Gout is defined as a pain and inflammation that occurs when excessive uric acid crystallises
and deposits in the joints.
Gout is a common form of arthritis which can affect any human being. It is characterised by
sudden severe attack of inflammation and tenderness in one or more joints, most likely in the
big toe. It can occur suddenly, often waking up in the middle of the night with the burning
sensation in the big toe . The affected joint is hot, swollen and tender.
GOUT SYMPTOMS :
The signs and symptoms of gout includes:-
- Severe joint pain : gout usually affects the big toe but it can usually take place in any joint. Other commonly affected joints are ankles, knees, elbows, wrist and fingers. The pain is most severe within the first four to 12 hours after it begins.
- Remaining discomfort : after the most severe pain subsides, some joint discomfort may be lost from a few days to a few weeks. Later attacks persist longer and affect more joints.
- Inflammation : the affected joints become swollen, tender, warm and red.
- Limited range of motion : as gout increases, the person may not be able to move the joints normally.
Gout occurs when urate crystals deposit in the joint, causing inflammation and severe pain in
the affected joint. Urate crystals can form high levels of uric acid when it breaks down purines-
substances that are found naturally in the body. Purines are also found in some foods, such as
red meat and organs meats, liver. Purine rich. Alcoholic beverages, especially beer and drinks
in Sweden with fruit sugar promote high levels of uric acid. Normally, uric acid dissolves in the
blood and passes through kidneys in urine. But Occasionally, the body makes too much uric
acid. When this happens, uric acid can build up, forming sharp needles like urate crystals in a
RISK FACTORS : if there are high levels of uric acid in your body then there are many chances
- Diet : diet rich in red meat and shellfish and drinking beverages sweetened with fruit
sugar raise the level of uric acid, which increases the risk of gout.
- Obesity : in a obese person, the body produces more uric acid and kidneys have a
difficult time eliminating uric acid.
- Medical conditions : some diseases increase the risk of gout. These include untreated
high blood pressure and chronic conditions such as diabetes, obesity and metabolic system.
- Family history : if other members in the family have had gout. Then the child is more
likely to develop the disease.
COMPLICATIONS : people having gout can also develop more severe problems , such as ;
Renal stones : urate crystals can collect in the urinary tract of people with gout causing
Recurrent gout : in few cases people experience gout signs and symptoms again and
again. Others may experience gout several times each year or over a time of period.
Medicine prevents gout attacks in people with recurrent gout. If left untreated, gout can
cause destruction of a joint.
Untreated gout : untreated gout may be deposits of urate crystals to form under the
skin in nodules called tophi. Tophi can develop in several areas , such as fingers, hands,
feet , and elbows. Tophi normally aren’t painful but they can become inflamed and stiff
during gout attacks.
HOMOEOPATHIC MANAGEMENT :
Colchicum:- the gout that is best treated with colchicum is when the joint is red and very
sensitive to touch. These gout pains are worse with any motion and better when lying
still. Gout in the big toe or heel s9o painful that the person cannot bear to have it
touched or moved. joints are red, hot and swollen.
Benzoic acid:- this is used for gout, especially of the knee or big toe. Tearting and
stitching pain in the affected joint, for acute rheumatism and gout with stiffness, swelling
and lameness. Also, symptoms of gout are associated with highly coloured and offensive
urine. Symptoms are worse in the open air.
Arnica montana:- it can also be very helpful for discomfort that comes with gout. Pain
is safe and bruise-like, and it hurts to walk. The person may be afraid to be approached
or touched, because of pain. This medicine is used when the pain is safe or bruised,
such as when it hurts to walk. The person may be afraid to be touched or approached
because of pain.
Ledum pal:- remedy is indicated in gout, the foot and big toe can be extremely swollen.
Shooting pains are felt all through the foot and ankles, morning upward to the knee. It
used to treat gout when the person feels chilled and the joint is also cold.
Sabina:- this homoeopathic medicine is important for treating gout in women when the
patient already suffers from another female disorder. Uterine symptoms are experienced
along with the basic symptoms of gout . Shooting pain is experienced in the toes and
heels. The joints get swollen and look red and shiny.