Arthritis - gout

This concept is also called gout or arthritis. It is a chronic disease associated with disorders of uric acid metabolism and its excessive blood concentration. It is usually caused by an excessive production of this compound or its insufficient elimination from the body. Sodium urate crystals accumulated in the tissues and joints most often take on the joints.


Gout is an inflammatory reaction of the body to emerging sodium urate crystals in the articular cavity. The first signals from the body that something bad is happening is a strong pain attack, joint swelling, and limitation of that joint's motion. Sodium urate crystals accumulate in the tendons, causing pressure and pain. It is worth noting that in the advanced form of the disease, damage to the musculoskeletal system can occur, as well as activities of other organs (kidney stones, kidney damage). Often, gout may be accompanied by other civilization diseases such as:

  • hypertension,
  • obesity,
  • diabetes,
  • ischemic heart disease.


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Examination of the synovial fluid and the detection of the presence of sodium urate crystal is the primary method by which the disease can be recognized. Gout, and other diseases caused by crystals are considered crystal arthropathy, or diseases caused by an excess of urate crystals. Only early test that will detect hyperuricemia, or elevated levels of uric acid in the blood can help to quickly alleviate the course and development of the disease. This study is nevertheless carried out very rarely. Meanwhile, gout can develop even for several years and have no symptoms.

Migraine headache occurs suddenly, without a specific reason, usually at night and is the main symptom of the disease. The pain of the spot covered by the inflammatory process is extremely strong, even being covered by a light blanket intensifies it. It occurs most frequently in the knee, elbow or toe and is accompanied by joint swelling, redness and excessive tension of the skin and inflammation, and in some cases, increased body temperature change with occurring chills.



This disease affects about 1% of the population in developed countries. In Europe, it occurs in about 0.3% of the population. These are mainly men (accounting for approximately 90-95% of all patients with gout) in middle age, who also have hypertension and overweight. Much less likely to suffer are woman, and children as well.

The mechanism of gout is not exactly known, but often it involves:

  • a history of trauma,
  • surgical procedures,
  • stressful lifestyle,
  • improper diet,
  • intake of alcohol or certain antibiotics.



  • kidneys,
  • anemia,
  • psoriasislead,
  • ead poisoning.

A number of persons suffering from gout have a hereditary predisposition. The appearance of gout is impacted by:

  • the actual lifestyle
  • diet
  • medicines
  • dehydration
  • infection
  • alcohol abuse
  • age - very rarely gout affects people under 30 years of age
  • state after organ transplantation
  • genetic predispositions



Gout occurs most often in people who consume large quantities of meat and animal fats. Vegetarians are much less likely to get sick.


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Due to the cause of the disease, the following are distinguished:

  •  primary form
  • secondary gout


This form of gout is associated with a genetic factor. Studies have shown that in 90% of patients with this form of the disease, uric acid is produced by the body in excessive amounts, which is why it is poorly excreted.



This form of gout is related to:

  • other past diseases of the patient
  • taken medicine
  • current lifestyle
  • alcohol consumption and diet



Currently, there is an increase in the incidence of gout, which has a close relationship with the modern lifestyle and diet. People often choose processed foods or semi-finished products. It seems that the world delivers more and more nutritional solutions, but are you sure they are a 'Solution'? Let's look at it from a historical point of view - a decrease in the occurrence of this disease was observed during food restriction caused e.g. by the war. Gout has been known since the time of Hippocrates, and the first clinical description of the disease comes from the seventeenth century.

For a change, today - 'never too much of a good thing', the shelves are bending under the richness of goods. It is recommended to make changes in your daily diet for all who have experienced this terrible pain which indicates gout, moreover - a medical consultation and change of eating habits. The disease is characterized by attacks of severe pain, which in the initial stage of the disease can easily be mitigated, and through proper diet and lifestyle, the frequency of seizures can be significantly decreased and the disease can be mitigated. Changing your daily habits and diet is not much compared to fighting against a sudden attack of severe pain.


  • I - period of asymptomatic hyperuricemia,
  • II - period of acute arthritis attacks,
  • III - interictal period,
  • IV - the period of chronic arthritis - advanced gout.


In the initial stage of the disease, pain attacks occur relatively rarely, once every few or several months and usually cover one joint. Between particular attacks, the patients do not feel any discomfort.


In the chronic stage of the disease, attacks occur more frequently, last longer and can involve more joints. There is also tophus, these are clusters of sodium urate crystals. These are hard nodules located mainly on the fingers and toes, as well as earlobes. Similar nodules occur in the kidneys forming kidney stones. With the passage of time, as a result of illness, distortion of joints and bone defects may also occur.


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What is gout?

Fig.1 Gout - Arthritis


Depending on the location of inflammation, gout is sometimes called differently:

  • Gout - a form of gout when the changes concern the knee joints,
  • Gonagra - in the case of affected joints of the hands,
  • Chidagra - w przypadku zajętych stawów rąk
  • Omagra - inflammatory changes in the course of gout within the shoulder joint
  • Rachidagra - changes in the joints of the spine.



It is a condition very similar to gout. However, it is less painful. It is caused by crystals, urate, calcium urate, sodium, just as gout. It occurs mainly in people over 60 years of age, both women and men.

Do not wait any longer, if you feel any symptoms go to your doctor, carry out proper tests and begin to work towards the improvement of your condition. None of us like to feel pain, especially when we know that we can prevent it- let's act!

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