amounts of purine-rich foods. Thus, an appropriate diet and lifestyle improvements can successfully alleviate the symptoms of gout and can actually reverse the undesirable effects of the disease.

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Anthocyanins help to restore damages tissues and dissolve uric acid to help stop a gout attack. When a part of the body suffers a gout attack or becomes inflamed, connective tissues begin to swell, separate and tear. As the capillaries break and burst, blood begins to spill over into the surrounding tissues and area. To prevent further damage, anthocyanins rush to the screen and begin to fight any destructive enzymes present. In addition, the tiny anthocyanins help to restore the damaged tissues to its original state.

Both sweet cherries (dark cherries) and sour cherries (ruby-red cherries) have proved to be very benefic for gout sufferers. Sweet cherries contain few calories and are rich in natural fibers. Sweet cherries contain melatonin, a chemical that has sedative and analgesic effects. Thus, the intake of sweet cherries can also ease recurrent gout pain. In addition, this type of cherries contains a powerful natural antioxidant that acts similarly to vitamin C. Sweet cherries can also lower the levels of inflammatory substances such as nitric oxide and C-reactive protein, chemicals that are related to gout, diabetes and heart disease.

There are many natural products that can reduce serum uric acid concentration. Gout sufferers are advised to eat plenty of fiber-rich vegetables (preferably raw) and fresh fruits, as they contain low levels of purines and they are also a great source of vital nutrients. Among all fruits, cherries seem to be the best natural remedy for gout. Apart from being irresistibly delicious, cherries have anti-inflammatory, sedative and analgesic properties, and they can considerably ameliorate the clinical manifestations of gout. A frequent intake of cherries can considerably reduce the duration and the intensity of gout attacks, by normalizing uric acid levels inside the body. Recent studies have revealed that by including cherries in their diet, gout sufferers are able to eliminate more uric acid through urine. Thus, cherries act as a purgative agent, aiding the process of excretion.

Countless joint pain suffers now have a natural way to get relief from gout and arthritis pain. The answer many have been searching for is a simple unassuming fruit grown with a long history of offering great taste. The name of this little fruit is the Montmorency tart cherry. After years of folklore and old wives tales, the tart cherry is coming of age.

Cherries are a potent and natural source of a whole host of antioxidants including anthocyanins, flavonoids, vitamin A, C and E. However, the compound found in the tart cherry that has catch of the attention of gout suffers is anthocyanins. According to medical researchers at Michigan State University, anthocyanins have the ability to relieve inflammation in the body, joints and tissues.

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To date, over 300 different anthocyanins have been identified. Anthocyanins belong to a specific class of flavonoids and each class offers different oxidations states and health benefits. The unique combination of anthocyanins and antioxidants found in tart cherries are shown to reduce inflammation in the body.

Gout is a problem that in most of the cases occurs suddenly. That is why it is really hard to prevent it. Doctors can only advice for a low alcohol intake and a healthy diet. Only after its occurrence specialists are able to prescribe a treatment. Treatment for gout is prescribed in order to ease the symptoms that usually consist of extreme pain in the affected joints.

We know two types of gout. Acute gout is treated using different medicines such as non-steroidal anti-inflammatory drugs (NSAIDs), colchines and corticosteroids. The NSAIDs are drugs that help easing the pain and have an anti-inflammatory effect. As NSAIDs we have to mention indomethacin, ketoprofen, oxaprozin, diclofenac, ibuprofen, etodolac, naproxen and sulindac. This type of treatment has proved to be the best in preventing gout attacks and easing the symptoms. NSAIDs are recommended for as long as the patient has symptoms and are taken by mouth three or four times a day. NSAIDs assure the easing of symptoms by suppressing the production of fatty acids called prostaglandins that cause the inflammation and pain in gout sufferers.

 
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Responsible for gout development might be an impropriate diet or high alcohol intake. Gout can also occur after a surgical intervention or after a severe illness. Joint injury might also be a cause of gout development. Specialists also noticed that medicines like aspirin and diuretics can lead to gout attacks because they stop in one way or another the excretion of uric acid from the body.

In published research results conducted by researchers a Michigan State University, tart cherries contain natural COX 1 and COX 2 inhibitors. In addition, the anthocyanins naturally found in tart cherries are at least 10 times more effective than common non-steroidal anti-inflammatory drugs (NSAD's) including aspirin. Anthocyanins help to neutralize swelling in body tissue and can also help to dissolve uric acid crystals that form in the joints. It is due to these crystals that people experience gout pain. Studies also have shown that cherries can actually lower uric acid in the blood.

As we mentioned before gout is caused by the increasing levels of uric acid in the fluids of human body. The uric acid crystals are deposited in joints, tendons and kidneys and may cause serious damage and severe pain.

The second type of gout is chronic gout. In these cases treatment is prescribed in order to prevent acute gout attack from recurring. In many of the cases this means decreasing the uric acid levels. The recommended treatments are xanthine oxidase inhibitors and uricosuric agents. Xanthine oxidase inhibitors such as allopurinol lead to decrease of uric acid levels in the organism. Uricosuric agents are medicines that help kidneys to eliminate the excess of the uric acid produced by the body. As uricosuric agents we can mention probenecid or sulfinpyrazone.

The first phase of gout means an episode that happens at night. People often feel the symptoms during the night and caused pain to the affected joints. In some cases the attack follows a day of excess in alcohol, food or drugs. After progress the attack develops fever and chills along with pain. In more than 90 % of the cases these episodes are recurrent and might develop during the first year. Even if it is certitude that chronic gout cases are rare we have to mention that there is a risk of developing kidney dysfunctions and kidney stones.

There are known two types of gout, primary and secondary. The first category includes more than 90 % of the gout sufferers. When uric acid is elevated in response to some other health problem such as kidney disease we can say that it is a case of secondary gout.

Colchine is the alternative for NSAIDs. This medicine has been used to treat gout for years. It has benefic effects on reducing and even eliminating the pain caused by gout. Even so this treatment is not recommended for persons who can not tolerate side effects such as diarrhea, nausea, vomiting or abdominal cramps. Colchine is a treatment with benefic effects because it reduces the deposit of uric acid crystals that cause inflammations. An intake of colchine within 24 to 48 hours of the onset of the gout symptoms is believed to have the awaited effect.

This little fruit is more widely known as an ingredient in cherry pies then as a pain fighter, but thanks to medical research conducted at a number of medical universities, the tart cherry is an effective treatment for gout and arthritis pain.

Sour cherries seem to reduce gout pain and inflammation and they also contain natural antioxidants that can decongest the arteries clogged with uric acid crystals. Sour cherries are rich in vitamin A, they contain very few calories and they can be safely introduced in any gout diet. Recent studies have revealed that by consuming around 100 grams of cherries each day, gout sufferers can experience a rapid amelioration of their symptoms. Although it is best to consume them raw, cherries can also be introduced in various recipes. Thanks to their remarkable qualities, cherries should be included in any diet.

The most commonly medicines used are NSAIDs (non-steroidal anti inflammatory drugs) and colchicine. Both treatments help ease the pain and have an anti-inflammatory effect. The difference between these two possible ways of treatment is that colchicine may develop unpleasant side effects such as diarrhea, nausea, vomiting or abdominal cramps.

In order to prevent gout attacks specialists recommend a healthy diet low in purine. Alcohol should be avoided because it has a major influence in initiating attacks. If symptoms are noticed it is recommended to seek for professional help.

So how much tart cherry is needed to benefit and fight joint pain? According to research, as little as 20 cherries is enough to combat the enzymes damaging the tissue and causing joint pain and inflammation. In addition, to the fresh cherries which are only available for a few short weeks during the summer harvest, tart cherry powder is fast becoming the tart cherry product of choice. Tart cherry powder is a concentrated form of tart cherries that is made from whole cherries and powdered into an easy-to-swallow capsule. For example, Fruit Advantage offers a highly concentrate form of tart cherry powder in which each daily serving is equivalent to 5 glasses of tart cherry juice without the sugar.


Myrtle Randolph

 
 
     
 
 





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