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Too Young For Gout Disease At 30? Think Again...

Gout disease is most common in people between the ages of 30 and 50 years of age. The reason for this is that it takes a build up of about twenty years to cause a first gout attack. Uric acid levels will usually begin to increase at least that far ahead of the onset of gout. However, this does not rule out gout in people younger than 30 years old. Therefore, just because you're under 30, it doesn't mean that you can't develop gout.


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If you have hyperuricemia, you are at a higher risk for gout disease. Hyperuricemia means that you already have high uric acid levels in your blood. If this is the case, your doctor may prescribe medications to help control that condition. By keeping hyperuricemia under control, you can also help to slow the onset of gout and prevent gout disease occurrences.

By taking these basic healthy precautions, you will be able to minimize the impact gout has on your life, and delay its onset for several years.

Although not common, gout disease can occur in those younger than 30 years old; usually as a result of an enzyme problem or kidney disease. However, when not a result of another problem in the body - for example, when gout is simply hereditary in your family - there are steps you can take to prevent the early onset of gout.

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Bilberry can be helpful, as it can also lower uric acid levels in the body. It is also thought to protect some of the tissues from degeneration, which can help with pain and healing.

If the Osteoarthritis has been present for a significant period of time, the muscles may become weaker through insufficient use as the patient subconsciously avoids using that joint. Also, the joint may appear swollen caused by bony growths called osteophytes or extra synovial fluid.

Osteoarthritis is one of the most common forms of Arthritis affecting around 1 in 10 people to some degree. It affects both men and women equally. Osteoarthritis is caused by bits of cartilage in the joint which have broken free. This can cause pain and swelling in the joint. This pain and swelling is Osteoarthritis.

Urine test

Patients should be checked for the following medications before the urine test: diuretics, aspirin, pyrazinamide (Tebrazid), phenylbutazone, probenecid (Benemid), and allopurinol (Lopurin). If the patient needs to continue taking these medications, the laboratory should be notified.

Definition

Uric acid tests are tests that are done to measure the levels of uric acid in blood serum or in urine.

Purpose



While there is no cure at present for Osteoarthritis, there are a number of ways of managing this condition to minimise the symptoms. There are different types of medicines which may be used depending upon the type of Osteoarthritis the patient is suffering from.

Certain foods that are high in purine may increase the patient's levels of uric acid. These include kidneys, liver, sweetbreads, sardines, anchovies, and meat extracts.

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The main symptoms of Osteoarthritis are painful and stiff joints. Although this can vary depending upon which joint is affected. The stiffness is usually worse in the morning, sometimes taking up to 30 minutes for the stiffness to disappear. This stiffness may also occur after a period of resting that joint and may take a few minutes for it to disappear once the joint starts to be used again.

Analgesics This is often the first medication prescribed to relieve the symptoms of Osteoarthritis. It is a pain reliever and does nothing to reduce the level of inflammation so can usually be safely taken alongside other medication. However, as with all medication, there are limits on how much a person can safely taken within a time period.

The first step is to make sure that you are always adequately hydrated. Of course, this is a good piece of advice for your health regardless of gout, but it is especially important when you are trying to prevent the condition. This is because hydration is the primary step for helping to flush uric acid from your body. The buildup of uric acid on the joints is the primary cause of gout and therefore the main goal of gout prevention is to stop that from happening.

Osteoarthritis occurs in the joints, however, it is predominantly found in hands and load bearing joints such as hips, knees. It is described as a non-inflammatory type of arthritis which means that there is no swelling in the joint affected by Osteoarthritis. This has been subsequently proven not to be the case. In the early stages of Osteoarthritis, it is true that there is no swelling in the joint, however, in the later stages, there can be swelling.

Abnormal results

The critical value for the blood test is a level of uric acid higher than 12 milligrams per deciliter (about 3.4 ounces).

Another symptom of Osteoarthritis is a creaking or grinding noise which occurs when the joint is moved. Also, moving the joint through a full range of movement may not be possible.

Preparation

The uric acid test requires either a blood or urine sample. For the blood sample, the patient should be fasting (nothing to eat or drink) for at least eight hours before the test. The urine test for uric acid requires a 24-hour urine collection. The urine test does not require the patient to fast or cut down on fluids. Some laboratories encourage patients to drink plenty of fluids during the collection period.

Risks

Risks for the blood test are minimal, but may include slight bleeding from the puncture site, a small bruise or swelling in the area, or fainting or feeling lightheaded.

As with taking any medicine, you should always read the instructions supplied with them and follow any advice given by your doctor. You should always seek professional medical attention and not simply rely on your own research before embarking upon a course of treatment.

Secondary Osteoarthritis is caused by other conditions which lead to Osteoarthritis. These can be things such as obesity where the joints are placed under more stress due to the excessive weight of the patient, repeated trauma or surgery to joints, abnormal joints at birth, gout and diabetes.

Description

The uric acid blood test is performed on a sample of the patient's blood, withdrawn from a vein into a vacuum tube. The procedure, which is called a venipuncture, takes about five minutes. The urine test requires the patient to collect all urine voided over a 24-hour period, with the exception of the very first specimen. The patient keeps the specimen container on ice or in the refrigerator during the collection period.

As the Osteoarthritis develops, bits of the cartilage in the joint break off and float around inside the joint. This disturbs other soft tissues within the joint causing pain and swelling. Over time, as the condition develops, the cartilage becomes rougher and thinner causing the bone underneath to become thicker.

Urine test

Reference values for 24-hour urinary uric acid vary from laboratory to laboratory but are generally found within the following range: 250-750 mg/24 hours.

Arthritis describes a wide range of conditions (over 100). These can range from relatively mild forms e.g. tendonitis through to various crippling forms of systemic arthritis such as Rheumatoid Arthritis. There are also some forms of arthritis for example Gout which most people don't associate with arthritis at all.

A significant number of people also think that arthritis is just a condition which old people suffer, and indeed, it is true that a significant number of the sufferers of arthritis are old, but there is an awful lot of younger people who suffer from one form or another of Arthritis.

If you wish to learn more about Gout, Purines, or Uric Acid, check out Steve's s The Internet Guides. The Internet Guide: Uric Acid: http://gout.smartadssecrets.com/uric_acid

Increased production of uric acid may result from eating foods that are high in purine. Increased uric acid levels due to overproduction may also be caused by gout, by a genetic disorder of purine metabolism, or by metastatic cancer, destruction of red blood cells, leukemia, or cancer chemotherapy.

There is one gout herbal medicine that you won't need to talk to your doctor about, and they may even suggest it to you. Some berries and fruits have great properties, and one of those properties has to do with lowering the amounts of gout inducing uric acid. Cherries are often touted as the best of these, and you could try eating at least a half of a pound a day to see if that helps you. Give it a week or two before deciding if it is working. If you don't like cherries, you can try blueberries, black berries, and many of the other darker colored berries. They might not be as good as cherries, but they can help you. Alternatively try a cherry extract supplement for the same protective effect.

When the pain of gout is overwhelming, and it seems that nothing appears to be helping, trying alternative treatments to see if those might offer come relief is usually the next step. A change in diet is always a great idea for managing gout, but it doesn't always take away the pain immediately. When looking for new treatments, you may have to follow a rather untraditional route, but that doesn't mean traditional medicine can not help you. You can try gout herbal medicine to see if that helps, but you should always do so under the supervision of your doctor.

Osteoarthritis is a very common arthritic condition for which we have no cure, although there are many ways of relieving the symptoms so that the patient can lead as normal a life as possible. For more information on Osteoarthritis, visit my site Arthritis Relief where hopefully you will find some information which will be informative and interesting.

 
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Your next step is maintaining a healthy body weight. If you are overweight - especially if you are obese - it is important for you to speak to your doctor about losing weight gradually and in a healthy way so you achieve a healthy body mass and maintain it. Though being overweight doesn't directly cause gout, it can put you at higher risk of having attacks. However, take care not to lose weight too quickly as crash dieting can actually increase uric acid levels and lead to a gout attack.

Creams and Gels These may provide some temporary pain relief, however, the pain relief will be localised to the area that the cream is applied.

The severity of these symptoms can be related to the patient's daily activity, anxiety and depression. Primary Osteoarthritis is mostly related to ageing. As we get older, the water content of cartilage increases and the protein makeup of it degenerates. Repetitive use of the joints over the years will irritate and inflame the cartilage. Eventually the cartilage starts to flake away causing crevasses. In some advanced cases, the cartilage has disappeared. The loss of the cartilage means that the bones which the cartilage is protecting can bump and grind against each other leading to pain and joint immobility. Inflammation of the cartilage can lead to bony outgrowths (spurs) appearing around the joints.

Other than the fruit, you ought to talk with your medical doctor about any gout herbal medicine that you want to try. Some of them can have side effects of which you might not be aware of, and may interact or interfere with any medications that you might be taking. Natural and herbal remedies do work, and they may work well for you, but it pays to check that they are safe to take in your particular situation. When someone mentions herbs, most naturally assume that they are safe because they are from nature, but that is simply not the case. Talk with your doctor first, and go from there when choosing which approach you would like to take first.

Steve Warshaw - Certified Personal Trainer and Nutritionist With over 15 years expereience developing training and nutrition programs for top level executives from companies such as Microsoft, Boeing, and Symetra Corp, Steve has established himself as a health and wellness expert.

Normal results

Blood test

Reference values for blood uric acid vary from laboratory to laboratory but are generally found within the following range: Male: 2.1-8.5 mg/dL; female: 2.0-6.6 mg/dL. Values may be slightly higher in the elderly.

One type of gout herbal medicine that has shown some success for gout sufferers is Devil's Claw. This natural remedy has been used for many years as it helps with many different things that can go wrong with the body. One of its best properties is that it can lower the amounts of uric acid in the body, and that means it can be a preventative measure to ward of future gout attacks. However, it can also help take away some of the pain associated with a gout attack in full swing, so it can also be used when the pain creeps up on you and you find yourself in the middle of a bad flare up.

Corticosteroids This medicine is injected directly into the affected joint. When Osteoarthritis has developed so far that the patient struggles to get around, then this medicine is a viable option. Cortisone is a steroid which reduces inflammation and swelling. This medicine provides almost instant relief although it can only be taken rarely as it takes away minerals from the existing cartilage causing further damage.

Precautions

Blood test

Patients scheduled for a blood test for uric acid should be checked for the following medications: loop diuretics (Diamox, Bumex, Edecrin, or Lasix); ethambutol (Myambutol); vincristine (Oncovin); pyrazinamide (Tebrazid); thiazide diuretics (Naturetin, Hydrex, Diuril, Esidrix, HydroDiuril, Aquatensen, Renese, Diurese); aspirin (low doses); acetaminophen (Tylenol); ascorbic acid (vitamin C preparations); levodopa (Larodopa); or phenacetin. These drugs can affect test results.

Even if you are already at a healthy body weight, you should examine your diet and make healthy dietary changes to include optimum nutritional choices, and low quantities of foods that are both high in purines and in proteins. These foods, such as meat, fish, and beer, are the primary causes of increased levels of uric acid in the body and should therefore be avoided.

The laboratory should also be notified if the patient has had recent x-ray tests requiring contrast dyes. These chemicals increase uric acid levels in urine and decrease them in blood.

Reduce your alcohol consumption, especially if you tend to binge drink or drink to excess. Alcohol is not a cause of gout, but it can negate all of your other efforts to prevent gout disease from acting up. Alcohol will dehydrate your body and it causes uric acid to form. Therefore, it not only builds your uric acid levels, but it discourages your body from eliminating that uric acid. So it is best to avoid alcohol altogether when you are working to prevent gout disease.

Codeine Preparations Codeine is a narcotic which reduces the patient's sensitivity to pain. They can usually be taken in conjunction with Analgesics. In low doses, it can be taken without prescription. A side effect of taking Codeine is that it may cause Constipation.

The uric acid tests are used to evaluate the blood levels of uric acid for gout and to assess uric acid levels in the urine for kidney stone formation. The urine test is used most often to monitor patients already diagnosed with kidney stones, but it can also be used to detect disorders that affect the body's production of uric acid and to help measure the level of kidney functioning.

Abnormally low uric acid levels may indicate that the patient is taking allopurinol or probenecid for treatment of gout; may be pregnant; or suffers from Wilson's disease or Fanconi's syndrome.

Nonsteroidal anti-inflammatory drugs (NSAIDs) This type of medicine helps to reduce the inflammation if taken at a high dosage. If taking a low dosage, then they will just relieve the pain. However, they do not stop further damage to the joint. NSAID's don't start working and may require regular doses over a few weeks before they noticeable improvement takes place. There are some common side effects including stomach upset, diarrhoea and abdominal pain.

Also, depending upon what type of Osteoarthritis you are suffering from, it is possible certain forms of exercise may relieve some of the symptoms and enable the sufferer to continue to live as normal a live as possible.

Key Terms

Fanconi's syndrome
A rare disorder caused by vitamin D deficiency or exposure to heavy metals.
Gout
A metabolic disorder characterized by sudden recurring attacks of arthritis caused by deposits of crystals that build up in the joints due to abnormally high uric acid blood levels. In gout, uric acid may be overproduced, underexcreted, or both.
Hyperuricemia
Excessively high levels of uric acid in the blood, often producing gout.
Purine
A white crystalline substance that is one of the building blocks of DNA. Uric acid is produced when purine is broken down in the body.
Uric acid
A compound resulting from the body's breakdown of purine. It is normally present in human urine only in small amounts.
Uricosuria
Increased levels of uric acid in the urine.
Wilson's disease
A rare hereditary disease marked by the buildup of copper in the liver and brain, causing loss of kidney function.

Further Reading

For Your Information

    Books

  • Laboratory Test Handbook, edited by David S. Jacobs. Cleveland, OH: Lexi-Comp Inc., 1996.
  • Mosby's Diagnostic and Laboratory Test Reference, edited by Kathleen Deska Pagana and Timothy James Pagana. St. Louis: Mosby-Year Book, Inc., 1998.
  • Springhouse Corporation. Handbook of Diagnostic Tests, edited by Matthew Cahill. Springhouse, PA: Springhouse Corporation, 1995.

Bio



Juniper Berry comes in capsule or liquid form, and also works to reduce uric acid. There is a gout herbal medicine called Nettle Root that is supposed to help the kidneys work better so they can more effectively remove the uric acid in the body, and that helps keep gout attacks to a minimum.

Uric acid is a waste product that results from the breakdown of purine, a nucleic acid. (Nucleic acids are the building blocks of DNA.) Uric acid is made in the liver and excreted by the kidneys. If the liver produces too much uric acid or the kidneys excrete too little, the patient will have too much uric acid in the blood. This condition is called hyperuricemia. Supersaturated uric acid in the urine (uricosuria) can crystallize to form kidney stones that may block the tubes that lead from the kidneys to the bladder (the ureters).

Decreased excretion of uric acid is seen in chronic kidney disease, low thyroid, toxemia of pregnancy, and alcoholism. Patients with gout excrete less than half the uric acid in their blood as other persons. Only 10-15% of the total cases of hyperuricemia, however, are caused by gout.




 
 
     
 
 





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