Overcoming Frequent Recurrences Of Gout?

Illustration of Overcoming Frequent Recurrences Of Gout?
Illustration: Overcoming Frequent Recurrences Of Gout? bpac.org.nz

Hello doctor, I am 32 years old around 2013 and had gout 13.8. But it’s healed. But in recent months, frequent relapses, I often use the drugs allopurinol and ibuprofin. Please explain the risks of the drug.

1 Answer:

Hi Mansoor,

Thank you for asking HealthReplies.com.

Normal uric acid levels are not more than 7 mg / dL in the blood. High uric acid levels (hyperuricemia) can be deposited in various parts of the body, especially around small joints, causing inflammation. This condition can be characterized by joints that feel painful, swollen, reddish, warm, and stiff when moved. This condition can be experienced by anyone, even people who are still young.

Hyperuricemia can occur due to a variety of factors, especially associated with a high-purine diet. These purines are later metabolized by the body to produce uric acid. There are many purines in several types of food, such as red meat, seafood, alcohol, and drinks that contain fruit sugar (fructose). Hyperuricemia is more prone to occur in those who are overweight, have offspring of uric acid, take certain drugs (eg thiazide diuretics), or also suffer from certain diseases (eg hypertension, diabetes, metabolic syndrome).

To deal with the symptoms of gout, you need to check with your doctor first before deciding to take drugs (especially those that are not considered over-the-counter drugs). This examination is necessary considering there are many other conditions that can also show clinical symptoms similar to gout, for example rheumatoid arthritis, viral or bacterial infections, and so on. The handling of each of these conditions is certainly different. Consumption of allopurinol and ibuprofen that is not done under the supervision of a doctor risks causing you to experience various side effects, including allergies, dyspepsia (increased stomach acid), diarrhea, gastrointestinal bleeding, and so on.

Therefore, check with a rheumatologist first before taking the drug. If you feel pain around the joints, it's better if you deal with it by compressing it using warm water or taking paracetamol before seeing your doctor.

As an effort to prevent recurring gout symptoms, you should reduce your consumption of foods or drinks that contain lots of purines as mentioned above. Expand drinking, eating foods that contain low fat, and also lots of exercise to maintain ideal body weight.

I hope this helps.

dr. Nadia Nurotul Fuadah

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