Gout is a form of arthritis that is complex and very painful chronic disease that can spread to various joints in the body. Gout is one of most frequent medical illness written about throughout history. It remains a large problem because as many as 3 million Americans are affected by Gout, as stated in rheumatology.org.
It most often affects men but women are increasingly disposed to get gout after going through menopause. Also, patients with kidney disease are at risk for Gout and it has been known that hereditary, environmental and racial factors may have an impact the development of gout a disease that appears to be on the rise worldwide (Proquest.com). The disease typically causes sudden, severe attacks of pain, redness and tenderness …show more content…
We now know that gout also can be caused by certain medications that raise uric acid levels, such as aspirin; diuretics, such as hydrochlorothiazide; and immunosuppressant drugs, such as cyclosporine (rheumatology.org ).
Chronic gout can lead to crystal deposits (sodium orate) of uric acid (a normal byproduct of purines) in the tissues, particularly in and around the joints. Either the body starts to increase production of uric acid or, more often, the kidneys cannot remove the uric acid well enough, so it builds up. Some of the needle-shaped crystals move outside the bloodstream and usually take hold around the joints. This causes severe pain and inflammation and over a longer period of time, can cause joint destruction.
As stated in emedicinehealth.com, some of the expected signs and symptoms for gout are:
• Sudden onset of severe pain,
• Inflammation and edema on affected joint, typically on the big toe or ankle
• Fever and hypertension
According to Barbara Mittleman (2014) there are four different stages of