How to cure Gout

Treating and Preventing Gout

The first priority is to relieve pain and shorten the acute attack. NSAIDs (nonsteroidal anti-inflammatory drugs) such as indomethacin, diclofenac, ketoprofen, and naproxen are the mainstay of treatment. These medications help with the swelling and pain. Another medication called colchicine can lessen joint pain after only 12 hours and even end an attack in 36 to 48 hours, but may have side effects such as diarrhea and vomiting that can limit its use in some cases. Corticosteroids, either injected directly into the joint or taken orally, can control the inflammation.

For chronic gout or repeated attacks, daily colchicine therapy can prevent future attacks, but it can't prevent the joint damage caused by tophi. However, medications that lower the blood levels of uric acid, such as allopurinol, probenecid, and sulfinpyrazone, can be very effective at preventing attacks and joint damage. Among these medications, allopurinol is the most commonly used. Another advantage of these medications is that drastic changes in diet are not required. Another medication, febuxostat, can be used in place of allopurinol if it has caused side effects or been ineffective.

Prevention is an important part of managing gout. It's crucial to control weight and blood pressure and to drink at least 3 litres of fluid (preferably water) daily to prevent attacks. Triggering attacks also can be avoided by cutting down on:

dehydrating drinks such as alcohol (beer, wine, etc.), coffee, tea, and cocoa
animal proteins such as seafood, liver, kidney, heart, gizzard, sweetbreads, meat extracts, and gravy
vegetables such as peas, beans, spinach, and lentils
With early diagnosis and treatment, it's possible to control gout, prevent joint damage, and live a normal life.


How to treat gout pain and prevent gout flares
Cortisone shots
Gout diet: What's allowed, what's not
Water: How much should you drink every day?
Alcohol use: If you drink, keep it moderate