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 HIV
HIV (human immunodeficiency virus) and AIDS (acquired immunodeficiency syndrome) are two illnesses that cannot be cured. However, they can be managed. In this article, we discuss what exactly HIV and AIDS are, along with their symptoms, and how to treat HIV with alternative and natural methods, as well as with medications.
According to the Centers for Disease Control and Prevention (CDC), as of 2018, there are about 1.2 million people currently affected with HIV and/or AIDS in the U.S. HIV and AIDS are illnesses that have such a huge impact and there is advocacy to educate people about the diseases, which aims to help erase the stigma.
There were around 34,000 new cases of HIV infections in 2019, which is an 8% decline from the previous year. This article will discuss what HIV is and what its symptoms are. After that, this article will discuss a few treatment options, both medical and alternative.
What is HIV?
HIV is a virus that belongs to the retroviridae or retroviruses. As retroviruses, a characteristic of HIV is that its genetic blueprint is RNA (ribonucleic acid) instead of DNA (deoxyribonucleic acid).
Once they infect a cell, they use their host cell as machinery to make DNA copies of their genetic material to replicate and spread. HIV targets CD4 cells, specific cells that play a role in the immune system. If a person with HIV infection is not diagnosed and treated promptly, the infection can progress into an advanced stage called AIDS, which is characterized by a weak immune system due to low CD4 cells. Because of the damaged immune system, an infected person is easily susceptible to infections and simple illnesses that can easily resolve in a person without HIV can be life-threatening in a person with AIDS.
Who Can Get It?
The transmission of HIV occurs via infected blood or body fluids. These occur through sexual activity (including anal and vaginal sex), sharing of needles, such as in injecting drugs, or administering tattoos.
HIV can also be passed from an infected mother to their baby, whether in the womb or during delivery, and is also present in breast milk. HIV is not spread through pee, spit, or sweat. Coughing, sneezing, holding hands, or sharing utensils will not transmit HIV.
Anyone can have HIV and AIDS, however, some high-risk groups or activities increase the chances of getting the infection. In the U.S., the population most affected by HIV are people who are gay, bisexual, and men who have sex with other men. This comprises around 69% of new HIV cases. Another high-risk group is those who inject drugs or share needles. People who engage in multiple sexual partners and those who engage in sexual activity without protection are also at an increased risk for getting HIV. Having a sexually transmitted disease (STD) can also increases your risk of getting infected with HIV. It does not mean that if you do not belong to a high-risk group you will not get infected, and some patients do not even know that they already have it until it is too late.
What Are the Symptoms?
Symptoms of HIV and AIDS initially are systemic. These include:
- Fever
- Swollen lymph nodes
- Headaches
- Muscle and joint pains
- Ulcers in mouth, anus or groin, and genital area
Because these symptoms are non-specific and usually go away after time, some people do not know they have the illness and continue with their usual activities. They can unknowingly transmit the infection to other people especially if they engage in high-risk activities mentioned above.
However, as the infection continues and is left untreated, other symptoms will manifest after a few years. These include weight loss and increased susceptibility to infections. Full-blown AIDS usually involves severe weight loss with frequent cases of pneumonia and is associated with several cancers (Kaposi sarcoma and lymphomas). These patients are extremely thin and wasted, and may have multiple nodules or lumps all over the body. They may also cough frequently and have difficulty breathing because of pneumonia.
What Tests Are Used to Diagnose HIV and AIDS?
HIV is usually diagnosed by various tests, the most common of which are blood tests. AIDS is considered in HIV-infected people who have a CD4 count of less than 200 along with the symptoms associated with AIDS. If you suspect that you might have HIV, or are at a high risk for contracting HIV, consult a physician or your nearest facility. There are also numerous HIV/STD testing centers where it can be done for free. Some tests can be bought at the pharmacy and even be done at home.
What is the Treatment for HIV and AIDS?
HIV and AIDS are primarily treated medically. These medications are called antiretroviral drugs and are prescribed in various combinations, depending on each patient. The goals for treatment with antiretroviral drugs are to reduce the amount of HIV in the body (reduce viral load) and to make sure that the CD4 cells remain high. Patients taking medications for HIV are advised to have routine follow-ups to check the CD4 cell count and viral load to make sure that they are within acceptable limits. If a patient has an undetectable viral load, there is a small chance to pass the virus to another person.
Antiretroviral drugs only control the infection and reduce the viral load, but patients are not completely cured. If medication will be stopped, there is a chance that the virus will replicate and spread again. However, if the infection is controlled, patients with HIV can live normally, with good quality of life.
Home Remedies
There are adjunct treatments, complementary/home remedies that can be done alongside the intake of medications. Though they may not be effective on their own, they are found to help in the improvement of the overall wellbeing of patients and are found to contribute to the relief of symptoms and the improvement of quality of life. These include the intake of herbal medicines and engaging in relaxation techniques (ex. meditation) or physical therapies (yoga, massage, or acupuncture).
Relaxation Techniques
Relaxation techniques help in providing a positive outlook and a good mindset. This was also found to reduce anxiety and depression that can be associated with having the infection. Physical therapies can help in body aches, muscle pains, and overall relaxation of the body. Acupuncture, which involves the application of thin needles on certain pressure points in the body, was found to be helpful in relief from nausea and body pain. Not only are relaxation techniques and physical therapies helpful for physical health, but it is also helpful for mental health as well.
Herbs
Herbal medicines were found to help people cope with the symptoms (headache, body aches) or the side effects of antiretroviral medications. An example of herbal medicine is milk thistle, which is helpful for an upset stomach, and was found to help in liver detoxification. However, intake of herbal medicines must be done with caution. Before starting anything, it is important to let your physician know first. Some herbal medicines can interact with antiretroviral drugs and can cause further problems than relief. An example of this is St. John’s wort, which is used by some to improve a person’s mood but is not advised if you are taking certain antiretroviral medications. Make sure you discuss with your physician and inform them before starting anything.
Support Groups
Finally, having a good social support system is also helpful when living with HIV or AIDS. It was found that most people infected with HIV have increased coping strategies, such as behavioral disengagement or self-distraction leading to poor social interaction and communication, as well as decreased productivity. Having an environment with people who support and empower HIV patients not only decreases the stigma but provides healthy social relationships and better quality of life.
Let’s End the Stigma
It is time to erase the stigma associated with HIV and AIDS. This can be attainable as more and more people are becoming aware and educated. HIV and AIDS are not a death sentence. As long as it is diagnosed early and the appropriate treatment is given promptly, many people with this disease can live a normal, meaningful life. What separates people from living and dying from this disease is prompt diagnosis and treatment. If you think you might have this condition, it is best to seek consultation and have yourself checked by your physician.