Effective gout treatment: how to get rid of your tormentor

Imagine a situation: late at night, a person is sleeping peacefully in his warm bed, he has good dreams, and then suddenly he wakes up from terrible pain. Trying to get out of bed, the person falls back onto the bed: it turns out that the source of pain – his leg, or rather - the foot, or rather – big toe. Having heard a similar story from a person who came to the appointment, the doctor will suspect a disease and send the patient, no, not to a traumatologist, but to an endocrinologist, since this pathology is associated with metabolic disorders in the body. But a person who complains of pain in the leg and the inability to walk is concerned about only one question – what will be the treatment for gout.

Treatment of gout requires an individual approach to the patient

Treatment of gout – it is always a rather complex and lengthy process, aimed primarily at preventing the progression of pathology. Often, patients seek help during the period of acute gouty arthritis, which means that it is necessary to start symptomatic therapy as soon as possible. In addition, the treatment of gout should also include the appointment of drugs that normalize the level of uric acid, which you can learn more about at estet-portal.com.

The approach to choosing a therapeutic regimen for gout should be comprehensive, strictly individual, and aimed at achieving the maximum therapeutic effect.

Gout treatment:

• treatment of gout: how to stop an attack of gouty arthritis;
• basic treatment of gout: anti-gout agents.

Treatment of gout: how to stop an attack of gouty arthritis

Treatment of gout may be initiated if a patient has asymptomatic hyperuricemia with a persistent uric acid level of more than 0.54 mmol/L and is at high risk of developing an acute attack of arthritis or uric acid stones. But in most cases, the patient first seeks help only when he already has an acute attack of gouty arthritis. In such cases, the following treatment should be recommended:

• the affected limb must be given complete rest, physical activity is strictly prohibited;
• the patient is advised to drink plenty of fluids;
• the leg is given an elevated position, with severe inflammation, you can apply an ice pack, and after the pain subsides – apply a warm compress;
• Non-steroidal anti-inflammatory drugs are prescribed in a large single dose, non-retarded forms of both non-selective and selective NSAIDs can be used;
• colchicine – the most effective remedy to help stop acute attacks of gouty arthritis.

Basic treatment of gout: anti-gout agents

The main principle of the basic treatment of gout is the long-term use of drugs that normalize the level of uric acid in the blood. All anti-gout drugs are divided into three groups:

1. Uricodepressive agents – by inhibiting xanthine oxidase, they reduce the synthesis of uric acid. The most famous drug of this group – allopurinol;
2. Uricosuric agents – have the property of reducing the reabsorption of urate in the tubules of the kidneys, thereby increasing the excretion of uric acid. The most effective         uroeliminator currently – this is probenecid;
3. Mixed agents aim at both reducing uric acid secretion and increasing its excretion.

Anti-gout drugs are specific drugs that are highly effective specifically for this pathology.

Their administration in combination with other anti-inflammatory drugs is the basis for the treatment of gout.