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Sign and Symptoms of Gout
Gout is a disease considered by an abnormal metabolism of uric acid, resulting in an excess of uric acid in the tissues and blood. their bodies have a problem in removing it due to overload of uric acid change into crystallize form and are deposited in joints, tendons, and surrounding tissues. The metatarsal-phalangeal joint at the base of the big toe is the most commonly affected (approximately 50% of cases). However, it may also present as tophi, kidney stones, or urate nephropathy. Uric acid levels increase at puberty in men and at menopause in women, so men first develop gout at an earlier age (after puberty) than do women (after menopause). Gout in premenopausal women is distinctly unusual.
In Ayurveda, the origin of gout is believed to be in blood. When functionally impaired (vitiated) vata invades the blood and bone joints, it produces gout. It is characterized by acute excruciating pain (worse at night) and inflammation of the joints, which generally begins from a toe or finger and then gradually spreads to the other joints of the body. The affected joints are warmer than the body, swollen, extremely tender with a burning sensation, and have shiny overlying skin and dilated veins.
In conventional medicine, gout is known as an inflammatory arthritis induced by the pathogenic deposition of aggregated monosodium urate monohydrate crystals (tophi), which deposit in various tissues and joints. Urate crystals can also deposit in kidneys. Chronic high levels of uric acid in the blood are necessary for the development of gout, although some other factors may be involved. This etiology points in the direction of the Ayurvedic etiology that indicates that blood is involved in this disease. If untreated, it can cause painful, destructive arthropathy and urolithiasis resulting in renal failure.
Causes of Gout
- Excessive intake of alcoholic beverages, especially beer, alcohol and red meats.
- Diets rich in red meats, internal organs, yeast, and oily fish
- Psychological trauma,
- starvation and dehydration
- Medications:-use of diuretics and some other anti-hypertensive medications,
- Injury to the joint,
- Recent surgery
- Lack of excercise
Symptoms of Gout
- Severe pain in joints, knees, toes, etc
- Pain usually begins during the night.
- Swelling in the joints
- Extreme tenderness in the joints
- Shiny, reddish or purplish skin around joints
- Inflammation and redness around joints
- Stiffness of joint
- Restricted movements of joints
- Loss of appetite
- Lack of sleep
- Kidney stone
- Failure of the kidney
- Sleep apnea
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