BREAKING NEWS
Source: Gout And Arthritis  Aug 05, 2020  2 years ago
BREAKING! Gout And Arthritis: Report Warns That Global Incidences Of Gout Increasing Exponentially
BREAKING! Gout And Arthritis: Report Warns That Global Incidences Of Gout Increasing Exponentially
Source: Gout And Arthritis  Aug 05, 2020  2 years ago
Gout and Arthritis: According to an analysis published in the Journal: Arthritis & Rheumatology, the prevalence of gout; a form of arthritis characterized by severe pain, redness, and tenderness in joints has increased across the world at an alarming rate from 1990 to 2017 and is still increasing exponentially. https://onlinelibrary.wiley.com/doi/abs/10.1002/art.41404
 
The research found that there were approximately 41.2 million prevalent cases of gout in 2017, with the rate of new diagnosed cases being 92 per 100,000 people, an increase of 5.5% from 1990.


 
It is estimated that currently close to 60 million people or more all around the world could be suffering form gout.
 
The report said that gout was more common in males and in older individuals. Also, the burden of gout was generally highest in developed regions and countries. High body mass index and impaired kidney function were risk factors for gout.
 
Senior author Dr Emma Smith, PhD, of The University of Sydney, in Australia told Thailand Medical News, “The increasing trend of gout burden is most likely to continue as the global aging population is on the rise. Attempts to lessen the disease onset and future burden of gout require better awareness, especially of risk factors, and early diagnosis and treatment.”
 
Gout is a common and complex form of arthritis that can affect anyone. It's characterized by sudden, severe attacks of pain, swelling, redness and tenderness in the joints, often the joint at the base of the big toe.
 
Typically an attack of gout can occur suddenly, often waking you up in the middle of the night with the sensation that your big toe is on fire. The affected joint is hot, swollen and so tender that even the weight of the sheet on it may seem intolerable.

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The symptoms of gout may come and go, but there are ways to manage symptoms and prevent flares.
 
The common signs and symptoms of gout almost always occur suddenly, and often at night. They include:
-Severe 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.
 
-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.
 
-Redness and Inflammation. The affected joint or joints become swollen, tender, warm and red.
;  
-Limited range of motion. As gout progresses, you may not be able to move your joints normally.
 
If one experiences sudden, intense pain in a joint, call your doctor. Gout that goes untreated can lead to worsening pain and joint damage.
 
Also seek medical care immediately if you have a fever and a joint is hot and inflamed, which can be a sign of infection.
 
It has been found that gout occurs when urate crystals accumulate in your joint, causing the inflammation and intense pain of a gout attack. Urate crystals can form when you have high levels of uric acid in your blood.
 
One’s body produces uric acid when it breaks down purines substances that are found naturally in your body.
 
Importantly purines are also found in certain foods, such as steak, organ meats and seafood. Other foods also promote higher levels of uric acid, such as alcoholic beverages, especially beer, and drinks sweetened with fruit sugar (fructose).
 
Typically, 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.
 
One is more likely to develop gout if one have high levels of uric acid in one’s body. Factors that increase the uric acid level in one’s body include:
 
-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.
 
-Obesity. If you're overweight, your body produces more uric acid and your kidneys have a more difficult time eliminating uric acid.
 
-Existing medical conditions. Certain diseases and conditions increase your risk of gout. These include untreated high blood pressure and chronic conditions such as diabetes, metabolic syndrome, and heart and kidney diseases.
 
-Certain drugs. The use of thiazide diuretics commonly used to treat hypertension and low-dose aspirin also can increase uric acid levels. So can the use of anti-rejection drugs prescribed for people who have undergone an organ transplant.
 
-Family history of gout. If other members of your family have had gout, you're more likely to develop the disease.
 
-Sex and age. 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 trauma or surgery. Experiencing recent surgery or trauma has been associated with an increased risk of developing a gout attack.
 
People with gout can develop more-severe conditions, such as:
 
-Recurrent gout. Some people may never experience gout signs and symptoms again. Others may experience gout several times each year. Medications may help prevent gout attacks in people with recurrent gout. If left untreated, gout can cause erosion and destruction of a joint.
 
-Advanced gout. Untreated gout may cause deposits of urate crystals to form under the skin in nodules called tophi (TOE-fie). Tophi can develop in several areas such as your fingers, hands, feet, elbows or Achilles tendons along the backs of your ankles. Tophi usually aren't painful, but they can become swollen and tender during gout attacks.
 
-Kidney stones. Urate crystals may collect in the urinary tract of people with gout, causing kidney stones. Medications can help reduce the risk of kidney stones.
 
During symptom-free periods, these dietary guidelines may help protect and prevent against future gout attacks:
 
-Consume plenty of fluids. Stay well-hydrated, including plenty of water. Limit how many sweetened beverages you drink, especially those sweetened with high-fructose corn syrup.
 
-Avoid alcohol. Talk with your doctor about whether any amount or type of alcohol is safe for you. Recent evidence suggests that beer may be particularly likely to increase the risk of gout symptoms, especially in men.
 
-Procur your protein from low-fat dairy products. Low-fat dairy products may actually have a protective effect against gout, so these are your best-bet protein sources.
 
-Limit intake of meat, fish and poultry. A small amount may be tolerable, but pay close attention to what types and how much seem to cause problems for you.
 
-Always maintain a desirable body weight. Choose portions that allow you to maintain a healthy weight. Losing weight may decrease uric acid levels in your body. But avoid fasting or rapid weight loss, since doing so may temporarily raise uric acid levels.
 
For more about Gout and Arthritis, keep on logging to Thailand Medical News.

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