FAQ, Frequently Asked Questions, regarding Gout, Uric Acid & Treatments
What is high Uric Acid?
The amount of serum Uric Acid is high when it is above the solubility limit of 6.8 mg/dL.
Why I have high Uric Acid?
High Uric acid is a metabolic condition caused by the Liver and the Kidneys.
Due to age combined with lifestyle or heritage gene alterations, the body will produce too much uric acid or does not excrete enough uric acid (or both).
When and where are Uric Acid crystals formed?
When the amount of serum Uric Acid is above the solubility limit of 6.8 mg/dL, Uric Acid starts to precipitate into small crystals. The higher the Uric Acid levels are above the solubility limit, the faster the precipitation, and the larger the Uric Acid crystals become.
Uric Acid crystals can form in joints, tendons, and surrounding tissue.
Uric acid crystals can also deposit in the kidneys, causing kidney, ureter, or stones.
What are Tophi?
After some time, Uric Acid crystals can accumulate and form bumps called Tophi.
What causes a gout attack?
Having Uric Acid crystals, and when your body is inflammation sensitive (usually a Spleen condition, TNF production), pro-inflammatory white blood cells will try to eliminate the small uric acid crystals.
What are the symptoms of a gout attack?
Sudden, localized tenderness, warmth, redness, swelling, and severe pain.
In which body parts can you have a gout attack?
Typically in joints and tendons.
First of all, in all parts of the feet.
Secondly, gout attacks appear in the Achilles tendon, knees, elbows, wrist, and fingers.
Less frequently in the hips, spine, shoulders, and ears.
Are there Gout related conditions?
Yes, to name a few: Diabetes type II, Hypertension, Obesity, Metabolic Syndrome, Endothelial Dysfunction, Erectile Dysfunction, Kidney Stones, Neuropathy, Atherosclerosis, Chronic Kidney Disease.
Do these related conditions lead to Gout, or does Gout causes these related conditions?
That is the problem of the chicken and the egg, who was first? They show up "together."
How is Gout Diagnosed?
Doctors usually diagnose Gout by investigating for typical symptoms together with a Uric Acid blood test.
Some doctors may drawn fluid from the affected joint. It will be microscopical examined for Uric Acid crystals, this will confirm a diagnosis of gout.
Note: Recently, Chinese scientists have discovered that Gout Patients are missing some common fecal bacteria and proposed their findings as a more easy and secure diagnose tool for Gout.
Can Gout be Cured? What is the prognosis?
Medical Universities do teach that there is no cure for Gout, that it is a life long condition.
At The Gout Clinic, we aim to increase the efficiency of your involved organs (Liver, Kidneys, Spleen, Pancreas) to the level when you were a young teenager. When we accomplish this, you will not have gout attacks anymore, just as when you were a teenager.
How is Gout treated?
Conventionally: Medical Treatment for Gout consists of prescribing pain medicine and Uric Acid controlling medication. These medicines do not cure Gout, and patients have to use these life long.
The Gout Clinic: Gout is reversed by Organ rebuilding treatments. The most important treatment is the deep needling electroacupuncture of the involved spinal nerves.
Can we heal Joint damage by Gout at The Gout Clinic?
Real bone damage, No.
Light cartilage damage, Yes.