Acute Gout Therapy

Provide an overview of the role nutritional therapy can play in the prevention

/ management of gout

Introduction:

Gout is a type of inflammatory Arthritis and is the most common form. In most

cases it is caused by an excess of uric acid in the blood. This surplus of uric acid is also

known as hyperuricemia. Hyperuricemia can lead to a build up of fluid

in the joints, which form small crystals both inside and around the joints (Schmerling,

2010). These crystals can cause intense pain, inflammation and swelling; which can be

exceptionally debilitating to the sufferer. Gout has the ability to affect any joint in the body, it

does however have a particular affinity for the toes. Other common areas that are

affected by gout are
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2006).

There are four stages to gout; the first being asymptomatic gout, this occurs when the

individual has elevated levels of uric acid in the blood, but no other symptoms are

present. Asymptomatic gout doesn’t require treatment typically. The second stage is

known as acute gout, this is where intense pain and inflammation occurs in the joints.

Acute gout attacks can come on in the space of a few hours and last up to a week. The third stage is called

Interval gout, which is the time in between acute gout attacks where no symptoms are

present and the joint has returned to a normal state. The fourth and final stage
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et al). Fortunately Gout symptoms can be

controlled by medications, lifestyle and dietary changes. The use of natural remedies or

nonsteroidal anti-inflammatory drugs are particularly effective at controlling symptoms

(Mittleman, et al. 2015).

While it has been evidenced that genetic and lifestyle factors contribute to gout, other diseases may also add to the risk. Some of the diseases include sickle cell anaemia, leukemia, diabetes and kidney disease (Starkebaum, 2015).
In recent times it has been discovered which foods in particular are most likely to trigger gout.

Researchers have discovered various aspects of diet that are relative to the risk of gout.

Some of the most effective medications for the treatment of gout were

developed from herbal remedies (Kolasinski, 2014).

Purines are chemical compounds manufactured in the body and also come

from certains foods. Foods high in Purines are thought to contribute to triggering gout

and increasing the likelihood of developing this disease.

In a normal process, Purines are broken down into uric acid when they

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