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.
Treatment for Meniere's Disease
Meniere’s disease is very rare; it affects only 0.2% of the population in the U.S. While there is no cure, there are different treatment methods that help manage the condition and lessen symptoms. This article will explain what the disease is, what the symptoms are and possible treatments for Meniere’s disease.
What is Meniere’s Disease?
Meniere’s disease involves the accumulation of fluid in the inner ear, specifically the cochlea and the vestibular organ. The inner ear is responsible for balance and hearing, which is why the symptoms of Meniere’s disease are related to these abilities. However, there are many reasons for hearing loss, so it is not a direct indication of this disease.
Most people with Meniere’s disease are older. It usually affects people between the ages of 40 to 60. The occurrence of Meniere’s disease is roughly equal among genders, with some studies showing that females have a slightly higher chance of developing it.
Treatment for Meniere’s Disease
Currently, there is no known cure for Meniere’s disease. Treatment for Meniere’s disease will offer relief but is dependent on the symptoms of each individual person. Talk to your doctor about what option would be best for you. The following are some treatments for Meniere’s disease.
1. Lifestyle Changes and Remedies
Changing your lifestyle can have an impact on your overall health, as well as help improve specific symptoms. These changes can include changing your diet by decreasing salt intake and avoiding caffeinated drinks, alcohol and cigarettes.
2. Medication
Various medications can be used depending on which symptoms need to be addressed. Diuretics can be given to help reduce fluid in the inner ear. For patients who experience dizziness and tinnitus, medications such as betahistine can be given if diuretics do not solve the problem. Some medications can also be given as injections in the inner ear. These are usually reserved for severe cases and include the injection of steroids.
3. Medical Procedures
Hearing aids can be given to patients who are experiencing hearing loss. Other medical procedures include pressure pulse treatment or the Meniett device. This delivers pulses of pressure via an earpiece. The Meniett device is portable and noninvasive, which is why it is an option for people with Meniere’s disease.
For extreme cases or cases that do not respond to conservative management, surgery is offered by doing either endolymphatic sac surgery, vestibular nerve section or labyrinthectomy.
Endolymphatic sac surgery is done to decompress the endolymphatic sac and maintain the pressure within the inner ear. A vestibular nerve section involves cutting the vestibular part of the cochleovestibular cranial nerve. Labyrinthectomy involves the removal of parts of the semicircular canals and the vestibule.
Each of these surgeries has its own risks, with labyrinthectomy leading to complete hearing loss on the affected side, so it is only considered when no other treatment options are available.
Meniere’s disease may not be bothersome if diagnosed and managed early. Episodes of vertigo and hearing loss eventually stabilize in the later years. However, hearing loss can be permanent in some patients.
Thankfully, there are many treatment options for people with this condition. It is important to be aware of this disease so that affected people can be directed to the right specialists.
Symptoms of Meniere’s Disease
Meniere’s disease has a classic triad of symptoms: vertigo, tinnitus and hearing loss. Some symptoms, such as hearing loss, may occur slowly over time, whereas other symptoms, like vertigo, can occur suddenly.
Vertigo or spinning sensations that people experience can be very severe and may occur randomly. They bother most people because daily tasks can be affected. The duration of vertigo can vary — some episodes occur for minutes, while others last hours. Another thing that makes these vertigo attacks difficult to deal with is that they are unpredictable, and there is no way of knowing when they will occur.
On the other hand, tinnitus is what is commonly known as ringing in the ears. Some people can also experience buzzing, whistling, or hissing sounds.
Finally, hearing loss can occur due to the fluid buildup that affects the sensory cells of hearing. In Meniere’s disease, hearing loss often affects lower frequencies, although some people may experience permanent hearing loss.
Meniere’s disease can be debilitating. Aside from the unpredictable vertigo attacks, a small percentage of people with Meniere’s disease can experience a sudden sensation of falling, also known as drop attacks. These are also unpredictable and can be dangerous, as sudden falls can cause physical injuries.
Final Notes
Meniere’s disease can sometimes be hard to diagnose. Because the symptoms are common and happen for several reasons, they tend to overlap with other diseases. Furthermore, some people may think it is normal to have episodes of dizziness and not immediately seek treatment. Others may also not notice the presence of symptoms like hearing loss due to its gradual occurrence and progression.
This can delay a consult and prompt diagnosis. It is important that if you experience these symptoms, be seen by a physician so they can refer you to a trained ear, nose and throat (ENT) specialist.