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Gout – ugh – sounds like a terrible thing to have and a terrible thing to have in your FOOT, especially as a runner. When you have gout as a close friend had, you need to be careful with your exercise as the resulting swelling can cause a lot of pain. I turn as I so many times have in the past to Dr. Nicole Hayward, podiatrist on what gout is and what to do: “Gout is a disorder that results from the build-up of uric acid in the tissues or a joint. It most often affects the joint of the big toe. Causes Gout attacks are caused by deposits of crystallized uric acid in the joint. Uric acid is present in the blood and eliminated in the urine, but in people who have gout, uric acid accumulates and crystallizes in the joints. Uric acid is the result of the breakdown of purines, chemicals that are found naturally in our bodies and in food. Some people develop gout because their kidneys have difficulty eliminating normal amounts of uric acid, while others produce too much uric acid. Gout occurs most commonly in the big toe because uric acid is sensitive to temperature changes. At cooler temperatures, uric acid turns into crystals. Since the toe is the part of the body that is farthest from the heart, it’s also the coolest part of the body – and, thus, the most likely target of gout. However, gout can affect any joint in the body. The tendency to accumulate uric acid is often inherited. Other factors that put a person at risk for developing gout include: high blood pressure, diabetes, obesity, surgery, chemotherapy, stress, and certain medications and vitamins. For example, the body’s ability to remove uric acid can be negatively affected by taking aspirin, some diuretic medications (“water pills”), and the vitamin niacin (also called nicotinic acid). While gout is more common in men aged 40 to 60 years, it can occur in younger men as well as in women. Consuming foods and beverages that contain high levels of purines can trigger an attack of gout. Some foods contain more purines than others and have been associated with an increase of uric acid, which leads to gout. You may be able to reduce your chances of getting a gout attack by limiting or avoiding shellfish, organ meats (kidney, liver, etc.), red wine, beer, and red meat. Symptoms An attack of gout can be miserable, marked by the following symptoms: Diagnosis To diagnose gout, the foot and ankle surgeon will ask questions about your personal and family medical history, followed by an examination of the affected joint. Laboratory tests and x-rays are sometimes ordered to determine if the inflammation is caused by something other than gout. Treatment Initial treatment of an attack of gout typically includes the following: The symptoms of gout and the inflammatory process usually resolve in three to ten days with treatment. If gout symptoms continue despite the initial treatment, or if repeated attacks occur, see your primary care physician for maintenance treatment that may involve daily medication. In cases of repeated episodes, the underlying problem must be addressed, as the build-up of uric acid over time can cause arthritic damage to the joint.” Thanks Nicole and I bow to your expertise on the things that I do not know. Trials of Miles, Coach Nick You can quickly link to all the rest of my blog posts on foot/leg injuries:
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किन हुन्छ युरिक ए’सिड ? यसरी गर्नुहाेस् नियन्त्रण 7 hours ago admin युरिक एसिडको समस्या अहिले धेरै व्यक्तिकालागि टाउको दुखाईको बिषय बनेको छ । युरिक एसिडले गाँजेपछि टमाटर, कोल्डड्रिक्स, खसीको मासु लगायतका मन पर्ने खान’पान त्याग्ने र कटौती गर्नुपर्दा कतिको दिनचर्या नै प्रभावित बनेको छ । किन हुन्छ युरिक ए’सिड ? शरीरमा प्रोटिनको मेटाबोलिज्म भएर निस्कने तत्वलाई युरिक एसिड भनिन्छ । न्युक्लिक ए’सिड र प्यु’रिन ग्रुपको प्रोटिनबाट मात्र युरिक एसिड बन्छ । यो सामन्यतय पिसा’बबाट बाहिर निस्कन्छ । जब मृगौलाको छान्ने क्षमता कम हुन्छ र युरिक एसिड रहन्छ, तब त्यो हड्डीको जोर्नीमा गएर जम्मा हुन्छ । मृगौलाले युरिक एसिड कम उत्सर्जन गर्दा पनि त्यो रग’तमा जम्मा हुन पुग्छ । उपवास वा तिव्र रुपमा तौल घटाउने चक्करमा पनि अस्थायी रुपले युरिक एसिडको स्तर बढ्न सक्छ । साथै, युरिक एसिड बढाउनमा मधुमेहको औषधी पनि एउटा कारण बन्न सक्छ । कस्ता मानिसलाई हुन्छ युरिक एसिड ? धेरै प्रोटिनयुक्त खानेकुरा सेवन गर्ने, अस्वस्थ्यकर खाना खाने, शारीरिक श्रम नगर्ने, वंशानुगत. मदि’रा सेवन गर्ने, रगत पातलो बनाउने औषधी सेवन गर्ने, उच्च रक्तचापको औषधी सेवन गरिरहेका कसरी गर्ने नियन्त्रण ? – युरिक एसिडबाट बच्न पर्याप्त पानी वा झोलयुक्त खानेकुरा सेवन गर्ने । – जति बढि तरल खायो युरिक एसिड पिसाबको माध्यमबाट बाहिर निस्कन्छ । – खानपानमा सतर्कता अपनाउने, धेरै प्रोटिनयुक्त खानेकुरा सेवन नगर्ने । – रातो मासु, कलेजो, र क्सी, गेडागुडी जस्ता खानेकुरा नखाने । – हरेक दिन खानामा भिटामिन सि खाने । – नियमित व्यायाम ग’र्नुपर्छ । – स्वथ्य खानपान र जीवनशैली अपनाउने । विभिन्न एजेन्सीको सहयोगमा