Gota
Gota is a term that can refer to several concepts depending on the context, including a disease known as gout in English, or various cultural and traditional practices in different parts of the world. This article will focus on gout, a form of arthritis characterized by sudden, severe attacks of pain, swelling, redness, and tenderness in the joints, often the joint at the base of the big toe.
Gout is caused by elevated levels of uric acid in the blood, which can form hard crystals in and around the joints. It's a common and complex form of arthritis that can affect anyone. The risk of developing gout is increased by a diet high in purines, which are found in red meat, seafood, and alcoholic beverages, especially beer. Other risk factors include obesity, high blood pressure, kidney disease, and certain medications.
The symptoms of gout can develop suddenly and are often most severe within the first 12 to 24 hours after onset. They include intense joint pain, lingering discomfort, inflammation, and redness. The affected joint is hot, swollen, and so tender that even the weight of the sheet on it may seem intolerable.
Treatment for gout includes medications to reduce pain and inflammation, such as nonsteroidal anti-inflammatory drugs (NSAIDs), colchicine, or corticosteroids. Lifestyle changes and dietary modifications can also help manage the condition and reduce the risk of future attacks. These include limiting intake of purine-rich foods, reducing alcohol consumption, and maintaining a healthy weight.
Prevention of gout primarily involves lifestyle and dietary changes. Drinking plenty of fluids, especially water, can help prevent the formation of uric acid crystals. Regular exercise and weight loss can also reduce the risk of gout attacks.
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Contributors: Prab R. Tumpati, MD