Q: I would like to know if there are any natural alternative treatments for the symptoms of gout.
A: Gout is a painful form of arthritis that presents with pain and swelling in a single joint, most commonly the great toe. The site may be very warm to the touch and inflamed. The condition occurs when excess uric acid collects in the body and needle-like crystals deposit in a joint. Specific foods, including shellfish and red meats, drinks high in fructose, excessive amounts of alcohol, and organ meats can trigger an attack. Some medications including specific diuretics and low-dose aspirin can also be to blame. Those at a higher risk include men, women following menopause, and individuals diagnosed with kidney disease. It rarely affects children but does tend to run in families.
Diagnosis is commonly made through visual examination of the site. When any question remains, fluid extraction from the affected joint can be analyzed under a microscope to determine if urate crystals are present.
Treatment may include nonsteroidal anti-inflammatory drugs (NSAIDs) that are prescribed to reduce inflammation and pain. High doses of short-acting NSAIDS such as naproxen and indomethacin, provide the fastest relief of symptoms which are commonly ordered to treat an acute attack. NSAIDS may cause stomach upset or diarrhea but are generally well-tolerated. For those who cannot take NSAIDS because of impaired kidney function, an ulcer or because they are on an anticoagulant may respond well to corticosteroids that can either be taken orally or by injection directly into the affected joint. When corticosteroids are contraindicated, colchicine can be used.
When it comes to home remedies, ice packs or cold compresses may reduce the inflammation and lower the pain. There is some controversy regarding this therapy, since crystals form more rapidly in low temperatures, but it may be worth a try. Cherries in any form – fresh, canned, or dried are purported to lessen the pain. Five to ten a day for prevention and as many as 15 for an acute attack are recommended. Drink eight 6 ounce glasses of fluid daily. This may help wash urate from the system and will also help prevent kidney stones from forming. Avoid consuming alcohol. While previously disputed, in 2004 a study by researchers at Mass General Hospital found that beer and liquor do increase the risk of developing gout, while drinking red wine does not. I should add that questionnaires and not direct observation were at the base of the study; therefore, the conclusion is still being questioned. Control your diet by eliminating anchovies, herring, mackerel, sweetbreads, brain and kidney. Lime is a good source of vitamin C but the citric acid found in lime also helps dissolve uric acid. Herbs including ginger root or white willow bark can be made into teas and supplements such as feverfew might be considered. It is strongly recommended an herbalist be consulted before beginning any home therapy.
Readers who would like related information can order Dr. Gott’s Health Report “Compelling Home Remedies” by sending a self-addressed, stamped number 20 envelope and a $2 US check or money order payable to Peter H. Gott, MD Health Report, PO Box 433, Lakeville, CT 06039. Be sure to mention the title or print an order form from www.AskDrGottMD.com.
