Sunday 28 December 2014

Long term treatment for GOUT is not safe

GOUT:
 
    It is the disease related to degeneration of small and large joints. The excess uric acid is accumulated at the joint areas which leads to degeneration. So the treatment is given by using allopurinol derivatives which decreases the uric acid accumulation by increasing the urinary excretion of uric acid. In gouty patients the urinary clearance is decreased (intrinsic kidney disease) up to 80% which leads to uric acid accumulation.
 
    The symptoms include redness, swelling, tremor, rigidity at the joint area. If untreated this may leads to difficulty in walking and sometimes difficulty in mild movement of joints. The condition is stimulated by age, sex, socioeconomic factors etc. Gout is common in menopause women, geriatrics, persons who is genetic predisposed.




Treatment Options:

Allopurinol derivatives.
NSAID's.
Colchicine.
Corticosteroids.
Analgesics.

INTERVENTION:

     Several diagnostic techniques are available now a days to diagnose gouty arthritis. But there is no proper idea that when we start the treatment.

     The recent clinical studies told that long term treatment with allopurinol derivatives shows side effects like heart attacks. So the patients has to monitor regularly for cardiac symptoms.

Recognized barriers for the treatment are sub optimal patient and physician knowledge about disease, treatment and clinical recommendation, patient and physician preferences for treatment.

OTHER OPTIONS TO RELIEVE PAIN:

Alcohol withdrawn.
life style modifications.






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