By Rodney Grahame, Anne Simmonds, Elizabeth Carrey, Gillian Clarke

Gout is an inflammatory arthritic situation, that's turning into more and more universal in either women and men. characterised through painful, crimson, swollen joints, gout can happen in acute, intermittent assaults or it will probably become a innovative, crippling continual illness. this can be a useful reference consultant for individuals being affected by gout, which deals optimistic, useful suggestion on facing the situation.

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Extra info for Gout: The At Your Fingertips Guide

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If statutory sick pay is not available (this probably applies to your husband if he takes on casual or short-term contracts), Incapacity Benefit starts after three days away from work. Claims must be supported by a certificate from the GP. As with Disability Living Allowance and Attendance Allowance (discussed in the answers above), the award is made by a Department of Work and Pensions (DWP) decision maker, who can require a medical examination undertaken by a DWPappointed doctor. With certain severe disabilities the person is exempt from undergoing the medical examination.

If this happens to you, you should see your podiatrist or GP as quickly as possible! Other things being equal, as urate-lowering treatment progresses, larger tophi diminish in size and smaller tophi may disappear altogether. Without urate-lowering treatment (see Chapter 4, Drugs to lower the level of urate in the blood) permanent stress on the joints can result in fused joints or secondary osteoarthritis in the foot. My podagra attacks seem to occur early in the morning when I am in bed. My feet often feel cold at night, as I have poor circulation.

G. ibuprofen), on a low-dose long-term basis, to treat the symptoms of gouty arthritis (see Chapter 3, Drugs to combat pain and inflammation). Many people get along very well with this kind of treatment and some modifications to their diet and exercise. The more thorough way to prevent future attacks is to lower the concentration of uric acid in the blood system (see Chapter 4, Drugs to lower the level of urate in the blood). There are two types of drug that can achieve this: • uricosuric drugs, which increase the excretion of urate by the kidneys, thus lowering the concentration in the blood, and • xanthine oxidase inhibitors, usually allopurinol, which reduce the formation (and, hence, the build-up) of urate in blood and urine.

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