
Managing Gout: it can be treated


Service Description
Gout is a form of inflammatory arthritis that occurs when uric acid levels in the blood become excessively high, leading to the formation of sharp, needle-like crystals in the joints. These crystals cause sudden and intense pain, swelling, redness, and tenderness, most commonly in the big toe, but it can also affect other joints such as the ankles, knees, elbows, wrists, and fingers. Gout attacks often occur suddenly, frequently at night, and can cause excruciating pain in the affected joint. Even the lightest touch can be extremely painful during a gout attack. As the swelling increases, the joint may become stiff and difficult to move. The most definitive way to diagnose gout is through a joint fluid test, where fluid is drawn from the affected joint using a needle. Under a microscope, the presence of urate crystals in the fluid confirms the diagnosis of gout. Blood tests may be used to measure uric acid levels in the blood, although high levels alone do not confirm gout, as some people with high uric acid never develop the condition. X-rays, ultrasound, or dual-energy CT scans can help identify crystal deposits in the joints or the presence of gout-related damage. Consuming foods high in purines (e.g., red meat, seafood, alcohol) can increase uric acid levels. Excess weight increases the production of uric acid too. But did you hear how fasting can also increase uric acid? Yes! It is true. During fasting, the body shifts from using glucose to fat for energy, producing ketones. This process can lead to an increase in uric acid levels as the body breaks down purines (found in many proteins) during ketone metabolism. Extended fasting can cause increased cell breakdown, releasing purines from cells into the bloodstream. This can elevate uric acid levels as purines are metabolized. These factors can contribute to higher uric acid levels, potentially triggering or worsening gout symptoms. This program can help you manage and overcome gout by offering personalized support in key areas such as dietary changes, lifestyle modifications, and stress management. Through tailored guidance, a coach helps you make sustainable changes to reduce uric acid levels, avoid triggers, and improve overall well-being.