Gout afflicts men more frequently than women four to one. Twice as many black men get gout as white men. Men usually have their first occurrence around forty years of age. Women have their first occurrence after menopause.
During a gout attack the gout can move from one joint to another, and settle under more than one joint. Whether the gout settles in the foot, wrist, knee, ankle, or elbow the pain is excruciating and the sufferer cannot bare to be touched much less use the affected joint. The uric acid crystals are sharp and cause inflammation and swelling. The swollen joint becomes hot and red and puts even more pressure on the nerves.
and that’s just the beginning…
Even with medication gout can become chronic. With more than two gout attacks in one year you’re deemed to be to be at risk for joint damage. The uric acid can accumulate in the kidneys causing kidney stones or even kidney failure.
QUESTION: Does gout affect the knees?Because someone told me that my knee pain could be caused by gout which is sometimes associated with obesity but I'm only 21 and thought that gout usually affected older people.
Gout can affect any joint. If you have gout, you knees will be swollen, inflamed, and the skin will feel hot. It also causes pretty intense pain. If it isn't gout, the next most common causes for a person at your age is cartilage damage, or overly tight ligaments or tendons. You can look for knee and leg stretching exercises on the web if you think this might not be gout.
Gout can affect any joint of the extremities
ive heard it mostly affects extremities like mostly your big toe, if u got it u should consult a doctor, just lay off the processed meat
yes gout affects knees, and gout is hereditary
Kidney cancer isn’t common but again it is most common in men. It occurs around the era of sixty-four and it is most commonly found by accident when treating another problem. The patient I am writing about is sixty-three years old, a male and has had chronic gout for many years. His kidney cancer was discovered when he was being treated for kidney stones.
After many tests the doctor found that the patient had a large tumour in his kidney and it was most likely cancerous. The good news was that it was contained within the kidney. The surgeon decided a simple nephrectomy (the withdrawal of the kidney only) would be the most suitable course of treatment.
Uric acid is the breakdown process of the purines in some areas of the majority of foods that we eat. When a persons body is unable to deal with the uric acid it will cause gout attacks that are painful, as well as kidney stones, and the blockage of the kidney filtering tubules that contain uric acid crystals. There are some patients who’ll only have to cope with high levels of blood uric acid without dealing with kidney problems or arthritis. This is referred to as hyperuricemia.
When someone experiences an very painfult attack that is coupled with joint inflammation they’re experiencing gouty arthritis or gout attacks. The joint inflammation is caused by the deposits of uric acid crystals that are found in the joint fluid and the joint lining. When the joint inflammation is intense it is in order to the white blood cells are overpowering the uric acid crystals and releasing chemicals that are causing pain, heat, and redness of the joint tissues.
The most common joint that is affected during a gout attack is the small joint at the foot of the big toe. The other joints that can be affected include the knees, ankles, elbows, wrists, and fingers. During these attacks people will experience pain in the joint, swelling, warmth, tenderness, and a red discoloration. The tenderness can be very intense for most people who think that even the slightest and softest thing that touches it will cause them pain.
Any one with chronic gout is at risk in any surgery for a gout attack to occur. However, the removal of a kidney directly affects the uric acid levels and may result in a major gout attack for which a gout sufferer and his kidney surgeon should be prepared. If the gout lies in the legs or feet the gout patient won’t be able to stand up and walk which is recommend after surgery.
Any change in the level of uric acid in the body can trigger a gout attack. If you’re about to get a kidney removed the probability of having a change in uric acid levels are 100%. You need to get a plan to address a major gout attack and the way it would be handled. Hospitals aren’t accustomed to dealing with gout patients since they’re rarely hospitalized for gout. Gout is normally not a death threatening condition. Doctors and nurses not accustomed to working with gout patients have no idea how painful and incapacitating gout can be.
Gout. Gout occurs when there is a buildup of uric acid deposits in joints. Some folks have assaults that last for several days after which disappear, even if there are those that have a severe type of the condition. The exact reason behind gout has still to be discovered.
The patient had the nephrectomey on Monday August 10th and the operation was a complete success. On day one and two the patient was up walking as much as was expected.
On day two the patient’s kidney stopped producing urine and that night gout appeared in one leg. Next day it was contained in the other leg. Fortunately the kidney resumed its function. With gout now in knees, ankles and feet it was impossible to stand up much less walk. Of course after a surgery such as this you’re supposed to stand up and walk to reduce the risk of blood clots and pneumonia. The excruciating pain made it impossible to do so. The gout proceeded to settle in the carpus and elbows as well. At this time the patient couldn’t use his arms and hands to pull himself up from the bed to even get in a situation to walk. The piercing, excruciating pain was not understood by the nursing staff. They were very attentive and did their jobs well but they had never dealt with gout and the pain was underestimated. They thought he was just lazy and not wanting to experience the pain of the opporation. That pain was nothing compared to gout in his ankles, knees, wrists and elbows.
Gout commonly affects the big toe but can affect other area as the joints in the ankle, heel, knee, instep, fingers, spine, and wrist. There have been instances where gout appears in the joints of the little toes which have become immobile as a result of an impact injury which leads to poor circulation and gout.
Before the surgery the patient was taking Colchicine to control the gout, he intended to go to Allopurionol after seeing his Arthritis specialist. Allopurionol may not have prevented the attack after surgery because any change in uric acid can cause an attack and Allopurionol controls uric acid. Colchicine isn’t neutral to kidneys and cannot be taken if you’re only one kidney. The patient was given prednisone to help improve the situation but it did little to help the patient’s condition.
Sunday August 16 the patient was free from the hospital at 5:00p.m. It took twenty minutes to get from the wheel chair into the car. The main problem was the gout in his wrists, hands and elbow. Once home, it took two friends to obtain the patient into the house. It took him and his wife two hours to get him from the walker/wheel chair onto the couch. Patient couldn’t put pressure on his arm and his wife couldn’t lift him.
If the doctors treating the patient had had a true understanding of gout they wouldn’t have sent him home. The pain and inability to move was torture. The kidney surgeon told him he was supposed to get up and walk around or he would get blood clots. The surgeon had no sense of the pain and the failure to walk. I state once again, that he dismissed the patient not wanting to walk as laziness or not wanting to endure the pain of the operation– the pain of the operation was zero. The patient struggled to stand up and walk but the pain was to excruciating. The gout was not taken seriously, they were treating it but without understanding the pain.
Make sure your doctor knows that if you’re overcome with gout after your operation that you’ll not be able to walk– explain the pain you may suffer. Do not let this happen to you.
For two days the patient stayed on the couch unable to move, consumed with Gout. His legs were swollen three times their natural size. The skin was red and hot. Finally Tuesday August 18th the patient had to call 911 to go back to the hospital. The Paramedics were marvellous in their effort not to cause him pain but it couldn’t be avoided. They had to roll him off the couchonto the strecher.
The hospital emergency room did a Myriad of tests because the edema was so bad. He was hospitalized again and this time put on bed rest. They discovered a small clot below the knee in one leg. This put even more limitations on what could be done for his edema.
Friday August 21st he was again free from the hospital. He still needed help from his friend to enter into the house but he got able to get from the walker/wheel chair onto the couch with the help of his wife.
Finally the Home Help nurse came and ordered a wheelchair and hospital bed. This made life a lot easier. Some days were better than others as the gout traveled through his body.
September 9 the patient went to see the Kidney Specialist (nephrologist). He now had gout in his entire body, even his neck and back. He was not as swollen but the gout had taken over completely. He even had uric acid crystals oozing from his finger. It looked like white toothpaste and dried hard as a rock. The white ooze is the uric acid that accumulates in the joints. The patient had to plan a private ambulance In order to learn to his appointment because he was under so much pain. It took two people to get him into the wheelchair and into the van, it would’ve been impossible to get him into a car.
The Kidney specialist (Nephrologists) put him on prednisone and indomethacin. The next day he saw immediate relief.
Today it is Wednesday September 23 and he is getting along much better. He is able to walk with crutches and get up the stairs and down the stairs with a great deal of effort. The swelling is gone and the uric acid oozing from the finger is about well.
Today he’ll begin allopurinol and it is expected that his gout will be under control with this treatment since allopurinol is a drug that must be taken to ensure the rest of your life he expects to be gout free.
This was the second day after surgery. The gout hadn’t yet been triggered. Patient was able to stand up and walk as was expected.
This picture was taken August 26th the surgery was on August 10th. The edema is getting better but the gout is still a problem.
WOW! I need a couple of tylenols after reading this. Im in pain just from the explanation of the pain and looking at the pictures. I am bookmarking these gout articles and I hope i’ve never to refer back to them. Well written and informative. I hope the patient is much better.
Very good article on Gout I feel so sorry for you both the care giver suffers too. Keep your chin up it has to get better.
I am not a doctor Susan, but I can tell you this, if you had gout you wouldn’t be able to touch your feet or your elbows– gout is very painful. The joint becomes swollen, hot and red and so painful that the slightest touch is unbearable.
Thank you so very much winterz. You are so right gout is ignored but the cost for it’s great– it makes life hell in later years. Also people do not realize that food isn’t the only trigger.
I had 1 kidney removed due to kidney cancer. I also have gout. My blood urea nitrogen is 40. Is that number high? Lately my feet are so swollen I can hardly walk. Is this because of my gout. My creatine level is good..1.46.
Thank you panicbar for your comment. I am not a doctor, If your feet are swollen and painful I would suggest you consult your doctor. One thing about gout– it isn’t just swelling the crystles in the joint cause an increadible amount of pain. It is impossible for a gount sufferer to put any pressure on any joint that is affected. I hope this helps you.
I am a nurse and really appreciate your story. I am very sorry for your ordeal, thank you very much for sharing.
Thank you north nurse. I really wanted to warn gout sufferers so that this wouldn’t happen to them. I do not want anyone to have to go through such an ordeal. I am so pleased you read my article.
It is extremely important to get gout under control– it is extremely destructive to you joints. Thank you for your comments and I hope you get your gout under control.
Hi I also had my kidney removed and have mfull blown rhumatory arthritis. My doctor said it came as a result of the surgery. I suffered severe pain for months. But now my doctor finally put me on methotrexate and embrel shots once a week. And I will have to take meds all my life now.