Here comes the holidays … and the GOUT!

Here comes the holidays ... and the GOUT!As the holidays approach, so does the increase in foods that are rich in purines that can cause gout. Gout is a disorder that results from a build-up of uric acid in your body. A gout attack can be marked by the following symptoms:
1.     Intense, sudden pain often in the middle of the night
2.     Signs of inflammation, redness, swelling, and warmth over joints (most commonly the big toe joint)
Diagnosis of gout occurs with questions regarding medical history and examination of the affected joints. X-rays and lab work are normally performed to investigate into the body’s uric acid levels. A joint aspiration may be taken to investigate into any uric acid crystal formation within the joint. An increase in uric acid can lead to degeneration of the cartilage in the joints affected. Treatment may include different prescription medications, targeted towards the acute inflammatory phase vs. long-term maintenance. A joint steroid injection may be performed to decrease local inflammation. A change in diet can be beneficial to decrease intake of the foods rich in purines. Foods to avoid include:
  • red meats,
  • organ meat,
  • seafood including:
    • tuna
    • carp
    • codfish
    • halibut
    • perch
    • salmon
    • snapper
    • Trout
  • Alcohol (most commonly Beer and spirits)
We at Brucato Foot and Ankle Surgery wish you a happy and healthy Thanksgiving!
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