Gout is characterised by an excess of uric acid crystals in the joints. You cannot see or feel these crystals, but a doctor can draw some fluid from the joints with a needle and look at it under a microscope. If uric acid crystals are present, you have gout.
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What is the difference between Rheumatoid Arthritis (RA) and Gout?
The biggest difference between the two is the cause. In rheumatoid arthritis, it is not the uric acid crystals that cause the pain.
RA is a chronic inflammation in several joints (often symmetrical, e.g. both feet, both hands, both arms), whereas gout often affects only one (sometimes several) joint(s).
Gout and rheumatoid arthritis are also treated very differently. The two diseases are therefore not at all comparable.
The symptoms of Gout
The accumulation of uric acid crystals triggers an inflammatory reaction, often accompanied by acute and painful joint inflammation: a gout attack. This usually occurs at night. The affected joint becomes swollen and painful. The skin is red and hot, and you may have a fever. Such an attack may last for a short time, less than a day, but may also last for more than a week.
After this acute attack, you may feel a stabbing pain for a long time afterwards, in contrast to osteoarthritis, where the pain comes back every day, for example when you get up in the morning. These pains may intensify or subside at certain times, but osteoarthritis does not cause acute ‘attacks’ of pain like gout.
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Gouty tophi and kidney stones
When uric acid crystals are deposited under the skin and in the subcutaneous tissues, they can form encased crystals: uratic concretions, also called “tophus”. They are often found on the toes, fingers, earlobes and elbows.
When these crystals are deposited in the kidneys, they form kidney stones, which cause a lot of pain in the lumbar area, the groin and the back.
What are the consequences for daily life?
Because a gout attack can be extremely painful, it certainly has an impact on daily life. The pain prevents you from sleeping well and you may even need help getting dressed. It becomes impossible to do certain tasks and exercise and movement becomes more difficult.
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Development of Gout
Factors that may play a role in the development of gout include:
- High uric acid levels in the blood: when uric acid can no longer be dissolved completely in the blood and is deposited as crystals. The risk of crystal formation is higher in people who are overweight or have kidney failure, as well as those who drink too much alcohol or take urinary drugs.
- Consumption of organ meats, red meat, certain shellfish, large quantities of soft drinks or fruit juices can contribute to the formation of uric acid crystals.
- Heredity also plays a role, for example in people with high blood pressure, diabetes or high cholesterol.
Men versus women
Acute gout attacks are about eight times more common in men than in women. In general, gout occurs later in life in women, because female hormones protect them. After the menopause this is no longer the case and more women will develop gout. In both men and women, the prevalence increases with age.
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My knee hurts, does I have Gout?
Pain in the knee can have many causes. Osteoarthritis or the onset of osteoarthritis of the knee is quite common, whereas gout is less common. What are the symptoms of gout in the knee?
Symptoms of gout in the knee:
- Unbearable tenderness and pain in the knee
- Difficulty in standing and walking, the knee is not flexible
- The knee is hot, swollen (indicates inflammation) and the skin is often red and shiny
- Itching and scaling around the knee
- Rapid deterioration of symptoms, often at night
- Pain decreases in the days after it was worst
- Fever
- Nausea and vomiting
- Bumps under the skin near the knee (urea concretions or gouty tophus) that are often not painful but are uncomfortable and unattractive. Not everyone with gout has these tophi.
My foot hurts, does I have Gout?
To find out if you have gout in your foot, you can go through the above list of symptoms for the knee, applying it to the foot. The same applies to gout in the big toe or other joint. If you have gout in the foot or big toe, just the pressure of the sheet in the bed could be unbearable, as the foot or toe is so sensitive.
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Evolution of Gout
In 75% of cases, the first attack of gout occurs in the big toe. Some people only rarely suffer a gout attack afterwards. This is a mild form of gout, which can disappear when the patient is careful about what he eats, stops drinking alcohol and (if necessary) loses the few extra kilos.
When there are also tophi, and for example heart or kidney failure, it is difficult to dose the medication. The tophus can open up, revealing a white substance. These wounds sometimes heal only slowly or lead to a bacterial infection.
Natural treatments to relieve a Gout Attack
Cold
Applying an ice pack to the painful joint (not forgetting to protect the skin with a clean cloth) can help reduce the symptoms of a gout attack – and especially the pain. It also works with a bag of frozen peas (they fit the joint well) or a basin of cold water.
Good hydration
Drinking plenty of fluids (water!) during a gout attack helps to speed up the work of the kidneys and thus the elimination of uric acid.
Essential oils
Mix 15 drops of Lemon Eucalyptus essential oil, 15 drops of Lavandin Super essential oil, 10 drops of Noble Laurel essential oil and 100 g of Dead Sea salt. Pour all of this into a basin of warm water and mix well. Bathe the painful joint for 20 minutes. Caution: this remedy is prohibited during pregnancy, but also in case of asthma or epilepsy.
A homeopathic remedy
As soon as the first signs of a gout attack appear, in addition to the medical treatment, take a dose of Apis 5 CH every hour, alternating with a dose (5 granules) of Colchicum 9 CH to reduce the inflammation.
Gemmotherapy
In gemmotherapy, the young twigs of lemon trees (Citrus Limonum) are known to stimulate the elimination of uric acid. Take 5 to 10 drops 3 times a day of glycerine macerate – caution: medical advice is essential in case of anticoagulant treatment.
Herbal tea
In the event of a gout attack, make a birch tea by infusing 2 to 3 grams of birch leaves (preferably “old” brown leaves) in a cup of hot water for about ten minutes. One to four cups a day are consumed. Birch sap is also interesting for preventing this rheumatism as it activates the work of the kidneys.
Curcuma and Boswellia
There are strong evidences that Turmeric and Boswellia are likely to be beneficial for the joint inflammation associated with gout. They work very quickly to relieve pain.
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More natural treatments here: Gout Home Remedies.
Conclusion
After an attack of gout, it is essential to set up a basic treatment aiming at regulating the rate of uric acid in blood and preventing the formation of crystals. If this treatment is not put in place, gout attacks will follow one another and irreversible damage to the joint concerned may be observed.
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Both curcumin and boswellia help keep joints supple. In fact, the benefits of turmeric and boswellia are far greater when taken together than separately: their combination is potent and natural. Boswellia and Curcumin are recommended for reducing inflammation and joint pain, inflammation is a natural process the body uses to fight off outside invaders such as bacteria and viruses. However, it also accompanies some diseases, including rheumatoid arthritis and other joint conditions such as osteoarthritis and gout. Injuries such as sprains or a torn ligament can also trigger inflammation in the vicinity of the injury. Boswellia and curcumin are two natural plant products that can help relieve the pain of inflammation. Curcumin is a chemical substance that is present in turmeric, specifically located in the rhizome of the plant, is characterized by its high anti-inflammatory agents. The polyphenols that curcumin and frankincense contain have the potential to have antioxidant, vasodilatory, anti-inflammatory, and other actions. In Indian Ayurvedic medicine, turmeric and frankincense is used to heal wounds, relieve ailments caused by arthritis or rheumatism. Turmeric and frankincense are two herbs of ancient medicinal use under intense scrutiny and study for their modern applications and mechanisms of action. Many of the actions of the main active principles of these plants have already been identified and described. Both are great for treating joint related issues. Gout, as this ailment is popularly known, is a type of arthritis that causes a lot of pain in the joints, especially in the feet, to such an extent that the sufferer cannot walk or do different tasks. Boswellia serrata is an ayurvedic medicinal plant that has positive effects against joint pain caused by arthritis and osteoarthritis. If you have gout, try turmeric as a remedy. Its most active chemical, curcumin, has potent anti-inflammatory and antioxidant properties. This can help relieve gout-related inflammation and pain. Turmeric has been gaining popularity in recent years as a home remedy for gout and is considered by many to be a superfood. Turmeric can be taken in powder, tea, capsules or even tablets. You can take 300 mg to 600 mg of a standardized turmeric extract 3 times a day to reduce gout pain or inflammation. These anti-inflammatory plants have been studied for their benefits in Osteoarthritis and Gout. It appears that oral Curcumin and Boswellia supplementation can significantly reduce pain and immobility related to those diseases. The effects take as little as a week and they are very safe for most adults. Indeed, these plants rarely cause any serious side effects; but very few people have experienced nausea, diarrhea, heartburn, headaches, and stomach pain. Most medical experts agree that there is no easy solution to treat or prevent gout, but eating a diet rich in vitamin C and the B family of vitamins, particularly B6 and B12, can help reduce inflammation and flare-ups. Many health care providers recommend a daily multivitamin supplement containing high doses of these and other vitamins and minerals. Both Boswellia and Curcumin can fight inflammation. Injuries such as sprains or torn ligaments for example can trigger inflammation in the vicinity of the injury. Boswellia and curcumin are two natural products taken from plants that can help relieve the pain of inflammation. Boswellia and curcumin are two natural plant products that can help relieve pain from inflammation. They are used to combat bone and joint inflammation, arthritis and osteoarthritis. Their analgesic properties make them an excellent way to treat these conditions. They are both as good as each other. The main benefit offered by boswellia and curcumin is thiers anti-inflammatory effect, as it helps to reduce joint pain, since this is caused, in most cases, by tissue inflammation. In addition, it achieves this effect almost immediately, so it is very useful for athletes. Gout is a common inflammatory disease that causes swelling and pain in certain joints, especially the big toe. Although the symptoms of gout are usually treated with medication, diet and exercise, some people find herbs such as devil's claw, ginger, hibiscus, milk thistle, burdock root, or alfalfa helpful.Can you take Curcumin and Boswellia together?
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