Arthritis, joint, bone & muscle

Gout

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A form of arthritis characterised by intense pain in a single joint, often the big toe.

Affected areas

Most commonly affects the big toe, but may also occur in the knee, ankle, elbow and other joints

Symptoms

  • Pain in a joint, that appears very quickly
  • Inflammation
  • Swelling
  • Redness
  • Stiffness of the affected joint

Causes

Gout is a form of arthritis and is associated with high-blood-levels of uric acid, a compound that's a by-product of your body's normal breakdown of food. Uric acid itself is a product of the metabolism of purines, compounds found in a range of food.

Foods containing purines;

  • Offal (including related products like pate)
  • Game meat
  • Some seafood (especially anchovies and sardines)
  • Some vegetables including asparagus and mushrooms

Normally your body maintains uric acid levels by dissolving it in the bloodstream, filtering it through the kidneys and then urinating. If you start creating too much uric acid or other factors prevent your body dealing with the load, then uric acid crystals form on the joints. This is what causes the sudden pain, redness and swelling of gout.

Diet and lifestyle

It is advisable to see your doctor as soon as possible. This is important as gout can cause severe pain and permanent damage to the joints if left untreated. The dietary and lifestyle suggestions below are recommended as support measures but not as a replacement for medical treatment from a qualified medical practitioner.               

Lowering uric acid levels is a priority and changing your diet to reduce your intake of foods containing purines may help with this.

Important notes

Calcium Pyrophosphate Deposition (CPPD) or Pseudogout is a similar condition to gout though its causes are unknown. It has been linked with a variety of causes including low magnesium levels in the blood, an over-active parathyroid gland, and excessive quantities of iron, as well as genetic factors.

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I have gout since last two years how can treat?
Anonymous
Anonymous 20 Sep 2013
Hi Leigh, Thanks for your post and sorry to hear about your gout. Devils claw does have anti-inflammatory and analgesic properties. It has been traditionally used for arthritis conditions and could possibly have some benefit for you, however I am not aware of the evidence to say how effective it is for gout. Foods containing substances known as purines can aggravate gout and purine foods include- gravies, stocks, organ meats, shellfish, anchovies, sardines, herring, mackerel, spinach, mussels, mushrooms and asparagus. Alcohol increases uric acid levels and reduces the body’s ability to excrete uric acid. Celery and cherries have benefits for gout. For a more individual response for your health, please contact the Naturopathic Advisory Service on 1800 803 760 from Australia or via email on advice@blackmores.com.au. All the best, Gina (Blackmores naturopath)

Gina
Gina 19 Sep 2013
I have tried using baking soda drinks with no success, I tried the calgout too but didnt like the unfortunate side effects.

How effective is Devils Claw?

Anonymous
Anonymous 19 Sep 2013
Hi Lyle,
I’m sorry to hear that you are experiencing your first gout attack and I hope this forum offers you some helpful information and advice.
It would be difficult for us to rule out your medication causing a sudden gout attack. I would like to suggest that you talk to your doctor or health care professional to discuss whether or not this could be the cause. Please also feel free to contact the Blackmores Naturopathic Advisory line on 1800 803 760 to speak with a naturopath about your condition.
All the best, Leanne (a Blackmores naturopath)
Leanne
Leanne 16 Sep 2013
I have been on ( 200g twice daily) for 6years. My age is 64.(f) could my medication be causing my sudden gout attack? I have never had it before.
Anonymous
Anonymous 16 Sep 2013
Hi Kristine, Krill oil is not known to cause gout and it does have an anti-inflammatory action in the body. However there can always be an individual response to any medication or supplement.
Krill oil is derived from crustaceans , therefore those allergic to seafood should exercise caution.
Although gout may be exacerbated with foods that contain a high purine amount, it specifically occurs when uric acid builds up in the bloodstream and deposits urate crystals in the joint. The build-up of uric acid is most commonly caused by under-excretion of uric acid by the kidneys, but may also be caused by the overproduction of uric acid by the body. Some people have higher levels of uric acid in their bloodstream when compared to other individuals. This condition is called hyperuricaemia and can be hereditary. Other causes of gout can include the use of diuretics (fluid tablets) which can cause the retention of too much uric acid.
Please contact the Naturopathic Advisory Line on 1800 803 760 or via email advice@blackmores.com.au, if we can help you further.
All the best with your health. Kind regards, Rebekah (a Blackmores naturopath)

Rebekah
Rebekah 06 Sep 2013
Hello,

Could Red Krill Oil cause gout in an individual?

Anonymous
Anonymous 05 Sep 2013
Hi Julie,
Sorry to hear about your recent bout of gout. I hope the above suggestions prove useful as you learn to manage, and hopefully prevent, further attacks. In addition, ice packs can bring some relief during an acute attack.
Warm regards, Leanne (Blackmores naturopath)
Leanne
Leanne 19 Aug 2013