Get your Health question answered in 3 easy steps

166 Doctors Online
Owl Image
MD
Dr. Andrew Rynne

Family Physician

Exp 18 years

I will be looking into your question and guiding you through the process. Please write your question below.

What to do when you have Gouty Arthritis ?

Age-29, Gender - Male, Weight - 75kgs, Height - 5.6", Problem: On 27.03.2009. a minor operation in the joint of my rt. knee has been done to take out some fluid deposited their. At that time Uric Acid level was 8. Now it is 5.5. Two yrs ago, my Uric Acid level was 13. Sometimes I suffer from joint pains - mainly ankle pain or neck pain. 2 years ago X-ray report suggested that I have cervical spondolysis. Now due to the operation in my knee, my movement is restricted as I cannot completely bend my knees. It seems than still some fluid is deposited just above the knee joint, but much lessor amont post operation. How long it will take to fully cure? What necessary things I need to do to avoid further joint pains as well as deposition of fluid. My doctor has given me 3 medicines, since I also suffer from gastritis. The Medicines are - (1)Zyloric - 3 tabs per day; (2)Rablet D - 2 tabs per day , before b/f & dinner (3)Ezact 120 - 1 tab after lunch
Fri, 18 Sep 2009
Report Abuse
Question is related to
Diseases and Conditions ,   ,   ,   ,  
  User's Response
As per your symptoms and lab reports the condition is likely to be gouty arthritis. Gout is a form of arthritis which is caused by a high level of uric acid in the blood stream. Gout occurs more often in men than it does in women, primarily because women tend to have lower uric acid levels than men do. It is characterized by severe pain in the joints, mainly the lower joints particularly knee and ankle joints which can come on quite suddenly. The affected joint/s may become red and swollen.Normal uric acid levels are 3.4?7.0 milligrams per deciliter (mg/dl). Blood test results can be misleading, though. Some people have high uric acid levels, but never experience gout. And some people have signs and symptoms of gout, but don't have unusual levels of uric acid in their blood. But in your case the uric acid levels were high intially 13 mg/dl, later reduced to 8 mg/dl at present its 5.5 mg/dl its normal. When the level of uric acid increases, due to the inability of kidney to pass it off to bladder, it starts accumulating in the blood in different parts of body like joints, knees, etc. This excess amount of uric acid forms tiny thin crystals in different parts of body especially in the joints, ankles, etc. The excess level of uric acid can be due to the excess intake of alcohol, unhealthy eating habit, especially junk food, high protein-rich food, etc. Treatment includes- 1. Maintain adequate fluid intake. 2.Keep your weight under control. Obesity has been linked to gout. 3. Dietary changes can help prevent gout attacks. Avoid a purine-rich diet like red meat, poultry and fish products. Green leafy vegetables are highly recommended to the patients suffering from gout. Carrot, beet, cucumber, beans (French beans). Garlic is one of the oldest home remedy used for the treatment of various chronic diseases. Most common fruits useful for the treatment of gout include apples, banana, grapes, etc. Grapes and cherry too are very good, as it clears off the toxic acid present along with uric acid. 4.Be compliant with the treatment plan your doctor recommends. To continue Zyloric for gout and Rabelet- D for gastritis . Gouty arthritis is a chronic degenerative disease which takes time to get better, as it cannot be completely cured. we can halt the progression of the disease by having a strict diet control and by taking medications on time. once the uric acid levels returns to normal the fluid in the knee will reduce and the movements of knee will improve. Tab. Naprosyn 500 mg or Etoricoxib can be used to reduce pain and inflamation. these tablets can cause gastritis so to be after food. Hot compresses will provide temporary pain relief, cold ones will help reduce swelling and pain. Exercises to reduce neck pain in cervical spondylosis simple stretching and strengthening exercises flex, extend, gentle side to side movements for few seconds. If you do this every day, the neck movements will increase your muscle strength. Sitting at a desk of a right height with chair correctly asjusted in a erect posture Gentle massage of the neck muscles, particularly with aromatic oils, often helps. Physical therapy is also help ful to relive the pain.
Disclaimer: These answers are for your information only and not intended to replace your relationship with your treating physician.
This is a short, free answer. For a more detailed, immediate answer, try our premium service [Sample answer]
Share on
 

Related questions you may be interested in

doctor1 MD

i m 20 male and having moving joints pain for 4 months. a doctor asked me for gout test results hav shown 6.6mg/dl uric acid. sometimes the pain vanishes and some times it comes back. when i am warmth during excercise & play, the pain is relieved. i hav regular wet dreams. i have gone through sysmtoms of gout arthitis, and many are present in me like toe joint pain, moving joint pain like wrist , finger e.t.c. i think the pain come again when i hav a sexual urge. i have read that some people show sysmptoms of gout arthitris even at uric acid level of 6 and some not show even at level of 9mg/dl. is it right??? what should i do??? should i go for re-test???

doctor1 MD

i have had my primary care doc for 20 years. i have very bad gout artritis. she will only give me vicodine and i have asked for stronger meds. i have never had pain pills before. i told her the vicodine were only working 2 hours not 6. i am in so much pain i can hardley take it and she just will not lisin. i have been to romatolgist and they said nothing they can do because the joints are too damaged. why will she not give me stronger meds. i have now requested a pain doctor. what should i do? H.F.H.S has all my records. i can not believe after 20 years with her she will not help.

doctor1 MD

what is the significance of this radiologic finding of the right leg and foot? -Osteoarthritis changes are seen in the ankle joint, osteopenic changes are seen in the distal end of the 1st metatarsal bone for which gouty arthritis and or osteomyelin are considered

Recent questions on Gout

doctor1 MD

Hi, my dad's blood pressure has been up since yesterday (ranges from 182/100 to 201/100). My dad says that he feels fine regardless. He's been taking his med, but his rheumatologist doctor told me that he has edema and gout. He received a shot for his gout yesterday, which relieved his pain, but his bp is still very high. I haven't heard from my dad's cardiologist on what to do, but is there anything I can do at home to improve his bp? My dad's bp normally averages 160/90. Thanks for your help.

doctor1 MD

I am 55 years of age, and am 5ft 5 inches weigh about 78 kg and have already undergone hystectomy, appedicitis operation and recently am s
taking ecosprin av 75, and dr gave me supermetx25 now recently i had problem similar to gout and at the same time had stomach ache too, i cannot drink milkmit gives me problem i feel bloated, recently i am gaining a lot of weight which has been really troubling me a lot cause i am very conscious about healthy food.

doctor1 MD

A few days ago, one of my toes started itching, then swelled up and turned red at the tip. Then, 3 days ago, I developed a hives like rash covering pretty much my whole body. Today, I have blisters on the affected toe and also smaller ones in the area around it. Went to the doctor and she had me get a blood test for uric acid (testing for gout, I guess). The uric acid test is in normal range - 6.1. The toe is not painful, but itches like there is no tomorrow. I am a 60-yo male, and active - I do water aerobics and walk 2+ miles. Also have been hiking recently. Any ideas?

doctor1 MD

what is the cause of having many epithelial cells in urine female 64 years old120 lbs my total cholesterol is 307 hdl is 130.7 ldl is 156.58 sgpt is 77 the normal reference is 55 while the normal ref for total chloles is 200while the rest like fbs creatinine uric acid and triglycerides are normal just have the lab test yesterday but at the moment i am experiencing gout athritis on my right big toe

doctor1 MD

I WOULD LIKE TO KNOW WHAT TYPE FOODS CONTRIBUTE TO HIGH URIC ACID LEVELS, ESPECIALLY IF FRENCH FRIES ARE ONE OF THEM, ALSO WHAT ARE RHE BEST TREATMENTS FOR GOUT , ALSO WHAT ARE THE BEST NATURAL TREATMENTS IF ANY , THANKS

doctor1 MD

I am taking tart cherry juice for sciatica . Will it work?

doctor1 MD

After doing a routine insulin injection into my upper thigh I began to experience intense pain in my upper thigh This happens when ever I stand. Started 3 days ago. What could this be? Thank you How long does this process take? Thanks