Gout has been recognized by society since the time of Hippocrates [Greek Physician] who wrote of this disorder in approximately 500 B.C. Briefly defined, the joint inflammation known as gout is caused by uric acid forming "crystals" which prefer to settle in the cooler body zones, for example the feet and toes. These crystals are identified by the body’s immune system as "foreign matter" which precipitates the attack, or bout, of gout resulting in painful swelling of the affected joint.

Statistics indicate one in twenty-five males are likely to be affected compared to one in one hundred females. It is a common form of around one hundred and fifty types of arthritis, and may have an inherited tendency. The joint of the big toe is often associated with this disorder, however, other joints such as feet, ankles, knees, hands and elbows, can be involved. An acute attack of gout usually presents overnight with severe pain and swelling accompanied by shinny redness and heat surrounding the affected joint. Another attack may not be experienced for several months. Frequent attacks are a warning sign telling you to see a doctor.

People with a higher than normal level of uric acid [hyperuricaemia] are prone to this disorder as well as kidney and bladder stones. Uric acid is a chemical forming a natural part of the body tissue’s ability to breakdown and buildup. It is dissolved in the blood, filtered by the kidneys and excreted in the urine. Purines, substances found in food, when broken down produce a quantity of uric acid. Foods high in purines should be avoided or restricted. Some examples of high-purine foods are: Offal foods [liver, kidney, tripe, sweat breads and tongue], red meats, shellfish, roe, scallops, sardines, peas, beans, lentils, and alcohol.

Management of an acute bout of gout requires rest, elevation and protection of the affected joint. Drink approximately two litres [about 8 glasses or 4 pints] of water each day during the acute stage in order to dilute the uric acid buildup and flush the kidneys. Unless contraindicated, take asprin or paracetamol as directed to help control discomfort.

A word of caution; never commence a "treatment or miracle cure" for gout before checking with your doctor. Reason; you may be on medication and or treatment for another condition that could seriously compromise your health if you add un-prescribed alternatives. During, following, or on repeated "gout bouts" seeing your doctor is of the utmost importance. While the pain of gout is cruel, it should be felt as a trumpet blasting out for attention to other underlying health issues. Raised uric acid levels, and gout, can be associated with high blood pressure and or renal disorders. Among other things your doctor will check your blood levels for uric acid, record your blood pressure and review any other concerns such as medication, weight and nutrition.

If you are prone to bouts of gout, here are some simple suggestions to help you avoid an attack during the festive season. Exercise moderation in your approach, do not overindulge in the foods or beverages that you know from past experience will cause you discomfort. Drink plenty of water each day especially if you are consuming a few alcoholic noggins. Try to alternate each glass of alcohol with a glass of water. Take a look at this example: If you love prawns and cannot possibly survive the celebrations without them, have a prawn cocktail preceded by a large glass of water, followed by another large glass of water after the glorious consumption. Don’t slip each prawn down with a sip from another "cocktail" unless you want to pay dearly on the next day. Enjoy this season and remind yourself that commonsense and plenty of water is the best health supporter.

Jason Ladock

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