Gout is a chronic metabolic disease, and its attack period and remission period alternate repeatedly. Most patients have no symptoms when they enter the remission period, and feel like they are better, so they "have their scars and forget the pain" and no longer continue the treatment. As a result, after a short time, the gout has returned. Destruction, urinary tract stones, kidney damage, tophi "flowers everywhere". Pain relief does not mean that the gout has been cured. Only when the blood uric acid is lowered and stabilized, can the acute attack of gout be solved fundamentally. If hyperuricemia is not corrected, it will continue to cause damage to the joints, kidneys and cardiovascular system. Therefore, after the pain is relieved, even if there are no symptoms, as long as the blood uric acid control is not up to the standard, it should be treated with uric acid-lowering drugs.
The treatment of gout in remission is mainly to control the blood uric acid level and prevent and treat target organ damage. 80% of the production of blood uric acid in the human body comes from the purine metabolism of one's own cells, and 20% comes from food. Studies have found that even if the diet is strictly controlled, blood uric acid can only be reduced by about 90 micromoles/liter, and most patients still need drugs to make blood uric acid control up to the standard.
In order to effectively control gout attacks, it is recommended that patients with gout control their blood uric acid below 360 micromoles/liter, and for patients with frequent gout attacks (more than twice a year) or patients with tophi, blood uric acid should be controlled at 300 micromoles/liter Below, in order to facilitate the dissolution of tophi. In short, the treatment of gout is not only to relieve pain, but also to reduce blood uric acid. This is a long process and treatment must be adhered to.
