Beating Gout: A Sufferer's Guide to Living Pain Free

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This revised edition offers you the most detailed and easy-to-understand program for managing gout and its underlying cause. With this book, you can stop gout attacks forever and even reverse the damge that this painful disease has caused.
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Beating Gout: A Sufferer's Guide to Living Pain Free

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This revised edition offers you the most detailed and easy-to-understand program for managing gout and its underlying cause. With this book, you can stop gout attacks forever and even reverse the damge that this painful disease has caused.
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Editorial Reviews

Doody's Review Service
Reviewer: Tarek Kteleh, MD (Washington University Medical Center)
Description: This excellent book explains gout and the available treatment options in an easy to understand way.
Purpose: The purpose is to educate lay people about gout and its treatment.
Audience: Patients with gout and those interested in learning about this condition are the intended audience.
Features: The book educates readers about the stages of gout, its treatment (as well as how it is often mistreated), and the lifestyle and dietary changes necessary for gout sufferers. The illustrations would have been enhanced by the use of color.
Assessment: This is an excellent review of gout that addresses the problem of the lack of information about the disease among the public.
Staff Editor
"Gout is a common disease, well understood by today's modern medical professionals -
but far too many of those afflicted fail to receive proper treatment. <i>Beating Gout: A
Sufferer's Guide to Living Pain Free</i> is a complete and comprehensive guide for those
who have gout, covering how they can overcome the day to day pain and how to
prevent the condition from leading to something far worse."
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Product Details

  • ISBN-13: 9780981662466
  • Publisher: Ayerware Publishing
  • Publication date: 4/1/2009
  • Edition number: 2
  • Pages: 168
  • Sales rank: 408,130
  • Product dimensions: 5.52 (w) x 8.54 (h) x 0.48 (d)

Meet the Author

Beating Gout is the most comprehensive and up-to-date book designed for the gout sufferer. This book sets the record straight on the best and most effective ways to treat gout attacks and manage gout's underlying condition, hyperuricemia. Beating Gout covers all aspects of the disease from its progression, diagnosis, treatment, to the latest research on diet and lifestyle choices that affect gout. Over five hundred research articles and texts were reviewed for this book.
Recent research has shown that up to 78% of doctors do not treat gout properly. Historically, physicians have seen gout as a "benign" disease, but new research has shown that gout and its underlying cause, hyperuricemia, may cause heart disease, high blood pressure, kidney disease, stroke and other deadly diseases. No other source has more practical, scientifically backed information that gout sufferers can start using immediately to reduce or stop attacks while living a healthier and pain free life.
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Read an Excerpt

Chapter One:
The Four Stages of Gout

"When I have gout, I feel as if I am walking on my eyeballs"
-Sydney Smith

If gout is not treated properly it can become a crippling disease, damaging or destroying joints and resulting in constant pain along with frequent, intense and long-lasting acute attacks. Before we discuss how gout is treated, let's take a look at what causes the disease and how it progresses if untreated.

Gout is a form of arthritis, more formally known as acute gouty arthritis or crystal-related arthropathy. Unlike rheumatoid arthritis, which is caused by the immune system attacking the joint itself and eating away at it, gout is caused by uric acid crystals that form within the joints.

Why Do We Get Gout?

A long time ago - somewhere between when our ancestors were still swinging in trees and when they started to walk upright on land - something happened. Nearly every mammal on earth produces an enzyme called uricase. This enzyme's function is to degrade uric acid, the normal by-product of the metabolization of chemicals called purines.4,6 At some point, while early humans were taking their first tentative upright steps on land, a mutation occurred in their genes, and they stopped producing uricase.7

This lack of uricase didn't seem to cause too much of a problem for early man. Without any form of medicine and only limited intelligence, these early bipeds survived on a sparse diet and were lucky if they made it past the age of 40. However, as man evolved further, developing bigger brains, language, agriculture and civilizations, people began living longer and with more abundance.

As their diet grew richer,their hair grayer and their lives more sedentary, nature's omission of the uricase enzyme came back to haunt them. Initially this omission only affected the wealthy - those who could afford rich foods and wine. The consumption of these rich foods (which contain higher concentrations of purines) resulted in higher levels of uric acid in their blood. Alcohol and lack of exercise made things even worse. Gout became the disease of kings and noblemen.

Over time, as the global economy and wealth grew and complex systems for transporting food products were developed, even common people became able to live with the abundance of the kings of past. Gout could strike anyone, not just the rich. Thus, gout became more common, and the portion of the population suffering from this disease continues to grow today.

Gout occurs in four stages. Not all cases progress to the final stage, but if left unmanaged, many do.

The Four Stages of Gout:
1. Asymptomatic Hyperuricemia
2. Acute Attacks
3. Intercritical Periods
4. Advanced Gout

Asymptomatic Hyperuricemia

Having high levels of uric acid in your body without experiencing any symptoms is called asymptomatic hyperuricemia. Gout will only develop in people who have had asymptomatic hyperuricemia for years or even decades.8 Today, somewhere between 5% and 30% of people living in the developed world are hyperuricemic.6 However, having hyperuricemia does not guarantee that you will get gout; it only predisposes you to it. About 20% of people with this condition go on to develop gout.2,6,9

Hyperuricemia is sometimes caused by a genetic error in the body's metabolism that causes it to produce more uric acid than normal. Or, much more commonly, it can be caused when the kidneys have difficulty removing uric acid from the body. The kidneys are very good at filtering uric acid, but about 90% of it still gets reabsorbed back into the blood before leaving the kidneys.4 Often people can be both "over-producers" and "under-excretors" of uric acid, resulting in exceptionally high levels. This makes gout more frequent and painful, as well as more difficult to manage.

This chapter discusses the direct effects of untreated gout, but untreated hyperuricemia may pose many more health problems. There are a host of disorders associated with hyperuricemia that are much more dangerous than gout. Researchers are just starting to put the pieces of hyperuricemia and these other conditions together, and a frightening picture is developing. In Chapter Four we will discuss hyperuricemia, its causes and the diseases that scientists are now beginning to link with this condition.

Acute Attacks

Uric acid dissolves in blood serum (the liquid part of blood) and other body fluids. In people with hyperuricemia, uric acid concentrations rise to a level where it becomes a super-saturated solution,10 meaning that more uric acid is dissolved in the body than is normally possible.

An acute gout attack occurs when these body fluids can no longer sustain this super-saturation and begin to form urate crystals; like ice crystals that form in freezing water.* These crystals can form anywhere in the body, but in a gout attack they develop in one or more of the joints.11

The body's immune system quickly detects these newly appearing urate crystals and assumes they are disease or infection. In response, white blood cells are sent in to attack the invaders; but when they try to devour them, the large rigid crystals burst the cells, just like popping balloons. As the white blood cells die, they release proteins telling the immune system that the cell has lost its fight with the invader and reinforcements should be sent in.

The released proteins also cause an increase in the acidity of the fluid of the joint. This makes conditions more favorable for even more urate crystals to form. The immune system responds by sending in more white blood cells and by causing inflammation. More white blood cells are killed by the urate crystals, causing even more proteins to be released and more crystals to form. This process perpetuates itself, creating a runaway inflammatory response that directly causes the extreme pain of gout.12

Most men are stricken with their first gout attack between the ages of 30-60, and most women are affected only after reaching menopause,2,14 with gout being 5 to 8 times more common in men than women.4 An acute gout attack typically starts with the rapid development of severe pain in the joint that reaches a peak in 6 to 12 hours. Tenderness, swelling and redness around the affected joint18 are also typical symptoms of an attack. In severe attacks, fever and chills may also be present.1,9,15

A first attack of gout often occurs in the middle of the night and usually only strikes one joint. However, as the disease progresses, attacks involving multiple joints become more likely.8,15 Eventually the inflammation process of an attack will run its course and the pain subsides on its own after a few days, but severe attacks can last weeks.4
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Table of Contents

Preface to the Second Edition i

Introduction iii

Chapter 1 The Four Stages of Gout 1

Why Do We Get Gout? 1

Asymptomatic Hyperuricemia 3

Acute Attacks 4

Intercritical Periods 7

Advanced Gout 9

Chapter 2 Treating Gout 11

Part 1 Treating Acute Attacks 12

Part 2 Managing Hyperuricemia 23

Part 3 Prophylaxis 32

An Alternative Treatment Method 34

Gout Management at-a-glance 36

Chapter 3 Getting the Right Diagnosis 39

Synovial Fluid Diagnosis 39

Tophi Sampling Diagnosis 41

Clinical Diagnosis 41

Blood Tests 42

Urine Tests 43

Genetic Tests 43

Diagnostic Imaging 44

Other Conditions that Look Can Like Gout 46

Chapter 4 Hyperuricemia 49

What is Hyperuricemia? 49

Why Does Hyperuricemia Occur? 50

Some Causes of Secondary Gout 51

Conditions Associated with Hyperuricemia and Gout 53

Chapter 5 Diet and Lifestyle 61

Weight and Exercise 61

Alcohol 64

Diet 66

Frutose 70

Proteins, Dairy and Fats 72

Other Lifestyle Factors 74

Diet and Lifestyle at-a-glance 76

Chapter 6 Alternative Medicine 79

Alternative Treatments backed by Scientific Evidence 80

Alternative Treatments with Little or no Scientific Evidence 82

Appendix A Purine Content of Food 87

Appendix B Additional Medication Information 93

General Information on NSAIDs 93

Information on Specific NSAIDs 96

Colchicine 107

Uric Acid Lowering Medications 109

Other Uric Acid Lowering Medications 116

Other Medications for Acute Attacks 117

Appendix C For Doctors 119

Glossary 121

References 129

Index 139

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Customer Reviews

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  • Anonymous

    Posted July 28, 2008

    Clear and through

    This book gives clear advice on how to stop gout attacks as well as prevent attacks from ever happening. This book was an eye-opener for me as my doctor has not been treating my gout properly. Since reading this book I have not had a single attack! Thanks!

    6 out of 6 people found this review helpful.

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