Recently a teacher from a local Islamic school near Boston brought her father-in-law to see us as the man was suffering from gout in the foot. The man’s foot was swollen and there was visible fluid build-up there. He was feeling much pain in the big toe which made it difficult for him to walk normally.
Gout is a condition that causes pain, swelling and stiffness in the joints. It is caused by excess uric acid in the bloodstream. It usually affects the joint in the big toe. Gout attacks often occur without warning in the middle of the night.
Gout is caused initially by an excess of uric acid in the blood, or hyperuricemia. Uric acid is produced in the body during the breakdown of purines – chemical compounds that are found in high amounts in certain foods such as meat, poultry, and seafood.
Normally, uric acid is dissolved in the blood and is excreted from the body in urine via the kidneys. If too much uric acid is produced, or not enough is excreted, it can build up and form needle-like crystals that trigger inflammation and pain in the joints and surrounding tissue.
if left untreated, gout can lead to more severe problems such as:
Tophi happens when crystals of the uric acid builds up around your joints. Tophi often look like swollen, bulbous growths on your joints just under your skin. Tophi can form in the feet, knees, wrists, fingers, achilles tendon and ears.
If gout isn’t treated, acute attacks happen more and more often. The inflammation caused by these attacks, as well as the growth of tophi, causes damage to joint tissues. Arthritis caused by gout may lead to bone erosion and cartilage loss leading to complete destruction of the joint.
The same uric acid crystals that cause the painful symptoms of gout can also form in the kidneys. These can create painful kidney stones. High concentrations of uric acid kidney stones can interfere with kidney function.
4. Kidney disease
According to the National Kidney Foundation, many people with gout also have chronic kidney disease (CKD). This sometimes ends in kidney failure.
5. Heart disease
Gout is common among people with high blood pressure, coronary artery disease (CAD), and heart failure.
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Questions? Contact Amin Shah at 617-787-5151 or email – firstname.lastname@example.org. We are based in Boston, MA – USA.