SERVICES I GOUT
Overview
Gout arises when urate crystals build up inside the joint. Urate crystals develop when there are elevated uric acid levels in the blood. Uric acid is produced from the breakdown of purines, natural substances found in the body. Purines in certain foods like organ (liver) and red meats are broken down into uric acid during digestion. They are also found in certain types of seafood. Also, drinking some forms of beverages, like alcoholic drinks and drinks with fructose, leads to higher levels of uric acid. Typically, uric acid dissolves within the blood or exits the body through the kidneys via urine. However, in some cases, the body may produce uric acid in excess, or the kidneys excrete only a limited amount of uric acid. As a result, uric acid accumulates and forms very sharp urate crystals in the joint or nearby tissue. The build-up of uric acid in the body causes pain and inflammation, which is why early intervention and treatment are essential.
Complications of Untreated Gout
Untreated gout can result in several complications, such as:
- Recurrent gout: When not treated, chronic gout can result in erosion and damage to the joint.
- An advanced form of gout can lead to the development of urate crystal deposits beneath the skin. These nodules, known as tophi, can form in various areas of the body, such as the hands, fingers, feet, or elbows. In some cases, the tophi may also develop in the Achilles tendons behind the ankles. During a gout attack, tophi can become tender, which results in significant discomfort and swelling.
- The formation of kidney stones. There’s a risk that urate crystals may accumulate in the urinary tracts of those with gout, increasing their susceptibility to kidney stones.
Treatment for Gout
Dr Michael Myburgh, a specialist physician and rheumatologist, manages gout flare-ups by providing professional advice on healthy lifestyle adjustments, prescribing medications to ease flare-ups, and continuously monitoring uric acid levels.
FAQ
A gout attack, also known as a flare-up, is an episode of redness, swelling and pain in the affected joint.
This depends and may vary in each case. For example, in some cases, without treatment, a flare-up can last one or two weeks.
Pain in the impacted joint is one of the most common signs. However, only a healthcare practitioner like Dr Myburgh can officially diagnose the condition.
