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Gout is a disease that seriously affects our quality of life, and attacks are often painful and unbearable, requiring us to pay sufficient attention. The occurrence of gout is directly related to hyperuricemia, which is essentially caused by the body's blood uric acid level rises above the saturation level and crystal precipitation and deposition in the joints and other tissues. The treatment of gout focuses on lowering the blood uric acid level and promoting the dissolution and elimination of formed urate crystals. Therefore, we need to seek regular medical treatment and carry out comprehensive interventions under the guidance of the doctor, including lifestyle improvement and necessary medication, in order to control the condition stably and steadily in the long term.

The treatment of gout is a long process, ideally when the body of urate crystals completely dissolved and excreted from the body can cure gout, but in reality this goal is often difficult to achieve. The occurrence of gout is related to genetic and environmental factors, at the same time, our body itself will produce blood uric acid, even if the blood uric acid down to 0 (practically impossible) has been the formation of urate crystals are difficult to completely dissolve, so that gout in the current opinion is difficult to cure, but we do not have to worry too much, regular diagnosis and treatment can be a long-term stable control of the condition, reduce the number of acute attacks and complications. The disease can be stabilized and controlled in the long term under regular treatment, reducing the number of acute attacks and complications.

Gout and hyperuricemia patients should pay attention to in their daily lives in: ① reasonable diet: try to eat less high-purine food (such as animal offal, shelled seafood, broth, etc.), increase the intake of fresh vegetables, coarse grains; ② active smoking cessation, restriction of alcohol, gout can not be drinking alcohol in the acute stage, remission can be appropriate to drink red wine; ③ drink more water, white water is appropriate, but also can drink soda, light tea and coffee, but should avoid drinking fruit juice, Fructose-rich beverages such as cola should be avoided; (4) Exercise regularly, pay attention to warmth, avoid strenuous exercise and sudden cold; (5) Maintain a good state of mind and a regular work and rest schedule, avoid staying up all night, exertion, anxiety, and anger; (6) Control body weight, and pay attention to weight loss for obese people.

Gout patients in the active lifestyle intervention at the same time, it is recommended under the guidance of the doctor for drug therapy, drug therapy mainly includes the acute phase for anti-inflammatory pain (such as non-steroidal anti-inflammatory drugs, colchicine or glucocorticoids) and the remission phase of uric acid-lowering treatment (inhibition of uric acid production of allopurinol, febuxostat, or promotion of uric acid excretion of phenylbromarone). Uric acid-lowering drug therapy should be carried out during the remission period of gout, and the uric acid should not be lowered during the acute attack, and the uric acid should be controlled below 360umol/L or 300umol/L, so as to achieve the maximum effect of dissolving urate crystals.

Thanks for reading, this article was originally written by General Practice Sweeper on Today's Headlines & Wukong Q&A, copyright © all, reproduced with permission.

The main cause of gout is due to a disorder of purine metabolism in our body, which makes the production of uric acid too much, or the excretion is not smooth. The human body too much uric acid, its crystals will be deposited in the soft tissues, joint cavities and other parts of the body to stimulate the body to produce an inflammatory response, the feeling is very painful. Gout is also called "immortal cancer", from which we can see that gout is generally difficult to cure. However, if you have gout, don't be too pessimistic, because gout can be controlled, and if it is well controlled, you can have no or very few attacks.

So how can you control and reduce gout attacks?

This needs to be approached in two ways, with attention to lifestyle on the one hand and the option of pharmacologic intervention on the other.

Lifestyle mainly involves reducing the intake of high-purine and high-calorie foods, doing moderate physical exercise, and maintaining good living habits, such as combining work and rest, paying attention to rest, and drinking plenty of water.

High purine foods are mainly seafood, such as sea fish, shellfish, shrimp and so on. Also be sure to reduce the intake of animal offal, they also have an abundance of purines and a variety of alcohol, drinks. It is not advisable to eat too many desserts, because the fructose in desserts will increase uric acid production.

You can consume more dairy products, eggs fresh vegetables. Drink more water, at least 2,000ml of water every day, so that the excess uric acid can be excreted smoothly.

Pharmacological interventions include inhibition of uric acid production and the use of drugs to promote uric acid excretion, as well as drugs to alkalinize the urine and anti-inflammatory drugs for pain relief in acute attacks of gout.

The main drugs that inhibit uric acid production are: allopurinol and febuxostat. Drugs that promote uric acid excretion mainly include: benzbromarone;

Drugs to alkalize urine include: bismuth potassium citrate, sodium bicarbonate, etc.; anti-inflammatory and pain-relieving drugs include: colchicine, diclofenac and prednisolone.

If uric acid is too high, gout attacks are frequent, the use of a drug is difficult to control the symptoms, you can use two drugs to control uric acid at the same time, such as inhibiting the production of uric acid and promote uric acid excretion of the simultaneous use, they can play a synergistic effect.

Gout acute attack, first anti-inflammatory pain medication, do not rush to use uric acid-lowering drugs, and then use uric acid-lowering drugs after the gout symptoms are under control (if you have been using uric acid-lowering drugs before the gout attack, you can not stop using them when the gout attack).

How to control uric acid and how to use anti-inflammatory pain medications, what to look for and their side effects can be seen in my previous answers to questions related to uric acid-lowering medications.

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First of all, thank you for your question.

(1) Gout is a metabolic disease caused by the deposition of sodium urate in bone joints and cartilage, which is characterized by recurrent episodes of acute arthritis.

(2) Methods of controlling uric acid level from lifestyle: 1) Quit drinking, no matter white wine or beer or yellow wine, etc. need to quit; 2) Avoid excessive one-time intake of high-purine food, such as seafood, animal offal, beef and mutton, etc.; 3) Avoid joints catching a cold and pay attention to keep joints warm; 4) Avoid taking medicines that raise uric acid, such as diuretics, e.g., furosemide, and anti-tuberculosis medicines, e.g., pyrazinamide, etc.; 5) Pay attention to the combination of work and rest, avoid fatigue and work and rest chaos; 6) Reduce joint damage, learn to protect the joints and so on;

(3) Drugs used in the treatment of gout mainly include drugs that inhibit uric acid synthesis, promote uric acid excretion, and inhibit the inflammatory response.

(1) Drugs that can be used in acute attacks of gout include drugs that inhibit the inflammatory response, colchicine, glucocorticoid drugs such as methylprednisolone, etc., and drugs that alkalize the urine, such as sodium bicarbonate tablets;

(2) Chronic gout or gout remission drugs: asymptomatic hyperuricemia, can choose febuxostat; inhibit uric acid synthesis drugs, such as allopurinol, febuxostat, etc.; promote uric acid excretion drugs, such as probenecid, phenylbromarone; alkalinizing urine drugs, such as sodium bicarbonate tablets;

The authoritative interpretation of Pharmaceutical Affairs, unauthorized reproduction, plagiarism will be punished.

First of all, the human body is born healthy, with smooth circulation of qi and blood and no stagnation. As we age, many people will get gout. Young ones in their twenties, older ones in their fifties and sixties. There are three most important things that need to change.

First. Quit drinking. Beer seafood cold drinks are to control purine substance intake is part of the control. Another important part is cold dampness. Cold drinks are cold dampness. Often blowing air conditioning will also be cold dampness into the body. Modern people generally lack of exercise. Even after exercise will be greedy for cool air conditioning and drink cold drinks. Feel very comfortable, but do not know let more cold dampness into the body. Cold and dampness will lead to the muscles and bones are not correct, stagnation of blood stagnation.

Secondly, go to bed early, get up early and drink plenty of hot water. Nourish the liver and kidneys. Include Chinese medicine to regulate. Deficiency of the liver and kidneys affects circulation. Blood turbidity and Qi deficiency. This is a common problem of modern people. It is also the most difficult habit to change. Get up in the morning and stretch, stand on piles. Pat the body to promote circulation of qi and blood. There is also jumping rope running.

Third, to establish a correct awareness of the disease. All diseases do not just rely on medicine, people's own habits, attitude to life is the main, drugs are to assist the body. While drinking and staying up late to soak up the bar, while taking medication to expect gout well, this is unrealistic. The body's circulatory state is determined by your living habits. Avoid cold, more exercise. Standing stakes. Combined with compresses, moxibustion and other auxiliary methods to deal with, is more stable and safe. Long-term unhealthy habits combined with the method of taking Western medicine will lead to the body getting worse and worse.

谢邀.

Gout patients must regulate their diet, avoid eating seafood, animal offal, hot pot soup, beer on crabs and so on. Eliminate foods and drinks that increase uric acid, you should drink more tea and warm boiled water as appropriate to increase urine output, which can accelerate uric acid excretion. Patients can choose different drugs according to their condition, such as allopurinol, febuxostat are new drugs commonly used nowadays, with higher safety. It should be said that the most important thing in the treatment of gout patients is low purine food, mild cases can be controlled by paying attention to diet, even if the more serious need to pay attention to dietary regulation. Can not take drugs as little as possible.

Gout patients in the onset of the main Western medicine to relieve pain, life taboo, more exercise, but a little inattention will also be onset of Western medicine to take more, side effects, affecting the health of the body, resulting in secondary damage. Should be root cause treatment of gout, relieve pain, and then dissolve the body of urate crystal deposits, smooth lowering of uric acid, in order to effectively treat gout.

Gout friends, I have gout for more than ten years, used several prescriptions, the effect is not good, my method is to adhere to the side of the uric acid, reasonable diet and moderate exercise, scientific use of uric acid-lowering drugs, I use benzbromarone, half a tablet a day in the morning