What causes gout to repeatedly flare up every month?

Apr 21, 2023 Source: Cainiu Health
Dr. Liu Aihua
Introduction
Recurrent gout attacks over a month may be caused by physiological factors or hypertension. Elevated blood glucose levels can impair kidney function and reduce uric acid excretion, leading to increased blood uric acid levels and recurrent gout attacks. Treatment under medical guidance may include gliclazide modified-release tablets, voglibose tablets, or acarbose. Failure to take medications as directed by a doctor may also result in recurrent gout attacks.

Recurrent gout attacks occurring within a month may be caused by physiological factors or pathological conditions such as hypertension and diabetes. The specific reasons are as follows:

1. Physiological Causes

During the course of the disease, failure to control diet and excessive intake of high-purine foods—such as beer, seafood, and animal organs—may lead to recurrent gout attacks. It is important to adjust dietary habits promptly, focusing instead on light, easily digestible foods rich in vitamins.

2. Pathological Causes

1) Hypertension

Uncontrolled blood pressure can impair kidney function, reducing uric acid excretion and causing uric acid to accumulate in the body, which may trigger frequent gout attacks within a month. It is recommended to follow medical advice and use antihypertensive medications such as furosemide tablets, hydrochlorothiazide tablets, or nitroglycerin tablets.

2) Diabetes

Prolonged high blood glucose levels can impair kidney function and reduce uric acid excretion, leading to elevated serum uric acid levels and recurrent gout attacks. Under medical guidance, blood glucose can be managed using medications such as gliclazide modified-release tablets, voglibose tablets, or acarbose.

In addition, failure to take prescribed medications as directed by a physician may also result in recurrent gout attacks within a month.


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