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Is gout a serious disease?

Is gout a serious disease?

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First of all gout is of course a pretty serious disease. Because if you let him progress, then eventual disability and kidney failure are all possibilities.

Secondly, there are four main stages of gout, but not every gout sufferer progresses through all four in that order.

(1) Asymptomatic hyperuricemia. As the name suggests, there are no symptoms, I once a patient, long-term uric acid at high levels, but he paid attention to life management, while Chinese medicine tea. After more than ten years, he has been asymptomatic. From his case I think we must have confidence that gout is controllable.

(2) Acute gouty arthritis. Commonly seen after eating and drinking, such as beer, seafood, etc. The severe pain caused by gout attack may wake up the patient from sleep, and in the affected joints there will be severe redness, swelling and heat pain, which is intolerable, and the symptom will be from mild to severe, and then the symptom will be reduced slowly. At this stage, the joints are red, swollen and hot, often accompanied by fever.

(3) Inter-episode period. The interictal period of gout is the period during which the patient's symptoms disappear. The length of the interictal period varies and may last from one or two days to several weeks, with recurrent attacks tending to be polyarticular, more severe and longer. However, some people do not have any more attacks.

(4) Chronic gouty arthritis and kidney stones. Entering this stage, it is already an old patient, and it is very clear about their own disease. At this stage, there will be uric acid crystals in the patient's body deposited in the cartilage, synovial membrane, and soft tissues, the formation of gout stones, and the higher the concentration of uric acid in the blood, the longer the period of illness, the more gout stones may be deposited, sometimes affecting the blood vessels and the kidneys, resulting in severe renal failure, so that the more serious the kidney disease, and the vicious circle of uric acid that is not easy to discharge, so that the more gout stones deposited and ultimately embarked on the long-term eventually, they will have to rely on dialysis for a long period of time.

Gout stones can be deposited in many areas, including the ears, hands, elbows, Achilles tendons, ankles or toes, and sometimes cause localized ulcers that do not heal easily, or even require amputation. In severe cases, it may cause joint deformity or chronic symptoms, and when foot deformity is severe, it may cause serious problems in wearing shoes.


Finally, I would like to say that life management is important. There is a correlation between gout and people with three highs. The human body is like a piece of machinery, where a problem with one part often leads to a bigger problem or even scrapping.

I'm sure a lot of people have heard of gout, especially in many middle-aged and older age groups, where the occurrence of gout is a very common condition. But for many young people, they may not have a clear concept about gout. They don't know how gout comes about, what the symptoms are, and they just feel that gout is hard to cure. Some people ask, is gout a very serious disease?

Gout is a relatively common but very complex form of arthritis. In fact, gout is not something that only middle-aged and elderly people suffer from; people of all ages can develop gout, and the incidence is significantly higher in men than in women.

The onset of symptoms of gout is relatively acute, often when the patient sleeps at night, suddenly feel severe unbearable pain in the joint parts, at the same time, the joint parts are accompanied by edema, redness, swelling and obvious inflammation, after a period of time, the pain feeling will slowly disappear again.

The consequences of gout can also be very serious if it is not controlled and treated in a timely and effective manner. Not only will the pain during gout attacks become more and more intense, causing great psychological and physical torture to the patients. And it will also lead to serious deformation of the joints at the attack site, which is also irreversible because the deformation starts from the bones being corroded.

So in those terms, gout is considered a very serious disease. AndThe root cause of gout in the human body is still due to abnormally high levels of uric acid in the body for a prolonged period of time.It leads to urate crystals in the patient's joints, which is the source of gout pain. The causes of abnormal uric acid are also complex and directly related to abnormal eating habits and work routine. So in order to prevent gout, it is still necessary to start paying attention to and adjusting the details of daily life.

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The first thing that must be told to you about the question of whether gout is a very serious disease is that that is of course, gout is a very serious disease. This is because if gout is not treated, it can lead to kidney failure and other nasty consequences. So first of all, we will analyze why gout is a very serious disease by looking at the four stages of gout, but these four stages do not always fit every patient.

The first stage is manifested as asymptomatic hyperuricemia. It means that no symptoms can be seen on the surface, but the patient's uric acid is at a high level for a long time.

The second stage is acute gouty arthritis. Gout attacks in this stage often cause severe pain and redness, swelling and heat in the joints, sometimes causing a fever. These symptoms often follow inappropriate dietary behaviors, such as drinking alcohol and eating seafood, and flare-ups can range from mild to severe before subsiding.

The third stage refers to the interictal phase of gout. In this stage, the patient's performance for their gout symptoms will subside, but the gout between attacks is not fixed, there is no fixed, may last a day or two or even a few weeks, but multi-joint line of the greater likelihood of recurring attacks, and the attacks will be more serious, there is a long time of attacks.

The last stage is chronic gouty arthritis. In this stage, uric acid undergoes crystalline deposition in cartilage, synovial membranes, and soft tissues, which leads to the formation of gout stones, which are also related to the concentration of blood uric acid, and the higher the concentration, the more gout stones there are. This will lead to a serious consequence: renal failure, the more serious the kidney disease, uric acid excretion malfunction. In addition, joint deformities or chronic symptoms can occur.

Instructor: Jingjing Ren, Attending Physician, Department of Rheumatology and Nephrology, Rizhao Hospital of Traditional Chinese Medicine.

She specializes in the diagnosis and treatment of rheumatoid arthritis, gout, systemic lupus erythematosus, spondyloarthropathies, dry syndrome, and systemic sclerosis.

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Gout pain is really super unbearable, a friend of mine said it is like a hundred ants crawling inside. The main reason for gout is because of the irrational dietary structure, which promotes the important factor of metabolic disorder.

You may have developed hyperuricemia in this case and can get it checked. You should pay more attention to your diet in the future.

It's more important to add more vegetables in this situation

It is recommended that the daily intake of more than 700 grams, preferably more than 1,000 grams. Winter melon, cucumber, tomato, lettuce and the like are rich in water, very low in calories and diuretic. Green leafy vegetables should ideally account for 1/3. Cooking is recommended to use more boiling, blanching and other methods to help further reduce its purine amount, but fungal vegetables to limit the intake.

Staple food intake needs to be chosen carefully

Staple food can be more potato food potato, sweet potato, taro, yam, lotus root, water chestnut, etc. are rich in potassium. White rice and white flour purine content are lower, gout sufferers are more suitable. But white flour than white rice vitamins to be lower especially the B vitamins, millet, corn and other grains of purine content and rice and white flour is comparable, or even lower. B vitamin content is also several times more. These are very favorable to gout and hyperuricemia patients. In addition miscellaneous legumes ingredients because of less water purine content is higher, it is recommended that this period is best not to eat.

Ventilation can be severe or mild, and the severity of the condition varies from person to person.



The course of gout is divided into four stages:

1. Asymptomatic hyperuricemia period;

2. Acute gouty arthritis stage;

3. Gouty attack intervals;

4. Chronic phase.



The main manifestations of ventilation are.

1. Acute gouty arthritis with gout is a common symptom;

2. The first metatarsophalangeal joint is the common joint site for gout (75% of cases), followed by the knee in 27%;

3、 Mostly at night, severe pain and wake up, similar to dislocation-like pain;

4. Affected joints are often red, swollen, hot and painful; similar to venous embolitis and cellulitis;

5, gout attack, pain like dislocation-like pain; sometimes no treatment, 3-7 days later can also subside, the joints have peeling phenomenon, the treatment of months, years can be repeated attacks, attack symptoms step by step increase;

6. Asymptomatic during the interstitial period, monosodium urate (MSU) is present on aspiration of joint fluid by puncture, and this can be used to make a definitive diagnosis.



In addition, as people's living conditions improve, there are many normal people who have increased blood uric acid, and 15 out of 20 patients with hyperuricemia can live their entire lives without experiencing symptoms. Increased blood uric acid is often associated with other conditions such as high blood pressure, obesity, alcoholism, atherosclerosis, ischemic heart disease, and decreased glucose tolerance.

Is gout a serious disease?

Gout, a disease with problems in the metabolic system, is usually characterized by high uric acid. Gout is no longer a rare disease in contemporary society for middle-aged and older people, and the incidence of gout is increasing day by day.

Gout patients usually go through several stages. In the early stages, the patient can be detected with increased uric acid, but there is nothing uncomfortable for the patient himself. Subsequently, the patient's joints will begin to have significant use disorders, and the patient will be suddenly awakened by pain in the middle of the night. Later, the patient's joints begin to become swollen and deformed. It may also cause kidney dysfunction and even lesions. Diseases such as coronary heart disease often erode the human body along with gout and other diseases, making the patient very painful.

The biggest dangers of gout are several:

First, kidney disease problem. As gout patients are due to too much uric acid in the body, if they do not pay attention to their diet and continue to consume foods that lead to elevated uric acid content, the uric acid content will continue to rise and the load on the kidneys will continue to increase, which may ultimately lead to more serious consequences such as kidney disease or even lesions.

Secondly, the problem of joints, as the joints of gout patients will become deformed and swollen in the late stage, if the treatment effect is not good or not receive treatment in time, the deformation of the joints will continue to deteriorate, especially the knee this type of joints, once the deformation is serious, it will be difficult to walk, and ultimately there is a possibility that you can only lie in bed all day long, unable to walk around.

Third, gout-induced hyperlipidemia. What kind of people are prone to gout? Obese people are more likely than thin people. Obese people have irregular diets and eat a lot of high-calorie foods, so the cholesterol value will be high, and there is a risk of triggering high blood lipids. Gout is also damaging to the cardiovascular system, and the incidence of heart disease will be higher.

To treat gout, start with the mouth, eat less food that will increase the uric acid content, such as offal, tofu, this kind of food, and do not drink more beer. Exercise regularly and moderately to reduce body weight and prevent the occurrence of high blood fat. Drink more water to help metabolism, pay attention to rest and active treatment.


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Gout is a disease that is neither serious nor unserious, and if it is not serious, then it is serious, depending on which aspect it is mainly for. Gout is a condition in which blood uric acid cannot be metabolized and builds up in the body, resulting in joint pain and other symptoms. Here is a look at the process of gout itself.


There are four main stages: 1. Asymptomatic high blood uric acid (physical examination must pay attention to such a test, not that there is no lesion, just that it has not yet developed to that extent).It's not called gout at this stage(c); 2. Acute gouty arthritis stage (due to the blood uric acid is high for a long time, the diet is not pay attention to, such as drinking, smoking, eating seafood, these high purine food can lead to gouty attacks, mainly in the first toe joint of redness, swelling and pain, unbearable); 3. the intermittent stage of gout (the pain gradually disappears again as relevant treatment will be sought in the second stage); 4. the stage of entering chronicity (the prolonged failure to metabolize the blood uric acid will build up in the kidneys, the heart, and all the joints, which can be severe and disabling)!


It can be said that the emergence of gout is like diabetes, a lifelong disease. When you find high blood uric acid, you must strictly control the diet, do not be careless, not that there is no symptom now has no effect on the body, just that it has not yet flared up.

I'm a small doctor, thanks for the likes and attention.

Gout is staged. It is a lifelong disease that must be treated systematically, followed by regular reviews and a careful lifestyle and diet. Which foods can be eaten, which eat less and which are forbidden? You can follow my headline, you have related articles systematically introduced about gout diet, medication, treatment content. Together with life control, gout attacks are strictly controlled.

Well it's not an exaggeration, gout is especially hard to deal with. When you have gout, you lose everything from the quality of your diet to the quality of your life!


I had originally heard that the pain level of gout was such that a piece of paper falling on the top of your foot hurt, but the description of a trainee with gout refreshed my understanding of the pain of gout - when someone walks by you, the wind they bring with them makes the pain in your feet unbearable! And if it's not properly controlled, future attacks will become more frequent and longer in duration, and worst of all, there's no particularly good way to lose weight.

Gout patients tend to be mostly overweight, weight loss is helpful to improve various metabolic problems, but also an important way to control gout attacks. However, gout patients must slow down the pace of weight loss, because you can not diet a lot, too hungry easily induced gout attacks; exercise can not be too much, too tired is also easy to induce gout attacks; the weather is too cold can not be, the foot does not fit the foot can not be ...... You will find that the ancient description of this disease in our country is really too accurate! --Fortune Disease.


And in terms of diet, there are many taboos, seafood is absolutely forbidden, barbecue taboo, drinking alcohol taboo, meat to eat less, coarse grains can not eat more, vegetables in the fungus can not be eaten, as well as viscera and so on a whole lot of forbidden food, even the chicken essence of the spices to try to minimize the use of the chicken essence, it is really too difficult. Therefore, gout patients to reduce weight often have to pay several times more time than other slow disease weight loss, more careful, more difficult, because an accidental gout attack, is really painful ah ~!

Author: Liu Songli, National Level II Public Nutritionist, Member of Dietary Guidance Professional Committee of China Elderly Healthcare Association, Director of Dalian Nutrition Society, Special Lecturer of Nutrition Program of Dalian Vocational and Technical College. She is the first to create the "Habit Diet", helping tens of thousands of people to change their eating habits and develop good habits of healthy weight loss.

Gout is essentially a form of rheumatoid arthritis, caused by urate deposition. The vast majority of gout is primary, such as heredity, purine metabolism-related enzyme defects, etc. It is most common in middle-aged and elderly people, with men accounting for about 95% of the population, and women occurring more often in the late menopause. Gout is often based on hyperuricemia and is characterized by recurrent acute arthritis, manifested by extreme pain in the affected joints (the degree of pain can affect sleep), redness, swelling, burning sensation, and body weakness, fever and so on.

Gout is certainly not a very serious disease and certainly not life-threatening, but if you don't pay attention to the intervention in normal times, the frequency of gouty arthritis attacks will increase, the degree of attacks will worsen, the time will be prolonged, and eventually extensive damage to the joints will occur, and the joints will be deformed, especially the hands and feet, which will affect normal walking. Of course, the biggest danger of gout lies in the kidneys, which can lead to gouty kidney stones, gouty nephropathy and even renal failure in patients with a longer course of the disease, thus jeopardizing their lives.

A positive and healthy lifestyle is conducive to the prevention and treatment of gout, and studies have shown that gout attacks in men are mainly caused by alcohol consumption, high-purine diets and strenuous exercise, while in women they are mainly triggered by high-purine diets, sudden exposure to cold and strenuous exercise. The 2016 China Gout Diagnosis and Treatment Guideline points out that gout patients should control alcohol consumption (beer and liquor), eat less high-purine food (such as seafood), pay attention to warmth and do not exercise strenuously, do not smoke, drink more water, drink fewer beverages, eat more vegetables, eat and sleep on time, and exercise regularly.

All in all, gout is not a very serious disease as long as it is actively prevented and treated, and the only way to have a better quality of life is to actively prevent and treat it.

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