Podagra


Podagra

Description, Causes and Risk Factors:

ICD-10: M10.9

Podagra is a condition that is characterized by gout-like pain in the foot. With podagra, pain is most commonly located in the big toe. The disease is caused by the deposition of sodium urate (uric acid) crystals in the joints. Podagra is a rheumatic complaint and usually attacks a single joint at a time.

About 1 in 100 people develop podagra. The rate of podagra has increased in recent decades, not only in America but also in other developed countries. The increase is possibly due to dietary and lifestyle changes, greater use of medications that cause hyperuricemia, and aging populations. Podagra is very uncommon in less-developed countries.

Causes and Risk Factors: The condition is usually associated with a long-lasting, abnormally high amount of uric acid in the blood, called chronic hyperuricemia.

    Eating too many foods high in purines, such as liver and other organ meats, dried peas and beans, veal, turkey, and some types of fish, including anchovies, shrimp, mackerel, and scallops.

  • Being overweight.

  • Drinking large amounts of alcohol. Alcohol interferes with excretion of uric acid, and alcoholic beverages contain purines.

  • Exposure to lead in the environment.

  • An enzyme defect that prevents your body from breaking down purines properly.

  • Diseases that interfere with uric acid excretion, including untreated high blood pressure (hypertension), high levels of fat in the blood (hyperlipidemia), diabetes, kidney disease, narrowing of the arteries (arteriosclerosis), and leukemia.

  • Genetics: Between 6% and 18% of people with podagra have a family history of the disorder, which strongly suggests that genetics influences your risk.

  • Surgery and sudden or serious illness or injury can set off an attack of podagra.

  • Diuretics, which are used to treat high blood pressure. These drugs increase the flow of urine but decrease excretion of uric acid.

  • Drugs made from salicylic acid when taken in low dose.

Symptoms:

Podagra typically strikes the joint of the big toe, but may affect other joints, such as the ankle or knee. Common symptoms of podagra include:

    Inflammation

  • Pain.

  • Redness.

  • Stiffness.

  • Swelling.

When podagra is severe symptoms may include:

    May feel like "crushing" or a dislocated bone.

  • Walking and the weight of bed sheets may be unbearable. It usually takes 8 - 12 hours to develop. Occurs late at night or early in the morning and may wake you up.

  • Swelling that may go beyond the joint may extend beyond the joint.

  • Red, shiny, tense skin over the affected area, which may peel after a few days.

  • Chills and mild fever, loss of appetite, and feelings of ill health.

Diagnosis:

The first step in diagnosing the disease is to determine which joints are affected. A physical examination and medical history can help confirm or rule out podagra. Because patients with podagra typically have hypertension and impaired renal function, examination of the renal and cardiovascular systems is essential. Baseline laboratory tests should include a complete blood cell count, urinalysis, and serum creatinine, blood urea nitrogen and serum uric acid measurements.

Tests may include:

    Joint x-rays.

  • Synovial (joint) fluid analysis.

  • Uric acid blood test.

  • Uric acid urine test.

Treatment:

There are many natural ways to cure podagra for those who don't wish to take drugs. Here, you will discover 3 very simple natural ways to get rid of podagra. Natural cures for podagra are increasingly being sought by podagra sufferers around the world. But the problem is where do you start?

Not only do you have to reduce the inflammation and relieve the agonies of an attack, you also need to reduce your uric acid, and keep it there, in order to prevent future attacks.

And preventing future attacks is important because of the damage to joints and kidneys that frequent attacks can cause further down the line. You must also realize that someone who sufferers a podagra attack is highly likely to get more. Here are 3 natural ways to cure podagra:

    Eats lots of cherries.

  • Drink plenty of water.

  • Take vitamin C.

Pharmacological Options: Three treatments currently available for podagra are nonsteroidal anti-inflammatory drugs (NSAIDs), colchicine, and corticosteroids. Risks and benefits of the medications must be discussed with your doctor.

NOTE: The above information is educational purpose. The information provided herein should not be used during any medical emergency or for the diagnosis or treatment of any medical condition.

DISCLAIMER: This information should not substitute for seeking responsible, professional medical care.

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