home remedies for gout attack

Treatment of acute gout attacks is designed to relieve pain and inflammation, primarily through medication. Diet and other lifestyle changes can help. 5 Gout Home Remedies · 1. Lemon Juice · 2. Epsom Salt · 3. Cherries · 4. Ginger root · 5. Vitamin C. Gout pain The root cause of gout is tied to several factors that lead to the concentration of uric acid in the bloodstream. For example, dehydration.

: Home remedies for gout attack

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Home remedies for gout attack
Home remedies for gout attack
Home remedies for gout attack

Gout is a complex form of arthritis characterized by deposits of uric acid crystals in the body which affects the joints. Uric acid is a substance formed when the body breaks down purines, it is a vital element for DNA synthesis, circulation, digestion and absorption of nutrients. The blood transports uric acid to the kidneys and the excess amount is excreted out. When the kidneys cannot eliminate the excess uric acid, it gets deposited in the body causing gout, also called hyperuricemia. It mostly affects men after 40 years, however, it triggers in women post-menopause. Also Read: Gout: Causes, Symptoms And Treatment

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Causes Of Gout

There is no specific cause for gout, but many underlying factors can increase the risk of this painful disorder which include:

Genetics - a family history of gout increases your risk.

Age and gender - men after the age of 40 years are more prone than women.

Weight - a person who is overweight, the risk is higher.

Diet – consuming food that is rich in purine content such as red meat, organ meat, herring, mushrooms, scallops, anchovies, and asparagus.

Alcohol - excess alcohol intake affects the body’s mechanism of eliminating uric acid.

Exposure to metals like lead.

Certain health conditions like hypothyroidism, hypertension, Kelley-Seegmiller syndrome or Lesch-Nyhan syndrome increases the risk.

Intake of certain medications.

Stages of Gout 

Gout is categorized into four stages:

Asymptomatic Hyperuricemia: In this stage blood uric acids is elevated without any other symptoms.

Acute Gout: In this stage, uric acid starts to build up in the joints resulting in swelling, pain and tenderness. In most cases, gout attack starts at night and prolongs for 3-10 days.

Interval Gout: This stage is in between the acute gout attacks when the patient does not show any symptoms.

Chronic Gout: With the accumulation of uric acid for the prolonged duration it results in permanent damage to the joints associated with intense pain.

Generally, gout affects one joint at a time, however, if left untreated it may trigger other joints. Some of the most common symptoms associated with gout include swelling, penetrating joint pain which causes inflammation, redness which commonly observed in toes, ankles, fingers, wrists and knees.

Mother Nature has bestowed upon us with amazing ingredients that work wonders in easing the symptoms associated with gout. Add these amazing foods in your daily diet to get respite from swelling and painful joints.
gout natural remedies

5 Super Foods For Alleviating Gout

Cherries

Vast reserves of anthocyanin and ascorbate in cherries have powerful antioxidant and anti-inflammatory properties which lower the risk of a gout attack. As per the study conducted by Boston University, a person with gout who had consumed cherries over 2 days had a 35% lower risk of gout attack than those who did not take the fruit. It is recommended to consume three servings of cherries or cherry extracts to minimise the risk of a gout attack (one serving contains 10-12 cherries).

Papaya

The goodness of enzymes papain and chymopapain in papaya possess strong anti-inflammatory effects which help in easing inflammation and reduces swelling in the joints. It also helps in getting rid of excess uric acids from the body by increasing the alkalinity. Besides these, it is packed with antioxidants beta-carotene and vitamin C which helps to reduce inflammation and mitigates pain and redness in the joints. Also Read: Best Health Benefits of Eating Papaya

Celery Seeds

The plethora of nutrients present in celery seed such as iron, manganese, calcium and other bioactive compounds support in curing gout. Luteolin, 3-n-butylphthalide and beta-selinene notable plant compound in celery reduce uric acid levels in the blood and lower inflammatory nitric oxide production which aggravates gout attack. Add celery seeds in the diet in the form of juice, extracts or seeds.

Ginger

Ginger is a versatile herb well-known for its potent medicinal and culinary purposes. The powerful anti-inflammatory effects of ginger reduce inflammation, swelling and lower the blood uric acid levels and confer respite to gout attacks. Take one inch of ginger, steep well in a cup of water for 5-10 minutes and drink this powerful concoction regularly to get relieved from joint pain.

Lemon 

Lemons and lemon juice is proven by studies that have an amazing natural remedy for curing gout. Ample amounts of vitamin C and antioxidants in lemons reduce inflammation, breakdown the uric acid deposits in the blood by increasing the pH of urine and helps in clearing out uric acid. All you have to do is consume lemon juice 2-3 times in a day to ease gout pain.

Home Remedies

Natural home remedies work amazingly well to ease the symptoms associated with gout such as pain, stiffness, redness and inflammation. These ingredients are readily available in your kitchen cabinets and offer you much-needed respite.

Fenugreek

Fenugreek is a highly valued spice used extensively in traditional medicine for treating several health woes. Potent anti-inflammatory effects of fenugreek aids in lessening internal and external inflammation of the body and eases joint pain.

Pro Tip:

Soak 1 tbsp fenugreek seed in a cup of water overnight and have that water in the morning on an empty stomach. This works wonder in reducing the swelling and pain in the joints.

Castor Oil

Castor oil helps in improving blood circulation and breaking down the toxic deposit of uric acid that alleviates pain and redness. Apply warm castor oil and massage it on the affected regions to lessen inflammation and pain.

Garlic

Garlic is an incredible herb for curing gout. It aids in eliminating excess uric acid from the system and reduces inflammation. Crush 1-2 clove of garlic and then consume it to get respite from joint pain.

Carom Seeds

Carom seeds help to flush out toxins and uric acid from the body. Boil 1 tsp carom seeds in a cup of water and drink this concoction twice daily to alleviate joint pain and swelling.

Conclusion:

Gout, though a painful condition can be effectively managed and also prevented from worsening further by adding these natural foods and following an appropriate diet. If pain persists and symptoms worsen then seek immediate medical attention.

Источник: https://www.netmeds.com/health-library/post/gout-5-incredible-foods-to-ease-joint-pain-and-swelling

Gout is a common type of arthritis that causes intense pain, swelling, redness and tenderness and stiffness in a joint. It usually affects the joint in the base of the big toe. It is a common and complex form of arthritis that can affect anyone. But it is the most common form of inflammatory arthritis in men. However, women become more susceptible to it after the menopause.
Usually gout causes sudden joint inflammation in a single joint. Severe gout can sometimes affect many joints at once which is known as polyarticular gout. An attack of gout or flares can occur suddenly. When it occurs, it often wake you up in the middle of the night with the sensation that your big toe is on fire.
It is caused by excess uric acid in the bloodstream. The symptoms of gout are due to the formation of uric acid crystals in the joints and the response of your body to them. Chronic gout is treated using medications that lower the uric acid level in the body. Left untreated, gout can cause irreversible joint damage, kidney problems, and tophi. Surgery, dehydration, beverages sweetened with sugar or high fructose corn syrup, beer, liquor, red meat, and seafood are some of the triggers for acute attacks of gout. Although there is no permanent cure for gout, there are several home remedies that offer relief from the intense pain. These include:

Baking Soda For Gout:

Baking soda or sodium bicarbonate is an excellent remedy for various ailments because of its mild alkaline effect. This helps prevent the peeling of the skin caused by gout. It is also helpful in reducing the inflammation of the joints and gives immense relief from the pain. Most importantly it helps reduce the uric acid content in the blood when consumed internally. However, it can trigger the blood pressure and cause it to rise abnormally if you are a hypertension patient.
Mix half a teaspoon of baking soda in a glass of warm water. Drink this up to 4 times a day for two weeks. Repeat the process whenever required.

Epsom Salt For Gout:

Epsom salt is an inorganic chemical that is very effective in treating gout. The high level magnesium content in Epsom salt helps protect the heart and keeps the blood pressure in control. The natural saline waters of the springs in the place called Epsom that is located in Surrey County in UK are rich in Epsom salt deposits. Soaking in a warm bath mixed with Epsom salt has a soothing effect on the skin and helps relax the rigid and painful muscles. It one of the most popular home remedies for gout. 
Add 2 cups of Epsom Salt powder in some warm water in your bathtub and soak for 15 to 20 minutes. Repeat the process three times a week for a month or so.

Lemon Juice For Gout:

Lemon juice has an alkalizing effect and helps neutralize the effect of the uric acid of the patient suffering from gout. A mixture of fresh lime juice and baking soda also strengthens the body tissues and helps in the fight against infection. Consuming fruits and vegetables rich in Vitamin C along with the lemon juice can help the body getting the required nourishment.
Squeeze the juice out of half the lemon of a lemon and mix it in a glass of water. Add a pinch of baking soda. Drink this mixture twice daily for 2 to 3 weeks.

Activated Charcoal For Gout:

Activated charcoal powder acts as an excellent absorbent. It helps in absorbing the uric acid and thus relieves the pain caused by gout. It has has no side effects or allergic reactions. It is better to take a charcoal soak or bath thrice in a week for best result. Continue the process for a month or so to see results.
Mix half a cup of activated charcoal powder with some water to form a paste. Mix the paste in a tub filled with warm water and soak in the bath tub for 15 to 20 minutes. Alternatively, charcoal paste can be applied on the affected areas.

Cold Water For Gout:

Cold water treatment helps reduce the swelling and subsequently reduce the pain. The skin can come in contact with the cold water directly. But never place the ice cubes directly on the skin. Placing the ice cubes on the skin directly can cause more damage to the joints. To get instant relief on the painful joints always make an ice pack and apply the pack to the affected area. It offer relief from the severe pain caused by gout by working on the underlying tissue. Cold water or ice packs make a good home remedy for gout.
Fill your bath tub with cold water and soak the swollen joint in the water for 15 to 20 minutes. Alternatively, use an ice pack on the affected joint. Repeat the process as many times as required.

Ginger, Fenugreek Powder & Turmeric Powder For Gout:

Ginger is a medicinal herb that is used extensively for treating various illnesses naturally. It is an anti-spasmodic as well as an anti-nausea agent. Moreover, it has excellent antifungal and anti-inflammatory properties that can help reduce swelling and provide relief to people suffering from gout. Fenugreek and Turmeric are known for their health benefits and curative properties. This combination can boost the immune system of your body by helping the body to regain its strength making it is one of the best home remedies for gout pain.
Add two teaspoons of fenugreek powder and two teaspoons of organic Turmeric powder to an inch of powdered ginger. Mix all three ingredients in a glass of warm water. Drink the concoction twice daily for a month for better result. All of these can be made part of your daily diet.

Turmeric and Honey For Gout:

The compound curcumin found in Turmeric is loaded with excellent curative properties and helps get immense relief from the pain caused by a severe attack of gout. It helps reduce stiffness in the joints and the searing pain. Moreover, Turmeric helps in destroying the harmful germs in the body being an excellent antibiotic. It also enhances the immune system and helps the body to regain its strength by fighting against the inflammation and pain. Honey is also a great restorative and a powerful medicine with amazing curative effects. Both of these form a winning combination that is one of the best home remedies for gout. 
Mix 2 to 3 teaspoons of organic Turmeric and 3 tablespoons of pure, organic honey to make a paste. Apply the paste on the painful joints. Alternatively, this paste can be consumed orally.

Cherries For Gout:

Cherries are one of the best home remedies for gout because of its antioxidant properties. These are good for treating severe cases of gout. The anthocyanins present in cherries have good anti-inflammatory qualities that help reduce the inflammation caused by gout. Cherries play an important role in controlling gout flare-ups and offer relief from the intense pain that is caused by an attack of gout.
Consume a handful of either canned or fresh cherries daily, about 15 to 20 cherries.
Alternatively, black cherry juice can be consumed daily.

Pineapple Juice For Gout:

Pineapple is a perfect home remedy for gout as it contain a compound known as bromelain, which helps neutralize the effects of uric acid that accumulates in the blood. Pineapples also contain potassium, phosphorus, manganese and calcium. Moreover, pineapple juice is very rich in Vitamin C which helps boost the immune system and protects from attacks of gout. It has been used in the treatment of arthritis and as gout has similar symptoms, it can be one of the best home remedies for gout.
Make fresh juice of a fresh, ripe pineapple. Add a pinch of salt and consume one glass twice daily for 2 to 3 weeks. Repeat the process whenever required.

Mustard Oil and Camphor For Gout:

Mustard oil and camphor is one of the most effective and easy home remedies for gout as it work on the swelling and help reduce it. Moreover, camphor and mustard oil help reduce the pain caused by gout and has a soothing effect when applied on the affected portions if home remedies for gout attack for long period.
Mix 100 ml of virgin mustard oil and 10 g of camphor. Heat the mustard oil until the orange and rockland spring valley ny dissolves. Allow the oil to cool a bit and massage on the affected portions while it is warm. Repeat the process whenever required.

Dietary Changes to reduce the symptoms of Gout:

Individuals with gout can manage flare-ups by moderating their diet. A balanced diet can help reduce symptoms. As gout is associated with obesity, weight loss can dramatically improve the management of gout. A calorie-reduced diet is helpful for weight loss.
Uric acid is formed when proteins in the food home remedies for gout attack eat, called purines, are broken down. Avoiding purine-rich foods can help manage the symptoms of gout.
However, as purines are a natural part of many healthy foods, it is extremely difficult to follow a diet very low in purines.
Individuals with gout should also avoid low-carbohydrate diets as low intake of carbohydrate will lead to the release of substances called ketones into the bloodstream. This is because means the body is unable to properly burn fat stores.
This rise in ketones can result in a condition called ketosis that can increase the level of uric acid in the blood. Therefore you should follow a diet that is low in saturated fat, with increased protein. The replacement of refined carbohydrates such as sugar, white bread, potatoes with complex carbohydrates such as vegetables and whole grains can help reduces the serum uric acid.
It is most important to avoid many foods that are high in purines, to ensure that the levels of uric acid in the blood do not get too high. These include anchovies, beef kidneys, dried home remedies for gout attack and peas, game meats, herring, liver, mackerel, sardines, scallops, sweetbreads.
However certain purine-rich foods will not increase the risk of gout, or aggravate symptoms. These include asparagus, beans, some other plant-based foods, and mushrooms. In short decreasing the consumption of seafood and red meat and consuming low-fat dairy products decreases the risk of gout. Purine-rich vegetables, whole grains, nuts and legumes, and less sugary fruits, coffee, and vitamin C supplements decrease the risk of gout, whereas red meat, fructose-containing beverages, and alcohol increase the risk. Eating more cherries and drinking cherry extract may be a safe way to supplement your gout treatment.

Источник: https://www.getatoz.com/content/home-remedies-for-gout/1722

Chinese herbal medicine for gout: a review of the clinical evidence and pharmacological mechanisms

Chinese Medicinevolume 15, Article number: 17 (2020) Cite this article

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Abstract

Gout is a common arthritis condition due to disorders of purine metabolism and decreased uric acid excretion. Although researchers have carried out various studies on this disease, there are no effective drugs for patients with gout. In traditional Chinese medicine (TCM), gout pertains the category of Bi pattern due to qi stagnation in the meridians and collaterals. Chinese herbal medicinals has been employed to treat Bi patterns since the ancient China. In recent decades, classical TCM formulas and agents isolated from some Chinese herbal medicinals have been applied to treat gout and have achieved satisfactory effect. In this review, we focus on recent studies of gout in which TCM formulas were applied to treat animal models or to treat patients, and summarize the mechanism of gout from TCM perspective, the clinical application, pharmacological mechanism and the chemical compounds of TCM formulas in treating gout. In conclusion, through this study, we summarized the application principle of TCM formulas in gout treatment and some key issues of current research, and we hope this study will provide some references for applying TCM formulas to treat gout and will lay a foundation for the development of novel formulas for gout treatments.

Background

Gout is a common arthritis condition due to deposition of monosodium urate (MSU), and is closely related to hyperuricemia [1]. Because of disorders of purine metabolism or impaired renal excretion [2, 3], serum uric acid levels rise to be abnormally high, and finally there would be the deposition of uric acid and acute persistent inflammatory reactions in the joints [4]. The most common clinical manifestations of gout are acute burning sensation and swelling of the joints. In some cases, clinical manifestations such as joint damage and renal dysfunction are often present [5]. Gout affects a significant portion of the population worldwide annually [6], and according to the estimates of World Health Organization (WHO), 3.9% of people worldwide are suffering from gout [7]. The acute onset of arthritis, joint malformations, chronic joint injuries and the formation of renal calculus not only reduce the quality of life, but also lead to disability [8].

Currently, although researchers have carried out various studies on this disease, there are no effective drugs for patients with gout. Drugs like colchicines, corticosteroids and non-steroidal anti-inflammatory drugs (NSAIDs) have been applied to treat acute onset of gout [9]. These drugs show good effect in the short term, but when used for a long time, gastrointestinal reactions, rashes, systemic vacuities and even renal failure would occur [10, 11]. Besides, such drugs could not prevent, halt or reverse the progression of this complicated disease. Therefore, therapies or drugs which can intervene the development of gout are greatly needed in clinic.

Traditional Chinese medicine (TCM) has been applied to treat gout since the ancient China [12]. In TCM, gout is classified as Bi pattern usually due to qi stagnation in the meridians and collaterals. Under the guidance of pattern differentiation, classical TCM formulas and agents isolated from some herbs have been applied to treat gout with satisfactory effect [5]. Some chemical ingredients isolated from these formulas or Chinese herbal medicinals are of multi-target and low toxicity, showing advantages and good prospects in the prevention and treatment of gout (Fig. 1). In this review, the clinical application and pharmacological mechanism of TCM formulas in the treatment of gout are summarized, so as to develop novel formulas for gout treatments (Table 1).

The commonly used ingredients isolated from TCM formulas or Chinese herbal medicinals for the treatment of Gout. Eight herbs have been frequently used for gout treatment with low toxicity and excellent effect under the principle of syndrome differentiation and treatment

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Gout and Bi syndrome patterns

In TCM, gout pertains the category of Bi pattern [13]. In general, the manifestations of Bi pattern are mainly characterized as pain, numbness and heaviness of muscles, tendons and joints or swelling of joints with hot sensation and limitation of movement [14]. According to TCM, the primary causes are the deficiency of healthy qi and the invasion of pathogenic factors like wind, cold, dampness or heat [12]. It is recorded in Treatise on Blood Trouble that the transportation and transformation function of spleen is closely related to the disease mechanism of gout. The deficiency of spleen qi could cause obstruction in the digestion system and lead to the buildup of waste products like uric acid in the blood. In addition, the evidences from clinical trials suggested that the dampness accumulation and blood stasis in the meridian would result in the swelling and pain of joint and the buildup of uric acid in the blood [13]. Because of the individual difference of body constitution and different pathogenic factors, there are various types of Bi pattern. For example, people with yang-deficiency constitution are usually affected by the combined invasion of wind, cold and dampness, and therefore there would be a Bi pattern of cold-dampness type, while people with yang-predominance constitution or yin-deficiency and yang-hyperactivity constitution are usually affected by the combined invasion of wind, dampness and heat, and finally there would be Bi pattern of damp-heat type. Among those factors, dampness and heat are the most common external causes of acute gout, while the deficiency of healthy qi and the invasion of dampness are the most common external causes for gout during remission.

The clinical application of TCM formula in the treatment of gout

In the early stage of Bi pattern, the therapeutic principles are expelling pathogenic factors, for example, dispelling wind, dispersing cold, clearing away heat, eliminating dampness and dredging meridians and collaterals [15]. For the patient suffering from Bi pattern for long time or the patient with weak body constitution, in addition to the therapy for expelling pathogenic factors, tonifying the spleen, liver, kidneys and nourishing blood should also be applied. For patients with gout complicated by phlegm and blood stasis, activating blood circulation, dissipating blood stasis and masses and eliminating phlegm should also be applied (Fig. 2) [16].

The main different types of and the therapeutic principles of gout. There are three different types of gout based on syndrome differentiation

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The clinical application of TCM formula in treating acute gout

In recent years, TCM formulas are often modified or combined with chemical drugs to treat gout with fewer side effects, and have been regarded as the promising treatments [17]. Among these, Simiao Powder as well as the modified ones like Jiawei Simiao Powder, Tongfeng Decoction, Danxi Tongfeng Decoction are widely used for gout of damp-heat type. Chen et al. [17] found that the TCM formulas combined with chemical drugs showed better effect than chemical drugs applied alone. Similarly, the research from Huang et al. [18] suggested that the improvement of symptom score in the group treated with oral administration of Jiawei Simiao Powder and external application of Jinhuang Cream was more significant than that in the group treated with chemical drugs alone. In the group treated with TCM formula, the effective rate was higher than that in the group treated with chemical drugs, and the adverse reaction rate was significantly lower than that in the group treated with chemical drugs. Based on Simiao Powder, Tongfeng Decoction is invented and widely used. Wu et al. [19] found that after the administration of Tongfeng Decoction and celecoxib capsule, the acute inflammatory indicators in the blood sample of the gout patients were reduced, the inflammatory response was inhibited, the uric acid content was reduced, and the side effects were also reduced. In another clinical study, it was also found that the Danxi Tongfeng Decoction (the modified Simiao Powder) was better than celecoxib capsules in reducing the erythrocyte sedimentation rate (ESR) and serum uric acid (SUA) and prolonging the pain relieving time [20]. The above three TCM formulas with the effect of clearing away heat and draining dampness, and dredging the collaterals to stop pain, are modified from Simiao Powder.

Wuwei Xiaodu Decoction is an effective formula with the effect of clearing heat and detoxifying for treating patients with joint pain and obvious swelling. Yu et al. [21] applied modified Wuwei Xiaodu Decoction combined with colchicine tablets to treat the gout arthritis of damp-heat type, and found that the effective rate (86.00%) was higher than that in the control group (66.67%). Meanwhile, the combined application could effectively relieve acute joint pain, reduce swelling, relieve pain and improve joint function. Besides, the combined application of Guizhi Fuling Pill and Wuwei Xiaodu Decoction showed better effect than the combined application of meloxicam tablets and sodium bicarbonate tablets [22]. They have found that the effective rate was 97.60% in the group treated with TCM formulas, which was higher than that in the group treated with chemical drugs, and in the group treated with TCM formulas the pain degree was significantly reduced, the swelling score, Home remedies for gout attack and C-reactive protein (CRP) levels were lower than those in the group treated with chemical drugs.

Patients with acute attack of gout usually show severe joint pain, high skin temperature, thirsty sensation, white or yellow coating on the tongue, and there are various therapeutic methods or formulas in TCM. Among them, Zhuye Shigao Decoction with the function of clearing away heat and nourishing yin, invigorating the spleen and draining dampness, is of good efficacy on these patients. In a clinical study by Li et al. [23], Zhuye Shigao Decoction combined with colchicine tablets and celecoxib capsules showed better effect than celecoxib capsules, the effective rate was increased from 62.86% to 91.43%, and the gastrointestinal reactions such as nausea, vomiting and diarrhea were reduced.

In another clinical reports, it is also illustrated that combined application of Qingre Chubi Decoction and etoricoxib tablets was better than etoricoxib tablets used alone to treat acute gout [24, 25]. Qingre Chubi Decoction, with the function of dispelling wind and draining dampness, and dredging the collaterals to stop pain, has good effect for patients with gout affected by the combined invasion of wind, dampness and heat [24, 25]. There are two formulas named as Qingre Chubi Decoction which are of different compositions and similar effects. One Qingre Chubi Decoction composed of Herba Aristolochiae Mollissimae, Caulis Sinomenii, Radix Cudraniae Cochinchinensi, Rhizoma Atractylodis Lanceae and Rhizoma Anemarrhenae, could relieve the clinical symptoms and signs effectively, and improve inflammation indexes more obviously than the chemical drugs. Another Qingre Chubi Decoction, composed of Caulis Sinomenii, Caulis Piperis Kadsura, Ramulus Mori, Radix Stephaniae Tetrandrae, Herba Lycopi Hirti, Radix et Rhizoma Clematidis, Rhizoma Smilacis Glabrae and Lumbricus, has a good therapeutic effect for gout and low incidence of adverse reactions [26, 27].

Wen et al. [28] proposed that the increased level of SUA was due to water-dampness and phlegm-dampness blocking the meridians and collaterals, and dysfunction of qi and blood from TCM perspective. He found that Tongfengshu Capsule could promote blood circulation and urination to reduce SUA with a total effective rate of 90.59%. Tang et al. [29] found that in patients treated with Tongfengshu Capsule combined with chemical drugs, symptoms and signs were relieved more obviously than in patients treated with chemical drugs alone, and the recurrence rate was lower than that in patients treated with chemical drugs 4 or 8 weeks after the treatment.

In the Synopsis of Golden Chamber the therapeutic principles for gout were dispelling cold and draining dampness, and clearing away heat and nourishing yin. Guizhi Shaoyao Zhimu Decoction is applied in clinic guided by those principle. Zhu et al. [30] found that the pain relieving time, number of relapses within 6 months and the TCM syndrome score in patients treated with the combined application of Guizhi Shaoyao Zhimu Decoction, celecoxib capsules and colchicine tablets, were lower than those treated with chemical drugs alone. He et al. [31] compared the modified Guizhi Shaoyao Zhimu Decoction with celecoxib capsules, and found that the pain and swelling were obviously relieved, and the activity restriction scores were significantly improved. Liu et al. [32] used Tongfengan Mixture according to the method of softening hard lumps and dispelling nodes to treat acute gout and found that this combination could reduce SUC, the severity and frequency of attacks. In conclusion, TCM formulas has better clinical efficacy and higher safety than chemical drugs in the treatment of gout.

The clinical application of TCM formulas in the treatment of gout during the remission stage

During the remission stage of gout, the disease mechanism of TCM usually involves spleen deficiency with dampness accumulation. From TCM perspective, the abnormal production and excretion of uric acid is related to the dysfunctional of spleen, and tends to result in the increased content of SUA [33]. Qin et al. [34] used Tongyang Mizhuo Decoction, composed of Lizhong Pills and Wuling Powder to treat gout during the remission stage and found that the total effective rate was 94.4% and the SUA level was significantly reduced after the treatment. Emerging evidences from clinical observations indicated that patients during the remission stage i know my chicken cibo matto characterized by spleen deficiency with dampness accumulation. Quzhuo Tongbi Decoction is often used to treat spleen deficiency with dampness accumulation pattern and therefore it is suitable to treat gout during remission stage [33].

According to the TCM theory of “treating disease before its onset”, Peiyuan Huazhuo Decoction, is mainly used to prevent renal damage in patients with gout. TCM doctors found that the symptoms and the renal damage were relieved after the combination therapy, suggesting that the application of Peiyuan Huazhuo Decoction had the function of strengthening healthy qi and inducing diuresis [35].

In conclusion, TCM formulas commonality is promoting the body resistance and eliminating pathogenic factors. Different TCM formulas are applied to achieve the relative equilibrium of yin-yang based on the heterogeneity of body constitution and pathogenic factors.

The pharmacological mechanism of TCM formulas in the treatment of gout

Emerging evidences have suggested that gout caused by monosodium urate deposition is related to disorders of purine metabolism and reduced uric acid excretion, so it is classified as a metabolic rheumatism. However, in recent studies it has been found that the pathogenesis is closely related to the mechanism of “metabolism-inflammation-immunity” [36]. TCM treatment for gout, especially the formulas from Synopsis of Golden Chamber could interfere the mechanism of “metabolism-inflammation-immunity” [37].

The pharmacological mechanism of Simiao Powder and it’s modification in the treatment of gout

Simiao Powder is composed of Cortex Phellodendri Amurensis, Semen Coicis, Radix Achyranthis Bidentatae and Rhizoma Atractylodis Lanceae. All the herbs in the Simiao Powder are also the major ingredients in the Jiawei Simiao Powder, Tongfeng Decoction and Danxi Tongfeng Decoction. According to TCM theory, Cortex Phellodendri Amurensis is bitter in flavor and has curative effects on the kidneys, bladder and large intestine. The main medicinal components of Cortex Phellodendri Amurensis are alkaloids such as berberine, lipoid and sterol [38], with the function of anti-inflammation, bacteriostasis, cellular immune regulation, anti-gout and inhibiting the apoptosis of articular chondrocytes [39]. Rhizoma Atractylodis Lanceae is pungent and bitter in flavor, and usually works on the kidneys, bladder and large intestine. It has the function of anti-bacterium, anti-inflammation, reducing blood glucose level and suppressing central nervous system [40]. Satoh et al. [41] found that Rhizoma Atractylodis Lanceae could inhibit the activity of sodium–potassium-ATPase, prevent the absorption of water and sodium ions, and thus to promote urination and excretion.

Radix Achyranthis Bidentatae is sweet in flavor, has the function of reinforcing liver and kidneys, strengthening muscles and bones, and promoting urination, and usually works on the liver and kidneys. It is reported that Radix Achyranthis Bidentatae could promote the excretion of uric acid, improve the cellular and humeral immunity as well as the non-specific immune function [42].

The combination of Cortex Phellodendri Amurensis, Radix Achyranthis Bidentatae and Rhizoma Atractylodis Lanceae can reduce the levels of tumor necrosis factor (TNF)-α, interleukin (IL)-6 and IL-8 in synovial tissue. Having the function of anti-inflammatory and inhibiting cyclooxygenase-2 (COX-2), Semen Coicis Albais could works on regulating purine metabolism and reducing uric acid formation [43]. After Semen Coicis Albais is added, this combination of four herbs becomes Simiao Powder, which has good effect on the patient with gout of dampness-heat type [44]. Wang et al. [45] suggested that modified Sanmiao Powder could inhibit the content of inflammatory factors in the joint fluid of rats with acute gout arthritis.

Although Jiawei Simiao Powder, Tongfeng Decoction and Danxi Tongfeng Decoction are all invented based on Simiao Powder, the pharmacological mechanisms of these TCM formulas are different. Oral administration of Jiawei Simiao Powder and combined with external application of Jinhuang Cream could relieve the inflammation by reducing the levels of ESR, CRP and IL-8 [18]. Tongfeng Decoction could effectively reduce SUA, inhibit inflammatory response, halt the progression of the disease, and have the function of reducing uric acid [19]. Danxi Tongfeng Decoction could reduce ESR and SUA levels, and has a good analgesic effect [20].

The pharmacological mechanism of Wuwei Xiaodu Decoction in the treatment of gout

Wuwei Xiaodu Decoction, composed of Flos Lonicerae, Flos Dendranthematis Indici, Herba Taraxaci Mongolici, Herba Violae Philippicae and Nudicaulous Grounsel Herb, is firstly recorded in Golden Mirror of the Medical Tradition. It is recorded that Flos Lonicerae, Flos Dendranthematis Indici and Nudicaulous Grounsel Herb have the function of anti-inflammation and immunomodulation [46,47,48]. Some researchers find that Herba Taraxaci Mongolici has the function of anti-bacteria, anti-oxidation, anti-inflammation, diuresis, anti-allergy, promoting immunity, and is beneficial for the stomach [49]. Because of its strong effect of anti-pathogenic microorganisms, Herba Violae Philippicae is often used in the treatment of ulcers and carbuncle with symptoms like swelling and pain [50]. It is believed that Wuwei Xiaodu Decoction can enhance the immunity of diseased mice and reduce the IL-10 to the normal level [51]. Besides, another report also illustrates that Wuwei Xiaodu Decoction could increase the phagocyte index and phagocyte rate of macrophages, adjust the balance of flora and thus enhance the immune function [52].

The pharmacological mechanism of Zhuye Shigao Decoction in the treatment of gout

Zhuye Shigao Decoction is composed of Folium Phyllostachydis Henonis, Gypsum Fibrosum, Rhizoma Pinelliae Praeparatum, Radix Ginseng, Radix Ophiopogonis, Oryza Sativa L., Radix Ophiopogonis Japonicir and Radix et Rhizoma Glycyrrhizae. Wang et al. [53] held that gout was caused by dampness accumulation and heat blocking the meridians and collaterals, so he adopted the methods of clearing heat and resolving dampness, unblocking the collaterals and relieving pain, and applied Zhuye Shigao Decoction for the treatment. Chen et al. [54] found that after being treated with modified Zhuye Shigao Decoction, serum levels of IL-1β and caspase-1 were reduced, and the expression levels of pro-IL-1 and pro-caspase-1 were down-regulated, suggesting that the modified Zhuye Shigao Decoction could inhibit the inflammation induced by sodium urate crystals, which may be related to the intervention of IL-1 signaling pathway.

The pharmacological mechanism of Qingre Chubi Decoction in the treatment of gout

There are two formulas named as Qingre Chubi Decoction which are of different compositions and similar effects. In one Qingre Chubi Decoction, the ingredients include Herba Aristolochiae Mollissimae, Caulis Sinomenii, Radix Cudraniae Cochinchinensi, Rhizoma Atractylodis Lanceae, and Rhizoma Anemarrhenae. Another Qingre Chubi Decoction is composed of Caulis Sinomenii, Caulis Piperis Kadsura, Ramulus Mori, Radix Stephaniae Tetrandrae Herba Lycopi Hirtiaa, Radix et Rhizoma Clematidis, Rhizoma Smilacis Glabrae and Lumbricus. Wang et al. [55] confirmed that the first Qingre Chubi Decoction could relieve the symptoms of patients such as feverish sensation, joint swelling and pain, and reduce the inflammatory indicators such as ESR and CRP. Some studies suggested that Qingre Chubi Decoction might inhibit the release of IL-1β and TNF-α to ameliorate the acute inflammatory response of gout [56]. Additionally, Qingre Chubi Decoction inhibited the proliferation of THP-1 cells stimulated by MSU crystals. The inhibition of monocyte activity and IL-1β may be one of the anti-inflammatory mechanisms of Qingre Chubi Decoction [57].

The pharmacological mechanism of Tongfengshu Capsule in the treatment of gout

Tongfengshu Capsule, composed of Radix et Rhizoma Rhei Palmati, Semen Plantaginis, Rhizoma Alismatis, Radix Achyranthis Bidentatae and Radix Stephaniae Tetrandrae, is a Chinese patent medicine. Rheum emodin, one chemical component from Radix et Rhizoma Rhei Palmati, could inhibit the expression of NOD-like receptor family pyrin domain-containing 3 (NLRP3) and IL-1 mRNAs [58] and inhibit the activation of extra cellular signal–regulated kinases 1 and 2 (ERK1/2) and p38 nitrogen-activated protein kinases (p38 MAPK) signaling pathways by inhibiting the expression of ERK1/2 nucleus and p38MAPK, thereby reducing the release of inflammatory factors [59]. Semen Plantaginis and Rhizoma Alismatis could promote urination, and reduce swelling and pain. Among them, Semen Plantaginis, rich in mullein glycolic anhydride, could promote uric acid secretion, reduce the creatinine level, scavenge reactive oxygen species (ROS) and improve renal function [60]. In addition, it is reported that the ethanol extract of Rhizoma Alismatis could reduce SUA level without damaging renal function [61]. Radix Stephaniae Tetrandrae has the function of dispelling wind, relieving pain and inducing diuresis to alleviate edema. Tetrandrine, the active ingredient of Radix Stephaniae Tetrandrae could inhibit the inflammatory response of cells, and this anti-inflammation mechanism may be related to inhibiting nuclear factors such as NF-κB, reducing IL-6 and TNF-α levels, and promoting the expression of anti-inflammatory cytokines such as IL-10 [62]. It is also reported that Radix Achyranthis Bidentatae could increase superoxide dismutase (SOD) activity, reduce serum lipid peroxide level, and regulate immunity and metabolism of the body [63]. Based on the previous study, the anti-inflammation mechanism of Tongfengshu Capsule may be related to inhibiting the synthesis or release of prostaglandin E2 (PGE2), reducing the production of inflammatory cytokines like TNF-α and resisting lipid peroxidation [64]. It was also found that Tongfengshu capsule could significantly relieve symptoms of joints in rats with acute gout arthritis, suggesting the mechanism might be related to reducing IL-1β and TNF-α levels, inhibiting the expression of malonic dialdehyde (MDA) and nitrogen oxide (NO), and promoting the release of SOD [65]. Besides, some researchers proposed that the therapeutic mechanism of Tongfengshu Capsule in the treatment of gout arthritis was related to the down-regulation of serum levels of high mobility group protein 1 (HMGB l) and receptor for advanced glycosylation end-products (RAGE) in patients with gout [65].

The pharmacological mechanism of Guizhi Shaoyao Zhimu Decoction in the treatment of gout

Guizhi Shaoyao Zhimu Decoction, firstly recorded in the TCM classics, Synopsis of the Golden Chamber, is composed of Herba Ephedrae Sinicae, Ramulus Cinnamomi, Radix Saposhnikoviae, Largehead Atractylodes Rhizome, Radix Aconiti Lateralis Praeparata, Rhizoma Anemarrhenae, Radix Paeoniae Alba, Radix et Rhizoma Glycyrrhizae and Rhizoma Zingiberis Recens. Herba Ephedrae Sinicae, could scavenge ROS and had significant antioxidant effects [65]. In addition to anti-bacterium, anti-virus and anti-inflammation effects [66, 67], Ramulus Cinnamomi and Radix Saposhnikoviae can also stimulate the secretion of saliva and gastric juice and stimulate sweat glands to dissipate heat [68]. Largehead Atractylodes Rhizome and Radix Aconiti Lateralis Praeparata have the function of warming channels to dispel coldness. It is recorded that Rhizoma Anemarrhenae and Radix Paeoniae Alba could nourish yin and clear heat. It took the researchers 5 years to find that Guizhi Shaoyao Zhimu Decoction has the function of relieving pain, anti-inflammation and healing bone injury. Besides, it also could induce apoptosis of synovial cell, regulate immunity, and promote uric acid excretion, and protect renal function to treat gout arthritis [69]. Some researchers proposed that the mechanism underlying the Guizhi Shaoyao Zhimu Decoction in the treatment of gout arthritis was related to reducing the expression of Toll-like receptor (TRL)-2, TRL-4, NLRP3 receptor, myeloid differentiation factor (MyD)88 and apoptosis-associated speck-like protein (ASC), increasing the expression of peroxisome proliferator-activated receptor (PPAR)-γ and inhibitor-κB (IκB)-α, inhibiting the differentiation and maturation of IL-1β and the activation of NF-κB [70].

The pharmacological mechanism of Tongfengan Mixture in the treatment of gout

Tongfengan Mixture, composed of Herba Lysimachiae, Semen Sinapis, Thallus Ulvae Fasciata, Spora Lygodii, Rhizoma Smilacis Glabrae, Flos Carthami, Radix Paeoniae Rubra, Pseudobullbus Cremastrae, Rhizoma Alismatis and Rhizoma Corydalis, has the function of softening hardness and dissipating mass. It is found that in the rat models, Tongfengan Mixture can relieve the swelling, reduce the level of MSU crystals in the ankle joints, and reduce the inflammatory reaction, which may be achieved by reducing the inflammatory reaction in the blood [71]. Liu et al. [32] suggested that Tongfeng Mixture could inhibit the secretion of inflammatory factors like IL-1β, TNF-α and NF-κB in the synovial tissue of the ankle joint of rats by clearing away urate crystals, and reducing the inflammation.

The pharmacological mechanism of Quzhuo Tongbi Decoction in the treatment of gout

There are two formulas name as Quzhuo Tongbi Decoction which are of different compositions and similar effects. In one Quzhuo Tongbi Decoction, the ingredients include Rhizoma Smilacis Glabrae, Rhizoma Dioscoreae, Stigma Maydis, Semen Coicis, Rhizoma Curcumae Longae, Herba Taxilli Chinensis, Rhizoma Corydalis, Folium Pyrrosiae and Semen Plantaginis. Another Quzhuo Tongbi Decoction is composed of Radix Aconiti, Rhizoma Smilacis Glabrae, Radix Bupleuri Chinensi, Largehead Atractylodes Rhizome, Radix Astragali, Caulis Lonicerae and Radix Paeoniae Rubra. It has been documented that some intestinal bacteria could cause abnormal uric acid metabolism [72]. Zhu et al. [73] found that the medium and high dosage of the first Quzhuo Tongbi Decoction can reduce the level of uric acid, serum creatinine and xanthine oxidase (XOD). Besides, it could also relieve inflammation symptoms, inhibit the production of PGE2, relieve pain sensation by blocking the sensation of peripheral nerves to pain stimuli [74].

The pharmacological mechanism of Peiyuan Huazhuo Decoction in the treatment of gout

Peiyuan Huazhuo Decoction is composed of Rhizoma Polygonatum Sibirici, Semen Cuscutae, Radix Astragali, Rhizoma Smilacis Glabrae, Semen Coicis and Rhizoma Corydalis. Yang et al. [75] found that Radix Astragali could increase the glomerular filtration rate. It was also found that Rhizoma Polygonatum Sibirici not only had a good effect of lowering SUA levels, but also reduced blood lipid and glucose [35]. The herbs in this formula work together to treat lipid metabolism disorders, inhibit inflammatory reactions, prevent gout attack, and prevent renal damage in patients with gout.

Conclusions and perspective

The etiology of gout is complex and there are various hypotheses about its pathogenesis. According to the disease mechanism of TCM, therapeutic principles like dispelling wind and cold, clearing away heat and dampness, and dredging meridians and collaterals are often applied to treat acute gout [16]. During the remission stage, benefiting qi, nourishing blood and tonifying spleen and kidney are often applied (Fig. 3) [44]. Inhibiting inflammatory factors in joint fluid, reducing blood uric and promotion of uric acid excretion, enhancing immune function and blocking the sensation of peripheral nerve are the main mechanism underly TCM treatment for gout (Fig. 4).

The main pharmacological mechanisms of the treatment of acute gout and gout during the remission. The disease of gout consists of the attack stage and remission stage, which should be treated differently based on disease mechanism of TCM

Full size image

The main TCM formulas and the underlying pharmacological mechanisms of the treatment of gout. There are two ways to reduce the SUA level: one is to promote uric acid excretion, and the other is to reduce uric acid production

Full size image

Compared with chemical drugs like colchicine, eloricoxib and celecoxib, TCM herbs have advantages in slowing down the severity and frequency of attacks, reducing the concentration of uric acid in blood with fewer side effects. Although TCM has a strong advantage in the treatment of gout, the application of TCM herbs or formulas should follow the principle of syndrome differentiation and treatment from TCM perspective.

In this review, we focus on the research data from animal and clinical studies in recent years, and summarize the TCM theory of gout, the clinical application, pharmacological mechanism and the chemical compounds of TCM formulas for gout treatment. By doing this we hope to help the researchers on exploring the mechanism of TCM treatment for gout and to develop agents more effectively for gout treatment.

Availability of data and materials

All the data used to support the findings of this study are available from the corresponding author upon reasonable request.

Abbreviations

Monosodium urate

Non-steroidal anti-inflammatory drugs

Traditional Chinese medicine

Tumor necrosis factor

Interleukin

Erythrocyte sedimentation rate

C-reaction protein CRP

NOD-like receptor family pyrin domain-containing 3

Mitogen-activated protein kinase

Reactive oxygen species

Superoxide dismutase

Malonic dialdehyde

Nitrogen oxide

High mobility group protein 1

Receptor for advanced glycosylation end-products

Serum uric acid

Toll-like receptor

Myeloid differentiation

Apoptosis-associated speck-like protein

Peroxisome proliferator-activated receptor

Prostaglandin E2

Xanthine oxidase

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Gout Home Remedies: Here’s What You Can Do to Relieve Gout Pain Fast

Anyone who’s experienced a gout attack knows it can be excruciating, causing red, hot, painful, and swollen joints. Gout, a form of arthritis, typically affects the joints in the feet, ankles, or knees; around half the time it strikes in the big toe, which can make it impossible to wear shoes. Even the light fabric of a sock can be aggravating.

Because the pain from a gout attack can be so bad, people with the condition will often try anything out there to get relief, which has led to a boom in so-called gout home remedies.

While there are a few legitimate home remedies for gout out there, prescription medications remain the mainstay for treating gout, during an acute attack as well as over the long term to reduce gout attacks in the first place.

This Is Your Body During a Gout Attack

Gout symptoms occur when excess uric acid in your body forms crystals in the joints. The body treats these crystals like a foreign body and attacks them with white blood cells. The white cells, in turn, release inflammatory chemicals called cytokines into the joint fluid. The cytokines bring in more white cells, and on it goes.

“The joint becomes a battlefield,” says Theodore Fields, MD, professor of clinical medicine at Weill Cornell Medical College and a rheumatologist the Hospital for Special Surgery in New York City.

The Best Way to Treat a Gout Attack

Gout attacks can last for up to 10 days or longer and often subside on their own after a week or two, but medications will speed up healing and prevent future flares.

Standard medical treatments for a gout attack include:

  • Anti-inflammatory drugs like naproxen (which can be purchased over the counter or in prescription strength)
  • Colchicine, which reduces uric acid build-up
  • Steroids, such as prednisone

For 98 percent of patients, says Dr. Fields, one of these medications these will knock out an attack.

Home Remedies for Instant Gout Relief

There are a couple of effective home remedies for a gout attack that you home remedies for gout attack use as an adjunct to medications. These include:

  • Resting the joint
  • Using ice packs to reduce swelling
  • Drinking cherry juice

Cherry juice is high in vitamin C, which makes uric acid come out in the urine, but the effect is mild compared to some of the available medicines for gout attacks. Cherry juice can also increase the risk of kidney stones; they shouldn’t be used in anyone who is predisposed to them.

Dr. Fields cautions against relying solely on home remedies to relieve gout pain fast instead of taking medicine because the longer you wait, the longer it will take for your gout to get better.

“The good thing about treating a sudden gout attack with drugs right away is that you can take the medication for a very short time,” he says. “You should see a 50 percent improvement within 24 hours of treating an attack. If you’re not seeing that kind of improvement, you need to re-think what you’re doing and consult with your doctor about a different approach.”

Home Remedies for Long-Term Gout Relief

Gout Home Remedies

The American College of Rheumatology recommends a couple of lifestyle modifications for preventing future attacks of gout:

1) Lose weight if you need to. Being overweight can increase uric acid levels as well as put pressure on the joints.

2) Follow a low-purine diet. Another effective way to reduce uric acid levels is to follow a low-purine diet. Purines are organic compounds that break down into uric acid. Following a low-purine diet means avoiding “the big four” — alcohol, shellfish, red meat, and high fructose corn syrup.

Limiting these foods is also beneficial for heart health — and people with gout are at higher risk for heart disease.

But don’t go overboard with dietary changes to relieve gout pain though, advises Dr. Fields. “You can find lists of thousands of different foods you’re not supposed to have if you have gout. Those recommendations are impossible to follow and can make you crazy.”

How to Handle Your First Gout Attack

After a first attack of gout, it’s OK to try to stave off another one with dietary changes alone. But if you have another attack, it’s important to start taking preventive gout medications on a regular basis. Long-term medications for gout include allopurinol and febuxostat, both of which limit uric acid production.

Some patients, says Dr. Fields, treat each attack as a separate event and don’t talk to their doctors about doing a preventive approach. He uses the analogy of lighting a book of matches. “If you have one match lit, it’s easy to put out, but if you have the whole book lit, it’s a lot harder.”

Take Caution with Supplements for Gout

As for the many supplements and other purported home remedies available for gout, including turmeric and bromelain, there is no significant evidence backing them up as of now, and there’s no adequate evidence showing that supplements have any effect even comparable to that of medicines.

“From my point of view,” says Dr. Fields, “the home remedy concept to gout is often harmful because it keeps patients from taking medications that we know are effective.”

Keep Reading:

Источник: https://creakyjoints.org/about-arthritis/gout/gout-treatment/gout-home-remedies/

Natural Remedies for Gout

Gout is a type of arthritis that results from uric acid buildup that impacts more than 9 million people in the U.S. As it accumulates in joints, uric acid causes pain, tenderness, redness, swelling, and inflammation. Typically, gout occurs in the large joint in the big toe but it also can affect any joint including the ankles, feet, knees, wrists, and hands.

If you struggle with gout flare-ups or if you have been recently diagnosed, you may wonder what you can do to manage your condition. Here we share some common natural remedies you can try to help alleviate some of your symptoms. Of course, you should talk to a healthcare provider first before trying anything new.

How Home Remedies Can Naturally Treat Your Gout

What Causes Gout

As a type of arthritis brought on by the build-up of uric acid, gout is a painful condition that impacts the joints, particularly the big toe. A gout attack can happen any time, often waking you up in the middle of first national bank of america lansing night.

Generally lasting 5 to 10 days, the joint pain from a gout attack may come and go. It also can clear up on its own.

Although there is no cure for gout, it can be treated with medications like corticosteroids and managed through diet and other natural remedies. Most of these remedies are based on lowering uric acid levels.

“Elevation of uric acid creates the ideal environment for gout crystals to form so it’s helpful to know that uric acid is formed in the body when we consume foods high in purines..like organ meats, beer, shellfish, and game meats like venison,” says David Perlmutter, MD, a board-certified neurologist and New York Times bestselling author.

Uric acid is a byproduct of purine breakdown from the foods you eat and found in your body. Purines, which are naturally found in many foods, are called exogenous purines. Typically, exogenous purines are processed during digestion and result in uric acid.

About 90% of uric acid is absorbed back into the body and the rest is excreted in urine and feces. If the amount of uric acid in the body doesn’t align with the body’s ability to process it, a buildup occurs.

When too much uric acid is in the body, crystals form and can build up in joints and tissues. According to Dr. Perlmutter, frequently used medications also can contribute to gout flare-ups.

“Beyond specific foods that enhance uric acid production, various medications also increase uric acid levels including aspirin, beta-blockers, diuretics (water pills), and even common non-prescription, acid-blocking drugs called proton-pump inhibitors, now used by some 15 million Americans,” reports Dr. Perlmutter.

Another contributing factor for the formation of uric acid is sugar or fructose. He attributes the increase in sugar consumption to the rise in gout among Americans.

"With our consumption of fructose increasing 1,000% from 1970 to 1990, it’s no wonder we are seeing such a dramatic rise in gout cases," he says.

Dr. Perlmutter suggests monitoring your uric acids levels at home using an over-the-counter home test.

“Checking your uric acid to be sure it is at or below 5.5 mg/dl is now something that’s readily accessible to everyone," he says. "Having a uric acid level of 7mg/dl or above would mark a time when it would be reasonable to have a conversation with your doctor.”

Natural Remedies for Gout

Even though there are few natural remedies for gout and research on their effectiveness is scarce, most healthcare professionals recommend a number of nutrition and lifestyle changes. There also are medications that can be used to treat symptoms.

For instance, many experts suggest limiting high-purine foods, reducing alcohol intake, managing weight, and making lifestyle and nutritional changes. Here's a closer look at what you can do to help alleviate your symptoms.

Make Diet Changes

Dr. Perlmutter, the author of The LUV Diet, indicates that when uric acid is elevated, it can often be managed with dietary changes. With this is in mind, foods high in purines like fish, shellfish, bacon, turkey, veal, organ meats, and alcoholic beverages should be limited.

For instance, meat, fish, and chicken are often limited to 6 ounces a day. And, beer and hard liquor are restricted since they are associated with increased uric acid while wine is permitted, as it may lower uric acid.

Likewise, foods that are naturally high in fructose like agave, apple juice, caramel, honey, licorice, and molasses should also be limited. In fact, research suggests that a high sugar (fructose) diet has a direct relationship with high uric acid levels.

Meanwhile, specific foods like tart cherries, onions, broccoli, and other vegetables as well as coffee are encouraged. Even fruit is included in moderation while fruit juices should be avoided because of their high fructose content.

It is important to note that you do not need to completely eliminate high-purine foods or foods high in fructose. Limiting your intake will work just fine.

The Basics of a Healthy, Balanced Diet

Take Vitamin C

One study observed vitamin C intake and incidence of gout over 20 years. They compared men who took a vitamin C supplement and those who did not. Scientists found that higher levels of vitamin C intake were associated with a lower risk of gout. That means supplementing with vitamin C could help prevent gout.

“Vitamin C has long been recognized as an effective intervention for gout," says Dr. Perlmutter. "While we like vitamin C for its antioxidant activity, it enhances how our bodies eliminate uric acid. This explains why vitamin C has been used so extensively in gout patients over the past few decades,”

Increasing daily vitamin C is as simple as incorporating a 500-milligram vitamin C supplement into your routine.

15 Healthy Foods That Are High in Vitamin C

Drink Tart Cherry Juice

Cherries are rich in anti-inflammatory and antioxidant properties. Both sweet and tart cherries have been studied for their many health benefits.

Tart cherries, specifically, carry more beneficial compounds for the management and prevention of gout due to their phenolic antioxidant compounds. Research has shown that supplementing with tart cherry juice may help reduce the risk of gout attacks.

However, more research is needed to determine the effectiveness of this remedy. If you would like to try adding tart-cherry juice to your nutrition plan, aim for two 8-ounce glasses of tart cherry juice daily.

Cherry Nutrition Facts and Health Benefits

Incorporate Coffee

Coffee sometimes unnecessarily gets such a bad rap. Other than its caffeine content, coffee has many health benefits including the ability to reduce uric acid levels in the blood.

A review of research found that both caffeine-free and regular coffee intake of 1 cup per day was associated with a significant decrease in uric acid levels.And because the recommended safe amount of caffeinated coffee per day is four 8-ounce cups per day, sipping a cup of coffee each day may help prevent and manage gout.

Coffee Nutrition Facts and Health Benefits

Consider Quercetin

Quercetin is a powerful anti-inflammatory antioxidant found abundantly in apples, onions, broccoli, and blueberries. It is linked to several health benefits including reducing inflammation and protecting against free radical damage. Quercetin also shows promise for gout patients.

David Perlmutter, MD

One study recently showed an 8% drop in uric acid blood levels in just 2 weeks in a group of men taking 500 milligrams of quercetin daily.

— David Perlmutter, MD

“Quercetin, for example, has been shown to have a significant impact on elevated uric acid levels,” says Dr. Perlmutter. “One study recently showed an 8% drop in uric acid blood levels in just 2 weeks in a group of men taking 500 milligrams of quercetin daily.”

Quercetin is available in pills and capsules and is generally considered safe. But you should still talk to a healthcare provider before taking quercetin, especially if you are taking antibiotics, blood thinners, chemotherapy drugs, corticosteroids, cyclosporine, digoxin, and fluoroquinolones.

How Quercetin Foods Reduce Muscle Inflammation

When to Contact a Healthcare Provider

Sometimes gout can re-emerge even after it has been managed for some time. This experience is known as a gout flare. As a result, you need to contact a healthcare provider if you experience any of the following:

  • Intense pain
  • Swelling
  • Redness
  • Heat
  • Chills
  • High fever

A Word from Verywell

While diet changes and natural home therapies may help you manage the incidence of gout flare-ups, a discussion with a healthcare provider is always necessary before trying anything new.

It is also worth noting that there may come a point where diet changes, supplements, and other home remedies may no longer work. If that is the case, talk with a healthcare provider about the next steps. You do not have to suffer through the pain and inflammation of gout.

What Is the Anti-Inflammatory Diet?

Thanks for your feedback!

Verywell Fit uses only high-quality sources, including peer-reviewed studies, to support the facts within our articles. Read our editorial process to learn more about how we fact-check and keep our content accurate, reliable, and trustworthy.

  1. Chen‐Xu M, Yokose C, Rai SK, Pillinger MH, Choi HK. Contemporary prevalence of gout and hyperuricemia in the united states and decadal trends: the national health and nutrition examination survey, 2007–2016. Arthritis Rheumatol. 2019;71(6):991-999. doi:10.1002/art.40807

  2. Centers for Disease Control and Prevention. Gout. Updated July 27, 2020.

  3. El Ridi R, Tallima H. Physiological functions and home remedies for gout attack potential of uric acid: A review. Journal of Advanced Research. 2017;8(5):487-493. doi:10.1016/j.jare.2017.03.003

  4. Caliceti C, Calabria D, Roda A, Cicero A. Fructose intake, serum uric acid, and cardiometabolic disorders: A critical review. Nutrients. 2017;9(4):395. doi:10.3390/nu9040395

  5. Choi HK, Gao X, Curhan G. Vitamin C intake and the risk of gout in men: A prospective study. Arch Intern Med. 2009;169(5):502. doi:10.1001/archinternmed.2008.606

  6. Shi Y, Williamson G. Quercetin lowers plasma uric acid in pre-hyperuricaemic males: a randomised, double-blinded, placebo-controlled, cross-over trial. Br J Nutr. 2016;115(5):800-806. doi:10.1017/S0007114515005310

  7. Chen PE, Liu CY, Chien WH, Chien CW, Tung TH. Effectiveness of cherries in reducing uric acid and gout: A systematic review. Evidence-Based Complementary and Alternative Medicine. 2019;2019:1-7. doi:10.1155/2019/9896757

  8. Choi HK, Curhan G. Coffee, tea, and caffeine consumption and serum uric acid level: The third national health and nutrition examination survey. Arthritis Rheum. 2007;57(5):816-821. doi:10.1002/art.22762

  9. Park KY, Kim HJ, Ahn HS, et al. Effects of coffee consumption on serum uric acid: systematic review and meta-analysis. Seminars in Arthritis and Rheumatism. 2016;45(5):580-586. doi:10.1016/j.semarthrit.2016.01.003

  10. Poole R, Kennedy OJ, Roderick P, Fallowfield JA, Hayes PC, Parkes J. Coffee consumption and health: umbrella review of meta-analyses of multiple health outcomes. BMJ. Published online November 22, 2017:j5024. doi:10.1136/bmj.j5024

  11. Andres S, Pevny S, Ziegenhagen R, et al. Safety aspects of the use of quercetin as a dietary supplement. Mol Nutr Food Res. 2018;62(1):1700447. doi:10.1002/mnfr.201700447

  12. Orthopedic Surgery and Sports Medicine. Understanding gout and knowing when to see a doctor.

Источник: https://www.verywellfit.com/natural-remedies-for-gout-5209811

7 Natural Home Remedies for Gout

Gout is a form of proactive arthritis, a condition that affects the joints, caused by the build-up of uric acid crystals, as told by Dr. Minakshi Sharma, an Ayurveda consultant at Vedic Vision Health Care Centre. Uric acid is a substance that is formed when the body breaks down purines (important substances which are regarded as the building blocks of DNA, as well as impacting blood circulation, digestion, and absorption of nutrients); blood transports the uric acid to the kidney and stamps it out in the urine. The condition in which excess uric acid is formed in the body causes gout, also called hyperuricemia. Usually, gout is a problem faced by men, but it triggers in women after menopause. Dr. B.N Sinha, a Delhi-based Ayurvedic expert, says, “Gout is also caused due to the consumption of more proteins and curd, so to avoid that one should lessen the intake of pulses or any other sources of protein and curd in your diet.”



(Also Read: 7 Amazing Home Remedies That May Help Relieve Gas Problems)


At times gout can affect only one joint, but if left untreated, it may trigger other joints as well. “There are many symptoms of gout like bitter joint pains which causes inflammation and redness, and commonly affects the toes. It can also affect ankles, knees, fingers, and wrists in the long run. Gout can also cause swelling in the joints as well,” says Dr. Minakshi Sharma.

To diagnose gout, doctors conduct a uric acid test to know the level of uric acid in the body. It is also observed that people with high levels of uric acid do not always experience gout whereas some people may notice the symptoms without having a high uric acid level.

It is often suggested to go for natural ways to cure any disease rather than depending completely on medicines. Here are some home remedies for curing gout:

1. Fenugreek Seeds

Fenugreek is an herb with light green leaves and small white flowers. Dr. Sharma says, “Consumption of fenugreek seeds can help cure gout as it helps in reducing internal as well as external inflammation of the body.”

How to use: Soak 1 Tbsp fenugreek seed in half cup water overnight and drink that water in the morning and chew the soaked seeds. This will help in reducing the swelling of the joints and can relieve pain.

fenugreek seeds 620


2. Garlic

Garlic is an incredible cure for gout. It helps in removing the excess uric acid from the body.

How to use: Swallow one pod of garlic and if you find it difficult then you can finely chop the garlic and then consume it. It will help cure home remedies for gout attack from its roots.

(Also Read: 7 Home Remedies That May Help Ease Dry Throat)

garlic


3. Carom Seeds (Ajwain) and Ginger

Both carom seeds and ginger work towards making you sweat, which helps in removing the uric acid from the body. Moreover, ginger has anti-inflammatory properties, which relieve pain and swelling.

How to use: Take ½ Tbsp ajwain and 1-inch slice of ginger, boil with a cup of water. Strain the decoction and consume half of it in the morning and the other half in the evening.
 

ginger 625


4. Castor Oil

Dr. B.N Sinha suggests taking tolerably warm castor oil and massaging it on gout-affected area or just dabbing it with a cotton ball. It will help in breaking down the toxic deposit and relieving redness and pain.
 

castor oil


5. Coriander

Coriander helps in improving the gastrointestinal tract with its antioxidant properties, thus decreasing uric acid levels. Drinking adequate amounts of water too can work wonders in stabilizing uric acid levels in the body.

How to Use: Take a few sprigs of coriander and mix it in a glass of water and consume. Add it to your food as garnish and have it.
 

coriander


6. Turmeric

Belonging to the ginger family, turmeric is believed to have lots of potential medicinal value. Turmeric suppresses chronic inflammation, which reduces the activity of Xanthine oxidase (an enzyme that produces uric acid).

How online only bank savings account use: Turmeric can be consumed after mixing it in the milk, Haldi Doodh as it is popularly known in India.
 

turmeric


7. Cherries

A study conducted by Boston University found that patients with gout who consumed cherries over a two-day period showed a 35 percent lower risk of gout attacks, as compared to those who did not eat the fruit. The findings indicated that consuming cherries (up to three servings, a single serving containing one-half cup or 10 to 12 cherries) or cherry extract lowers the risk of a gout attack.

(Also read: Cherries Lower Gout Attacks by a Third)

cherries


Disclaimer:

The opinions expressed within this article are the personal opinions of the author. NDTV is not responsible for the accuracy, completeness, suitability, or validity of any information on this article. All information is provided on an as-is basis. The information, facts or opinions appearing in the article do not reflect the views of NDTV and NDTV does not assume any responsibility or liability for the same.

For the latest food news, health tips and recipes, like us on Facebook or follow us on Twitter and YouTube.

Источник: https://food.ndtv.com/health/7-natural-home-remedies-for-gout-1650166

6 Ways to Deal with Painful Gout Attacks

It’s difficult to focus on work or other daily activities when you’re experiencing gout inflammation and pain. Symptoms can last for a few days or even weeks, with the worst pain usually occurring in the first day or two.

While the best thing to do is talk to your physician, there are several steps you can take right away ease your gout symptoms:

Excess uric acid in the bloodstream can lead to the formation of uric acid crystals in one or more joints, resulting in gout. Read:All About Gout - Symptoms, Diagnosis, Treatment

1. Take an NSAID (but not aspirin)

Over-the-counter non-steroidal anti-inflammatory drugs (NSAIDs), such as ibuprofen or naproxen, can help relieve gout pain. Avoid aspirin and other medications that contain acetylsalicylic acid, which can make your gout worse.1 Keep in mind NSAIDs carry potential side effects, such as an increase in blood pressure,2,3 so discuss this treatment with your doctor.

2. Take your prescription drugs

If you've had a gout attack before, your physician may have prescribed drugs to treat attacks. This may be your first line of defense or you may decide to use them only when NSAIDs fail to relieve your pain.

Prescription medications to treat gout include:

  • Prednisolone oral tablets, which has been shown to work as well as NSAIDs and often doesn’t cause the same stomach upset. Prednisolone is a type of corticosteroid and does carry other potential side effects, particularly if it is taken for longer than the recommended 5 days.4
  • Colchicine, which has been shown effective in reducing pain and inflammation if taken in the first 24 hours of an attack. Always follow your physician’s instructions regarding dosing to decrease your risk for potential complications and side effects.

Opioid painkillers, such as codeine, hydrocodone, and oxycodone, are not recommended to treat the pain caused by gout.

See Pain Medications for Arthritis Pain Relief

3. Apply ice to the joint

Cold therapy can offer significant pain relief by decreasing inflammation and dulling pain signals. If this treatment works for you, you can apply the cold pack intermittently throughout the day for 10 to 20 minutes at a time.

See When and Why to Apply Cold to an Arthritic Joint

4. Elevate the joint

Propping up the affected joint can ease pressure and reduce pain. If your big toe is affected (about half of all gout cases affect the big toe), prop it up on a pillow or footstool.

5. Take it easy

Rest the affected joint and keep pressure off it until your pain subsides. Have roomy slippers on hand, so you can keep your feet comfortable until the attack passes.

See 5 Unusual Gout Symptoms

6. Stay hydrated

Drinking water throughout the day will help flush the uric acid from your system. Aim for drinking 8 glasses a day. Stay away from alcohol and sugary drinks, such as soda and sports drinks, which can make your gout worse.

See Hyperuricemia - High Uric Acid Levels and Gout

When medical attention is needed

For severe cases of gout that don’t respond to the treatments above, your physician may recommend corticosteroid injections into the affected joint. Injections can also be useful for people who are sensitive to oral medication.

See Cortisone Injections (Steroid Injections)

Prevent gout attacks

You can help prevent a future gout flare-up by avoiding food and drinks high in purines.

See Gout Prevention Diet

Learn more:

Gout Symptoms

Gout Prevention

References

  • 1.Ben Salem C, Slim R, Fathallah N, Hmouda H. Drug-induced hyperuricaemia and gout. Rheumatology (Oxford). 2017 May 1;56(5):679-688. doi: 10.1093/rheumatology/kew293
  • 2.Snowden S, Nelson R. The effects of nonsteroidal anti-inflammatory drugs on blood pressure in hypertensive patients. Cardiol Rev. 2011 Jul-Aug;19(4):184-91. doi: 10.1097/CRD.0b013e31821ddcf4
  • 3.Aljadhey H, Tu W, Hansen RA, Blalock SJ, Brater DC, Murray MD. Comparative effects of non-steroidal anti-inflammatory drugs (NSAIDs) on blood pressure in patients with hypertension. BMC Cardiovasc Disord. 2012;12:93. Published 2012 Oct 24. doi:10.1186/1471-2261-12-93
  • 4.InformedHealth.org. Cologne, Germany: Institute for Quality and Efficiency in Health Care (IQWiG); 2006. Gout attacks: Pain relief. 2015 Mar 11 [Updated 2018 May 17]. Available from: https://www.ncbi.nlm.nih.gov/books/NBK284948/
Источник: https://www.arthritis-health.com/blog/6-steps-gout-attack-relief

Home remedies for gout attack -

7 Natural Home Remedies for Gout

Gout is a form of proactive arthritis, a condition that affects the joints, caused by the build-up of uric acid crystals, as told by Dr. Minakshi Sharma, an Ayurveda consultant at Vedic Vision Health Care Centre. Uric acid is a substance that is formed when the body breaks down purines (important substances which are regarded as the building blocks of DNA, as well as impacting blood circulation, digestion, and absorption of nutrients); blood transports the uric acid to the kidney and stamps it out in the urine. The condition in which excess uric acid is formed in the body causes gout, also called hyperuricemia. Usually, gout is a problem faced by men, but it triggers in women after menopause. Dr. B.N Sinha, a Delhi-based Ayurvedic expert, says, “Gout is also caused due to the consumption of more proteins and curd, so to avoid that one should lessen the intake of pulses or any other sources of protein and curd in your diet.”



(Also Read: 7 Amazing Home Remedies That May Help Relieve Gas Problems)


At times gout can affect only one joint, but if left untreated, it may trigger other joints as well. “There are many symptoms of gout like bitter joint pains which causes inflammation and redness, and commonly affects the toes. It can also affect ankles, knees, fingers, and wrists in the long run. Gout can also cause swelling in the joints as well,” says Dr. Minakshi Sharma.

To diagnose gout, doctors conduct a uric acid test to know the level of uric acid in the body. It is also observed that people with high levels of uric acid do not always experience gout whereas some people may notice the symptoms without having a high uric acid level.

It is often suggested to go for natural ways to cure any disease rather than depending completely on medicines. Here are some home remedies for curing gout:

1. Fenugreek Seeds

Fenugreek is an herb with light green leaves and small white flowers. Dr. Sharma says, “Consumption of fenugreek seeds can help cure gout as it helps in reducing internal as well as external inflammation of the body.”

How to use: Soak 1 Tbsp fenugreek seed in half cup water overnight and drink that water in the morning and chew the soaked seeds. This will help in reducing the swelling of the joints and can relieve pain.

fenugreek seeds 620


2. Garlic

Garlic is an incredible cure for gout. It helps in removing the excess uric acid from the body.

How to use: Swallow one pod of garlic and if you find it difficult then you can finely chop the garlic and then consume it. It will help cure gout from its roots.

(Also Read: 7 Home Remedies That May Help Ease Dry Throat)

garlic


3. Carom Seeds (Ajwain) and Ginger

Both carom seeds and ginger work towards making you sweat, which helps in removing the uric acid from the body. Moreover, ginger has anti-inflammatory properties, which relieve pain and swelling.

How to use: Take ½ Tbsp ajwain and 1-inch slice of ginger, boil with a cup of water. Strain the decoction and consume half of it in the morning and the other half in the evening.
 

ginger 625


4. Castor Oil

Dr. B.N Sinha suggests taking tolerably warm castor oil and massaging it on gout-affected area or just dabbing it with a cotton ball. It will help in breaking down the toxic deposit and relieving redness and pain.
 

castor oil


5. Coriander

Coriander helps in improving the gastrointestinal tract with its antioxidant properties, thus decreasing uric acid levels. Drinking adequate amounts of water too can work wonders in stabilizing uric acid levels in the body.

How to Use: Take a few sprigs of coriander and mix it in a glass of water and consume. Add it to your food as garnish and have it.
 

coriander


6. Turmeric

Belonging to the ginger family, turmeric is believed to have lots of potential medicinal value. Turmeric suppresses chronic inflammation, which reduces the activity of Xanthine oxidase (an enzyme that produces uric acid).

How to use: Turmeric can be consumed after mixing it in the milk, Haldi Doodh as it is popularly known in India.
 

turmeric


7. Cherries

A study conducted by Boston University found that patients with gout who consumed cherries over a two-day period showed a 35 percent lower risk of gout attacks, as compared to those who did not eat the fruit. The findings indicated that consuming cherries (up to three servings, a single serving containing one-half cup or 10 to 12 cherries) or cherry extract lowers the risk of a gout attack.

(Also read: Cherries Lower Gout Attacks by a Third)

cherries


Disclaimer:

The opinions expressed within this article are the personal opinions of the author. NDTV is not responsible for the accuracy, completeness, suitability, or validity of any information on this article. All information is provided on an as-is basis. The information, facts or opinions appearing in the article do not reflect the views of NDTV and NDTV does not assume any responsibility or liability for the same.

For the latest food news, health tips and recipes, like us on Facebook or follow us on Twitter and YouTube.

Источник: https://food.ndtv.com/health/7-natural-home-remedies-for-gout-1650166

Gout is a common type of arthritis that causes intense pain, swelling, redness and tenderness and stiffness in a joint. It usually affects the joint in the base of the big toe. It is a common and complex form of arthritis that can affect anyone. But it is the most common form of inflammatory arthritis in men. However, women become more susceptible to it after the menopause.
Usually gout causes sudden joint inflammation in a single joint. Severe gout can sometimes affect many joints at once which is known as polyarticular gout. An attack of gout or flares can occur suddenly. When it occurs, it often wake you up in the middle of the night with the sensation that your big toe is on fire.
It is caused by excess uric acid in the bloodstream. The symptoms of gout are due to the formation of uric acid crystals in the joints and the response of your body to them. Chronic gout is treated using medications that lower the uric acid level in the body. Left untreated, gout can cause irreversible joint damage, kidney problems, and tophi. Surgery, dehydration, beverages sweetened with sugar or high fructose corn syrup, beer, liquor, red meat, and seafood are some of the triggers for acute attacks of gout. Although there is no permanent cure for gout, there are several home remedies that offer relief from the intense pain. These include:

Baking Soda For Gout:

Baking soda or sodium bicarbonate is an excellent remedy for various ailments because of its mild alkaline effect. This helps prevent the peeling of the skin caused by gout. It is also helpful in reducing the inflammation of the joints and gives immense relief from the pain. Most importantly it helps reduce the uric acid content in the blood when consumed internally. However, it can trigger the blood pressure and cause it to rise abnormally if you are a hypertension patient.
Mix half a teaspoon of baking soda in a glass of warm water. Drink this up to 4 times a day for two weeks. Repeat the process whenever required.

Epsom Salt For Gout:

Epsom salt is an inorganic chemical that is very effective in treating gout. The high level magnesium content in Epsom salt helps protect the heart and keeps the blood pressure in control. The natural saline waters of the springs in the place called Epsom that is located in Surrey County in UK are rich in Epsom salt deposits. Soaking in a warm bath mixed with Epsom salt has a soothing effect on the skin and helps relax the rigid and painful muscles. It one of the most popular home remedies for gout. 
Add 2 cups of Epsom Salt powder in some warm water in your bathtub and soak for 15 to 20 minutes. Repeat the process three times a week for a month or so.

Lemon Juice For Gout:

Lemon juice has an alkalizing effect and helps neutralize the effect of the uric acid of the patient suffering from gout. A mixture of fresh lime juice and baking soda also strengthens the body tissues and helps in the fight against infection. Consuming fruits and vegetables rich in Vitamin C along with the lemon juice can help the body getting the required nourishment.
Squeeze the juice out of half the lemon of a lemon and mix it in a glass of water. Add a pinch of baking soda. Drink this mixture twice daily for 2 to 3 weeks.

Activated Charcoal For Gout:

Activated charcoal powder acts as an excellent absorbent. It helps in absorbing the uric acid and thus relieves the pain caused by gout. It has has no side effects or allergic reactions. It is better to take a charcoal soak or bath thrice in a week for best result. Continue the process for a month or so to see results.
Mix half a cup of activated charcoal powder with some water to form a paste. Mix the paste in a tub filled with warm water and soak in the bath tub for 15 to 20 minutes. Alternatively, charcoal paste can be applied on the affected areas.

Cold Water For Gout:

Cold water treatment helps reduce the swelling and subsequently reduce the pain. The skin can come in contact with the cold water directly. But never place the ice cubes directly on the skin. Placing the ice cubes on the skin directly can cause more damage to the joints. To get instant relief on the painful joints always make an ice pack and apply the pack to the affected area. It offer relief from the severe pain caused by gout by working on the underlying tissue. Cold water or ice packs make a good home remedy for gout.
Fill your bath tub with cold water and soak the swollen joint in the water for 15 to 20 minutes. Alternatively, use an ice pack on the affected joint. Repeat the process as many times as required.

Ginger, Fenugreek Powder & Turmeric Powder For Gout:

Ginger is a medicinal herb that is used extensively for treating various illnesses naturally. It is an anti-spasmodic as well as an anti-nausea agent. Moreover, it has excellent antifungal and anti-inflammatory properties that can help reduce swelling and provide relief to people suffering from gout. Fenugreek and Turmeric are known for their health benefits and curative properties. This combination can boost the immune system of your body by helping the body to regain its strength making it is one of the best home remedies for gout pain.
Add two teaspoons of fenugreek powder and two teaspoons of organic Turmeric powder to an inch of powdered ginger. Mix all three ingredients in a glass of warm water. Drink the concoction twice daily for a month for better result. All of these can be made part of your daily diet.

Turmeric and Honey For Gout:

The compound curcumin found in Turmeric is loaded with excellent curative properties and helps get immense relief from the pain caused by a severe attack of gout. It helps reduce stiffness in the joints and the searing pain. Moreover, Turmeric helps in destroying the harmful germs in the body being an excellent antibiotic. It also enhances the immune system and helps the body to regain its strength by fighting against the inflammation and pain. Honey is also a great restorative and a powerful medicine with amazing curative effects. Both of these form a winning combination that is one of the best home remedies for gout. 
Mix 2 to 3 teaspoons of organic Turmeric and 3 tablespoons of pure, organic honey to make a paste. Apply the paste on the painful joints. Alternatively, this paste can be consumed orally.

Cherries For Gout:

Cherries are one of the best home remedies for gout because of its antioxidant properties. These are good for treating severe cases of gout. The anthocyanins present in cherries have good anti-inflammatory qualities that help reduce the inflammation caused by gout. Cherries play an important role in controlling gout flare-ups and offer relief from the intense pain that is caused by an attack of gout.
Consume a handful of either canned or fresh cherries daily, about 15 to 20 cherries.
Alternatively, black cherry juice can be consumed daily.

Pineapple Juice For Gout:

Pineapple is a perfect home remedy for gout as it contain a compound known as bromelain, which helps neutralize the effects of uric acid that accumulates in the blood. Pineapples also contain potassium, phosphorus, manganese and calcium. Moreover, pineapple juice is very rich in Vitamin C which helps boost the immune system and protects from attacks of gout. It has been used in the treatment of arthritis and as gout has similar symptoms, it can be one of the best home remedies for gout.
Make fresh juice of a fresh, ripe pineapple. Add a pinch of salt and consume one glass twice daily for 2 to 3 weeks. Repeat the process whenever required.

Mustard Oil and Camphor For Gout:

Mustard oil and camphor is one of the most effective and easy home remedies for gout as it work on the swelling and help reduce it. Moreover, camphor and mustard oil help reduce the pain caused by gout and has a soothing effect when applied on the affected portions if used for long period.
Mix 100 ml of virgin mustard oil and 10 g of camphor. Heat the mustard oil until the camphor dissolves. Allow the oil to cool a bit and massage on the affected portions while it is warm. Repeat the process whenever required.

Dietary Changes to reduce the symptoms of Gout:

Individuals with gout can manage flare-ups by moderating their diet. A balanced diet can help reduce symptoms. As gout is associated with obesity, weight loss can dramatically improve the management of gout. A calorie-reduced diet is helpful for weight loss.
Uric acid is formed when proteins in the food we eat, called purines, are broken down. Avoiding purine-rich foods can help manage the symptoms of gout.
However, as purines are a natural part of many healthy foods, it is extremely difficult to follow a diet very low in purines.
Individuals with gout should also avoid low-carbohydrate diets as low intake of carbohydrate will lead to the release of substances called ketones into the bloodstream. This is because means the body is unable to properly burn fat stores.
This rise in ketones can result in a condition called ketosis that can increase the level of uric acid in the blood. Therefore you should follow a diet that is low in saturated fat, with increased protein. The replacement of refined carbohydrates such as sugar, white bread, potatoes with complex carbohydrates such as vegetables and whole grains can help reduces the serum uric acid.
It is most important to avoid many foods that are high in purines, to ensure that the levels of uric acid in the blood do not get too high. These include anchovies, beef kidneys, dried beans and peas, game meats, herring, liver, mackerel, sardines, scallops, sweetbreads.
However certain purine-rich foods will not increase the risk of gout, or aggravate symptoms. These include asparagus, beans, some other plant-based foods, and mushrooms. In short decreasing the consumption of seafood and red meat and consuming low-fat dairy products decreases the risk of gout. Purine-rich vegetables, whole grains, nuts and legumes, and less sugary fruits, coffee, and vitamin C supplements decrease the risk of gout, whereas red meat, fructose-containing beverages, and alcohol increase the risk. Eating more cherries and drinking cherry extract may be a safe way to supplement your gout treatment.

Источник: https://www.getatoz.com/content/home-remedies-for-gout/1722

Natural Remedies for Gout

Gout is a type of arthritis that results from uric acid buildup that impacts more than 9 million people in the U.S. As it accumulates in joints, uric acid causes pain, tenderness, redness, swelling, and inflammation. Typically, gout occurs in the large joint in the big toe but it also can affect any joint including the ankles, feet, knees, wrists, and hands.

If you struggle with gout flare-ups or if you have been recently diagnosed, you may wonder what you can do to manage your condition. Here we share some common natural remedies you can try to help alleviate some of your symptoms. Of course, you should talk to a healthcare provider first before trying anything new.

How Home Remedies Can Naturally Treat Your Gout

What Causes Gout

As a type of arthritis brought on by the build-up of uric acid, gout is a painful condition that impacts the joints, particularly the big toe. A gout attack can happen any time, often waking you up in the middle of the night.

Generally lasting 5 to 10 days, the joint pain from a gout attack may come and go. It also can clear up on its own.

Although there is no cure for gout, it can be treated with medications like corticosteroids and managed through diet and other natural remedies. Most of these remedies are based on lowering uric acid levels.

“Elevation of uric acid creates the ideal environment for gout crystals to form so it’s helpful to know that uric acid is formed in the body when we consume foods high in purines...like organ meats, beer, shellfish, and game meats like venison,” says David Perlmutter, MD, a board-certified neurologist and New York Times bestselling author.

Uric acid is a byproduct of purine breakdown from the foods you eat and found in your body. Purines, which are naturally found in many foods, are called exogenous purines. Typically, exogenous purines are processed during digestion and result in uric acid.

About 90% of uric acid is absorbed back into the body and the rest is excreted in urine and feces. If the amount of uric acid in the body doesn’t align with the body’s ability to process it, a buildup occurs.

When too much uric acid is in the body, crystals form and can build up in joints and tissues. According to Dr. Perlmutter, frequently used medications also can contribute to gout flare-ups.

“Beyond specific foods that enhance uric acid production, various medications also increase uric acid levels including aspirin, beta-blockers, diuretics (water pills), and even common non-prescription, acid-blocking drugs called proton-pump inhibitors, now used by some 15 million Americans,” reports Dr. Perlmutter.

Another contributing factor for the formation of uric acid is sugar or fructose. He attributes the increase in sugar consumption to the rise in gout among Americans.

"With our consumption of fructose increasing 1,000% from 1970 to 1990, it’s no wonder we are seeing such a dramatic rise in gout cases," he says.

Dr. Perlmutter suggests monitoring your uric acids levels at home using an over-the-counter home test.

“Checking your uric acid to be sure it is at or below 5.5 mg/dl is now something that’s readily accessible to everyone," he says. "Having a uric acid level of 7mg/dl or above would mark a time when it would be reasonable to have a conversation with your doctor.”

Natural Remedies for Gout

Even though there are few natural remedies for gout and research on their effectiveness is scarce, most healthcare professionals recommend a number of nutrition and lifestyle changes. There also are medications that can be used to treat symptoms.

For instance, many experts suggest limiting high-purine foods, reducing alcohol intake, managing weight, and making lifestyle and nutritional changes. Here's a closer look at what you can do to help alleviate your symptoms.

Make Diet Changes

Dr. Perlmutter, the author of The LUV Diet, indicates that when uric acid is elevated, it can often be managed with dietary changes. With this is in mind, foods high in purines like fish, shellfish, bacon, turkey, veal, organ meats, and alcoholic beverages should be limited.

For instance, meat, fish, and chicken are often limited to 6 ounces a day. And, beer and hard liquor are restricted since they are associated with increased uric acid while wine is permitted, as it may lower uric acid.

Likewise, foods that are naturally high in fructose like agave, apple juice, caramel, honey, licorice, and molasses should also be limited. In fact, research suggests that a high sugar (fructose) diet has a direct relationship with high uric acid levels.

Meanwhile, specific foods like tart cherries, onions, broccoli, and other vegetables as well as coffee are encouraged. Even fruit is included in moderation while fruit juices should be avoided because of their high fructose content.

It is important to note that you do not need to completely eliminate high-purine foods or foods high in fructose. Limiting your intake will work just fine.

The Basics of a Healthy, Balanced Diet

Take Vitamin C

One study observed vitamin C intake and incidence of gout over 20 years. They compared men who took a vitamin C supplement and those who did not. Scientists found that higher levels of vitamin C intake were associated with a lower risk of gout. That means supplementing with vitamin C could help prevent gout.

“Vitamin C has long been recognized as an effective intervention for gout," says Dr. Perlmutter. "While we like vitamin C for its antioxidant activity, it enhances how our bodies eliminate uric acid. This explains why vitamin C has been used so extensively in gout patients over the past few decades,”

Increasing daily vitamin C is as simple as incorporating a 500-milligram vitamin C supplement into your routine.

15 Healthy Foods That Are High in Vitamin C

Drink Tart Cherry Juice

Cherries are rich in anti-inflammatory and antioxidant properties. Both sweet and tart cherries have been studied for their many health benefits.

Tart cherries, specifically, carry more beneficial compounds for the management and prevention of gout due to their phenolic antioxidant compounds. Research has shown that supplementing with tart cherry juice may help reduce the risk of gout attacks.

However, more research is needed to determine the effectiveness of this remedy. If you would like to try adding tart-cherry juice to your nutrition plan, aim for two 8-ounce glasses of tart cherry juice daily.

Cherry Nutrition Facts and Health Benefits

Incorporate Coffee

Coffee sometimes unnecessarily gets such a bad rap. Other than its caffeine content, coffee has many health benefits including the ability to reduce uric acid levels in the blood.

A review of research found that both caffeine-free and regular coffee intake of 1 cup per day was associated with a significant decrease in uric acid levels.And because the recommended safe amount of caffeinated coffee per day is four 8-ounce cups per day, sipping a cup of coffee each day may help prevent and manage gout.

Coffee Nutrition Facts and Health Benefits

Consider Quercetin

Quercetin is a powerful anti-inflammatory antioxidant found abundantly in apples, onions, broccoli, and blueberries. It is linked to several health benefits including reducing inflammation and protecting against free radical damage. Quercetin also shows promise for gout patients.

David Perlmutter, MD

One study recently showed an 8% drop in uric acid blood levels in just 2 weeks in a group of men taking 500 milligrams of quercetin daily.

— David Perlmutter, MD

“Quercetin, for example, has been shown to have a significant impact on elevated uric acid levels,” says Dr. Perlmutter. “One study recently showed an 8% drop in uric acid blood levels in just 2 weeks in a group of men taking 500 milligrams of quercetin daily.”

Quercetin is available in pills and capsules and is generally considered safe. But you should still talk to a healthcare provider before taking quercetin, especially if you are taking antibiotics, blood thinners, chemotherapy drugs, corticosteroids, cyclosporine, digoxin, and fluoroquinolones.

How Quercetin Foods Reduce Muscle Inflammation

When to Contact a Healthcare Provider

Sometimes gout can re-emerge even after it has been managed for some time. This experience is known as a gout flare. As a result, you need to contact a healthcare provider if you experience any of the following:

  • Intense pain
  • Swelling
  • Redness
  • Heat
  • Chills
  • High fever

A Word from Verywell

While diet changes and natural home therapies may help you manage the incidence of gout flare-ups, a discussion with a healthcare provider is always necessary before trying anything new.

It is also worth noting that there may come a point where diet changes, supplements, and other home remedies may no longer work. If that is the case, talk with a healthcare provider about the next steps. You do not have to suffer through the pain and inflammation of gout.

What Is the Anti-Inflammatory Diet?

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Verywell Fit uses only high-quality sources, including peer-reviewed studies, to support the facts within our articles. Read our editorial process to learn more about how we fact-check and keep our content accurate, reliable, and trustworthy.

  1. Chen‐Xu M, Yokose C, Rai SK, Pillinger MH, Choi HK. Contemporary prevalence of gout and hyperuricemia in the united states and decadal trends: the national health and nutrition examination survey, 2007–2016. Arthritis Rheumatol. 2019;71(6):991-999. doi:10.1002/art.40807

  2. Centers for Disease Control and Prevention. Gout. Updated July 27, 2020.

  3. El Ridi R, Tallima H. Physiological functions and pathogenic potential of uric acid: A review. Journal of Advanced Research. 2017;8(5):487-493. doi:10.1016/j.jare.2017.03.003

  4. Caliceti C, Calabria D, Roda A, Cicero A. Fructose intake, serum uric acid, and cardiometabolic disorders: A critical review. Nutrients. 2017;9(4):395. doi:10.3390/nu9040395

  5. Choi HK, Gao X, Curhan G. Vitamin C intake and the risk of gout in men: A prospective study. Arch Intern Med. 2009;169(5):502. doi:10.1001/archinternmed.2008.606

  6. Shi Y, Williamson G. Quercetin lowers plasma uric acid in pre-hyperuricaemic males: a randomised, double-blinded, placebo-controlled, cross-over trial. Br J Nutr. 2016;115(5):800-806. doi:10.1017/S0007114515005310

  7. Chen PE, Liu CY, Chien WH, Chien CW, Tung TH. Effectiveness of cherries in reducing uric acid and gout: A systematic review. Evidence-Based Complementary and Alternative Medicine. 2019;2019:1-7. doi:10.1155/2019/9896757

  8. Choi HK, Curhan G. Coffee, tea, and caffeine consumption and serum uric acid level: The third national health and nutrition examination survey. Arthritis Rheum. 2007;57(5):816-821. doi:10.1002/art.22762

  9. Park KY, Kim HJ, Ahn HS, et al. Effects of coffee consumption on serum uric acid: systematic review and meta-analysis. Seminars in Arthritis and Rheumatism. 2016;45(5):580-586. doi:10.1016/j.semarthrit.2016.01.003

  10. Poole R, Kennedy OJ, Roderick P, Fallowfield JA, Hayes PC, Parkes J. Coffee consumption and health: umbrella review of meta-analyses of multiple health outcomes. BMJ. Published online November 22, 2017:j5024. doi:10.1136/bmj.j5024

  11. Andres S, Pevny S, Ziegenhagen R, et al. Safety aspects of the use of quercetin as a dietary supplement. Mol Nutr Food Res. 2018;62(1):1700447. doi:10.1002/mnfr.201700447

  12. Orthopedic Surgery and Sports Medicine. Understanding gout and knowing when to see a doctor.

Источник: https://www.verywellfit.com/natural-remedies-for-gout-5209811

Gout Home Remedies: Here’s What You Can Do to Relieve Gout Pain Fast

Anyone who’s experienced a gout attack knows it can be excruciating, causing red, hot, painful, and swollen joints. Gout, a form of arthritis, typically affects the joints in the feet, ankles, or knees; around half the time it strikes in the big toe, which can make it impossible to wear shoes. Even the light fabric of a sock can be aggravating.

Because the pain from a gout attack can be so bad, people with the condition will often try anything out there to get relief, which has led to a boom in so-called gout home remedies.

While there are a few legitimate home remedies for gout out there, prescription medications remain the mainstay for treating gout, during an acute attack as well as over the long term to reduce gout attacks in the first place.

This Is Your Body During a Gout Attack

Gout symptoms occur when excess uric acid in your body forms crystals in the joints. The body treats these crystals like a foreign body and attacks them with white blood cells. The white cells, in turn, release inflammatory chemicals called cytokines into the joint fluid. The cytokines bring in more white cells, and on it goes.

“The joint becomes a battlefield,” says Theodore Fields, MD, professor of clinical medicine at Weill Cornell Medical College and a rheumatologist the Hospital for Special Surgery in New York City.

The Best Way to Treat a Gout Attack

Gout attacks can last for up to 10 days or longer and often subside on their own after a week or two, but medications will speed up healing and prevent future flares.

Standard medical treatments for a gout attack include:

  • Anti-inflammatory drugs like naproxen (which can be purchased over the counter or in prescription strength)
  • Colchicine, which reduces uric acid build-up
  • Steroids, such as prednisone

For 98 percent of patients, says Dr. Fields, one of these medications these will knock out an attack.

Home Remedies for Instant Gout Relief

There are a couple of effective home remedies for a gout attack that you can use as an adjunct to medications. These include:

  • Resting the joint
  • Using ice packs to reduce swelling
  • Drinking cherry juice

Cherry juice is high in vitamin C, which makes uric acid come out in the urine, but the effect is mild compared to some of the available medicines for gout attacks. Cherry juice can also increase the risk of kidney stones; they shouldn’t be used in anyone who is predisposed to them.

Dr. Fields cautions against relying solely on home remedies to relieve gout pain fast instead of taking medicine because the longer you wait, the longer it will take for your gout to get better.

“The good thing about treating a sudden gout attack with drugs right away is that you can take the medication for a very short time,” he says. “You should see a 50 percent improvement within 24 hours of treating an attack. If you’re not seeing that kind of improvement, you need to re-think what you’re doing and consult with your doctor about a different approach.”

Home Remedies for Long-Term Gout Relief

Gout Home Remedies

The American College of Rheumatology recommends a couple of lifestyle modifications for preventing future attacks of gout:

1) Lose weight if you need to. Being overweight can increase uric acid levels as well as put pressure on the joints.

2) Follow a low-purine diet. Another effective way to reduce uric acid levels is to follow a low-purine diet. Purines are organic compounds that break down into uric acid. Following a low-purine diet means avoiding “the big four” — alcohol, shellfish, red meat, and high fructose corn syrup.

Limiting these foods is also beneficial for heart health — and people with gout are at higher risk for heart disease.

But don’t go overboard with dietary changes to relieve gout pain though, advises Dr. Fields. “You can find lists of thousands of different foods you’re not supposed to have if you have gout. Those recommendations are impossible to follow and can make you crazy.”

How to Handle Your First Gout Attack

After a first attack of gout, it’s OK to try to stave off another one with dietary changes alone. But if you have another attack, it’s important to start taking preventive gout medications on a regular basis. Long-term medications for gout include allopurinol and febuxostat, both of which limit uric acid production.

Some patients, says Dr. Fields, treat each attack as a separate event and don’t talk to their doctors about doing a preventive approach. He uses the analogy of lighting a book of matches. “If you have one match lit, it’s easy to put out, but if you have the whole book lit, it’s a lot harder.”

Take Caution with Supplements for Gout

As for the many supplements and other purported home remedies available for gout, including turmeric and bromelain, there is no significant evidence backing them up as of now, and there’s no adequate evidence showing that supplements have any effect even comparable to that of medicines.

“From my point of view,” says Dr. Fields, “the home remedy concept to gout is often harmful because it keeps patients from taking medications that we know are effective.”

Keep Reading:

Источник: https://creakyjoints.org/about-arthritis/gout/gout-treatment/gout-home-remedies/

6 Ways to Deal with Painful Gout Attacks

It’s difficult to focus on work or other daily activities when you’re experiencing gout inflammation and pain. Symptoms can last for a few days or even weeks, with the worst pain usually occurring in the first day or two.

While the best thing to do is talk to your physician, there are several steps you can take right away ease your gout symptoms:

Excess uric acid in the bloodstream can lead to the formation of uric acid crystals in one or more joints, resulting in gout. Read:All About Gout - Symptoms, Diagnosis, Treatment

1. Take an NSAID (but not aspirin)

Over-the-counter non-steroidal anti-inflammatory drugs (NSAIDs), such as ibuprofen or naproxen, can help relieve gout pain. Avoid aspirin and other medications that contain acetylsalicylic acid, which can make your gout worse.1 Keep in mind NSAIDs carry potential side effects, such as an increase in blood pressure,2,3 so discuss this treatment with your doctor.

2. Take your prescription drugs

If you've had a gout attack before, your physician may have prescribed drugs to treat attacks. This may be your first line of defense or you may decide to use them only when NSAIDs fail to relieve your pain.

Prescription medications to treat gout include:

  • Prednisolone oral tablets, which has been shown to work as well as NSAIDs and often doesn’t cause the same stomach upset. Prednisolone is a type of corticosteroid and does carry other potential side effects, particularly if it is taken for longer than the recommended 5 days.4
  • Colchicine, which has been shown effective in reducing pain and inflammation if taken in the first 24 hours of an attack. Always follow your physician’s instructions regarding dosing to decrease your risk for potential complications and side effects.

Opioid painkillers, such as codeine, hydrocodone, and oxycodone, are not recommended to treat the pain caused by gout.

See Pain Medications for Arthritis Pain Relief

3. Apply ice to the joint

Cold therapy can offer significant pain relief by decreasing inflammation and dulling pain signals. If this treatment works for you, you can apply the cold pack intermittently throughout the day for 10 to 20 minutes at a time.

See When and Why to Apply Cold to an Arthritic Joint

4. Elevate the joint

Propping up the affected joint can ease pressure and reduce pain. If your big toe is affected (about half of all gout cases affect the big toe), prop it up on a pillow or footstool.

5. Take it easy

Rest the affected joint and keep pressure off it until your pain subsides. Have roomy slippers on hand, so you can keep your feet comfortable until the attack passes.

See 5 Unusual Gout Symptoms

6. Stay hydrated

Drinking water throughout the day will help flush the uric acid from your system. Aim for drinking 8 glasses a day. Stay away from alcohol and sugary drinks, such as soda and sports drinks, which can make your gout worse.

See Hyperuricemia - High Uric Acid Levels and Gout

When medical attention is needed

For severe cases of gout that don’t respond to the treatments above, your physician may recommend corticosteroid injections into the affected joint. Injections can also be useful for people who are sensitive to oral medication.

See Cortisone Injections (Steroid Injections)

Prevent gout attacks

You can help prevent a future gout flare-up by avoiding food and drinks high in purines.

See Gout Prevention Diet

Learn more:

Gout Symptoms

Gout Prevention

References

  • 1.Ben Salem C, Slim R, Fathallah N, Hmouda H. Drug-induced hyperuricaemia and gout. Rheumatology (Oxford). 2017 May 1;56(5):679-688. doi: 10.1093/rheumatology/kew293
  • 2.Snowden S, Nelson R. The effects of nonsteroidal anti-inflammatory drugs on blood pressure in hypertensive patients. Cardiol Rev. 2011 Jul-Aug;19(4):184-91. doi: 10.1097/CRD.0b013e31821ddcf4
  • 3.Aljadhey H, Tu W, Hansen RA, Blalock SJ, Brater DC, Murray MD. Comparative effects of non-steroidal anti-inflammatory drugs (NSAIDs) on blood pressure in patients with hypertension. BMC Cardiovasc Disord. 2012;12:93. Published 2012 Oct 24. doi:10.1186/1471-2261-12-93
  • 4.InformedHealth.org. Cologne, Germany: Institute for Quality and Efficiency in Health Care (IQWiG); 2006-. Gout attacks: Pain relief. 2015 Mar 11 [Updated 2018 May 17]. Available from: https://www.ncbi.nlm.nih.gov/books/NBK284948/
Источник: https://www.arthritis-health.com/blog/6-steps-gout-attack-relief

Using Natural Remedies for Gout

Gout is a type of arthritis characterized by sudden, intense pain, redness, heat, swelling, and tenderness in the joints. Gout usually affects the large joint of the big toe, but symptoms can occur in your feet, ankles, knees, hands, and wrists. Attacks typically last about five to 10 days. Gout is more common in men than in women.

Gout is caused by the accumulation of uric acid crystals, a waste product that's formed from the breakdown of purines—substances found naturally in the body and in foods such as organ meats, asparagus, anchovies, herring, and mushrooms.

So far, scientific support for the claim that any natural remedy can treat gout is limited.

Vitamin C

Some evidence suggests that vitamin C may help to reduce uric acid levels. In one well-designed study, 184 people took either vitamin C supplements (500 milligrams per day) or a placebo.

After two months, uric acid levels were significantly reduced in people taking vitamin C but not in the people taking the placebo. Although this study suggests that vitamin C may help prevent or treat gout, many more studies are needed before we can conclude this.

People with kidney disease should consult their healthcare provider before taking vitamin C supplements. Vitamin C increases the absorption of some types of iron from foods, so people with hemochromatosis should not take vitamin C supplements.

Vitamin C in doses over 2,000 milligrams per day may cause diarrhea, gas, digestive upset, or interfere with the absorption of vitamin B12.

Vitamin C supplements may raise blood levels of aspirin and acetaminophen. There have been rare reports of vitamin C interfering with the effectiveness of the medication warfarin (Coumadin).

Vitamin C may also increase the effects of furosemide (classified as a loop diuretic) and the antibiotic tetracycline. If taken together, vitamin C may decrease the absorption of propranolol, a medication for high blood pressure and heart conditions.

Speak with your healthcare provider first before combining any medications with vitamin C supplements.

Cherries

Cherries are a popular home remedy for gout. The amount usually recommended is anywhere between half a cup and one pound of cherries a day.

They are either eaten or blended and then diluted with water to make a juice. Cherry extracts are also available at some health food stores.

Although cherries are a fairly well-known remedy for gout, there is almost no evidence that it can help. One very small study examined the consumption of cherries on uric acid levels and inflammation.

Ten women consumed two servings (280 grams) of Bing cherries after an overnight fast. Three hours after eating the cherries, there was a significant decrease in uric acid levels. There was also a decrease, although not statistically significant, in inflammation.

Diet

Although most uric acid in the body is made from the metabolism of naturally occurring purine, eating foods rich in purines may also contribute to elevated uric acid levels in the body.

The Third National Health and Nutrition Examination Survey, which used data from 14,809 people in the United States, found increased uric acid levels among people who had high intakes of meat and seafood.

On the other hand, total protein intake was not associated with increased uric acid levels.

Dairy intake was associated with lower uric acid levels. Specifically, people who drank milk one or more times per day, or who had yogurt at least once every other day, had lower uric acid levels than people who didn't consume yogurt or milk.

Another study involving 47,150 men with gout also found that the intake of meat and seafood was associated with an increased risk of gout.

Total protein intake and consumption of purine-rich vegetables, such as asparagus, were not associated with an increased risk. Dairy was associated with a decreased risk.

What to Eat When You Have Gout

Using Natural Remedies for Gout

Due to a lack of supporting research, it's too soon to recommend any alternative medicine for gout. 

Supplements haven't been tested for safety and due to the fact that dietary supplements are largely unregulated, the content of some products may differ from what is specified on the product label.

Also keep in mind that the safety of alternative medicine in pregnant women, nursing mothers, children, and those with medical conditions or who are taking medications has not been established.

You can get tips on using supplements, but if you're considering the use of any form of alternative medicine, talk with your primary care provider first. Self-treating a condition and avoiding or delaying standard care may have serious consequences.

For some guidance on talking with a medical professional about your gout, use our Doctor Discussion Guide below. It can help you start a conversation with your healthcare provider about symptoms, treatment options, and more.

Gout Doctor Discussion Guide

Get our printable guide for your next doctor's appointment to help you ask the right questions.

Download PDF

Thanks for your feedback!

Verywell Health uses only high-quality sources, including peer-reviewed studies, to support the facts within our articles. Read our editorial process to learn more about how we fact-check and keep our content accurate, reliable, and trustworthy.

  1. Huang HY, Appel LJ, Choi MJ, Gelber AC, Charleston J, Norkus EP, Miller ER 3rd. The effects of vitamin C supplementation on serum concentrations of uric acid: results of a randomized controlled trial. Arthritis Rheum. 52.6 (2005): 1843-1847. doi:10.1002/art.21105

  2. Jacob RA, Spinozzi GM, Simon VA, Kelley DS, Prior RL, Hess-Pierce B, Kader AA. Consumption of cherries lowers plasma urate in healthy women. J Nutr. 133.6 (2003): 1826-1829. doi:10.1093/jn/133.6.1826

  3. Choi HK, Liu S, Curhan G. Intake of purine-rich foods, protein, and dairy products and relationship to serum levels of uric acid: the Third National Health and Nutrition Examination Survey. Arthritis Rheum. 52.1 (2005): 283-289. doi:10.1002/art.20761

  4. Choi HK, Atkinson K, Karlson EW, Willett W, Curhan G. Purine-rich foods, dairy and protein intake, and the risk of gout in men. N Engl J Med. 350.11 (2004): 1093-1103. doi:10.1056/NEJMoa035700

Additional Reading
  • Choi HK. Dietary risk factors for rheumatic diseases. Curr Opin Rheumatol. 17.2 (2005): 141-146. doi:10.1097/01.cco.0000152664.87204.3c

  • Saag KG, Choi H. Epidemiology, risk factors, and lifestyle modifications for gout. Arthritis Res Ther. 8 Suppl 1 (2006): S2. doi:10.1186/ar1907

  • Schlesinger N. Dietary factors and hyperuricaemia. Curr Pharm Des. 11.32 (2005): 4133-4138. doi:10.2174/138161205774913273

Источник: https://www.verywellhealth.com/natural-remedies-for-gout-89225

Home remedies for gout attack -

Symptoms and Diagnosis of Gout

Arthritis / Acute Gout Attack 

Gout is a form of arthritis, hence it causes pain and discomfort in the joints. A typical gout attack is characterized by the sudden onset of severe pain, swelling, warmth, and redness of a joint. The clinical presentation of acute gouty arthritis is not subtle with very few mimics other than a bacterial infection.

The joint most commonly involved in gout is the first metatarsophalangeal joint (the big toe), and is called podagra. Any joint may be involved in a gout attack (and it may be more than one) with the most frequent sites being in the feet, ankles, knees, and elbows.

An acute gout attack will generally reach its peak 12-24 hours after onset, and then will slowly begin to resolve even without treatment. Full recovery from a gout attack (without treatment) takes approximately 7-14 days.

An accurate and colorful discription of a gout attack was elegantly written in 1683 by Dr. Thomas Sydenham who was himself a sufferer of gout:

The victim goes to bed and sleeps in good health. About 2 o’clock in the morning, he is awakened by a severe pain in the great toe; more rarely in the heel, ankle or instep. This pain is like that of a dislocation, and yet the parts feel as if cold water were poured over them. Then follows chills and shiver and a little fever. The pain which at first moderate becomes more intense. With its intensity the chills and shivers increase. After a time this comes to a full height, accommodating itself to the bones and ligaments of the tarsus and metatarsus. Now it is a violent stretching and tearing of the ligaments– now it is a gnawing pain and now a pressure and tightening. So exquisite and lively meanwhile is the feeling of the part affected, that it cannot bear the weight of bedclothes nor the jar of a person walking in the room.

Chronic Tophaceous Gout

Some patients only experience acute gout attacks which may be limited to 1-2 times per year (or even 1-2 times in lifetime). However, for some patients, gout can be a chronic, relapsing problem with multiple severe attacks that occur at short intervals and without complete resolution of inflammation between attacks. This form of gout, called chronic gout, can cause significant joint destruction and deformity and may be confused with other forms of chronic inflammatory arthritis such as rheumatoid arthritis. Frequently, uric acid tophi (hard, uric acid deposits under the skin) are present and contribute to bone and cartilage destruction. Tophi are diagnostic for chronic tophaceous gout. Tophi can be found around joints, in the olecranon bursa, or at the pinna of the ear. With treatment, tophi can be dissolved and will completely disappear over time.

tophi at helix of ear
Tophaceous deposits

Asymptomatic Hyperuricemia

It is important to recognize that although almost uniformly all patients with gout have hyperuricemia (high levels of uric acid in the blood)…all patients with hyperuricemia do not have gout. Although most patients will have elevated levels of uric acid in the blood for many years before having their first gout attack, there is no current recommendation for treatment during this period in the absence of clinical signs or symptoms of gout. This is termed ‘asymptomatic hyperuricemia’. The risk of a gout attack increases with increasing uric acid levels, but many patients will have attacks with “normal” levels of uric acid and some will never have an attack despite very high levels of uric acid.

Diagnosis of Gout

A diagnosis of gout can be made with the documentation of the presence of uric acid crystals in synovial fluid or from a tophaceous deposit. In the setting of an acute gout attack, aspiration of joint fluid (by using a needle to draw fluid out of the swollen joint) and examination of the fluid under polarized light can yield the definitive diagnostic finding of needle shaped negatively-birefringent uric acid crystals (yellow when parallel to the axis of polarization). Intracellular crystals within a neutrophil are characteristic during an acute attack.

As the clincal features of acute gout and a septic joint (bacterial infection) can be very similar, arthrocentesis is important to rule out infection by sending the joint fluid for culture in these circumstances. Importantly, gout and infection can co-exist in the same joint (they are not mutually exclusive) and consideration should be made for sending joint fluid for culture even in a patient with an established history of gout if they are at risk for infection.

Tophi can be aspirated or the tophaceous material expressed and examined under polarize microscopy as well to confirm a diagnosis of chronic tophaceous gout.

Serum uric acid concentrations may be supportive of a diagnosis of gout, but alone the presence of hyperuricemia or normal uric acid concentrations do not confirm or rule out the diagnosis of gout as frequently uric acid levels may be normal during an acute gout attack.

Источник: https://www.hopkinsarthritis.org/arthritis-info/gout/clinical-presentation-of-gout/

Using Natural Remedies for Gout

Gout is a type of arthritis characterized by sudden, intense pain, redness, heat, swelling, and tenderness in the joints. Gout usually affects the large joint of the big toe, but symptoms can occur in your feet, ankles, knees, hands, and wrists. Attacks typically last about five to 10 days. Gout is more common in men than in women.

Gout is caused by the accumulation of uric acid crystals, a waste product that's formed from the breakdown of purines—substances found naturally in the body and in foods such as organ meats, asparagus, anchovies, herring, and mushrooms.

So far, scientific support for the claim that any natural remedy can treat gout is limited.

Vitamin C

Some evidence suggests that vitamin C may help to reduce uric acid levels. In one well-designed study, 184 people took either vitamin C supplements (500 milligrams per day) or a placebo.

After two months, uric acid levels were significantly reduced in people taking vitamin C but not in the people taking the placebo. Although this study suggests that vitamin C may help prevent or treat gout, many more studies are needed before we can conclude this.

People with kidney disease should consult their healthcare provider before taking vitamin C supplements. Vitamin C increases the absorption of some types of iron from foods, so people with hemochromatosis should not take vitamin C supplements.

Vitamin C in doses over 2,000 milligrams per day may cause diarrhea, gas, digestive upset, or interfere with the absorption of vitamin B12.

Vitamin C supplements may raise blood levels of aspirin and acetaminophen. There have been rare reports of vitamin C interfering with the effectiveness of the medication warfarin (Coumadin).

Vitamin C may also increase the effects of furosemide (classified as a loop diuretic) and the antibiotic tetracycline. If taken together, vitamin C may decrease the absorption of propranolol, a medication for high blood pressure and heart conditions.

Speak with your healthcare provider first before combining any medications with vitamin C supplements.

Cherries

Cherries are a popular home remedy for gout. The amount usually recommended is anywhere between half a cup and one pound of cherries a day.

They are either eaten or blended and then diluted with water to make a juice. Cherry extracts are also available at some health food stores.

Although cherries are a fairly well-known remedy for gout, there is almost no evidence that it can help. One very small study examined the consumption of cherries on uric acid levels and inflammation.

Ten women consumed two servings (280 grams) of Bing cherries after an overnight fast. Three hours after eating the cherries, there was a significant decrease in uric acid levels. There was also a decrease, although not statistically significant, in inflammation.

Diet

Although most uric acid in the body is made from the metabolism of naturally occurring purine, eating foods rich in purines may also contribute to elevated uric acid levels in the body.

The Third National Health and Nutrition Examination Survey, which used data from 14,809 people in the United States, found increased uric acid levels among people who had high intakes of meat and seafood.

On the other hand, total protein intake was not associated with increased uric acid levels.

Dairy intake was associated with lower uric acid levels. Specifically, people who drank milk one or more times per day, or who had yogurt at least once every other day, had lower uric acid levels than people who didn't consume yogurt or milk.

Another study involving 47,150 men with gout also found that the intake of meat and seafood was associated with an increased risk of gout.

Total protein intake and consumption of purine-rich vegetables, such as asparagus, were not associated with an increased risk. Dairy was associated with a decreased risk.

What to Eat When You Have Gout

Using Natural Remedies for Gout

Due to a lack of supporting research, it's too soon to recommend any alternative medicine for gout. 

Supplements haven't been tested for safety and due to the fact that dietary supplements are largely unregulated, the content of some products may differ from what is specified on the product label.

Also keep in mind that the safety of alternative medicine in pregnant women, nursing mothers, children, and those with medical conditions or who are taking medications has not been established.

You can get tips on using supplements, but if you're considering the use of any form of alternative medicine, talk with your primary care provider first. Self-treating a condition and avoiding or delaying standard care may have serious consequences.

For some guidance on talking with a medical professional about your gout, use our Doctor Discussion Guide below. It can help you start a conversation with your healthcare provider about symptoms, treatment options, and more.

Gout Doctor Discussion Guide

Get our printable guide for your next doctor's appointment to help you ask the right questions.

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Verywell Health uses only high-quality sources, including peer-reviewed studies, to support the facts within our articles. Read our editorial process to learn more about how we fact-check and keep our content accurate, reliable, and trustworthy.

  1. Huang HY, Appel LJ, Choi MJ, Gelber AC, Charleston J, Norkus EP, Miller ER 3rd. The effects of vitamin C supplementation on serum concentrations of uric acid: results of a randomized controlled trial. Arthritis Rheum. 52.6 (2005): 1843-1847. doi:10.1002/art.21105

  2. Jacob RA, Spinozzi GM, Simon VA, Kelley DS, Prior RL, Hess-Pierce B, Kader AA. Consumption of cherries lowers plasma urate in healthy women. J Nutr. 133.6 (2003): 1826-1829. doi:10.1093/jn/133.6.1826

  3. Choi HK, Liu S, Curhan G. Intake of purine-rich foods, protein, and dairy products and relationship to serum levels of uric acid: the Third National Health and Nutrition Examination Survey. Arthritis Rheum. 52.1 (2005): 283-289. doi:10.1002/art.20761

  4. Choi HK, Atkinson K, Karlson EW, Willett W, Curhan G. Purine-rich foods, dairy and protein intake, and the risk of gout in men. N Engl J Med. 350.11 (2004): 1093-1103. doi:10.1056/NEJMoa035700

Additional Reading
  • Choi HK. Dietary risk factors for rheumatic diseases. Curr Opin Rheumatol. 17.2 (2005): 141-146. doi:10.1097/01.cco.0000152664.87204.3c

  • Saag KG, Choi H. Epidemiology, risk factors, and lifestyle modifications for gout. Arthritis Res Ther. 8 Suppl 1 (2006): S2. doi:10.1186/ar1907

  • Schlesinger N. Dietary factors and hyperuricaemia. Curr Pharm Des. 11.32 (2005): 4133-4138. doi:10.2174/138161205774913273

Источник: https://www.verywellhealth.com/natural-remedies-for-gout-89225

Gout is a complex form of arthritis characterized by deposits of uric acid crystals in the body which affects the joints. Uric acid is a substance formed when the body breaks down purines, it is a vital element for DNA synthesis, circulation, digestion and absorption of nutrients. The blood transports uric acid to the kidneys and the excess amount is excreted out. When the kidneys cannot eliminate the excess uric acid, it gets deposited in the body causing gout, also called hyperuricemia. It mostly affects men after 40 years, however, it triggers in women post-menopause. Also Read: Gout: Causes, Symptoms And Treatment

Get Relief From Pain And Swelling With Our Best-Selling Ayurvedic Supplements And Oils For Treating Gout Pain!

Causes Of Gout

There is no specific cause for gout, but many underlying factors can increase the risk of this painful disorder which include:

Genetics - a family history of gout increases your risk.

Age and gender - men after the age of 40 years are more prone than women.

Weight - a person who is overweight, the risk is higher.

Diet – consuming food that is rich in purine content such as red meat, organ meat, herring, mushrooms, scallops, anchovies, and asparagus.

Alcohol - excess alcohol intake affects the body’s mechanism of eliminating uric acid.

Exposure to metals like lead.

Certain health conditions like hypothyroidism, hypertension, Kelley-Seegmiller syndrome or Lesch-Nyhan syndrome increases the risk.

Intake of certain medications.

Stages of Gout 

Gout is categorized into four stages:

Asymptomatic Hyperuricemia: In this stage blood uric acids is elevated without any other symptoms.

Acute Gout: In this stage, uric acid starts to build up in the joints resulting in swelling, pain and tenderness. In most cases, gout attack starts at night and prolongs for 3-10 days.

Interval Gout: This stage is in between the acute gout attacks when the patient does not show any symptoms.

Chronic Gout: With the accumulation of uric acid for the prolonged duration it results in permanent damage to the joints associated with intense pain.

Generally, gout affects one joint at a time, however, if left untreated it may trigger other joints. Some of the most common symptoms associated with gout include swelling, penetrating joint pain which causes inflammation, redness which commonly observed in toes, ankles, fingers, wrists and knees.

Mother Nature has bestowed upon us with amazing ingredients that work wonders in easing the symptoms associated with gout. Add these amazing foods in your daily diet to get respite from swelling and painful joints.
gout natural remedies

5 Super Foods For Alleviating Gout

Cherries

Vast reserves of anthocyanin and ascorbate in cherries have powerful antioxidant and anti-inflammatory properties which lower the risk of a gout attack. As per the study conducted by Boston University, a person with gout who had consumed cherries over 2 days had a 35% lower risk of gout attack than those who did not take the fruit. It is recommended to consume three servings of cherries or cherry extracts to minimise the risk of a gout attack (one serving contains 10-12 cherries).

Papaya

The goodness of enzymes papain and chymopapain in papaya possess strong anti-inflammatory effects which help in easing inflammation and reduces swelling in the joints. It also helps in getting rid of excess uric acids from the body by increasing the alkalinity. Besides these, it is packed with antioxidants beta-carotene and vitamin C which helps to reduce inflammation and mitigates pain and redness in the joints. Also Read: Best Health Benefits of Eating Papaya

Celery Seeds

The plethora of nutrients present in celery seed such as iron, manganese, calcium and other bioactive compounds support in curing gout. Luteolin, 3-n-butylphthalide and beta-selinene notable plant compound in celery reduce uric acid levels in the blood and lower inflammatory nitric oxide production which aggravates gout attack. Add celery seeds in the diet in the form of juice, extracts or seeds.

Ginger

Ginger is a versatile herb well-known for its potent medicinal and culinary purposes. The powerful anti-inflammatory effects of ginger reduce inflammation, swelling and lower the blood uric acid levels and confer respite to gout attacks. Take one inch of ginger, steep well in a cup of water for 5-10 minutes and drink this powerful concoction regularly to get relieved from joint pain.

Lemon 

Lemons and lemon juice is proven by studies that have an amazing natural remedy for curing gout. Ample amounts of vitamin C and antioxidants in lemons reduce inflammation, breakdown the uric acid deposits in the blood by increasing the pH of urine and helps in clearing out uric acid. All you have to do is consume lemon juice 2-3 times in a day to ease gout pain.

Home Remedies

Natural home remedies work amazingly well to ease the symptoms associated with gout such as pain, stiffness, redness and inflammation. These ingredients are readily available in your kitchen cabinets and offer you much-needed respite.

Fenugreek

Fenugreek is a highly valued spice used extensively in traditional medicine for treating several health woes. Potent anti-inflammatory effects of fenugreek aids in lessening internal and external inflammation of the body and eases joint pain.

Pro Tip:

Soak 1 tbsp fenugreek seed in a cup of water overnight and have that water in the morning on an empty stomach. This works wonder in reducing the swelling and pain in the joints.

Castor Oil

Castor oil helps in improving blood circulation and breaking down the toxic deposit of uric acid that alleviates pain and redness. Apply warm castor oil and massage it on the affected regions to lessen inflammation and pain.

Garlic

Garlic is an incredible herb for curing gout. It aids in eliminating excess uric acid from the system and reduces inflammation. Crush 1-2 clove of garlic and then consume it to get respite from joint pain.

Carom Seeds

Carom seeds help to flush out toxins and uric acid from the body. Boil 1 tsp carom seeds in a cup of water and drink this concoction twice daily to alleviate joint pain and swelling.

Conclusion:

Gout, though a painful condition can be effectively managed and also prevented from worsening further by adding these natural foods and following an appropriate diet. If pain persists and symptoms worsen then seek immediate medical attention.

Источник: https://www.netmeds.com/health-library/post/gout-5-incredible-foods-to-ease-joint-pain-and-swelling

7 Natural Home Remedies for Gout

Gout is a form of proactive arthritis, a condition that affects the joints, caused by the build-up of uric acid crystals, as told by Dr. Minakshi Sharma, an Ayurveda consultant at Vedic Vision Health Care Centre. Uric acid is a substance that is formed when the body breaks down purines (important substances which are regarded as the building blocks of DNA, as well as impacting blood circulation, digestion, and absorption of nutrients); blood transports the uric acid to the kidney and stamps it out in the urine. The condition in which excess uric acid is formed in the body causes gout, also called hyperuricemia. Usually, gout is a problem faced by men, but it triggers in women after menopause. Dr. B.N Sinha, a Delhi-based Ayurvedic expert, says, “Gout is also caused due to the consumption of more proteins and curd, so to avoid that one should lessen the intake of pulses or any other sources of protein and curd in your diet.”



(Also Read: 7 Amazing Home Remedies That May Help Relieve Gas Problems)


At times gout can affect only one joint, but if left untreated, it may trigger other joints as well. “There are many symptoms of gout like bitter joint pains which causes inflammation and redness, and commonly affects the toes. It can also affect ankles, knees, fingers, and wrists in the long run. Gout can also cause swelling in the joints as well,” says Dr. Minakshi Sharma.

To diagnose gout, doctors conduct a uric acid test to know the level of uric acid in the body. It is also observed that people with high levels of uric acid do not always experience gout whereas some people may notice the symptoms without having a high uric acid level.

It is often suggested to go for natural ways to cure any disease rather than depending completely on medicines. Here are some home remedies for curing gout:

1. Fenugreek Seeds

Fenugreek is an herb with light green leaves and small white flowers. Dr. Sharma says, “Consumption of fenugreek seeds can help cure gout as it helps in reducing internal as well as external inflammation of the body.”

How to use: Soak 1 Tbsp fenugreek seed in half cup water overnight and drink that water in the morning and chew the soaked seeds. This will help in reducing the swelling of the joints and can relieve pain.

fenugreek seeds 620


2. Garlic

Garlic is an incredible cure for gout. It helps in removing the excess uric acid from the body.

How to use: Swallow one pod of garlic and if you find it difficult then you can finely chop the garlic and then consume it. It will help cure gout from its roots.

(Also Read: 7 Home Remedies That May Help Ease Dry Throat)

garlic


3. Carom Seeds (Ajwain) and Ginger

Both carom seeds and ginger work towards making you sweat, which helps in removing the uric acid from the body. Moreover, ginger has anti-inflammatory properties, which relieve pain and swelling.

How to use: Take ½ Tbsp ajwain and 1-inch slice of ginger, boil with a cup of water. Strain the decoction and consume half of it in the morning and the other half in the evening.
 

ginger 625


4. Castor Oil

Dr. B.N Sinha suggests taking tolerably warm castor oil and massaging it on gout-affected area or just dabbing it with a cotton ball. It will help in breaking down the toxic deposit and relieving redness and pain.
 

castor oil


5. Coriander

Coriander helps in improving the gastrointestinal tract with its antioxidant properties, thus decreasing uric acid levels. Drinking adequate amounts of water too can work wonders in stabilizing uric acid levels in the body.

How to Use: Take a few sprigs of coriander and mix it in a glass of water and consume. Add it to your food as garnish and have it.
 

coriander


6. Turmeric

Belonging to the ginger family, turmeric is believed to have lots of potential medicinal value. Turmeric suppresses chronic inflammation, which reduces the activity of Xanthine oxidase (an enzyme that produces uric acid).

How to use: Turmeric can be consumed after mixing it in the milk, Haldi Doodh as it is popularly known in India.
 

turmeric


7. Cherries

A study conducted by Boston University found that patients with gout who consumed cherries over a two-day period showed a 35 percent lower risk of gout attacks, as compared to those who did not eat the fruit. The findings indicated that consuming cherries (up to three servings, a single serving containing one-half cup or 10 to 12 cherries) or cherry extract lowers the risk of a gout attack.

(Also read: Cherries Lower Gout Attacks by a Third)

cherries


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Источник: https://food.ndtv.com/health/7-natural-home-remedies-for-gout-1650166

Gout is a common type of arthritis that causes intense pain, swelling, redness and tenderness and stiffness in a joint. It usually affects the joint in the base of the big toe. It is a common and complex form of arthritis that can affect anyone. But it is the most common form of inflammatory arthritis in men. However, women become more susceptible to it after the menopause.
Usually gout causes sudden joint inflammation in a single joint. Severe gout can sometimes affect many joints at once which is known as polyarticular gout. An attack of gout or flares can occur suddenly. When it occurs, it often wake you up in the middle of the night with the sensation that your big toe is on fire.
It is caused by excess uric acid in the bloodstream. The symptoms of gout are due to the formation of uric acid crystals in the joints and the response of your body to them. Chronic gout is treated using medications that lower the uric acid level in the body. Left untreated, gout can cause irreversible joint damage, kidney problems, and tophi. Surgery, dehydration, beverages sweetened with sugar or high fructose corn syrup, beer, liquor, red meat, and seafood are some of the triggers for acute attacks of gout. Although there is no permanent cure for gout, there are several home remedies that offer relief from the intense pain. These include:

Baking Soda For Gout:

Baking soda or sodium bicarbonate is an excellent remedy for various ailments because of its mild alkaline effect. This helps prevent the peeling of the skin caused by gout. It is also helpful in reducing the inflammation of the joints and gives immense relief from the pain. Most importantly it helps reduce the uric acid content in the blood when consumed internally. However, it can trigger the blood pressure and cause it to rise abnormally if you are a hypertension patient.
Mix half a teaspoon of baking soda in a glass of warm water. Drink this up to 4 times a day for two weeks. Repeat the process whenever required.

Epsom Salt For Gout:

Epsom salt is an inorganic chemical that is very effective in treating gout. The high level magnesium content in Epsom salt helps protect the heart and keeps the blood pressure in control. The natural saline waters of the springs in the place called Epsom that is located in Surrey County in UK are rich in Epsom salt deposits. Soaking in a warm bath mixed with Epsom salt has a soothing effect on the skin and helps relax the rigid and painful muscles. It one of the most popular home remedies for gout. 
Add 2 cups of Epsom Salt powder in some warm water in your bathtub and soak for 15 to 20 minutes. Repeat the process three times a week for a month or so.

Lemon Juice For Gout:

Lemon juice has an alkalizing effect and helps neutralize the effect of the uric acid of the patient suffering from gout. A mixture of fresh lime juice and baking soda also strengthens the body tissues and helps in the fight against infection. Consuming fruits and vegetables rich in Vitamin C along with the lemon juice can help the body getting the required nourishment.
Squeeze the juice out of half the lemon of a lemon and mix it in a glass of water. Add a pinch of baking soda. Drink this mixture twice daily for 2 to 3 weeks.

Activated Charcoal For Gout:

Activated charcoal powder acts as an excellent absorbent. It helps in absorbing the uric acid and thus relieves the pain caused by gout. It has has no side effects or allergic reactions. It is better to take a charcoal soak or bath thrice in a week for best result. Continue the process for a month or so to see results.
Mix half a cup of activated charcoal powder with some water to form a paste. Mix the paste in a tub filled with warm water and soak in the bath tub for 15 to 20 minutes. Alternatively, charcoal paste can be applied on the affected areas.

Cold Water For Gout:

Cold water treatment helps reduce the swelling and subsequently reduce the pain. The skin can come in contact with the cold water directly. But never place the ice cubes directly on the skin. Placing the ice cubes on the skin directly can cause more damage to the joints. To get instant relief on the painful joints always make an ice pack and apply the pack to the affected area. It offer relief from the severe pain caused by gout by working on the underlying tissue. Cold water or ice packs make a good home remedy for gout.
Fill your bath tub with cold water and soak the swollen joint in the water for 15 to 20 minutes. Alternatively, use an ice pack on the affected joint. Repeat the process as many times as required.

Ginger, Fenugreek Powder & Turmeric Powder For Gout:

Ginger is a medicinal herb that is used extensively for treating various illnesses naturally. It is an anti-spasmodic as well as an anti-nausea agent. Moreover, it has excellent antifungal and anti-inflammatory properties that can help reduce swelling and provide relief to people suffering from gout. Fenugreek and Turmeric are known for their health benefits and curative properties. This combination can boost the immune system of your body by helping the body to regain its strength making it is one of the best home remedies for gout pain.
Add two teaspoons of fenugreek powder and two teaspoons of organic Turmeric powder to an inch of powdered ginger. Mix all three ingredients in a glass of warm water. Drink the concoction twice daily for a month for better result. All of these can be made part of your daily diet.

Turmeric and Honey For Gout:

The compound curcumin found in Turmeric is loaded with excellent curative properties and helps get immense relief from the pain caused by a severe attack of gout. It helps reduce stiffness in the joints and the searing pain. Moreover, Turmeric helps in destroying the harmful germs in the body being an excellent antibiotic. It also enhances the immune system and helps the body to regain its strength by fighting against the inflammation and pain. Honey is also a great restorative and a powerful medicine with amazing curative effects. Both of these form a winning combination that is one of the best home remedies for gout. 
Mix 2 to 3 teaspoons of organic Turmeric and 3 tablespoons of pure, organic honey to make a paste. Apply the paste on the painful joints. Alternatively, this paste can be consumed orally.

Cherries For Gout:

Cherries are one of the best home remedies for gout because of its antioxidant properties. These are good for treating severe cases of gout. The anthocyanins present in cherries have good anti-inflammatory qualities that help reduce the inflammation caused by gout. Cherries play an important role in controlling gout flare-ups and offer relief from the intense pain that is caused by an attack of gout.
Consume a handful of either canned or fresh cherries daily, about 15 to 20 cherries.
Alternatively, black cherry juice can be consumed daily.

Pineapple Juice For Gout:

Pineapple is a perfect home remedy for gout as it contain a compound known as bromelain, which helps neutralize the effects of uric acid that accumulates in the blood. Pineapples also contain potassium, phosphorus, manganese and calcium. Moreover, pineapple juice is very rich in Vitamin C which helps boost the immune system and protects from attacks of gout. It has been used in the treatment of arthritis and as gout has similar symptoms, it can be one of the best home remedies for gout.
Make fresh juice of a fresh, ripe pineapple. Add a pinch of salt and consume one glass twice daily for 2 to 3 weeks. Repeat the process whenever required.

Mustard Oil and Camphor For Gout:

Mustard oil and camphor is one of the most effective and easy home remedies for gout as it work on the swelling and help reduce it. Moreover, camphor and mustard oil help reduce the pain caused by gout and has a soothing effect when applied on the affected portions if used for long period.
Mix 100 ml of virgin mustard oil and 10 g of camphor. Heat the mustard oil until the camphor dissolves. Allow the oil to cool a bit and massage on the affected portions while it is warm. Repeat the process whenever required.

Dietary Changes to reduce the symptoms of Gout:

Individuals with gout can manage flare-ups by moderating their diet. A balanced diet can help reduce symptoms. As gout is associated with obesity, weight loss can dramatically improve the management of gout. A calorie-reduced diet is helpful for weight loss.
Uric acid is formed when proteins in the food we eat, called purines, are broken down. Avoiding purine-rich foods can help manage the symptoms of gout.
However, as purines are a natural part of many healthy foods, it is extremely difficult to follow a diet very low in purines.
Individuals with gout should also avoid low-carbohydrate diets as low intake of carbohydrate will lead to the release of substances called ketones into the bloodstream. This is because means the body is unable to properly burn fat stores.
This rise in ketones can result in a condition called ketosis that can increase the level of uric acid in the blood. Therefore you should follow a diet that is low in saturated fat, with increased protein. The replacement of refined carbohydrates such as sugar, white bread, potatoes with complex carbohydrates such as vegetables and whole grains can help reduces the serum uric acid.
It is most important to avoid many foods that are high in purines, to ensure that the levels of uric acid in the blood do not get too high. These include anchovies, beef kidneys, dried beans and peas, game meats, herring, liver, mackerel, sardines, scallops, sweetbreads.
However certain purine-rich foods will not increase the risk of gout, or aggravate symptoms. These include asparagus, beans, some other plant-based foods, and mushrooms. In short decreasing the consumption of seafood and red meat and consuming low-fat dairy products decreases the risk of gout. Purine-rich vegetables, whole grains, nuts and legumes, and less sugary fruits, coffee, and vitamin C supplements decrease the risk of gout, whereas red meat, fructose-containing beverages, and alcohol increase the risk. Eating more cherries and drinking cherry extract may be a safe way to supplement your gout treatment.

Источник: https://www.getatoz.com/content/home-remedies-for-gout/1722

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