What is Gout? To answer "what is gout?" you should know it is a relatively frequently occurring type of arthritis. The common condition is the result of having elevated levels of uric acid in your bloodstream. This excess of uric acid leads to uric acid crystal formation in the joints, notoriously the one on the base of the big toe. These crystals cause a number of alarming and uncomfortable symptoms. [youmaylike] Signs and Symptoms Gout can manifest in several different ways depending on the patient. In general, gout can be characterized as episodes of joint pain, swelling and redness. The pain itself can occur out of nowhere, and either turn into a general discomfort or disappear. Episodes of gout can occur abruptly and it is not uncommon for them to start in the middle of the night. The big toe is one of the most common appendages that is affected, although it can also affect the forefoot, knees, ankles, knees, elbows and bones in your hand or wrist. Types of Gout Although these all refer to the same illness, there are “types” of gout, which indicate different stages of the illness. Asymptomatic hyperuricemia: This is the earliest stage of the disease. Some of the crystals may be causing some tissue damage, but symptoms may be mild to non-existent. Acute: This refers to a more extreme event. In acute gout, patients experience acute episodes of intense pain in a “flare” that lasts a couple of days. Different events can trigger the onset of symptoms, including stress or alcohol. They may also appear seemingly out of nowhere. Intercritical: When flares die down but you still have gout, your body is still depositing excess urate crystals into your joint tissue. These periods are called intercritical gout, where you may not really feel symptoms but the damage is still happening. Chronic tophaceous: This is the most extreme form of the disease. It is debilitating and can get to the point where permanent and extreme damage has been done to the joints and kidneys. Huge lumps and pain may be chronically present at this point. There is also a condition that is referred to as pseudogout. This condition is not a form of gout, but it is very similar in terms of the symptoms someone might experience. These similar symptoms are not caused by urate crystals, but rather calcium pyrophosphate crystals. Generally, symptom expression is less severe in comparison to traditional gout. Treatment Options There are several different medications that may be prescribed to treat gout. Different medications may be used depending on the types of symptoms you are experiencing or expressing a desire to reduce. These medications include some which may manage uric acid levels (aloprim, zyloprim, ulroic or lesinurad), inflammation (colcrys) or painkillers. Talk to your doctor to find a solution which is best for you. Natural Remedies for Gout One of the best natural remedies for gout is making lifestyle changes. By making these tiny lifestyle changes, you will be able to minimize the flares of gout or even prevent it entirely. If you know that you have had a flare before or are at risk for developing gout, consider taking the following steps: Drink lots of water: Drinking the recommended amount of water a day can help keep your body in tip-top shape. Achieve a healthy body weight: Obesity puts a lot of pressure on your body. If you are overweight, try to achieve and maintain healthy body weight. Stay sober: Alcohol can be an especially big trigger for gout. Consider abstaining from alcohol use in order to keep your gout under control. Change your diet: To limit the about of uric acid coming into your body, make changes to your what you eat. There are some foods that will encourage very high levels of uric acid in your body, including: anchovies, sardines, mackerel, herring, lobster, shrimp, mussels, scallops, mushrooms, organs (especially liver and kidneys), fast food, soda and alcohol. Consider having healthier foods that encourage an overall healthy diet. Some of the best foods for managing gout include: Yogurt and skim milk. Nuts and grains. Fresh fruits and veggies. Potatoes. Most importantly, be sure to practice moderation. When to See a Doctor As soon as you notice that your symptoms are interfering with your daily life, you should make an appointment with a medical professional. This is a good practice in general. Even if you do not have gout, alarming symptoms may be a sign of a more serious underlying condition.
How to Treat a Blister
A blister is a circular bump of fluid that forms as a single blister or in clusters under the skin, caused by friction, freezing, burning, infection, or chemical burns.
The fluids collect under the damaged skin to protect the tissue underneath from any further damage, allowing it time to heal. Depending on the cause, a blister may be filled with:
- Clear watery blisters: a clear, yellowish, watery substance called serum that’s part of the blood without the red and white blood cells or platelets.
- Blood blisters: these result from an injury or friction. For instance, you can get a blood blister in your mouth, hands, feet, joints, heel, or on the balls of the feet. It occurs when the skin gets pinched but doesn't break.
- Pus blisters: pus is a symptom of an infected blister.
Common Causes of Blisters, How to Avoid Them, and Treatment Options
There are five common causes of blisters:
Chemical Exposure
Chemicals such as blistering warfare agents known as vesicants cause blisters, burns, and irritation of the eyes and lungs.
You may also suffer exposure to a blister-causing irritant in the workplace. Some of the blister-causing chemicals in the workplace, depending on your sector of work, may include:
- Cutting oils, paints, and hand cleansers for the automobile industry
- Detergents and solvents for cleaners
- Permanent wave solutions and bleaching agents used by hairdressers
- Multiple forms of solvents used in the automobile industry, dry cleaners, floor layers, artists, painters, plastic workers, shoemakers, rubber workers, and printers
The best way to avoid getting blisters from chemical exposure is to avoid or limit the exposure. As an occupational precaution, always use protective wear such as gloves, goggles, and overalls whenever working with chemicals.
You can treat chemical blisters by flushing the exposed area, usually skin or eyes, with water for more than 10 minutes. Flushing with water is only a first aid response make sure to seek immediate medical attention.
Cosmetics
Products with fragrance or preservatives often cause allergic dermatitis to individuals. For safety, always seek products labeled fragrance-free or without perfume. Most of the products with water must have a preservative. Commonly used preservatives that cause blisters are:
- Parabens
- Imidazolidinyl urea
- Quaternion–15
- DMDM hydantoin
- Phenoxyethanol
- Methylchloroisothiazolinone
- Formaldehyde
- Alpha-hydroxy acids
If you have sensitive skin, always scan the ingredients on products you purchase for any of the above preservatives. Beauty products with alpha-hydroxy acids of over 10% are also known to cause blistering.
The best way to avoid cosmetic products with blistering ingredients is first, consider opting for products with fewer ingredients. You can take the time to research the few ingredients and understand their benefits and likely side effects.
Alternatively, you should consider making it a habit to always perform a patch test before using any product. Apply a small amount of product on the inside of your elbow and wait for a minimum of 48 hours. If there is any blistering, you should not use the product on any part of your body. When using fragrances, apply them on your clothes and not directly to your skin.
However, the most effective way to avoid skin blistering from products is by engaging a qualified professional like a dermatologist.
If a cosmetic product causes you to blister, the most effective treatment is to stop using the product. Cosmetic blisters are superficial and are unlikely to cause scarring. However, if the skin damage caused is significant, then consult your doctor for further diagnosis and treatment options.
Insect Bites or Stings
Mosquitoes, midges, gnats, mites, fleas, ticks, fire ants, and brown recluse spiders are some bug bites known to cause blistering. Most insect-related bites will disappear after a few days.
To treat a mosquito bite blister, wash it gently with soap and warm water when it first forms. Cover it with a bandage and petroleum jelly to prevent it from popping. They will usually go away on their own within a week.
As for a brown recluse spider, a blister from its bite could be more serious. After the blister forms, it falls off and leaves a deep, enlarging ulcer in its place. If it resolves on its own, then you have nothing to worry about. However, if a spreading ulceration or redness and infection occur, seek immediate medical attention. These bites can be especially dangerous for small children.
Most insect-related blisters will disappear once you're no longer exposed to the insect. Therefore, the best treatment is seeking solutions to help you deal with an insect invasion in your home. Contact your nearest pest control service for chemical and non-chemical options to help get rid of insects.
Friction, Pinching, or Crushing of the Outer Layer of Skin
If a fresh pair of shoes, a tool handle, or any other thing rubs against your skin, briefly and intensely, it is likely to cause blistering. Pinching or crushing the skin's outer layer, resulting in the rupture of tiny blood vessels close to the skin, often causes blood blisters.
A friction blister will disappear within a few hours of stopping the friction. So, if you’re wearing tight shoes, you’ll get relief as soon as you remove the shoe from the foot that hurts. The same applies to blood blisters caused by pinching of the skin.
As for treatment, blood blisters should be left alone. They will usually heal on their own after one to two weeks. To protect it, you can cover it with a bandage and use ice or over-the-counter pain killers if it hurts. If the pain persists and the blister needs to be drained, contact your doctor.
Illnesses
There are medical conditions that cause blistering such as chickenpox, eczema, herpes, and impetigo. Other disease-causing blisters may include:
- Bullous pemphigoid
- Cutaneous radiation syndrome
- Dermatitis herpetiformis
- Dyshidrosis
- Epidermolysis bullosa
- Pemphigus
Blisters caused by diseases are often among the symptoms of the disease. Most of the time, the blisters will diminish or even disappear as you receive treatment for the underlying disease. However, your doctor may also prescribe inflammation-reducing corticosteroids, either in cream or pill form, to address the blistering. If blistering is a result of autoimmune diseases, your doctor may prescribe immunosuppressants.