Problems of the Elderly
is the symptomatic manifestation caused by deposition of urate in tissues
and raised uric acid level in blood.
Source of uric acid
acid is the metabolite of purine which some food items are rich in. Owing
to genetic predisposition, certain people are more prone to produce excess
uric acid and hence gouty attack if they eat excessive purine-rich food.
Who are prone to have gouty arthritis
who suffer from gouty arthritis are usually over 40 years old and male.
Many of them love drinking alcohol and eating foods which are rich in
purine, such as offal, shellfish and seafood. In addition, those who have
blood cancer, kidney disease or take diuretics are also prone to have
Symptoms of gout
usually presents with acute inflammation of a single joint, most commonly
the big toe.
site becomes suddenly red, swollen, hot and intensely painful, which
subsides after a few days.
the blood uric acid level is not controlled, urate will deposit in
other joints like knee, ankle and fingers.
the condition is not well managed, it will develop into multiple joint
disease and recur frequently.
In severe cases, joints become deformed, resulting in chronic tophaceous
gouty arthritis may affect kidney function and cause stones to form
in the kidneys or soft tissues.
Prevention and control
cannot be cured. But appropriate medication and diet restriction can
prevent recurrent attacks.
Drinking more water (at least 2 litres per day) can help the body
to excrete excess urate.
restriction should include the following:
such as brain, liver, kidney, heart, pancreas, etc.
fish eggs, shellfish like scallop and mussel
meat, poultry and fish
Excessive legume, winter mushroom, cauliflower, spinach, asparagus
In acute attack of gout, drugs can reduce joint pain effectively. If
gout recurs frequently, long-term medication is needed to prevent recurrent
Eating- Food Pyramid