what causes gouty arthritis - Uric Acid Testing
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Uric Acid Testing

Definition

Uric acid tests are tests that are done to measure the levels of uric acid in blood serum or in urine.

Purpose




Preparation

The uric acid test requires either a blood or urine sample. For the blood sample, the patient should be fasting (nothing to eat or drink) for at least eight hours before the test. The urine test for uric acid requires a 24-hour urine collection. The urine test does not require the patient to fast or cut down on fluids. Some laboratories encourage patients to drink plenty of fluids during the collection period.


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Precautions

Blood test

Patients scheduled for a blood test for uric acid should be checked for the following medications: loop diuretics (Diamox, Bumex, Edecrin, or Lasix); ethambutol (Myambutol); vincristine (Oncovin); pyrazinamide (Tebrazid); thiazide diuretics (Naturetin, Hydrex, Diuril, Esidrix, HydroDiuril, Aquatensen, Renese, Diurese); aspirin (low doses); acetaminophen (Tylenol); ascorbic acid (vitamin C preparations); levodopa (Larodopa); or phenacetin. These drugs can affect test results.

For example one fruit that has a proven track record in fighting gout pain is the tart cherry. Tart cherries have been proven by medical research universities to help fight gout pain. The benefit of the tart cherry is this little fruit is available is a variety of options including tart cherry juice and tart cherry capsules. Here is a brief overview of the different ways to fight gout with tart cherries:

2. Eat food that have a moderate to low purine levels, such as most vegetables, fruit, cereals, white breads and avoid foods that are high in purine like meat extracts, shellfish, offal (liver, kidney's, brains, sweetmeats), gravies, dried beans.

Though uric acid crystals will still be in the joints, you can dramatically decrease the gout attacks by learning how to relieve and cure gout symptoms. Let me explain!

Increased production of uric acid may result from eating foods that are high in purine. Increased uric acid levels due to overproduction may also be caused by gout, by a genetic disorder of purine metabolism, or by metastatic cancer, destruction of red blood cells, leukemia, or cancer chemotherapy.

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Decreased excretion of uric acid is seen in chronic kidney disease, low thyroid, toxemia of pregnancy, and alcoholism. Patients with gout excrete less than half the uric acid in their blood as other persons. Only 10-15% of the total cases of hyperuricemia, however, are caused by gout.

Abnormal results

The critical value for the blood test is a level of uric acid higher than 12 milligrams per deciliter (about 3.4 ounces).

A further danger of excess uric acid is the formation of kidney stones. These can be very painful and can also further reduce the ability of the body to expel waste uric acid.

3. Obesity can lead to high uric acid levels in your blood. You should make it a goal to get within 30 pounds of your target weight. Remember that the only healthy way to lose weight is a sensible diet and exercise. All other fad diets usually won't work!

Because there is no traditional cure for gout, gout alternative treatments have been the newest rave with this type of arthritis. Millions of people suffer from this painful type of arthritis that is contributed to high levels of uric acid between the joints. And these gout remedies work because they naturally lower the levels of uric acid by flushing it out of the body.

Indeed, many gout sufferers change their diet for life so that they never again suffer a gout flare up.


So, when creating low purine diets for gout sufferers you love, or changing your lifestyle to include a new gout diet, keep in mind that the sooner that the above strategies are adopted the sooner you can get relief from relief from gout symptoms.

The uric acid tests are used to evaluate the blood levels of uric acid for gout and to assess uric acid levels in the urine for kidney stone formation. The urine test is used most often to monitor patients already diagnosed with kidney stones, but it can also be used to detect disorders that affect the body's production of uric acid and to help measure the level of kidney functioning.

The laboratory should also be notified if the patient has had recent x-ray tests requiring contrast dyes. These chemicals increase uric acid levels in urine and decrease them in blood.

Further information about natural gout diets can be found on our web site. Of course, the adoption of a low purine diet may seem like quite a sacrifice, especially as it can be different to the typical western diet. However, many gout sufferers see the inconvenience of a new diet as a small price to pay to relieve themselves of the pain and discomfort of gout.



Certain foods that are high in purine may increase the patient's levels of uric acid. These include kidneys, liver, sweetbreads, sardines, anchovies, and meat extracts.

Description

The uric acid blood test is performed on a sample of the patient's blood, withdrawn from a vein into a vacuum tube. The procedure, which is called a venipuncture, takes about five minutes. The urine test requires the patient to collect all urine voided over a 24-hour period, with the exception of the very first specimen. The patient keeps the specimen container on ice or in the refrigerator during the collection period.

If you wish to learn more about Gout, Purines, or Uric Acid, check out Steve's s The Internet Guides. The Internet Guide: Uric Acid: http://gout.smartadssecrets.com/uric_acid

If you have been living with the painful symptoms of gout for a while or this is the first time you have suffered from swelling, stiffness and pain in the joints, you have no doubt come across people telling you about low purine diets for gout.

Key Terms

Fanconi's syndrome
A rare disorder caused by vitamin D deficiency or exposure to heavy metals.
Gout
A metabolic disorder characterized by sudden recurring attacks of arthritis caused by deposits of crystals that build up in the joints due to abnormally high uric acid blood levels. In gout, uric acid may be overproduced, underexcreted, or both.
Hyperuricemia
Excessively high levels of uric acid in the blood, often producing gout.
Purine
A white crystalline substance that is one of the building blocks of DNA. Uric acid is produced when purine is broken down in the body.
Uric acid
A compound resulting from the body's breakdown of purine. It is normally present in human urine only in small amounts.
Uricosuria
Increased levels of uric acid in the urine.
Wilson's disease
A rare hereditary disease marked by the buildup of copper in the liver and brain, causing loss of kidney function.

Further Reading

For Your Information

    Books

  • Laboratory Test Handbook, edited by David S. Jacobs. Cleveland, OH: Lexi-Comp Inc., 1996.
  • Mosby's Diagnostic and Laboratory Test Reference, edited by Kathleen Deska Pagana and Timothy James Pagana. St. Louis: Mosby-Year Book, Inc., 1998.
  • Springhouse Corporation. Handbook of Diagnostic Tests, edited by Matthew Cahill. Springhouse, PA: Springhouse Corporation, 1995.

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So, when starting out on a low purine diet for gout, there are a few things that you should bear in mind. 1. Eat a balanced diet, which should be high in complex carbohydrates, low in protein and fat.

Here are some tips to get you started for curing your gout symptoms! 1. Watch what you are eating! Keep a food journal of everything that you eat and drink for one week. Try to find what foods or beverages are causing your attacks.

2. Learn what foods are putting you at risk. Foods higher in purines will usually cause the problems. Avoid meats such as kidneys, liver, red meats, fish, beans, lentils, peas and alcohol. To begin your treatment you need to avoid these foods and gradually re-introduce these foods to your diet after you lower your uric acid levels.

 
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And There is More ... Recent research is suggesting that the human body has an internal intelligence that allows itself to naturally heal itself if given the proper tools. With gout, that includes your diet, nutrition, vitamins, supplements, herbs and exercise.

Eating right and selecting low purine foods can help you to manage gout pain and enjoy a painful life.

Gout is relatively common, and can usually be treated successfully, without having to resort to pharmaceutical drugs. Some quick and simple changes to your lifestyle can reduce and even eliminate your gout symptoms.

Stage #3: This stage is Intercritical gout. This is when an gout attack has subsided. This is the stage the body begins to stabilize itself and fights the uric acid crystals in the joints. Getting treatment is vital at this stage if the individual wants to control the gout.

Abnormally low uric acid levels may indicate that the patient is taking allopurinol or probenecid for treatment of gout; may be pregnant; or suffers from Wilson's disease or Fanconi's syndrome.

Urine test

Patients should be checked for the following medications before the urine test: diuretics, aspirin, pyrazinamide (Tebrazid), phenylbutazone, probenecid (Benemid), and allopurinol (Lopurin). If the patient needs to continue taking these medications, the laboratory should be notified.

Stage #1: Higher levels of uric acid begin to form. This first stage is called Asymptomatic Hyperuricemia. In this stage, you will probably not feel any symptoms. Catching the gout at this stage is vital so you don't experience the pain of the gout.

" Cherry juice concentrate is a highly concentrate way to get the pain relieving property of the tart cherry. It takes approximately 100 cherries to make just one ounce of tart cherry juice. A reliable source for tart cherry juice concentrate is Traverse Bay Farms http://www.traversebayfarms.com

Stage #2: The gout starts to harm the body. This second stage is called acute gouty arthritis or acute gout. This is the stage that jagged crystal-like formations begin to deposit themselves in joint spaces. This is also the stage when redness, pain and swelling occurs.

Why Do I Suffer From Gout? Gout most likely can be contributed to your diet and lifestyle. Sufferers from this form of arthritis are typically those people who have a poor diet and an inactive lifestyle. They usually have a diet high in purines (found in animal-based foods). Once in the body purines break down into uric acid.

It is interesting to note that purine is naturally present in the tissues of our body, and it is only when there is an excess of purine, often caused by a diet rich in foods with high purine levels that the uric acid builds up.

Now that you know a few of the foods to avoid here are few suggestions on what foods to eat. Here a brief list of foods that are low in purines and you should incorporate them into your diet. These foods include peanut butter, oatmeal, eggs, cereals, fruits and milk.

Hyperuricemia is the build up of uric acid crystals and is directly responsible for the pain you are feeling. There crystals can find their way to the joint spaces where they will cause painful inflammation. Sometimes the crystals can appear as lumps under the skin and even disrupt the function of the kidneys.

3. Avoid alcohol as much as possible, as alcohol consumption can this can cause gout flare-ups. 4. Drink 2 - 3 liters of water per day, as this will help dilute the uric acid in the body and allow the kidneys to regain control.

You are dealing with a serious disease and you should choose a treatment that works to decrease uric acid levels in the body. You should consider a gout alternative treatment along with your anti-inflammatories and pain killers.

" Tart cherry capsules are made with tart cherry powder. The tart cherry powder is made using the freeze-dried process. The freeze dried process uses low heat and low temperature, thus maintaining 100% of the phytochemicals of the tart cherry. A good source of tart cherry capsules is Fruit Advantage http://www.fruitadvantage.com

Here is a brief list of foods that are high in purines and should be avoided since high purine food contributes to the gout. These foods include alcohol, seafood, beans, scallops, and sweetbread.

For most people, the uric acid is dissolved in the blood, and processed by the kidney and eliminated from the body through the urine. If you suffer from this disease, you body probably has an increased production of uric acid that cannot be processed and eliminated efficiently. This condition is called hyperuricemia.

Urine test

Reference values for 24-hour urinary uric acid vary from laboratory to laboratory but are generally found within the following range: 250-750 mg/24 hours.

Uric acid is a waste product that results from the breakdown of purine, a nucleic acid. (Nucleic acids are the building blocks of DNA.) Uric acid is made in the liver and excreted by the kidneys. If the liver produces too much uric acid or the kidneys excrete too little, the patient will have too much uric acid in the blood. This condition is called hyperuricemia. Supersaturated uric acid in the urine (uricosuria) can crystallize to form kidney stones that may block the tubes that lead from the kidneys to the bladder (the ureters).

If you don't want to take medication, due to possible and serious side effects, you have another alternative that can be better then medication - eating the right food.

For more gout alternative treatments, please visit our website! We offer the only 100% guaranteed Gout Remedy Report that works in less than 2 hours! These 5 tips will give you a great start for your treatment but more flare-ups are inevitable if you don't change your lifestyle.

Following a low purine diet has been shown to reduce the level of purine in the body, and this in turn reduces the levels of uric acid being produced.

Risks

Risks for the blood test are minimal, but may include slight bleeding from the puncture site, a small bruise or swelling in the area, or fainting or feeling lightheaded.

Stage #4: This is the final stage of gout and it is called chronic gout. This stage can cause permanent damage to the joints and kidney, too. Eating Right Can Stop the Gout.

Steve Warshaw - Certified Personal Trainer and Nutritionist With over 15 years expereience developing training and nutrition programs for top level executives from companies such as Microsoft, Boeing, and Symetra Corp, Steve has established himself as a health and wellness expert.

Normal results

Blood test

Reference values for blood uric acid vary from laboratory to laboratory but are generally found within the following range: Male: 2.1-8.5 mg/dL; female: 2.0-6.6 mg/dL. Values may be slightly higher in the elderly.

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You probably already know gout is caused by high levels of uric acid in the blood. However, did you know that four stages of gout exist and each stage has very unique characteristics of this painful infliction?

Uric acid is a natural by-product that is produced when the body breaks down purine, so less purine in the body means that the kidney's can work to get the body back into balance by eliminating the excess uric acid as waste.

5. Water can also greatly assist in the prevention and formation of uric acid crystals. In addition, water can also help your body flush the crystals once they have formed!

How to Cure the Gout Knowledge is the key to not only treating the disease, but preventing any additional damage to your body and kidneys. You most also remember that being healthy is not a once a year type of thing; you must make your health a priority and a lifestyle change.

4. Get vitamins A, B5 and E! Studies have shown that fruits and vegetables can drastically flush uric acids because of the fiber content and nutrients and antioxidant properties. People deficient in these vitamins typically get gout.

To see how thousands are flushing uric acid and curing gout symptoms, please visit us today!


 
 
     
 
 





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