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Ginseng and Gouty Ginseng and Gouty ArthritisArthritis

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What is Gout ?What is Gout ?

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What is Gouty Arthritis ?What is Gouty Arthritis ?

Gout is caused by having higher-than-normal Gout is caused by having higher-than-normal levels of uric acid in your body.levels of uric acid in your body.

Your body may make too much uric acid, or have Your body may make too much uric acid, or have a hard time getting rid of uric acid. a hard time getting rid of uric acid.

If too much uric acid builds up in the fluid around If too much uric acid builds up in the fluid around the joints (synovial fluid), uric acid crystals form. the joints (synovial fluid), uric acid crystals form.

These crystals cause the joint to swell up and These crystals cause the joint to swell up and become inflamed.become inflamed.

Not everyone with high uric acid levels in the Not everyone with high uric acid levels in the blood has gout.blood has gout.

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Symptoms of Acute Gouty Symptoms of Acute Gouty AttacksAttacks

Symptoms develop suddenly and Symptoms develop suddenly and usually involve only one or a few joints. usually involve only one or a few joints.

The pain frequently starts during the The pain frequently starts during the night and is often described as night and is often described as throbbing, crushing, or excruciating.throbbing, crushing, or excruciating.

The joint appears warm and red. The joint appears warm and red. The attack may go away in several days, The attack may go away in several days,

but may return from time to time. but may return from time to time.

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Laboratory TestingLaboratory Testing

Synovial fluid analysis (shows uric Synovial fluid analysis (shows uric acid crystals)acid crystals)

Serum Uric acidSerum Uric acid Joint X-ray (may be normal)Joint X-ray (may be normal) Synovial biopsySynovial biopsy 24-hour Urine uric acid24-hour Urine uric acid

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Synovial FluidSynovial Fluid

Crystals detected indicate presence Crystals detected indicate presence of uric acid of uric acid

? Gouty arthritis? Gouty arthritis

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Serum Uric Acid -1Serum Uric Acid -1

Uric acid is a chemical created when the body Uric acid is a chemical created when the body breaks down substances called purines.breaks down substances called purines.

Purines are found in some foods and drinks, such Purines are found in some foods and drinks, such as liver, anchovies, mackerel, dried beans and as liver, anchovies, mackerel, dried beans and peas, beer, and wine.peas, beer, and wine.

Most uric acid dissolves in blood and travels to Most uric acid dissolves in blood and travels to the kidneys, where it passes out in urine. the kidneys, where it passes out in urine.

If your body produces too much uric acid or If your body produces too much uric acid or doesn't remove enough of it, you can get sick. doesn't remove enough of it, you can get sick.

This test checks to see how much uric acid you This test checks to see how much uric acid you have in your blood. have in your blood.

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Serum Uric Acid -2Serum Uric Acid -2

Normal Value :Normal Value : 3.0 to 7.0 mg/dL. 3.0 to 7.0 mg/dL.

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Alcohol, Ascorbic acid, Aspirin, Alcohol, Ascorbic acid, Aspirin, CaffeineCaffeine

Cisplatin, Diazoxide, DiureticsCisplatin, Diazoxide, Diuretics Epinephrine, Ethambutol, LevodopaEpinephrine, Ethambutol, Levodopa Methyldopa, Nicotinic acidMethyldopa, Nicotinic acid Phenothiazines, TheophyllinePhenothiazines, Theophylline

Drugs Increasing the Level of Uric Drugs Increasing the Level of Uric AcidAcid

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Drugs Drugs

Nonsteroidal anti-inflammatory drugs Nonsteroidal anti-inflammatory drugs (NSAIDs) such as ibuprofen (NSAIDs) such as ibuprofen

AllopurinolAllopurinol Strong painkillers such as codeine, Strong painkillers such as codeine,

hydrocodone, and oxycodone.hydrocodone, and oxycodone. Corticosteroids may also be very Corticosteroids may also be very

effective. Your doctor may inject the effective. Your doctor may inject the inflamed joint with steroids to relieve inflamed joint with steroids to relieve the pain.the pain.

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Joint x-rayJoint x-ray

This test is an X-ray of a knee, This test is an X-ray of a knee, shoulder, hip, wrist, ankle, or other shoulder, hip, wrist, ankle, or other joint.joint.

The x-ray may reveal The x-ray may reveal arthritisarthritis, , fractures, fractures, bone tumoursbone tumours, , degenerative bone conditions, and degenerative bone conditions, and osteomyelitisosteomyelitis (inflammation of the (inflammation of the bone caused by an infection). bone caused by an infection).

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Synovial BiopsySynovial Biopsy

A synovial biopsy is the removal of a piece of A synovial biopsy is the removal of a piece of tissue lining a joint. The tissue is called the tissue lining a joint. The tissue is called the synovial membrane.synovial membrane.

Synovial biopsy may identify the following Synovial biopsy may identify the following conditions: conditions:

1.1. Fungal infection Fungal infection 2.2. Fungal arthritis Fungal arthritis 3.3. Abnormal accumulation of iron deposits Abnormal accumulation of iron deposits 4.4. Tuberculosis (TB) Tuberculosis (TB) 5.5. Synovial cancer Synovial cancer 6.6. Gout Gout

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24-hour Urine Uric Acid24-hour Urine Uric Acid

Normal values range from 250 to 750 Normal values range from 250 to 750 milligrams per 24 hours. milligrams per 24 hours.

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Change in Diet and Lifestyle in Change in Diet and Lifestyle in Preventing Gouty Attacks Preventing Gouty Attacks

Avoid alcohol, anchovies (salt-water forage Avoid alcohol, anchovies (salt-water forage fish) , sardines, oils, herring, organ meat fish) , sardines, oils, herring, organ meat (liver, kidney, and sweetbreads), legumes (liver, kidney, and sweetbreads), legumes (dried beans and peas), gravies, (dried beans and peas), gravies, mushrooms, spinach, asparagus, mushrooms, spinach, asparagus, cauliflower, consommé, and baking or cauliflower, consommé, and baking or brewer's yeast.brewer's yeast.

Avoid eating Avoid eating meatmeat at each meal. at each meal. Avoid Avoid fatty foodsfatty foods such as salad dressings, such as salad dressings,

ice cream, and fried foods.ice cream, and fried foods.

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How Ginseng HelpsHow Ginseng Helps

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Ginseng Helps Gouty Ginseng Helps Gouty Arthritis-1Arthritis-1

Ginseng is known to be a very Ginseng is known to be a very effective herb in treating gout.effective herb in treating gout.

Ginseng is an excellent rejuvenator of Ginseng is an excellent rejuvenator of the digestive system.the digestive system.

It stimulates proper absorption of food It stimulates proper absorption of food and elimination of toxic waste from and elimination of toxic waste from the body.the body.

Ginseng is an effective blood cleanser. Ginseng is an effective blood cleanser.

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Ginseng Helps Gouty Ginseng Helps Gouty Arthritis-2Arthritis-2

It purifies the blood, helps in maximum It purifies the blood, helps in maximum absorption of oxygen and nutrients by blood absorption of oxygen and nutrients by blood and enhances blood circulation in the body.and enhances blood circulation in the body.

Ginseng is an excellent anti-inflammatory Ginseng is an excellent anti-inflammatory herb and it relieves signs of inflation in the herb and it relieves signs of inflation in the body.body.

These properties of ginseng effectively treat These properties of ginseng effectively treat all the possible causes of goutall the possible causes of gout

Give the body much needed strength and Give the body much needed strength and relaxation required to rejuvenate the relaxation required to rejuvenate the patient from fatigue caused by gout.patient from fatigue caused by gout.

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Eating Right, Not Eating Eating Right, Not Eating WellWell

Eating "well" usually means eating Eating "well" usually means eating too much of the wrong kinds of too much of the wrong kinds of foods.foods.

Eating Right is the “Key” for Eating Right is the “Key” for obtaining total quality health.obtaining total quality health.

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