Gout in Senior Citizens
Gout is caused due to the inflammation of the joints as a result of the deposition of uric acid crystals. The disease is common in men as compared to women. This is a congenital metabolic disorder that can occur with varying degrees of intensity. Gout is characterized by the development of monoarthritis, rarely marked asymmetrical inflammation of several joints. Causes of gout:
- There are 2 main reasons that provoke the accumulation of urates in the human body:
- The presence of genetic predisposition or pronounced endocrine disorders in patients who abuse alcohol or adhere to an unbalanced diet.
- Violations of metabolic processes or incorrect medication.
Note: Experts believe that the main reason for the development of gout is related to the excessive consumption of fatty foods, fast food as well as alcohol.
Classical gouty attack proceeds with inflammation of the metatarsophalangeal joint of the big toe, less often inflammation develops in the ankle, knee, wrist joint. In the evening or at night there is a sharp intolerable pain in the joint, which is aggravated by the slightest movement. Pain almost does not respond to anti-inflammatory drugs. The skin over the joint becomes shiny, bright red, and later acquires cyanotic (cyanotic) color, moderate soft tissue swelling is also noted. The first attacks can last for several days, then their duration increases, sometimes up to several weeks.
In chronic gout, characteristic subcutaneous nodules, tophi, are formed around the joints. They can be opened with the release of cretaceous crystals – deposits of urates. It is recommended to drink plenty of liquids, including alkaline mineral waters.
Drug therapy for gout should be prescribed by a doctor. Probenecid, sulfinpyrazone, allopurinol are some of the most commonly used drugs for gout in seniors. In the first weeks after the start of therapy which is aimed at reducing the amount of uric acid in the blood, exacerbations may occur – in this case, the medication does not stop. Constant therapy not only prevents arthritic attacks but also prevents the development of uric acid stones.
Medigap for Over 65 Seniors: Older adults over 65 years can check Medicare supplement plans for covering costs excluded from Medicare.