FAQ | The Gout Clinic | Gout & UA Information

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Frequently asked questions

What Is High Uric Acid?


We speak about High Uric Acid when serum Uric Acid levels are above the solubility limit of 6.8 mg/dL.




Why I Have High Uric Acid?


People get high Uric Acid because of excessive carbohydrate consumption.
Excessive carbohydrate consumption results in endothelial dysfunction, which leads to organ malfunction, in this case, the Liver and kidneys, causing the body to produce too much Uric Acid or not excreting enough (or both). Genetic factors may increase the production of Uric Acid.




Why the Body Makes Uric Acid?


Originally to protect itself.
Uric Acid is a strong AntiOxidant and protects the body. Early in evolution, humans did not have ideal food and were lacking anti-oxidants. Uric Acid was needed to survive. Today, with plenty and better quality food, we do not need the Uric Acid. Now, because we still produce it, it can become a problem. So, due to evolution, we can have now a problem with something that used to save lives. Hopefully, future evolution will take care of this changed situation, and in a few hundred of thousands of years, humans will not have Gout any more.




From What the Body Makes Uric Acid?


The body makes Uric Acid from Purine. A low purine diet might help managing Gout.
But, more importantly, the body makes about 65% of the total Uric Acid by De Novo Biosynthesis, from small molecules that have nothing to do with purines, and this we can not control by diet. Here organ treatment becomes essential.




What Is a Usual Gout Diet?


A Low Purine diet might help managing Gout.




When and Where Are Uric Acid Crystals Formed?


When the amount of serum Uric Acid is above the solubility limit of 6.8 mg/dL, Uric Acid starts to precipitate into small crystals. The higher the Uric Acid levels are above the solubility limit, the faster the precipitation, and the larger the Uric Acid crystals become.
Uric Acid crystals can form in joints, tendons, and surrounding tissue.
Uric acid crystals can also deposit in organs like the kidneys and the heart.




What Are Tophi?


After some time, Uric Acid crystals can accumulate and form bumps called Tophi.




Are the Hard Bumps on My Joints, Tophi?


No, these are not bumps filled with Uric Acid crystals, but are bony "punch-out lesions." With time, they will grow and get bonier, finally resulting in fusing joints producing total immobilization.




What Causes a Gout Attack?


When you are inflammation sensitive, white pro-inflammatory blood cells will react to the Uric Acid crystals and cause inflammation.
This inflammatory response is a painful gout attack.




Do You Get Gout When Having High Uric Acid, or Uric Acid Crystals?


Maybe, 15% of the population has High Uric Acid, and as a result Uric Acid crystals.
But Less than 5% of the population has Gout.
The majority of people with Hyperuricemia do not get Gout!




How Is It Possible, Having High Uric Acid, but No Gout?


Gout is an inflammatory response to Uric Acid Crystals but only occurs when there are abnormally high levels of pro-inflammatory white blood cells in the body.




Why People Have Abnormally High Levels of Pro-Inflammatory White Blood Cells?


Because of a Spleen problem, this happens when the Spleen makes to much TNF, a precursor of pro-inflammatory white blood cells.




Can the Spleen Be Treated for Producing Too Much TNF?


Yes, at The Gout Clinic, we treat the Spleen with electro-acupuncture and spinal nerve treatment.
As a result, TNF production will ease, and inflammation and gout pain will decrease.




What Are the Symptoms of a Gout Attack?


Sudden, localized tenderness, warmth, redness, swelling, and severe pain.




In Which Body Parts Can You Have a Gout Attack?


Typically in joints and tendons.
First of all, in all parts of the feet.
Secondly, gout attacks appear in the Achilles tendon, knees, elbows, wrist, and fingers.
Less frequently in the hips, spine, shoulders, cheek, and ears.




How Long Does an Attack Last?


Typically a gout attack subsides after 5 to 10 days.




How Many People Have Gout?


Depending on the location on earth, between 2% and 5% of the population have Gout.




What Can I Expect After a First Gout Attack?


It can be expected to get a few more attacks in the coming years, and with time, the attacks will come more frequently and last longer, involve more joints. In a later, advanced stage, multiple attacks will overlap each other, resulting in having never stopping Gout attacks, on a persistent basis or "Chronic Gout." The Uric Acid crystals will destroy joints and surrounding soft tissue.




Are There Gout Related Conditions?


Yes, these are conditions that also come with or results from endothelial dysfunction.
To name a few: Diabetes T II, Hypertension, Obesity, Metabolic Syndrome, Erectile Dysfunction, Kidney Stones, Neuropathy, Atherosclerosis, Chronic Kidney Disease, high LDL & ULDL, high triglycerides. More of these related conditions will manifest, the more the gout proceeds.




Do Gout Related Conditions Lead to Gout, or Otherwise?


That is the problem of the chicken and the egg, who was first? We believe that high cholesterol, triglycerides, and endothelial dysfunction are the main reasons that people are getting Gout and Gout related conditions.




How Is Gout Diagnosed?


Doctors usually diagnose Gout by investigating for typical symptoms together with a Uric Acid blood test. A better test is drawing fluid from a joint during an attack, or tophi sampling, and microscopically investigate these samples for uric acid crystals. Recently, modern ultrasound and magnetic resonance imaging offer advanced ways to diagnose gout noninvasively. These are also excellent modalities to follow the progress of tophi dissolution.
Note: Recently, Chinese scientists have discovered that Gout Patients are missing some common fecal bacteria and proposed their findings as an easy diagnose tool for Gout.




Can Gout Be Treated?


Medical Universities do teach that there is no cure for Gout, that it is a life long condition.
At The Gout Clinic, we aim to normalize your involved organs (Liver, Kidneys, Spleen, Pancreas) comparable with the level of a teenager. When we accomplish this, you will not have gout attacks anymore, just as when you were a teenager.




How Is Gout Treated?


Conventionally: Medical Treatment for Gout consists of prescribing pain medicine and Uric Acid controlling medication. These medicines do not cure Gout, and patients have to use them for the rest of their life.
The Gout Clinic: Organ rebuilding treatments. Our nr1 treatment is stimulating the spinal nerves of the involved organs by deep needling electro-acupuncture. It is a safe and painless treatment.




Can You Treat Gout Joint Damage at the Gout Clinic?


We can not heal real bone damage in joints destroyed by advanced Gout. This damage is extensive and permanent. In these cases, we focus our treatments on lowering pain and prevent additional damage.
On the other hand, we do treat light cartilage damage with herbal supplements and PEMF therapy.




Is Gout Serious?


Gout can lead to wholly destroyed joints, heart damage (valves), kidney damage (CKD). Kidneys are always involved in getting Gout, but Gout makes the kidneys worse; it is a vicious circle.
Tophi can lead to deformities and become infected, even leading to amputations.
Tophi can also form in the heart and other organs resulting in life-threatening conditions.
We commonly observe serious eye problems as a result of Gout.
Gout can destroy your life, and that of the people close to you.




Why Have Man More Gout Than Women?


Lesser women have Gout because women menstruate. After menopause, there is no difference anymore in the uric acid levels in women and men. We believe that bleeding, natural, or as a treatment, stimulate both Liver and Spleen, resulting in avoiding or treating Gou




What are the main cultural factors responsible for getting Gout?


Wrong Diet
Lack of Exercise
Obesity
Alcohol
Medication