Cure for gout is separating on two blocks: fight with acute and preventing disease acuting.

 So as gout arthritis is a hurt  ,so as by rule NAISD Prescribing on maximally high dosages , diclofenac on 150-200 mg/day, Atroricoxib 120 mg/day, Nimesulid daily dosage on 400-800 mg, selecting here a course time by an enduring method ,and in diseases which are having.And  these remedies on big dosages are having bad effects as pressure rising, heart beating, thus with this cure take Colchicine , as data remedy prescribed by national medical community, that preventing side effects in patient and faster fighting inflammation.

 Sometimes gout displaying is not by scenery and reminding a carousel , as moving, where hurting one and other joints. And here is feeling, that attack never stopping, and the doctor can prescribe a short course of Prednisolone or one time subcutaneous injection a biologic remedy Canacinumab. And preventing acuting gout are diet and remedies using. And   what are eating and avoid?

A limiting first is alcohol, he's delaying removing urea acid, and  she is delaying in blood. After limiting are sausages, sub products as liver, heart, kidneys,  meat of chickens small, caviar, fish fat broths, spicy vegetables, bean, sorrel, spinach, tomatoes, mushrooms.

And allowing are milk, buckwheat, oats porridges, dried millet bread, potato purée, stewed cabbage, carrot, pumpkin, cucumbers,melons, watermelons..

 Base limiting in protein meal, thus in gout meal orienting on carbohydrates, but if am having obesity, sugar diabetes?And at the same time,  two diets with low protein from rheumatologist and low carbohydrate from endocrinologist is not possible keeping. And am advising to hear endocrinologist, that limiting carbohydrates, but we are ability closing if  it's needing are errors with remedies. But if acute period is not having. And on gout attack  ,that is possibly strict, and keeping till a full calming joint inflammation.

And lots of patents with kidney stones are drinking cleaned water till 2 l./day and not excluding drinking alkaline mineral waters are Essentuki nr 4, nr 17, Narzan, Borzomi, Smirnovskaja.

 And remedies lowering level for urine acid in blood , base role is playing for Allopurinol, as this remedy suppressing for urea acid in organism and lowering concentration for urea acid in blood, as on begin course a remedy is minimal dosages as on 100 mg for one time/day , but in out of period an acute gout  . This moment is importance, as a beginning using for this remedy is self provoking attack, slowly doctors increasing dosage, for leading right level a urea acid in the blood. And for many patients are stats is must be on 360 mlmol/gr or 6 mg /dl.

If tophi having, our goal is more enter concentration of urea acid :till 300 ml/MML  or 5 mg/dl and lower. And disease keep under control remedy using for many years, but in patients in not one-time increasing level for urea acid , but systematical as for 3 times/year, and in gout with urinary stones, urea acid depositing in soft tissues. And new remedies displayed for gout cure is Febuxostat lowering in organism a level for urea acid, Lezinurad are removing urea acid through kidneys and using with Allopurinol and Febuxostat , Pegloticaza are partial dissolving salts of urea acid and partial dissolving tophi.

Patients are often asking me , in which consequences is gout   threating? Long not cured, and often acuting disease will low life quality, and in protracted disease displaying in process involving not just are joints of legs but of hands, crystals of  urea acids depositing in many parts of our body as kidneys , wrists of fingers, feet, and gout is a hypertension, that hypertension having in gout, obesity, serious cardiovascular complications, thus you can see,as aiming in joints  , gout removing from system is all our organism.

By Smitienko, rheumatologist, M.D.