Sunday, February 5, 2023

Can Stress Cause Gout Symptoms

How Can I Prevent Gout

Gout Attack Symptoms, Treatment, Diet, Pharmacology Nursing Lecture for NCLEX Explained

If gout runs in your family, men in particular should limit alcohol, fats, and foods that are more likely to increase uric acid level in the body. Those include meat, sardines, bacon, mussels, and yeast. Beer, especially, can also bring on a gout attack. Drinking plenty of liquids may help minimize the risk of kidney stones. Your doctor can do blood and urine tests to figure out your potential risk of a gout attack. Itâs also a good idea for men who are at greater risk to keep an eye on their weight.

Medications can also help prevent gout attacks if you have them often. These drugs decrease the production of uric acid or increase the amount of uric acid you get rid of in urine. These medicines include allopurinol , colchicine , pegloticase , probenecid , and rasburicase .

If these medications arenât effective, your doctor may prescribe . If you have heart issues, be very cautious taking febuxostat.

Reacting To The Pandemic

Your feelings about COVID-19 may cause you to experience all kinds of emotions.1 You might find yourself constantly thinking about how to protect yourself and your loved ones from the virus.1 Maybe you are feeling isolated and lonely.1 Perhaps you are worrying about finances because you have lost income. Or maybe you are concerned that your regular medical care will be interrupted.1 All of these reactions are normal , and it is important to cope with them in a productive way.1

How To Get Rid Of Gout Fast

Gout is a painful type of arthritis that feels similar to the pain experienced with rheumatoid arthritis, as both diseases cause inflammation in the joints.

Gout is caused by a buildup of uric acid in the blood.

When the body cannot get rid of the excess uric acid, that buildup ends up accumulating as crystals in a joint, such as the big toe.

This creates swelling, redness, warmth, and severe joint pain in the affected area.

This condition has historically been seen as a disease that only affects old, wealthy men.

About 4% of Americansmore than 8 million peoplesuffer from gout.

Since gout can be caused by genetic, environmental, and lifestyle factors, anyone can get gouteven if they eat what would typically be deemed a healthy diet.

Attacks and flare-ups of the condition can be painful.

While there is no cure for gout, there are things you can do to get relief from the pain and inflammation.

In this article, Ill talk about ways to get fast relief from a gout attack, treatment options for these flare-ups, and warning signs that an attack may be coming.

Ill also tell you when its best to talk to your doctor or another healthcare provider about gout symptoms.

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Emotional Stress And Gout

Firstly, Katz reminds us, from the previous report, that gout sufferers are often ambitious high-achievers. Also, there are several studies that link uric acid with:

  • Academic seniority.
  • Intelligence.
  • Leadership.

Then, other studies showed statistical links between emotions, including stress, and uric acid. But, none involved gout sufferers. Also, there was nothing to explain how emotional tension might increase uric acid.

How To Prevent Gout Attacks


Theres nothing you can do about your genetics, but you can make healthy lifestyle changes that may help reduce the likelihood of developing gout. They include:

  • Losing weight if you need to:Research shows that a weight loss of just seven pounds can have a beneficial effect on gout. Another study showed 71% fewer gout attacks with weight loss.
  • Exercise: Physical activity can help you control your weight, which in turn can reduce your risk of gout. One caveat: Dont exercise during a gout flare.
  • Stay hydrated: The Arthritis Foundation recommends drinking at least 8 glasses of nonalcoholic beverages per day. And if youre in the midst of a gout attack, double that amount to help flush excess uric acid from your system.
  • Limit alcohol: Especially beer, which is high in purines! One alcoholic beer can raise uric acid levels 6.5% a nonalcoholic beer can up it 4.4%.
  • Reduce stress: Experts arent really sure how, or even if, stress can lead to goutbut they do know that emotional stress can often lead people to eat and drink more, thus putting them at greater risk of gout.
  • Re-evaluate your food choices: In addition to limiting foods that can trigger gout, consider adding foods that may help promote the excretion of uric acid and/or have anti-inflammatory properties. According to the Arthritis Foundation, some of those foods include:
  • Low-fat dairy
  • Coffee
  • Foods rich in vitamin C
  • Non-meat-based proteins, such as peas, lentils, tofu, and leafy green vegetables
  • Tart cherries
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    What Are The Signs And Symptoms Of Gout

    Gout flares start suddenly and can last days or weeks. These flares are followed by long periods of remissionweeks, months, or yearswithout symptoms before another flare begins. Gout usually occurs in only one joint at a time. It is often found in the big toe. Along with the big toe, joints that are commonly affected are the lesser toe joints, the ankle, and the knee.

    Symptoms in the affected joint may include:

    • Pain, usually intense

    Can Stress Actually Cause A Gout Attack

    Stress has been around since the beginning of man, as long as there is uncertainty there will be stress unfortunately and it does produce consequences. Not as much to people who are relatively good health as much as to those who have a disease or a condition already. Stress may be caused by a divorce, employment, altered finances, self-image, depression, accident, disability, social life problems etc

    Unfortunately, stress doesnt make an exception towards gout sufferers since there seems to be a correlation between stress and gout attacks. This correlation seems more prevalent when stress is long-sustained, meaning it is not a one day stress episode but more long term stress that may harm the gout sufferer by raising his uric acid levels. That is why a gout sufferer must learn to manage their stress cause remember that stress may also cause muscle tension and increased pain along with worsening gout symptoms.

    There have been no studies done in regards to gout and stress but studies on arthritis which studied laboratory ratshave proven a definite connection between stress and the development of arthritis. Many arthritis patients connect their disease with a stressful incident in their lives which they claim triggered it for them.

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    What Are Future Possible Treatments Of Gout

    Fortunately, present medications are successful in the vast majority of gout patients. But some patients cannot tolerate our present arsenal of gout medications. For others, these agents are not sufficiently effective. Therefore, new treatments are continually being sought. Some of the more promising include anakinra, rilonacept, canakinumab, BCX4208 and arhalofenate.

    Who Is Affected By Gout

    Gout – Symptoms, causes, diagnoses, treatment

    Gout can affect anyone. It usually occurs earlier in men than women. It generally occurs after menopause in women. Men can be three times more likely than women to get it because they have higher levels of uric acid most of their lives. Women reach these uric acid levels after menopause.

    People are more likely to get gout if they have:

    • Obesity, or a lot of extra weight.

    You are also more likely to develop gout if you:

    • Consume a diet high in animal proteins
    • Consume a significant amount of alcohol
    • Are on water pills .

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    Stigma And Mental Health

    Gout has for centuries been associated with excess and is the butt of innumerable jokes. That stigma, along with fear of another painful flare, can increase stress and contribute to more inflammation in your body. Like other forms of arthritis, inflammation in gout is associated with a slightly increased chance of depression, especially in people who have frequent flares.

    If you feel down or discouraged, dont be embarrassed to talk about gout to your friends and family. And keep in mind that regular exercise, restorative sleep and healthy food can go a long way toward improving your mood. The better your mood and outlook, the more able youll be to manage gout.


    Southern Cross Medical Library

    The purpose of the Southern Cross Medical Library is to provide information of a general nature to help you better understand certain medical conditions. Always seek specific medical advice for treatment appropriate to you. This information is not intended to relate specifically to insurance or healthcare services provided by Southern Cross. For more articles go to the Medical Library index page.

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    Health Conditions And Treatments

    Certain drugs, health problems, and lifestyle choices can trigger gout, too.

    Medications. Aspirin, certain diuretics for high blood pressure , and drugs for people who had organ transplants can trigger gout. After a flare, go over all the medicines you take with your doctor. If needed, they should be able to find another option.

    Being overweight. When you slim down, you can protect yourself from another flare.

    Fasting or crash diets. If you lose weight too quickly or fast, you could raise your chances of an attack.

    High blood pressure, kidney disease, diabetes, and heart disease. These health conditions make you more likely to have gout, especially if you donât get treatment. Work with your doctor to keep them under control.

    Injuries or surgery. When your body is stressed or sick, youâre more likely to have a flare. Of course, you canât always avoid this trigger. But if you need to have an operation, make sure your doctor knows youâve had gout in the past.

    Stress And Gout What Is Overlooked

    How To Remove Gout and Joint Pain (Uric Acid and Crystals)

    Whether or not we want to admit it, stress can play a key factor in how healthy we will feel on a daily basis.

    The normal functions of the human body, including the digestive and waste systems, can be negatively affected by stress.

    Whenever a person goes through stress, Vitamin B5 is actually being depleted from the body. It is this vitamin that helps the body excrete excess uric acid.

    The links that stress and gout share may have gone overlooked by many, but thanks to research some of those links have been uncovered.

    Stress is a normal part of everyday life, and it comes from various physical causes like being unable to get enough sleep or having an illness.

    Being in a weak emotional state also causes stress.

    The warning signs that indicate one has stress include aches and pains, decreased energy and sleep, impatience, forgetfulness, and feelings of anxiety, anger and depression.

    Even minor forms of stress can enable the body to experience heart problems like a worsened blood flow to the heart muscle.

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    Blood Test For Uric Acid Level

    A blood test may be done to measure uric acid level in the blood. Since uric acid can fall during an attack, the uric acid may not be elevated at that time. Some doctors may wait until several days after the attack to order a blood test. Nearly all people with gout have elevated uric acid in this case, although not all people with elevated uric acid have gout. Therefore the blood uric acid is only one part of making the diagnosis.

    How Hyperuricemia And Gout Develop

    Metabolism of Purines

    The process leading to hyperuricemia and gout begins with the metabolism, or breakdown, of purines. Purines are compounds that are important for energy. They are part of the nucleic acids that are present in all cells of the body. Purines can be divided into two types:

    • Endogenous purines are produced within human cells.
    • Exogenous purines are obtained from food.

    The process of breaking down purines results in the formation of uric acid in the body. Most mammals, except humans, have an enzyme called uricase. Uricase breaks down uric acid so it can be easily removed from the body. Because humans lack uricase, uric acid is not easily removed and can build up in body tissues.

    Uric Acid and Hyperuricemia

    Purines in the liver are converted to uric acid. The uric acid enters the bloodstream. Most of the uric acid goes through the kidneys and is excreted in urine. The remaining uric acid travels through the intestines where bacteria help break it down.

    The enzyme responsible for production of uric acid from purines is xanthine oxidase. This enzyme is the target of urate-lowering treatments such as allopurinol.

    Normally these processes keep the level of uric acid in the blood below 6.8 mg/dL. But sometimes the body produces too much uric acid or removes too little. In either case, the level of uric acid increases in the blood. This condition is known as hyperuricemia.

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    Signs And Symptoms Of Gout In The Wrist

    Gout in the wrist is not as common as gout in the big toe. This makes it harder for healthcare providers to diagnose.

    If you experience gout in your wrist, symptoms will come on quickly and become severe. In people with gout of the wrist, often only one of their wrists is affected, but both wrists can be. It is also possible for gout to affect the hand and wrist simultaneously.

    According to a 2018 study reported in the journal European Radiology, clinical symptoms of wrist or hand gout might include:

    • Swelling of the wrist or hand, or both
    • Hotness, redness, and/or tenderness of affected joints
    • Symptoms lasting one to four weeks

    Additional symptoms of gout in the wrist might include:

    • Wrist joint stiffness
    • Fever as a result of ongoing inflammation
    • Headache
    • Malaise: A general feeling of illness
    • Gouty tophi: Tophi are chunks of uric acid that accumulate in and around joints. Tophi are common in people with long-standing or advanced gout.
    • Kidney stones and renal troubles: Urate crystals can collect in the urinary tract of someone with gout, leading to kidney stones. Research has shown that people who experience early signs of tophi are more likely to develop renal dysfunction .

    How Is Gout Diagnosed

    Gout Attack in the Big Toe Joint & Foot Diet & Treatment *2 MINUTES!*

    In a clear-cut case, a primary care physician can make the diagnosis of gout with a high level of confidence. However, often there are two or more possible causes for an inflamed toe or other joint, which mimics some of the symptoms of gout, so tests to identify the presence of uric acid is performed.

    Since the treatment for gout is lifelong, its very important to make a definitive diagnosis. Ideally, the diagnosis is made by identifying uric acid crystals in joint fluid or in a mass of uric acid . These can be seen by putting a drop of fluid on a slide and examining it using a polarizing microscope, which takes advantage of the way uric acid crystals bend light. A non-rheumatologist, when possible, can remove fluid from the joint by aspirating it with a small needle and send it to a lab for analysis. A rheumatologist is likely to have a polarizing attachment on their microscope at their office. Gout crystals have a needle-like shape, and are either yellow or blue, depending on how they are arranged on the slide .

    Figure 11: Uric Acid Crystals Under Polarizing Light Microscopy

    There are many circumstances where, however ideal it would be, no fluid or other specimen is available to examine, but a diagnosis of gout needs to be made. A set of criteria has been established to help make the diagnosis of gout in this setting .2

    Table 1: Diagnosing gout when no crystal identification is possible

    Ideally, 6 of 10 features will be present of the following:

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    Understanding The Effect Of Stress On Gout

    Gout is a common form of arthritis that is caused by high levels of uric acid in the bloodstream.2 People can develop gout when their bodies do not break down and/or remove excess uric acid as effectively as they should.2 When there is too much uric acid in the bloodstream, urate crystals can form in one or more joints.2 These urate crystals can trigger episodes of swelling, redness and excruciating pain called an attack or flare.2 Emotional stress is one of the risk factors that can set off a gout attack.2,3

    Can Stress Cause A Gout Flare

    Emotional stress can contribute to gout flare-ups, especially when coupled with other illness or fatigue. In particular, medical stress including hospital visits, surgery, and prolonged illness is associated with a higher risk of a gout attack. On a day-to-day basis, managing your stress levels in a healthy way and getting enough sleep every night can lower the risk of an attack.

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    Stress And Gout Report

    First, he explains the difficulties of modeling emotional disorders with respect to any disease. Because the disease needs a measurable factor. So, with gout, we have a very easy-to-measure factor uric acid. But, that still raised questions:

  • Why does gout only affect a small percentage of people with high uric acid?
  • Why does gout come and go?
  • Clearly, these questions are vital to understanding links between stress and gout. Because, if gout appears to be random, it is impossible to link it directly to stress, or anything else.

    Stress And Gout Audience

    Easy Gout Treatment and Prevention Tips: Acute Gout Attack Treatment ...

    I wrote Stress and Gout mainly for . That is gout sufferers who suspect their gout is caused by a treatable secondary disease or other health problem. In this case, I explain emotional issues that are thought by many to cause gout attacks. However, the information is also useful to other types of gout sufferer who might consider stress-reduction. If you are new to GoutPal, you should read first.

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