GAUT DISEASE

Gout is a disease that results from an overload of uric acid in the body. This overload of uric acid leads to the formation of tiny crystals of urate that deposit in tissues of the body, especially the joints.

cause:

precipitation of uric acid crystals as byproduct of purine which present in high amount in some foods

These foods include anchovies, herring, kidney, liver, mackerel, meat extracts, mincemeat, mussels, sardines, and yeast

What are symptoms and signs of gout?

The small joint at the base of the big toe is the most common site of an acute gout attack of arthritis. An acute attack of gouty arthritis at the base of the big toe. Other joints that are commonly affected include the ankles, knees, wrists, fingers, and elbows

How is gout treated?

1- analgesic as roxonin
2-colchicine tab (colmeditin) 1tab at day
3- allopurinol which prevent conversion of purine to uric acid
(no uric) 300 mg once daily
4- uralyt u eff in sever cases:

URALYT U :(K Na Hydrogen citrate)

Mechanism:
by its buffer action it make alkalinisation of urine to PH 6.2to 6.8 which is suitable for dissolving uric acid crystals

dose: 1 tea spoonful at morning
1 tea spoonful at mid
2 tea spoonful at bed time
before each dose we confirm the desired urine PH by papers indicator
if PH less than 6 we increase 1/2 tea spoonful
if PH more than 7 we decrease dose by 1/2 tea spoonful

important note:

don’t give Uralyte U to patient taking aldactone (K sparing duritecs ) which lead to increase K serum level may cause cardiac arrest