Gout is a form of inflammatory arthritis, characterized by recurrent attacks of red, tender, hot and swollen joint. Pain usually comes fast, it reaches maximum intensity in less than 12 hours. On the basis of big toe, the joint is affected in almost half of the cases. This can also be due to toffee, kidney stone or nephropathy.
Gout is caused by a extreme level of uric acid in blood and vessels. This is due to the combination of diet, other health problems and genetic factors. At the higher level, uric acid is crystallized and crystals are stored in joints, tendons and surrounding tissues, resulting in an attack of gout.
Gout is more common in people who eat meat or seafood regularly, drink beer, or are overweight. The diagnosis of gout can be confirmed by the presence of crystals in the composite fluid or deposited outside the joint. During an attack, blood uric acid levels can be normal.
It can be treated with nonsteroidal anti-inflammatory drugs (NSAID), steroid or colchicin improves symptoms.Uric acid levels can be reduced through lifestyle changes and in people with frequent attacks, allopurinol or probenecid provides long term prevention. Taking vitamin C and high-fat dairy products can be preventive.
Gout affects approximately 1 to 2% of the Western population at some point in their life. It has become more common in recent decades. It is believed that this is due to the increased risk factors in the population, such as metabolic syndrome, prolonged life expectancy and changes in diet. Old men are most affected Gout was historically known as "disease of kings" or "disease of the rich man". It is the least recognized from the time of ancient Egypt.