3. What is gout? Gout is an illness that you would not like to have. My definition of gout is like having a bunch of needles between your joints with a strong gust of wind just blowing every which way a wind could flow at the joint that them needle’s are in. With just what little of comprehensive word to use when in agony, I suggest that you educate yourself when you have a gout attack. If possible that you have been diagnose with gout that you immediately find the proper management for this illness. This presentation is just a directory for gout and is written by Pita Lualemaga at California State University of Fresno. The presentation is to get a understanding what and how you should Manage Gout. What is gout? Gout is an illness that you would not like to have. My definition of gout is like having a bunch of needles between your joints with a strong gust of wind just blowing every which way a wind could flow at the joint that them needle’s are in. With just what little of comprehensive word to use when in agony, I suggest that you educate yourself when you have a gout attack. If possible that you have been diagnose with gout that you immediately find the proper management for this illness. This presentation is just a directory for gout and is written by Pita Lualemaga at California State University of Fresno. The presentation is to get a understanding what and how you should Manage Gout. Gout is a painful type of arthritis caused by the buildup of uric acid crystals in and around the joints. Learn more about gout diet, prevention, medication, pain relief, natural remedies, and other treatment options. Gout is a painful type of arthritis caused by the buildup of uric acid crystals in and around the joints. Learn more about gout diet, prevention, medication, pain relief, natural remedies, and other treatment options.

6. * Sustained high levels of uric acid in the blood is a common gout symptom (see causes of gout). * Sustained high levels of uric acid in the blood is a common gout symptom (see causes of gout). * Presence of uric acid crystals in joint fluid (see diagnosis of gout). * Presence of uric acid crystals in joint fluid (see diagnosis of gout). * Deposits of uric acid crystals around joints and other areas such as the ears. * Deposits of uric acid crystals around joints and other areas such as the ears. * Only one or two joints are affected (initially). * Only one or two joints are affected (initially). * Common affected areas include the feet, ankles and the ball of the big toe. * Common affected areas include the feet, ankles and the ball of the big toe. * Tenderness around an affected joint. * Tenderness around an affected joint. * The skin around an affected joint is red, shiny and painful to touch - a common gout symptom (see gout pictures). * The skin around an affected joint is red, shiny and painful to touch - a common gout symptom (see gout pictures). * Moving the affected limb/s becomes painful. * Moving the affected limb/s becomes painful. * Chronic gout can lead to decreased kidney function and kidney stones. * Chronic gout can lead to decreased kidney function and kidney stones.

7. In most cases, gout is associated with a condition known as hyperuricemia. Hyperuricemia occurs when the blood contains raised levels of uric acid sustained over long periods. The kidneys process uric acid and excrete this through urine. When uric acid levels become raised, the kidneys are unable to eliminate uric acid efficiently. In some cases, the cause of gout is not linked to hyperuricemia but to kidney disease. Blood uric acid levels can arise when the kidney is not functioning properly. Whichever cause, the kidneys can become damaged when blood uric acid levels are raised over long periods. The body unable to eliminate uric acid, deposits a hardened crystallised form of uric acid (tophi) usually in the joints and skin. Within the joints, deposits can be made in the joint fluid (synovial fluid) and joint lining (synovial lining).Common areas for these deposits are the ankles, feet and ball of the large toe. Less common areas of uric acid deposits include the ears and eyes. Tophi, areas of hardened uric acid, may also be seen under the skin around the fingers and toes.

8. http://www.medicinenet.com/kidney_stone_pictures_slideshow/article.htm http://www.medicinenet.com/kidney_stone_pictures_slideshow/article.htm http://www.medicinenet.com/kidney_stone_pictures_slideshow/article.htm http://www.medicinenet.com/kidney_stone_pictures_slideshow/article.htm

9. 1.TREATMENT OF ACUTE GOUT ATTACK 2.MANAGING HYPERURICEMIA 3.ATTACK PREVENTION

10. ONCE DIAGNOSED WITH GOUT FIND OUT AS MUCH INFORMATION ABOUT IT. IMMEDIATELY TREAT GOUT ATTACK BEFORE ANY OTHER ATTACK OCCUR! THE LONGER YOU WAIT THE HARDER IT WILL GET TO TREAT GOUT KNOW WHAT MEDICINE WORKS AND HOW IT WORKS CONTROLING YOUR DIET IS ONE OF THE KEYTO TREATING GOUT

11. THERE ARE TREATMENTS THAT YOUR PHYSICIANS SHOULD PERSCRIBE WHICH USSUALLY OFTEN TO TREAT GOUT ATTACK THERE ARE TREATMENTS THAT YOUR PHYSICIANS SHOULD PERSCRIBE WHICH USSUALLY OFTEN TO TREAT GOUT ATTACK MEDICATION USSUALLY USED IS COLCHICINE (THIS DRUG HAS BEEN USED FOR OVER 2000 YEARS) MEDICATION USSUALLY USED IS COLCHICINE (THIS DRUG HAS BEEN USED FOR OVER 2000 YEARS) COLCHINE DISRUPT WHITE BLOOD CELL UNLIKE NSAID WHICH IS A NEW DRIG OF THE 20 TH CENTURY DISCOVERIES. COLCHINE DISRUPT WHITE BLOOD CELL UNLIKE NSAID WHICH IS A NEW DRIG OF THE 20 TH CENTURY DISCOVERIES. NSAID IS SHORT FOR NON-STEROIDAL ANTI-INFLAMMATORY MEDICATIONS DRUGS (NSAID) NSAID IS SHORT FOR NON-STEROIDAL ANTI-INFLAMMATORY MEDICATIONS DRUGS (NSAID) “NSAID WORK BY BLOCKING THE COX (CYCLOOXYGENASE ENZYMES, WHICH ARE KEY MEDIATORS OF INFLAMMATION IN THE BODY. “ (Koshin) “NSAID WORK BY BLOCKING THE COX (CYCLOOXYGENASE ENZYMES, WHICH ARE KEY MEDIATORS OF INFLAMMATION IN THE BODY. “ (Koshin) THERE ARE DIFFERENT TYPE OF NSAID BUT MOST COMMONLY USED IS INDOMETHACIN THERE ARE DIFFERENT TYPE OF NSAID BUT MOST COMMONLY USED IS INDOMETHACIN

12. BUTTER ° RED MEAT °PASTA ° SWEETS ° POTATOES ° WHITE RICE ° WHITE BREAD CALCIUM ° SUPPLEMENTS ° LOW- FAT DAIRY ° 1 – 2 SERVINGS PER DAY FISH ° POULTRY ° EGGS ° 0 – 2 SERVINGS PER DAY NUTS ° LEGUMES ° 1 – 3 SERVINGS PER DAY VEGETABLES ° FRUITS ° EAT IN ABUNDANCE 2- 3SERVINGS PER DAY WHOLE GRAIN FOODS EAT AT MOST MEALS ° PLANTS OILS (OLIVE, CANOLA, SUNFLOWER, PEANUT, OTHER VEGETABLES OILS) AT MOST MEALS DAILY EXERCISE WEIGHT CONTROL

13. For acute attacks of gout, the following measures may be beneficial:For acute attacks of gout, the following measures may be beneficial: * Rest and elevate the affected joint, if possible. * Rest and elevate the affected joint, if possible. * Apply ice packs for 20 minutes at a time, several times a day. * Apply ice packs for 20 minutes at a time, several times a day. * Take ibuprofen for relief of pain and inflammation (unless you have a history of kidney disease or stomach ulcers). * Take ibuprofen for relief of pain and inflammation (unless you have a history of kidney disease or stomach ulcers). * Avoid aspirin, as it can worsen the condition in some people. * Avoid aspirin, as it can worsen the condition in some people. * Apply hemorrhoid creams to the skin to temporarily reduce inflammation. * Apply hemorrhoid creams to the skin to temporarily reduce inflammation. After an acute attack, skin overlying the affected joint may peel and shed. If this occurs on a toe joint, the area may be more likely to develop a fungal infection (athlete's foot). Keep the area dry and use an over-the- counter antifungal cream, such as terbinafine or clotrimazole.After an acute attack, skin overlying the affected joint may peel and shed. If this occurs on a toe joint, the area may be more likely to develop a fungal infection (athlete's foot). Keep the area dry and use an over-the- counter antifungal cream, such as terbinafine or clotrimazole.

14. Patients with a history of gout should consider the following: * Avoid foods high in purines such as anchovies, organ meat, red meat, asparagus, mushrooms, spinach, dried beans (as well as peas and lentils), and cauliflower. * Avoid foods high in purines such as anchovies, organ meat, red meat, asparagus, mushrooms, spinach, dried beans (as well as peas and lentils), and cauliflower. * Limit alcohol consumption to 2 drinks per day if you are a man and 1 drink per day if you are a woman. * Limit alcohol consumption to 2 drinks per day if you are a man and 1 drink per day if you are a woman. * Consume purine-neutralizing foods such as fresh fruits (especially cherries and strawberries), most vegetables, celery juice, and B-complex and C vitamins. * Consume purine-neutralizing foods such as fresh fruits (especially cherries and strawberries), most vegetables, celery juice, and B-complex and C vitamins. * Drink an extra 4–5 glasses of water per day. * Drink an extra 4–5 glasses of water per day. * Maintain a healthy weight. * Maintain a healthy weight.

16. BEAT GOUT FOR YOUR HEALTH OF LIVING LIFE TO ITS FULLEST BEAT GOUT FOR YOUR HEALTH OF LIVING LIFE TO ITS FULLEST TREAT GOUT AS SOON AS YOU ARE DIAGNOSED TREAT GOUT AS SOON AS YOU ARE DIAGNOSED ALWAYS GET ADVICE FROM YOUR PHYSICIANS THAT YOU NEED TO USE AS SOON AS POSSIBLE ALWAYS GET ADVICE FROM YOUR PHYSICIANS THAT YOU NEED TO USE AS SOON AS POSSIBLE REMEMBER DIFFERENT MEDICATION WORKS ON DIFFERENT TYPES OF GOUT ATTACK AND ALSO PHYSICAL BODY STRUCTURE. REMEMBER DIFFERENT MEDICATION WORKS ON DIFFERENT TYPES OF GOUT ATTACK AND ALSO PHYSICAL BODY STRUCTURE. GET WELL GET WELL AND THANK YOU FOR VISITING MY POWERPOINT PRESENTATION AND THANK YOU FOR VISITING MY POWERPOINT PRESENTATION

17. http://www.visualdxhealth.com/adult/gout-selfCare.htm http://www.visualdxhealth.com/adult/gout-selfCare.htm http://www.visualdxhealth.com/adult/gout-selfCare.htm KOSHIN, VICTOR. BEATING GOUT: A SUFFERS GUIDE TO LIVIN: P.O. BOX 1098 WILLIAMSVILLE. NY 14231, 2008 KOSHIN, VICTOR. BEATING GOUT: A SUFFERS GUIDE TO LIVIN: P.O. BOX 1098 WILLIAMSVILLE. NY 14231, 2008 ° www.ayerware.com ° www.beatinggout.com ° www.ayerware.com ° www.beatinggout.com www.ayerware.com www.beatinggout.com www.ayerware.com www.beatinggout.com