What are the late symptoms of gouty arthritis?

Gout arthritis is very harmful to people. In severe cases, the patients cannot take care of themselves. For patients, it is not only physically devastating, but also a greater blow to the mind. The body is the most important thing. Without a healthy body, everything is in vain. Without the capital for revolution, you cannot work and live well. Active treatment is needed after the disease. So, what are the symptoms of late-stage gouty arthritis?

Based on the experts' many years of experience in curing gout, the following points are explained about the symptoms of gouty arthritis!

1. Acute stage of gouty arthritis

The disease occurs at night, with joint pain as the primary symptom; the joint pain progressively worsens in the morning, with a sharp, knife-like pain that reaches its peak within 24-48 hours; there is local fever, redness, swelling, and obvious dull pain. Most cases resolve on their own within a few days or weeks; common sites of disease are the arch of the foot, ankle, knee, wrist and elbow; systemic manifestations include fever, headache, nausea, palpitations, chills and increased white blood cell count.

2. Gouty arthritis interval

After the acute attack of gout is relieved, the skin pigmentation at the attack site deepens, becoming dark red or purple, accompanied by symptoms of desquamation and itching. If not treated promptly, more joints will be affected. A small number of patients may have involvement of the sacroiliac, sternoclavicular or cervical spine, and urate deposits in the bursae, tendons, tendon sheaths around the joints, with atypical symptoms.

3. Chronic stage of gouty arthritis

Urate is repeatedly deposited, and local tissues undergo chronic foreign body reactions. The deposits are surrounded by monocytes, epithelial cells, and macrophages, and fibrous tissue proliferates to form nodules, known as tophi. These nodules are often found in joints, around joints, in subcutaneous tissue, and in internal organs, and are less likely to cause secondary infections. Tophi occur in the joints, causing erosion and destruction of articular cartilage and bone, reactive hyperplasia, fibrosis of peri-articular tissues, and persistent joint pain, swelling, stiffness, and deformity. The disease may become chronic in some patients, and in severe cases, the joints may become ankylosing due to destruction.

Treatment: bed rest, local cold compress, drink plenty of water to increase uric acid excretion. Protein can be consumed in proportion to body weight. 0.8 to 1 gram of protein should be consumed for every kilogram of body weight. Eat less fat, because fat can reduce the excretion of uric acid. For patients with gout and hyperlipidemia, fat intake should be controlled within 20% to 25% of total calories.

The intermittent period of this disease is very long, sometimes lasting for several months or even several years, but as the disease worsens, the intermittent period becomes shorter and shorter. The disease may be caused by alcoholism, overeating, and excessive fatigue. Patients should drink more water, no less than 2,000 ml per day, and maintain a normal weight. Those who are overweight should lose weight.