If you or someone you love has fallen victim to this dreadful disease known as Gout, it is critical that you learn how and why. Red, hot, shiny and painful joints are just the beginning. This disease can quickly spiral out of control and is a strong warning sign of more serious internal disruption taking place. Let us first address the factors involved in its development to grasp a better understanding of how to properly get it under control.
• Low Kidney Clearance Restricted Blood Flow
• Liver Abnormalities Obesity
• Overly Acidic and Purine Rich Diet Alcohol Consumption
• Stress Poor Nutrient / Vitamin Intake
• Low Friendly Bacteria Presence Antibiotic Use
• Prescription and OTC Medications High Blood Pressure Diuretics
• Illness / Injury / Surgery Crash Dieting & High Protein Diet
• Water Intake & Source Chlorine Contact
Low kidney clearance can stem from the lack of or even too much water, an overly acidic body imbalance, and the extra weight from heavy filtering requirements by things such as prescription and over the counter medications for example. The kidneys are responsible for the filtering of uric acid along with impurities and other waste products. This can be a challenge if there is excessive uric acid production at hand and/or if the under secretion of uric acid is related to decreased kidney function. In any instance, the trapped uric acid amounts settle in the joints, tissue, fat, kidneys, and liver where storage and crystallizing begin.
The blood is responsible for carrying the uric acid to the kidneys and then to the urine and bowels in order to be disposed. Lack of blood flow allows for any crystallized uric acid to remain trapped and inhibits the soluble amount from being expelled of properly in order to avoid the storage and crystal formation.
The liver is the take all for any and all foreign invaders in the body. As the largest gland it is responsible for food metabolism, bile secretion, removal of waste from the blood, toxin filtering, blood volume control, and the synthesizing of essential vitamins and nutrients. When the liver, and kidneys for that matter, have so many other toxic encounters to deal with daily, then something as natural and necessary like uric acid can become one of the last matters to deal with. Any reduced function of both can greatly attribute to uric acid imbalance and excretion adding a higher possibility of gouty arthritis formation.
Now we can begin to see how some of the other contributing factors listed above only add to the demise of these very important functions responsible for uric acid balance. Additionally, things such as alcohol consumption directly affect and consumes the attention of the liver and kidneys hindering proper uric acid expulsion. Alcohol not only dehydrates the blood responsible for carrying the uric acid through and out of the body, but it is also rich in purines further producing excessive uric acid.
Obesity which can affect the heart, blood flow, friendly bacteria levels and nutrient assimilation places excess strain on these same organs and functions. As a result, extra uric acid production is common and even more so from the typical diet involved in obesity cases as well as the lack of secretion from this stress placed on all areas responsible for the filtering.
Even without the presence of obesity, the typical diet is overly acidic and purine rich. We know that uric acid is the waste product from the breakdown of purines and purines are the metabolic end result of protein. So too many purines equal too much uric acid production with not nearly enough exits from the body has to result in storage somewhere in the body. Acidic/Alkaline balance in the diet, particularly within each meal, is essential to normal function and control of all areas involved. To achieve this balance it is said that at least a 70/30 ratio of alkaline to acidic intake is key. Our typical modern diet is exactly the opposite and in many cases even worse finding mostly a 20/80 ratio.
The Atkins Diet is very high protein and very acidic with little to no alkaline balance, which is essential to creating a healthy body environment. An acidic state allows for disease growth so in turn diets like these can certainly raise your chances or even directly contribute to gout and other degenerative disease development. Crash Diets work against the body draining it of vital nutrients, creating an acidic body environment and releasing stored purines from the body fat in the process. As you know excess purine release equals excess uric acid production.
Stress in another harsh offender to the body raising acidity levels and killing off strains of good bacteria meant to protect you. Stress can be a key factor in disease growth as it flourishes in these types of environments.
Prescription and Over the Counter Medications are notorious for their acidic nature and host of side effects that come along with their use. Some are worse than others but they all can contribute to nutrient and good bacteria depletion and heavily weigh on the very organs and functions you need working at their best. High blood pressure and cholesterol drugs are some of the top nutrient depleting drugs on the market so it important to at least try to supplement in some vitamins and friendly bacteria during their use. High Blood Pressure Diuretics can add even more concern regarding Gout as tend to drain too much water from the blood leaving room for much higher uric acid concentrations. The lack of proper water intake amount daily for many adds fuel to the fire. Not only is there too much water being pushed from the body, but not nearly enough going in to replace it and remain properly hydrated, once again leaving any hopes of proper uric acid excretion minimal at best. It is that much more important to be aware of your water intake daily and avoid some of these complications when possible. Secondary Gout, when gout occurs due to another condition such as renal disease, is also very common with conditions such as High blood pressure and Diabetes. Other common contributors to Secondary gout can stem from synthetic diuretic usage as detailed above, low dose aspirin use which limits the excretion of uric acid, and high dose Niacin use prescribed for High Cholesterol. Oddly enough, adult dose aspirin does not have the same negative effect in altering the excretion of uric acid as does the commonly prescribed low dose amount of 81mg.
Antibiotic use can contribute to the development of high uric acid concentration. Even short term use can push someone already bordering their first attack over that edge and can be a key factor in its development if long term and repetitive use has taken place. This holds truth because antibiotics are meant to kill off all of the bad bacteria in the body but also take all the good with it as well. Over 70% of your immune system is in your digestive system and low friendly bacteria counts place a lot of strain on your system’s ability to fight infection and disease growth. In fact disease growth flourishes in an acidic and toxic environment which is exactly what is at stake without enough friendly bacteria present to rule the intestines. Unfortunately, all of the above contributing factors to gout also directly affect and kill of this most-valuable good bacteria in the body. Stress, obesity, medications, overly acidic diets, processed foods, sugar, alcohol, chlorinated water and many more all add to the demise of our good bacteria.
Chlorine is inhaled through the steam of a hot shower, bath, hot tub, pool, etc. and also seeps into our pores under these circumstances as well. Chlorine is also found in our tap water and has a direct effect on our health in any manner of contact. Chlorine not only destroys vital strains of friendly bacteria in our body but is a health risk in general for many other reasons. Please reference the section on Chlorine and Gout found below for more information.
Water consumption and the source for your drinking water are both very important. Unfortunately a good portion of our society is dehydrated and isn’t even aware of it, which poses major health risks. As stated above, a good water source is equally as important for its purity necessity. With relation to Gout in particular, proper water intake is an essential key to blood hydration and kidney filtration in order to properly expel uric acid from the body.
Illness, injury, and surgery can all factor into pushing over that edge and into your first attack. Most likely you were already in the developing stages and experiencing overproduction and storage of uric acid and it was simply too much for the body to handle yet one more challenge without repercussions. This can be directed right back towards a lot of the above factors as all three situations usually entail extra stress, pain medication use, fast weight gain or loss, and antibiotic use. Not the best of combinations if predisposition is already at stake.