Wednesday, August 5, 2009

Gout is a Real Pain but can be Treated Says Specialist

By David Burton
University Extension

People who have been awakened by a sharp strong breathtaking pain in their big toe in the middle of the night know that gout is a very real condition.
According to Tammy Roberts, a nutrition and health education specialist with University of Missouri Extension, gout is a form of arthritis that occurs when too much uric acid builds up in the body.
“Uric acid is a by-product of the breakdown of purines in the body. Purines are found in all of the tissues of the body. They are also found in many foods such as organ meats, dried beans and peas, anchovies and gravies,” said Roberts.
Uric acid usually dissolves in the blood and passes through the kidneys and out of the body in urine. It can build up in the blood when the body increases the amount of uric acid it makes, the kidneys aren’t able to get rid of the uric acid or when a person eats too many foods high in purines.
There are things that increase the likelihood of a person developing gout.
More men than women develop gout. Men most often develop gout between the ages of 40 and 50. Women rarely develop gout before menopause.
“Being overweight can increase the risk of gout as can drinking too much alcohol. About 20 percent of the people who develop gout have a family member who has had it,” said Roberts.
Some medications can also put people at risk for developing gout. People who have untreated high blood pressure or other chronic conditions such as diabetes, high levels of fat and cholesterol in the blood or narrowing of the arteries can be at risk for developing gout.
“Most people who have gout are able to control the symptoms but it is important to seek treatment. The first goal of most physicians and patients is to relieve pain. Next, the physician will work to prevent future attacks and prevent long-term damage to joints,” said Roberts.
There are things a person can do to decrease the severity of attacks and reduce the risk of future attacks. The first thing is to do exactly as the doctor prescribes and be sure to keep your follow-up appointments. Other things may include limiting alcohol, limiting high purine foods and safely losing weight for those who are overweight.
“New research is being conducted all of the time. Some recent research suggests that low fat dairy products, vitamin C and wine may be protective in the development of gout,” said Roberts.
For more information on nutrition issues, go online to http://extension.missouri.edu or contact Tammy Roberts at (417) 682-3579.

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