Gout

Date: 2024-04-06, updated: 2024-04-06

Table of Contents
Male foot gout

What is gout?

Gout is a disorder of metabolic processes in the body, leading to problems with the joints and kidneys. Specialists in the field of rheumatology, arthrology and nephrology take on the treatment of this disease.

Gout is a metabolic disease, which is manifested by the accumulation of uric acid in the body and the deposition of its crystals in the joints and kidneys. The main signs of the disease are pain and swelling of the joints. If gout is left untreated, it can lead to joint deformities and kidney problems, including the formation of stones. Often, gout begins by affecting the joints in the big toe. Treatment focuses on relieving inflammation, correcting metabolism and changing diet.

Worldwide, gout is diagnosed in about 1% of the population, and recently the disease has become more common due to changes in diet and increased risk of metabolic disorders. Elderly men are primarily at risk. There are different forms of gout, differing in symptoms and consequences.

Get a consultation

If you have such symptoms, we advise you to make an appointment with a doctor. Timely consultation will prevent negative consequences for your health.
You can find out more about the disease, prices for treatment and make an appointment for a consultation with a specialist by phone:

Reasons

Gout develops due to the accumulation of uric acid, which the kidneys cannot efficiently eliminate from the body due to hereditary factors, kidney disease, poor diet and other reasons. This excess leads to the formation of crystals in the joints, causing inflammation and pain.

Key factors that trigger gout:

  • Genetic predisposition. Hereditary traits can affect the metabolism of uric acid, increasing its level in the blood.
  • Diseases of the kidneys that affect their ability to filter and excrete uric acid.
  • Blood disorders such as altered lipid metabolism or anemia.
  • Psoriasis and other chronic autoimmune skin diseases.
  • Use of certain medications, such as aspirin, diuretics, vitamin B3 supplements, and ACE inhibitors, which can interfere with uric acid excretion.
  • Although the exact causes of gout are not fully understood, understanding these risk factors allows for effective prevention and early treatment to avoid serious complications.

Treatment

Treatment is aimed at reducing the level of uric acid in the body, reducing symptoms and preventing complications. This is achieved through dietary adjustments and prescription of medications.

Approaches to treatment in our clinic:

  • Drugs that reduce uric acid production, such as xanthine oxidase inhibitors (allopurinol, febuxostat), are selected individually with constant monitoring of the acid level in the blood.
  • Medications to improve excretion of uric acid, such as probenecid or lesinurad, stimulate its removal through the kidneys, and it is important to monitor the excretory system.
  • Anesthetic and anti-inflammatory drugs help relieve symptoms. Colchicine, gels and ointments for topical application are also used.
  • Corticosteroids are prescribed to control inflammation and pain.
  • Joint replacement may be performed to remove fluid and provide relief in atypical forms of gout.
  • Efferent therapy is used in complicated cases to purify the blood from excess uric acid and its salts with the help of a special apparatus.

Our outpatient clinic uses only proven methods of gout treatment, ensuring careful monitoring at all stages of therapy and providing full support and advice to patients.

The publication was vetted by Dr.
Dr. Luciano

Specialty - Plastic surgeon

Length of medical practice - 25 years
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