Exacerbation of gout is a serious problem for any patient. 
Another attack is accompanied by acute pain. A person cannot move normally, and the slightest touch on an inflamed joint causes a desire to get rid of it. Treatment of gout during an exacerbation is aimed at reducing the severity of the pathological process. Reducing the pain syndrome helps to normalize the patient’s well-being and allows you to adjust the basic therapy.

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How to relieve an acute attack?

Patients who have long been suffering from a violation of uric acid metabolism know that with the next increase in uncomfortable sensations, you must remove the attack of gout as quickly as possible. Otherwise, the need for hospitalization of a person is not excluded.

Treatment for gout during an exacerbation can be carried out in different ways. There are specialized medications that reduce the severity of pain, folk remedies that are popular among patients who want to minimize the effect of synthetic substances on the body.

Quickly relieve pain with gout will also help rest for the affected joint and local exposure to cold. To achieve the maximum therapeutic result, it is recommended to combine both natural and traditional synthetic drugs.



Medicines

According to modern protocols for the provision of specialized care to patients, exacerbation of gout is treated mainly with the help of medications. Randomized trials prove that taking drugs helps eliminate sharp pain and stabilize the patient.

The non-steroidal anti-inflammatory drugs (NSAIDs) remain the basic group of tablets and medical solutions for gout. The mechanism of action is based on the inhibition of cyclooxygenase (COX-1 and COX-2). The result is a decrease in the synthesis of pro-inflammatory substances that aggravate the well-being of the patient.

Through the use of injections and tablets for gout, pain can be quickly eliminated. Additionally, the severity of edema, redness of the affected joint is reduced.

Used drugs from the NSAID group:

  • Diclofenac sodium.
  • Etoricoxib.
  • Lornoxicam.
  • Meloxicam.
  • Ketorolac.

Stopping an attack of gout with the help of these medicines is recommended by the European and American Association of Rheumatologists. In 80-85% of cases, the patient’s condition improves after the first dose of the drug.

It is important to remember that treatment of gout during an exacerbation is best done using injectable formulations. The reason is better absorption, a faster effect and the absence of mechanical contact with the affected joint.

Gout pain relief is also achieved with colchicine. The drug belongs to alkaloids. The mechanism of action is based on a pronounced decrease in the rate of migration of leukocytes to the focus of inflammation. Due to this effect, an acute attack of gout quickly passes into the stage of regression and remission. Colchicine additionally inhibits phagocyte absorption of microparticles of puric acid, breaking one of the key links in the pathological process.



Treatment of exacerbations of gout allows the use of pain medications. Used narcotic drugs. Indication – severe pain, significantly violating the general condition of the patient. Painkillers for gout on the legs are prescribed with caution. The reason is the risk of addiction. The use of this group of drugs lasts 3-5 days.

Recommended painkillers for gout:

  • Tramadol.
  • Morphine.

The choice of painkillers for gout is done only by a doctor. It is impossible to purchase narcotic analgesics on your own in a pharmacy without a special prescription from a doctor.

In the treatment of an acute attack of gout there is a place for glucocorticosteroids (GCS). Steroid drugs are used for the ineffectiveness of the groups of medicines described above. The powerful anti-inflammatory property of GCS ensures the rapid achievement of the desired result. Prednisolone and its derivatives well remove pain and other clinical manifestations of impaired purine metabolism.

If indicated, the doctor may additionally prescribe the following medications:

  • Benzbromarone to reduce the concentration of uric acid in the blood.
  • Losartan for blood pressure correction.
  • Fenofibrate to prevent the progression of atherosclerosis.
  • Omeprazole to reduce the acidity of the gastric contents.

The selection of drug therapy is carried out exclusively by a doctor. Otherwise, the disease progresses and gives the patient a lot of discomfort.

Folk remedies

Before using unconventional remedies, you should always remember that an acute attack of gout is a sharp pain that prevents a person from moving and even thinking.

Any folk remedies are focused on long-term use with a gradual increase in the therapeutic result. Therefore, in 90% of cases, anesthesia for gout, carried out by natural means, is ineffective, except when the patient is ready to endure the most acute sensations before the onset of the action of unconventional drugs.




Possible recipes:

  • Tincture of valerian with cologne. It is necessary to mix the contents of two bottles of herbal preparation with 1 bubble of aromatic liquid. Insist means in a dark place for 48 hours. A cotton moistened with a mixture is applied to the affected joint and bandaged. Remove the described bandage after 4-5 hours. The general course of treatment is up to 14 days.
  • Salt compress.  To create a folk remedy, you need to mix half a kilogram of kitchen salt with one liter of warm water. To give stability to the structure of the drug, another 200 g of vaseline is added to it. After thorough mixing, the specified tool is applied to the affected joint and hold for 1-2 hours.
  • Contrast for the feet.  Cold and hot water will help relieve acute pain with gout. Any groats are poured into two identical vessels. Boiling water is poured into one container, cold water into another. The diseased leg should be lowered alternately into the vessels for 5 minutes.

Despite the presence of various methods of alternative healing, it must be remembered that traditional medicine does not provide a truly high-quality solution to the problem.

When should I see a doctor?

Going to the doctor is a step that almost all patients who have experienced an attack of gout are ready for. However, it is worth noting that it is worth calling a doctor when a pathology occurs for the first time. In this case, the patient is hospitalized for the selection of therapy.

Patients who have suffered from the disease for many years are able to independently deal with exacerbations of gout. However, if the application of traditional methods does not bring the desired improvement, and the person’s condition progressively worsens, you need to see a doctor. In 90% of cases, the patient will need correction of the therapeutic program.

Exacerbation of gouty arthritis is a problem that needs to be resolved as quickly as possible. Procrastination with the use of drugs leads to an increase in extremely unpleasant sensations. The main thing is to use medicines in adequate doses.

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Categories: Gout

2 Comments

Should we give up alcohol if you have gout - Arthritisco · May 11, 2020 at 11:47 am

[…] Exacerbation of Gout: Fighting an Attack […]

Is gout inherited? - Arthritisco · May 11, 2020 at 2:10 pm

[…] Exacerbation of gout occurs at night or early in the morning. A damaged joint (most often on the lower extremities) swells, severe pressing pain and redness appear the temperature rises. In the afternoon, symptoms decrease until the next night. The attack lasts from a few days to a week. The next exacerbation may affect other parts of the body. Chronic gout is characterized by the appearance of tofus – gouty nodes filled with uric acid salts. The growths become inflamed and painful. […]

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