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Signs & Symptoms of Excess Uric Acid in the System

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When the body breaks down purines, a substance found in human tissue and in many foods, uric acid forms. Uric acid dissolves in the blood and passes through the kidneys and into urine for elimination. If the kidneys do not eliminate the uric acid properly or if there is an excessive intake of high-purine foods, uric acid begins to crystallize. This crystallized uric acid settles in the kidneys and forms kidney stones or settles into joints and causes a form of arthritis called gout. Symptoms vary between individuals, depending on the severity of the condition. Some people with high levels of uric acid may not experience any symptoms.

Joint Symptoms

When uric acid crystals settle into joints, gouty symptoms may occur. Common joint symptoms of gout include pain, inflammation, swelling, redness and tenderness when touched. The joint may also feel hot. These symptoms usually begin suddenly at night.

Commonly Affected Joints

The first gout attack typically occurs in the big toe, according to the National Institute of Arthritis and Musculoskeletal and Skin Diseases. Additional joints in the body commonly affected by gout include the ankles, knees, heels, fingers, elbows and wrists. With the first gout attack, it is common for a person to experience symptoms in one joint, while subsequent attacks may involve more joints.

Duration of Joint Symptoms

The intense pain in the joint usually peaks in severity within the first 12 to 24 hours following the start of the symptoms, according to the Mayo Clinic’s website. Once the most severe pain eases, discomfort in the joint may linger for several days to a few weeks. Attacks that occur later may cause pain to continue longer than the first gout attack. Without proper treatment or with repeated attacks, the uric acid may cause permanent damage to the joint.

Skin Symptoms

After years of repeated gout attacks, uric acid crystals may begin to form lumps beneath the skin. These nonpainful lumps, called tophi, commonly occur on the fingers, toes, hands and elbows. During an attack, the tophi may become swollen and tender.

Kidney Symptoms

If the uric acid crystals settle in the urinary tract, they cause kidney stones. Uric acid kidney stones are more common in men than women. Kidney stones may cause symptoms such as pain in the back, abdomen or groin, fever, chills, nausea, vomiting and bloody urine.

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Diet & Lifestyle Advice

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  • Avoid high-protein diet and excessive salt.
  • Drink 8-10 glasses of water daily to cleanse toxins from the body.
  • Avoid all sour, pungent, fried foods, red meat, alcohol, and tobacco.
  • Take light and easily digestible food like steamed or boiled vegetables or vegetable broth.
  • Use wholegrain bread, cereals and increase intake of seasonal fruits (except banana).
  • Increase the use of garlic, ginger, cumin, fennel, coriander, cardamom, and cinnamon.
  • Do light and gentle exercises.
  • Massage the joints gently with lukewarm sesame oil for 20-30 minutes.
  • Avoid damp and cold places and keep the body warm.
  • Avoid dairy products, especially yogurt.
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Reduce high level of Uric Acid naturally

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Ayurvedic Herbs Used in Uric Acid Treatment

Texts of Ayurveda recommend herbs in the form of medicine, which normalise vata and also reduce vitiation of rakta or blood. Usually herbs like amla , vibhitaki , haritaki , bitter gourd (Read Ayurveda Health Benefits of Bitter Gourd or Bitter Melon (Karela) ) , neem (Neem a Natural boon for diabetics  ), guduchi or giloy (Ayurveda Medicinal properties of Guduchi  ) etc are used in form of tablets, capsules and liquid preparations. While treating high uric acid levels through Ayurveda, the priority is given to eliminate body toxins which are disturbing composition of blood. Along with detoxification ( Read Ayurvedic Liver Detox at Home ) various herbs are administered to normalise vata and purify blood. A patient with high uric acid level should follow a strict pathya or diet and a disciplined daily routine ordinacharya

Home Remedies to Reduce Uric Acid Level

  1. Say no to red meat, seafood, organ meats and beans which are high in purines. Avoid refined carbohydrates like maida or all purpose flour and vegetables such as asparagus, peas, mushrooms and cauliflower. Plant purines are far safer than meat and fish purines in terms of gout risk.
  2. High Purines Foods: Meat: beef, mutton, veal, pork, venison, chicken, duck and turkey. Other organ meat such as brain, kidney, liver, pancreas, thymus, heart, neck, – Sea foods: cod, crab, lobster, snapper, salmon, tuna, trout, sardines and anchovies-Vegetables: cauliflower, asparagus, peas, spinach, contain a lot of purines, as do legumes such as lima beans, navy beans and lentils. Oatmeal is also high in purines.
  3. Never ever drink aerated drinks like soda and soft drinks. Avoid fruit juices and other sugar rich drinks.
  4. Limit alcohol consumption-Alcohol dehydrates the body and increases the concentration of uric acid in blood. Usually alcohol is consumed with purine rich food. Also limit consumption of beer as the yeast in beer may increase blood uric acid level.
  5. Consume cherries, blueberries, pineapple, and strawberries. Use Celery, which is a natural diuretic and helps to alkalize your blood and decrease inflammation.
  1. Drink bitter gourd and amla (Indian gooseberry) juice daily. (Juice of one bitter gourd and 5 amlas spread in a day)
  2. Consume 1-2 leaves of Guduchi or giloy (Guduchi capsules – giloy / tinospora cordifolia capsules  ) in empty stomach
  3. Reduce body weight. Do not go for a crash diet. Adopt a gradual weight loss programme.
  4. Drink plenty of water. Keep your body hydrated. Water dilutes uric acid levels in the blood, and stimulates the kidneys to pass on waste products to the bladder.
  5. Maintain body PH: To keep your body alkaline, add apples, apple cider vinegar, amla juice, baking soda and lemons to your diet.
  6. Never use too much of salty, sour, spicy and fried food
  7. Keep your bowels clean. Avoid foods which cause indigestion.
  8. Do not consume opposite foods.
  9. Keep stress (Read Effect of stress on our body and tips to reduce stress  ) at bay. Practice yoga, meditation and deep breathing exercises.
  10. Do not sleep in afternoons and do not keep awake at night.
  11. Do not supress natural urges like defecation, urination etc. ( Read Suppression of natural urges can cause diseases )

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Ayurvedic Treatment of Gout

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Gout (also called metabolic arthritis and known to Ayurveda as Vatarakta) is a disease due to a disorder of uric acid metabolism in the blood. In this condition, monosodium urate or uric acid crystals are deposited on the articular cartilage of joints, tendons and surrounding tissues due to elevated concentrations of uric acid in the blood stream. This provokes an inflammatory reaction of these tissues. These deposits can often increase in size and burst through the skin to form sinuses discharging a chalky white material.

The classic picture is of excruciating, sudden, unexpected, burning pain, swelling, redness, warmness and stiffness in the joint. Low-grade fever may also be present. The patient usually suffers from two sources of pain: firstly, the crystals inside the joint cause intense pain whenever the affected area is moved. Secondly, the inflammation of the tissues around the joint also causes the skin to be swollen, tender and sore if it is even slightly touched. For example, a blanket or even the lightest sheet draping over the affected area could cause extreme pain.

Gout usually attacks the big toe ; however, it also can affect other joints such as the ankle, heel, instep, knee, wrist, elbow, fingers, and spine. In some cases, the condition may appear in the joints of small toes that have become immobile due to impact injury earlier in life, causing poor blood circulation that leads to gout.

Patients with longstanding hyperuricemia can have uric acid crystal deposits called tophi  in other tissues such as the helix of the ear. Uric acid stones commonly also form in the kidney.

Symptoms thus almost always include an excruciating, sudden burning pain, redness and swelling in joints (particularly the big toe); occasionally, low-grade fever, nausea, flatulence,
vague and travelling abdominal pains, loss of appetite, constipation and highly colored and scant urine may be seen.

Causes may include an impairment of digestion due to intake of incompatible foods, and climate.

In terms of treatment, the first choice is for treatment via an alteration of dietary regimen. Low oxalate and low-uric acid forming foods and a low meat diet is to be encouraged. High fiber, low protein foods should be emphasized, old rice , wheat, moong dal, garlic, onion, bitter gourd, papaya and green banana are beneficial. Sour and salty tasting foods and heavy and fried foods are to be avoided. Rhubarb is a specific food remedy for gout, as are sweet cherries and their juice. It is critical in the treatment of Gout that the patient is kept well hydrated.

Herbal medicines specifics for the treatment of gout include Lashun (Garlic), Guggul (Commiphora mukul) and Shallaki (Boswelia serrata) as well as Guduchi (Tinospora cordifolia) the last of which is applied in all conditions of aggravated ranjakapitta and pitta in the blood. The compound of Sunthi (Ginger), Kumari (Aloe vera) and Guduchi is a specific and especially effective formulation commonly used in treating gout.

In terms of lifestyle management, the patient should not perform any fast-paced exercise, but moderate exercise is to be encouraged, and idleness and a sedentary lifestyle avoided. Exposure to cold wind and rain, and cold-water bathing are strictly contra-indicated. Abhyanga is beneficial and the yoga asanas known as the Forward Bend and Lotus positions are particularly useful in treating gout.

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Herbs Used in Gout Treatment

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  • Giloy (Tinospora cordifolia)
  • Ginger (Zingiber officinalis)
  • Gokhshur (Tribulus terresteris)
  • Lemon (Citrus limon)
  • Banana (Musa paradisium)
  • Apple (Pyrus malus)
  • Neem (Azadirachta indica)
  • Guggal (Commiphora weghtii)
  • Vacha (Acormus calamus)
  • Dharuharidra (Berberis aristata)
  • Pineapple ( Ananus sativus)

Classical Ayurvedic Medicines Used for gout treatment

  • Mukta sukhti pisti
  • Kamdudha Ras
  • Swarn makshik bhasma
  • Swarn sameer panag Ras
  • Vrihat vaat chintamani Ras
  • Kishore Guggul
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Steps for preventing Gout

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  • Drink more water
  • Balanced & Healthy diet
  • Start taking fruit and vegetable juices
  • Avoid alcohol
  • Reduce excess weight
  • Avoid foodstuffs that contain purine. Red meat, tofu, fish are some of the best examples.
  • Eat fruits rich in vitamin C and potassium like oranges, bananas, and apples.
  • Drink lemon juice after meals
  • Avoid diuretics
  • Avoid fructose-rich soft drinks
  • Drink low-fat milk
  • Eat salads and green vegetables.
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Apple Cider Vinegar to treat Gout in the Foot

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Apple Cider Vinegar as a Drink to Treat Gout in the Foot

For drinking, all you need to do is mix 2 to 3 teaspoons of vinegar into a large glass of water as well as stir thoroughly. Drink a glass 3 times per day. I can drink this not a problem, but if you can’t abide the taste, just add a little honey.

Red bell peppers celery (particularly good for you) parsley kale cabbage green leafy vegetables (but not cauliflower, spinach or even asparagus)

Soaking Gout Feet in Apple Cider Vinegar

Using apple cider vinegar has been utilized since ancient times for a number of ailments and scenarios, such as the management of gout. But, needless to say, today with refined vinegar and so on., you ought to be careful which apple cider vinegar you utilize.

  • As a gout sufferer you need to do everything you can in order to remove the gout crystals that have formed in your joint(s).
  • It is your natural reaction to these that causes your own gout symptoms of swelling, stiffness, swelling, redness, heat and very, very great pain.
  • Drugs such as allopurinol as well as probenecid can be effective reducers of bloodstream uric acid.
  • But they have to be taken over the long run as they only work although they are being taken.
  • And they have some nasty side effects such as nausea, diarrhea, vomiting, dizziness, loss of appetite, skin rash, hives, itching, etc.
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Natural Home Remedies For Gout

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Bananas can Help Relieve the Pain and Irritation of the Affected Area of the Body

A diet of eight to nine bananas daily is also good in order to cure your gout because it doesn’t only include potassium but other minerals as well, which aid in the suspension of the uric acid crystals. Beans, potatoes, green leafy vegetables, and also vegetable juices are also excellent source of potassium.

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Crash Diets Should Also be Avoided In Gout

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Some drugs for high blood pressure may need to be altered or adjusted An important aspect of treating gout is lowering the uric acid levels. There are a few drugs that will lower the uric acid level in the body. However, it should be noted that these drugs only temporarily treat symptoms of gout and should not be taken on the long-term basis. The dosage is based on the level of uric acid found in the body. Regular check ups are required in order to arrive at the maintenance dosage that may prevent recurrent gout episodes.