What is gout
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What is gout?
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Gout is a form of arthritis, usually first characterised in an acute attack in the joint of the big toe.
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Many times this attack will occur overnight
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The affected joint becoming red, swollen and very painful
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Usually with no prior warning!
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Gout usually affects middle-aged and overweight men, but can
affect other people too.
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Gout is caused by a build-up of uric acid crystals in the joints.
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Uric acid is a natural by-product of the metabolism of purines.
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Purines are found in many foods.
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If the body cannot break down the uric acid quickly enough, the excess acid will crystallize.
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These needle-shaped crystals accumulate in the joints and cause an auto-immune response.
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A gout attack will come on suddenly, with no apparent trigger.
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The constant slow build up of the crystals in the joint reach a ‘tipping point’.
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At which time the body’s reaction is severe.
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The joint will swell up, become red, extremely painful and itchy.
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The pain will often subside within a few days and the symptoms completely disappear.
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However, the underlying cause has not changed. There is still a build up of uric acid crystals in the joint.
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Once the first attack has occurred further attacks can be expected.
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These can occur even after a long period of being symptom-free.
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Subsequent attacks will usually become more frequent, last longer and start to affect more joints.
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Once recurrent attacks begin it is usually a sign that it is going to get worse...
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...unless some of the underlying causes are fixed.
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Eventually the uric acid crystals will start to cause permanent damage
to the cartilage.
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They will cause increased stiffness and actually prevent healing between attacks.
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It is important to reduce the likelihood of ongoing attacks, as the consequences can be severe.
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And they can be permanent.
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There are several different factors that need to be addressed.
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- Limiting foods rich in purines, - Cutting back on alcohol,
- Losing weight, - Eating foods that are good for gout
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It's important to address these underlying issues before the gout gets worse.
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Which is exactly what will happen if no changes are made.