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To treat an attack of gouty arthritis

Nov 28th 2013 at 10:37 PM

Prevention You can help prevent gout by eating a healthy diet, avoiding alcohol abuse (especially "binge drinking"), avoid dehydration, rapid weight loss, if you are obese, and avoid the use of diuretics (water pills to urinate ) if possible.

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For most patients, dietary restrictions seem to have little benefit, but you should avoid any foods that seem to activate gout attacks.

Treatment

To treat an attack of gouty arthritis, your doctor will begin treatment by prescribing a non-steroidal anti-inflammatory (NSAID) such as (Inducing), ibuprofen (Advil, Motrin) or naproxen (Aleve,

Aspirin should be avoided as it may increase levels of uric acid in the blood.

If you do not condone the use of NSAIDs (patients with gastritis, gastro-duodenal peptic ulcers, etc.), or if these drugs are ineffective, your doctor may suggest the use of a corticosteroid.

Corticosteroids can be given orally, or may be injected directly into the affected joint.

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Another option is an injection of hormone, a combination that directs your adrenal gland to make more cortisone.

Although sometimes oral colchicines can be used, it tends to cause unpleasant side effects like nausea, vomiting, cramps and diarrhea, side effects in approximately 80 percent of patients.

Your doctor may prescribe to lower the body's production of uric acid.


If attacks are rare and respond to treatment, this approach is not necessary, but it is generally recommended when:

There are frequent attacks of gout attacks do not respond well to treatment.

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