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What is the last stage of uric acid?

Chronic tophaceous gout This is the final stage of gout, which is a form of chronic arthritis characterized by permanent damage to the cartilage and bone in the joint.

news-medical.net - Stages of Gout - News Medical
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Gout is a form of arthritis caused by the accumulation of sodium urate crystals in the joints. In the UK, gout affects around 1 in 45 individuals, the majority of which are older people. Men are affected by the condition more often than women. This is because estrogen increases the renal excretion of uric acid.

Gout disease stages

The progression of gout is divided into the following four stages:

Asymptomatic hyperuricemia

During this stage, the blood level of uric acid is raised but the patient does not present with symptoms. Treatment is not usually required at this stage.

Acute gout attack

By this stage, sodium urate crystals have been accumulating in the joints and formed deposits that cause pain, swelling and redness. The symptoms usually develop rapidly and pain becomes most intense within just 6 to 24 hours of onset. This is referred to as a “gout attack.” Symptoms can last for between three and ten days, after which point the joint starts to feel normal again and pain subsides. An attack can be triggered by stressful events, alcohol consumption, diseases or medication. Attacks tend to be recurring and almost everyone who develops the condition experiences more attacks in the future. Another attack may not occur for months or even years but the condition should be monitored and a treatment plan maintained to prevent further attacks and joint damage.

Intercritical gout

This refers to the time period between gout attacks where the patient is free of symptoms and joint function appears to be normal. However, the uric acid crystals continue to deposit in the joints and accumulate quietly, which eventually leads to another attack unless the uric acid level is reduced to below 6.0 mg/dL.

Chronic tophaceous gout

This is the final stage of gout, which is a form of chronic arthritis characterized by permanent damage to the cartilage and bone in the joint. In the majority of cases, this stage of gout can be prevented if patients follow any treatment plans or lifestyle changes recommended to them by their GP.

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Is egg high in uric acid?

Eggs are low in purines but consume them in moderation (Health Promotion Board recommends consuming up to four eggs per week). Essential fatty acids found in cold-water fish such as tuna can reduce gout inflammation.

healthxchange.sg - Gout Diet: Foods That Keep Your Uric Acid in Check - HealthXchange.sg

Gout-friendly proteins include eggs, nuts, seeds and cold-water fish. The Dietetics and Food Services from Changi General Hospital explain how these foods can help control gout.

What is gout?

Gout is a form of arthritis that attacks joints and causes acute pain and swelling mostly in the big toe and fingers, and sometimes, in the wrists, elbows, knees and ankles. Gout attacks are triggered by uric acid build-up in the joints. The body produces uric acid whenever it breaks down purine-containing foods.

Gout-friendly diet:

Protein​

Although people with gout should avoid proteins with very high purine concentrations such as organs, seafood and shellfish, and meats like venison, sausages and bacon, they can still eat proteins with lower purine content moderately.

Eggs

Cold-water fish

Essential fatty acids found in cold-water fish such as tuna can reduce gout inflammation. However, to prevent a gout flare-up, limit the intake of fish to one serving per day as it still contains purines.

Nuts and seeds

A gout-friendly diet should include two tablespoons of nuts and seeds every day. Good sources of low-purine nuts and seeds include walnuts, almonds, flaxseeds and cashew nuts.

Click on the next page for more information on gout-friendly foods.

Ref: S13

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