Gout is a condition that, if left untreated, can become increasingly severe and frequent and cause irreparable damage to the urinary tract. In the March 2010 edition of the Pain and Arthritis Newsletter, Dr. Martin Aringer, division chief of rheumatology at the Technical University of Dresden, says the cause is the body's inability to excrete uric acid. As with many diseases, the protocol focuses on management of symptoms. Nonsteroidal anti-inflammatory drugs, along with a low-purine diet with limited alcohol, meat and fat, is often recommended.
Recurrent Attacks
Although the first few gout attacks are unlikely to cause permanent harm, repeat attacks can lead to chronic inflammation and severely limited mobility. Even if the patient is familiar with gout symptoms and the progression of the gout attack, it is important to consult with a physician to determine proper medication and dosage to improve the rate of recovery.
Kidney Damage
A build-up of uric acid in the kidneys can lead to the development of kidney stones, calcified pebbles of uric crystals that cause pain and nausea as they move through the urinary tract. If the stones block the flow of urine, surgical removal is required. Because compromised kidney function is not an obvious process, have your uric acid levels checked frequently.
Joint Damage
With recurrent gout attacks, lumpy deposits of uric acid crystals, called tophi, may develop in the soft tissues surrounding the joints. Although tophi aren't necessarily painful, they can become swollen and tender and cause permanent damage to the nearby joint, according to the Cleveland Clinic.
Drug Toxicity
Nonsteroidal anti-inflammatory drugs, such as ibuprofen and indomethacin, are the treatment of choice for acute gout attacks. Although considered safe for short-term use, taken in excess or over a long period of time, anti-inflammatory drugs can cause stomach upset, ulcers, diarrhea, rashes and liver damage, particularly for those who drink alcohol. Allopurinol, available by prescription only, inhibits formation of uric acid and is commonly prescribed as a preventive for long term use.
Lifestyle
Dietary restrictions, medications and modified exercise routines represent major lifestyle changes. Forming new habits takes time, and as with all adjustments, small steps leading to a long-term goal are apt to be more successful than attempting to achieve immediate results. Preventing gout attacks is a lifelong endeavor.
