How to treat chronic gout
Feb 04, 2024
Source: Cainiu Health
Dr. Yang Tiesheng
Introduction
Chronic gout is caused by factors such as poor dietary habits, metabolic abnormalities, drug irritation, hyperuricemia, and diabetes. It is recommended to seek medical attention promptly and receive symptomatic treatment under the guidance of a physician. In daily life, it is advisable to consume more foods rich in protein, various vitamins, minerals, and other nutrients, which can help replenish the body's energy needs and maintain overall health.
Generally, chronic gout is caused by factors such as poor dietary habits, metabolic abnormalities, drug stimulation, hyperuricemia, and diabetes. It is recommended to seek medical attention promptly and receive symptomatic treatment under the guidance of a physician. The specific analysis is as follows:
1. Poor Dietary Habits
Gout occurs when excessive uric acid is produced or insufficiently excreted in the body, leading to elevated blood uric acid levels and the deposition of urate crystals in joints. Regular consumption of high-purine foods such as animal offal and seafood may increase uric acid production, potentially resulting in chronic gout. This can be alleviated by moderating intake of high-purine foods, maintaining a healthy weight, limiting alcohol consumption, or abstaining from alcohol altogether.
2. Metabolic Abnormalities
Purine is a metabolic substance in the body. When purine metabolism becomes abnormal, excessive uric acid may be produced. Overproduction of uric acid or inadequate excretion can lead to its accumulation in the body, thereby triggering gout. Therefore, chronic gout may result from metabolic disorders. Patients may follow medical advice to take medications such as compound vitamin B tablets, vitamin E tablets, or digestive health tablets to help alleviate symptoms.
3. Drug Stimulation
Certain medications, including diuretics, antibiotics, and anti-tuberculosis drugs, may interfere with the body's uric acid excretion due to specific components, thus inducing gout. Hence, chronic gout may be triggered by medication use. Symptoms may be relieved by switching medications or adjusting dosages under medical supervision.
4. Hyperuricemia
Hyperuricemia refers to a pathological condition in which the concentration of uric acid in the blood exceeds normal levels, commonly associated with genetic factors, medications, or impaired uric acid excretion. Persistently elevated serum uric acid during disease episodes can lead to the formation of monosodium urate crystals, which may deposit in joints and gradually progress to gout. Therefore, chronic gout may also be caused by hyperuricemia. Patients may follow medical advice to take medications such as allopurinol tablets, benzbromarone tablets, or febuxostat tablets for treatment.
5. Diabetes
Diabetes is a metabolic disorder characterized by persistently elevated blood glucose levels. Prolonged hyperglycemia can damage blood vessels, leading to vascular complications. Such vascular damage may impair kidney function, as the kidneys are the primary organs responsible for uric acid excretion. Reduced renal function decreases uric acid excretion, thereby increasing serum uric acid levels. Thus, chronic gout may also be caused by diabetes. Patients may follow medical advice to use medications such as insulin glargine injection, insulin aspart injection, or acarbose capsules for management.
In daily life, it is recommended to consume foods rich in protein, vitamins, minerals, and other nutrients, such as eggs, lean meat, tomatoes, and apples, to provide essential energy and support overall health.
