uric acid metabolism - Gout And Nutrition
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Gout And Nutrition

Gout is a disease that is due to an inborn disorder of the uric acid metabolism and is also referred to as metabolic arthritis. When you suffer from this disease monosodium urate crystals are deposited on the articular cartilage of joints and in tissues such as the tendons. Then also causes an inflammatory reaction to the tissue and the deposits get larger and burst through the skin to form sinuses discharging a white material.


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Michael Koski is the author of several nutritional reports and books including The Truth About Arthritis and Joint Pain, Nature's Vitality Code for Joint Pain and Atkins for Seizures: The Story of One Child's Journey Through Epilepsy. For more information on natural gout treatment, go to http://www.smartjointpainrelief.com/indexG1.html.

Men between the ages of 40 and 50 are most prone in developing gout. Protein-rich foods are often the cause of high levels of uric acid. Alcohol intake could also affect the level of uric acid and can cause acute attacks of gout. Moreover, the development of gout could also be a result of hereditary factors.

Arthritis is a disease that causes pain and loss of movement of the joints. Joint pain is referred to as arthralgia. Arthritis is the leading cause of disability in people over the age of 55. The causes of arthritis depend on the form of arthritis. Causes include injury (leading to osteoarthritis), abnormal metabolism (such as gout and pseudogout), inheritance, infections, and for unclear reasons (such as rheumatoid arthritis and systemic lupus erythematosus). There are many forms of arthritis .There are about 200 different kinds of arthritis. The most common type is osteoarthritis (or degenerative arthritis), where the cartilage that protects the bones gets worn away. This makes joints stiff, painful and creaky. About 5 million people in the UK have osteoarthritis. OA is a chronic degenerative arthropathy that frequently leads to chronic pain and disability. With the aging of our population, this condition is becoming increasing prevalent and its treatment increasingly financially burdensome. Using radiographic criteria, the distal and proximal interphalangeal joints of the hand have been identified as the joints most commonly affected by OA, but they are the least likely to be symptomatic. Age is the most consistently identified risk factor for OA, regardless of the joint being studied. Prevalence rates for both radiographic OA and, to a lesser extent, symptomatic OA rise steeply after age 50 in men and age 40 in women. Occupation-related repetitive injury and physical trauma contribute to the development of secondary (non-idiopathic) OA, sometimes occurring in joints that are not affected by primary (idiopathic) OA, such as the metacarpophalangeal joints, wrists and ankles.

Our society is such that on a daily basis we unknowingly introduce our bodies to countless foreign substances. We are so conditioned to our way of life that we are not conscious to the fact that almost everything we eat, drink, breathe and put in or on our bodies is full of any number of food dyes, additives and preservatives. We routinely ingest toxic and often deadly chemicals such as chlorine and fluoride or heavy metals like mercury and lead. The air we breathe is no better, containing an array of noxious manmade chemicals, any number of which if inhaled in large doses would be considered lethal. When the body is unable to effectively deal with this foreign invasion, it sends in lymphocytes, flooding your system with these disease-fighting white blood cells. Lymphocytes, which are produced in your bone marrow, are part of your immune system and help to fight off such things as infectious disease and foreign materials. When your body is consistently subjected to these foreign substances however, it essentially goes into a state of constant alert. Eventually, this endless battle overwhelms the immune system to the point it can no longer differentiate between what is normal and natural and what is foreign, initiating a condition known as an autoimmune disease. Arthritis, including gout, is one such disorder.

You can also apply ice to the affected area for 20-30 minutes multiple times throughout the day. Some may think that uric acid crystallization is increased with low temperatures but a recent study proved that those who use ice packs experienced a relief in pain without negative effects.

To get an accurate diagnosis of gout you must have a light microscopy of joint fluid aspirated from the joint to show intracellular monosodium urate crystal in synovial fluid polymorph nuclear leukocytes. Only a well trained specialist can distinguish the difference from other crystals.

A Natural Approach Nature provides everything we need to support and nourish our bodies. The typical Western diet unfortunately consists of mainly nutrient deficient, highly refined and processed foods. Fast food for a fast life. It is no wonder that by medical standards, over 60 percent of all American adults are obese, 30 percent morbidly so. Obvious health issues aside, studies show a direct link between obesity and osteoarthritis. In fact, this risk can be up to 10 times higher for extremely overweight individuals.

What is gout? Gout is a disease caused by congenital disorder in uric acid metabolism. Uric acid is a product of waste material found in the urine and blood from the chemical processes of the body. In case of gout, the monosodium urate or more popularly called the uric acid crystals are being deposited on the articular cartilage of joints, tendons and surrounding tissues. The crystal deposits are due to the increase of uric acid concentration in the blood stream.

If you aren't able to get immediate medical attention there are a few things that can provide temporary relief to the pain and swelling commonly associated with gout. NSAIDS including ibuprofen can be used to reduce the pain and inflammation, but stay away from aspirin as it has been known to have adverse affects. You can also apply Preparation H ointment to the affected skin to reduce swelling.

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There are Over 100 Types of Arthritis Over 43 million Americans suffer yearly from some form of arthritis. Some worse than others, but for 20 million of these people, the disease has progressed to unmanageable proportions. It is usually at this point we seek medical attention for symptoms such as pain, swelling and increasingly limited joint mobility.

To restore proper alkalinity we must first change our diet. Low carbohydrate (no refined wheat, sugar etc.), lots of organic fresh vegetables and fruits and plenty of fresh, clean, preferably ozonated or at least filtered. With gout you must also avoid all purine and uric acid-forming foods such as all meat, eggs, and fish as well as tea, coffee and of course, all alcohol. If your body is severely acidic or you are overweight, you may need to first detoxify your body using one of the many safe cleanses. This helps remove accumulated toxins so your body can once again function properly. Drinking lots of water daily and cleansing your body regularly is essential to controlling the acidic build-up responsible for arthritis. As your acid levels decease, so will your inflammation and pain.

The Bottom Line Any way you look at it, gout is a preventable and treatable disease. Proponents of traditional medicine would have you believe drugs are the only answer to this painful and disabling condition. There are currently over 43 million Americans suffering from different forms of arthritis, yet the cases are still growing. Traditional medicine is failing. Our bodies have reached critical overload and our health is paying the price. At what point does the cost become too high?

Gout and arthritis in general can be triggered by a multitude of things such as injury, food allergies, stress, a genetic predisposition or even your physiological and emotional state according to some studies. The bottom line however, is if the body is in optimal working condition, it can effectively heal itself by repairing these damaged cells. So, if you are suffering from any form of arthritis, your body is obviously deficient or toxic in some way and not able to effectively heal. In most cases therefore, it is necessary to support your healing by introducing proper nutrition and natural supplements to aid in the repair of tissue, boost your immune system and detoxify your body.

Diagnosis of Gout People with high levels of uric acid in the blood are could also not develop gout as long as the urate is within the normal range. However, when a person suspects that he or she is already developing gout, the urate test should be administered after the attack has subsided. Through complete blood count, the level of uric acid in the blood is also determined. Other tests include electrolytes, renal function and erythrocyte sedimentation rate. Early diagnosis of gout could prevent the patient to develop severe arthritis.

As a nation, we are slowly killing ourselves with food. The biggest cause of body acidity is diet. Foods like refined sugar, hydrogenated oils, refined wheat, alcohol, caffeine, processed meats, soda, preservatives, artificial sweeteners and all fast food are extremely acidic. Obesity aside, the typical American diet promotes acidosis and disease. Arthritis and gout in particular, is directly linked to what you eat.

The answer is simple... you can't put a price on your well being. You have options and changing your lifestyle and diet is the first step toward regaining your health. Despite what we were taught as children, disease is preventable not inevitable.

Psoriatic arthritis is related to the skin condition psoriasis. It occurs more commonly in patients with tissue type HLA-B27. There are five clinical patterns of psoriatic arthritis. First is Asymmetrical mono- and oligoarticular arthritis (30-50% of cases) is the most common presentation of psoriatic arthritis. Second is symmetrical polyarticular arthritis (30-50% of cases) is ultimately the most common form of psoriatic arthritis. Third is distal interphalangeal (DIP) joint involvement (25% of cases) is nearly always associated with nail manifestationsm. Fourth is Arthritis mutilans is affects less than 5% of patients and is a severe, deforming and destructive arthritis. This condition can progress over months or years causing severe joint damage. Fifth is Axial arthritis (30-35% of cases) may be different in character from ankylosing spondylitis, the prototypical HLA-B27-associated spondyloarthropathy. It may present as sacro-iliitis, which may be asymmetrical and asymptomatic, or spondylitis, which may occur without sacro-iliitis and may affect any level of the spine in "skip" fashion. Genetic factors appear to play an important role. There is a 70% concordance for psoriasis in monozygotic twins. There is a 50-fold increased risk of developing psoriatic arthritis in first-degree relatives of patients with the disease. Environmental factors have been implicated. Streptococcal infection can precipitate the development of guttate psoriasis. HIV infection can present with both psoriasis and psoriatic arthritis, as well as worsen existing disease.

 
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Gout is one of the most painful types of arthritis. Gout was once incorrectly thought to be a disease of the rich and famous, caused by consuming too much rich food and fine wine. Gout is a disease due to a congenital disorder of uric acid metabolism. Uric acid is produced when purines are broken down by enzymes in the liver. Purines can be generated by the body itself (via the breakdown of cells in normal cellular turnover) or can be ingested in purine-rich foods (e.g. seafood, beer). Gout usually attacks the big toe (approximately 75% of first attacks), however it can also affect other joints such as the ankle, heel, instep, knee, wrist, elbow, fingers, and spine. In some cases the condition may appear in the joints of the small toes which have become immobile due to impact injury earlier in life, causing poor blood circulation that leads to gout. Chronic gout can lead to deposits of hard lumps of uric acid in and around the joints, decreased kidney function, and kidney stones. An acute attack of gout is a highly inflammatory arthritis often with intense swelling, redness and warmth surrounding the joint. The inflammatory component is so intense, an acute attack of gout is often mistaken for a bacterial cellulitis. Gout is mainly treated with anti-inflammatory drugs. Corticosteroids (also called steroids), may be prescribed for people who cannot take NSAIDs. Steroids also work by decreasing inflammation. Steroids can be injected into the affected joint or given as pills. Colchicine is often used to treat gout and usually begins working within a few hours of taking it.

Since the kidney is responsible in filtering the blood stream, a malfunction of the kidneys could also lead to gout because of the high levels of uric acid that the system is not able to eradicate.

Gout is one of the most painful forms of arthritis. It is considered a congenital disorder affecting uric acid metabolism that occurs when deposits of this substance accumulate in the connective tissue and or joint spaces. Considered foreign bodies, the uric acid then crystallizes, triggering an inflammatory reaction within the tissues. This further causes redness, a burning sensation and stiffness in the joints. Often, these crystallized deposits continue to grow until they actually break through the skin forming open sores filled with a chalky white substance.

The bloodstream usually carries only a tiny amount of uric acid but if there is an increased concentration then crystals are deposited on the cartilage and tissues that surround the joints. If you have high levels of uric acid in your bloodstream it can also result in uric kidney stones.

The common effects of gout include the sudden pain, swelling, redness, warmness, stiffness in the joint, and sometimes a low fever may persist. Those suffering from gout are in pain because of the crystals inside the joint that cause pain whenever the area is moved, as well as the inflammation of the tissues around the joint which tends to cause swelling and soreness.

Gout commonly affects the big toe but can affect other area such as the joints in the ankle, heel, knee, wrist, instep, fingers, and spine. There have been instances where gout appears in the joints of the small toes which have become immobile because of an impact injury which leads to poor circulation and gout.

Hyperuricemia is a uric acid level higher than 420 ??mol/L in males and 380 ??mol/L in females. High uric acid levels don't always lead to gout. If it is suspected that you are suffering from gout the serum urate test should be repeated once the attack has subsided.

In many cases, arthritis can also be triggered by age and longstanding inferior nutrition. Overtime, our joints and the surrounding ligaments, tendons and cartilage can become worn with wear. The cartilage, which is a gel-like substance found between the bones, acts as a shock absorber, protecting the ends of the joints. When the essential enzymes normally produced by our bodies to repair this cartilage are insufficient, severe degeneration can occur. In order for these enzymes to be produced, the cells must be functioning properly. If your body is depleted of fundamental nutrients or overwhelmed by toxic substances, this reparative process will ultimately fail.

Article by Sven Ullmann, who runs Deserved Health - information on health for you and your family. Read more about gout and nutrition. Get our health newsletter.

Where Gout Attacks? Gout usually attacks in the upper and lower extremities especially when these parts of the body lack exercise. The lack of exercise could cause the crystals to be easily deposited because the joints are at rest and the blood is also flowing into a smoother flow. However, almost 75 percent of first attacks of gout are recorded in the big toe. But aside from not, gout is not limited to the big toe, it could also attack other joints in the feet and hands like in the ankle, heel, instep, knee, wrist, elbow, fingers, and spine. Gout in the spine often results in backaches and difficulty in moving because the spinal column becomes stiff. Poor blood circulation in fingers due to earlier injury could also lead to gout.

Gout is characterized by inflammation of the tissues that could also burst through the skin. That is why people suffering with gout sometimes have sinuses discharging a material white as chalk. Moreover, gout is also known as metabolic arthritis.

Septic arthritis also known is Pyogenic arthritis. Septic arthritis is infection, usually bacterial, in the joint cavity. Septic arthritis usually affects just one joint, though occasionally it may occur in more than one joint at a time. It is the most dangerous form of acute arthritis. The joint cavity is usually a sterile space, with synovial fluid and cellular matter including a few white blood cells. Many different types of bacteria (germs) can cause septic arthritis. Infection with a bacterium called Staph. aureus is the most common cause. Septic arthritis is inflammation of a synovial membrane with purulent effusion into the joint capsule, usually due to bacterial infection. This disease entity also is referred to in the literature as bacterial, suppurative, purulent, or infectious arthritis. The most common bacterial isolates in native joints include gram-positive cocci, with S. aureus found in 40% to 50% of the cases. Septic arthritis is uncommon from age 3 to adolescence. Children with septic arthritis are more likely than adults to be infected with group B streptococcus and Haemophilus influenza. Young children and older adults are most likely to develop septic arthritis. As the population ages, doctors are finding that septic arthritis is becoming more common. Symptoms of septic arthritis occur suddenly and are characterized by severe pain, swelling in the affected joint along with acute pain. Chills and fever are also common symptoms. Chronic septic arthritis (which occurs less frequently) is caused by organisms such as Mycobacterium tuberculosis and Candida albicans. The knee and the hip are the most commonly infected joints.

Rheumatoid arthritis (RA) is traditionally considered a chronic, inflammatory autoimmune disorder. Rheumatoid arthritis occurs when the body's defence mechanisms go into action when there's no threat and start attacking the joints and sometimes other parts of the body. RA affects 2.1 million Americans, or about 1% of the adult population in the United States. This disease is 2 to 3 times more common in women than in men, and generally affects people between the ages of 20 and 50. However, young children can develop a form of RA called juvenile rheumatoid arthritis. Two of the 100 types of arthritis are rheumatoid arthritis and lupus. There are specific symptoms, distinguishing characteristics, as well as overlapping symptoms associated with rheumatoid arthritis and lupus. Rheumatoid arthritis is an additive polyarthritis, with the sequential addition of involved joints, in contrast to the migratory or evanescent arthritis of systemic lupus erythematosus or the episodic arthritis of gout. Occasionally, patients experience an explosive polyarticular onset occurring over 24 to 48 hours. Morning stiffness, persisting more than one hour but often lasting several hours, may be a feature of any inflammatory arthritis but is especially characteristic of rheumatoid arthritis. Its duration is a useful gauge of the inflammatory activity of the disease.

Researchers have classified over 100 variations of arthritis including such things as juvenile arthritis, fibromyalgia and lupus. Most commonly however, people suffer from four main types of this disease: osteoarthritis, rheumatoid and infectious arthritis or gout.

Juliet Cohen writes articles for http://www.health-care-articles.info/ and http://www.healthatoz.info/


 
 
     
 
 





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