Apollo Hospitals | Gout | Dr. Sundeep Upadhaya
Our latest video addresses "Gout" by renowned Dr. Sundeep Upadhaya, professor and senior consultant of rheumatology, and immunology at Apollo Hospitals, Indraprastha, New Delhi, experienced in the respective field.
In this video, he briefs about Gout, a common and complex form of arthritis in older people or chronic mobility.
Watch the full video as the expert talks about what can be done to improve the life of Gout patients.
0.00 - Introduction
0.36 - Management of Gout
1.03 - Risk factors of Gout
1.57 - Triggers of Gout
2.56 - Management of Gout Attack
3.55 - Treatment for Gout Attack
5.20 - Prevention of future Gout Attack
7.04 - Diet for Gout
8.07 - Conclusion
Hello, I am Dr. Sandeep Upadhyay, professor and senior consultant Rheumatology and Immunology at Apollo Hospitals, New Delhi. Today we'll discuss the important topic of gout, one of the common metabolic arthritis forms in the elderly. It afflicts vulnerable populations such as patients with chronic morbidities like heart disease, stroke, kidney disorders, and others.
The management of gout is not only medical but also social, involving constant updates with the latest information.
Risk factors for gout often include elderly men with multiple comorbidities like heart disease, minor renal problems, those on medications such as diuretics or anti-hypertensives, and poorly controlled diabetes. Other features that worsen gout risk include excessive alcoholism, extreme obesity, binge drinking, dehydration, long-distance travel, and intercurrent illnesses.
Triggers for gout attacks can be illustrated with scenarios such as a young man in his 30s who parties all night, binges on beer, becomes dehydrated, vomits, has loose motions, then drinks again or eats a very hearty, high-calorie meal with more beer. These dietary factors and drinking are common triggers, often causing severe swelling in a toe, ankle, or knee late at night.
To manage acute gout attacks, anti-inflammatory medicines should be used, preferably under medical guidance from emergency or rheumatology specialists. Colchicine is another important medicine that helps quickly relieve severe symptoms.
Usually, gout attacks happen at home. Patients who have had earlier attacks should know their "rescue medicines" like anti-inflammatory drugs combined with acidity-reducing agents (PPIs). They should not wait for a doctor's advice if instructed beforehand and can use these medicines judiciously to control symptoms.
To prevent future gout attacks, maintaining a healthy lifestyle is key. This includes losing weight, stopping smoking, following a low carbohydrate diet, and avoiding prohibited foods.
For patients with multiple attacks, lifelong uric acid-lowering therapy with medicines such as Allopurinol or Febuxostat is often necessary. The doctor administers and monitors doses, timing, and tests.
Concerning diet misconceptions, many believe all proteins should be avoided. However, normal protein intake, especially vegetable proteins, dairy products like paneer, pulses, and dal are acceptable. Red meat, beer, seafood, fruit juices, and cola drinks should be avoided.
In conclusion, gout is a metabolic disorder affecting mainly elderly people with underlying health issues. Proper understanding of medication, lifestyle management, hospital and home treatment, and diet myths is vital for better management.
Stay safe, stay healthy, stay informed. Namaste.
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Apollo Hospitals is the leading multi-specialty hospitals group in India. It is also present in several countries in the Asia-pacific region. Over 8000 doctors provide best in class treatment at the groups 70+ hospitals in 27 cities.
It specializes in - Cardiology, Orthopaedics, Spine, Neurology & Neurosurgery, Gastroenterology, Gynaecology, Oncology, Transplants, ICU, Emergency, Preventive Medicine, Robotics, Bariatric Surgery, Nephrology & Urology and Colorectal Surgery.
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