• Gout is a disease caused by the deposition of uric acid salts in the tissues and pulp in the soft tissue and tissue.
• The cause of the deposition is the accumulation of uric acid (resulting from purine metabolism), which is mainly produced by the lack of uric acid extraction through the kidneys.
• The spread of the disease worldwide, and the incidence rate of the disease in the whole world is 0.3%, which affects males more than females because the estrogen in females before the age of Elias reduces uric acid in the blood, and studies show that peak disease occurs at the age of 30-60 .
• The disease occurs in the form of acute attacks or chronic disease so that the joint and a joint joint that connects the instep with the big toe swollen with redness and rise in the heat of the skin covering him, either on the form of the contract or the form of stones in the kidneys or renal impairment
• The diagnosis depends on the examination of the synovial fluid to confirm the deposition of crystals and polarization examination, and the examination of the level of uric acid in the blood and urine is useful in diagnosis and appropriate choice of treatment
• Radiation helps to show the damage caused by the disease, as well as to determine the extent of damage to the joint as a result of the disease
• Gout patients should be advised to stay away from food rich in purine and to rely on low purine foods, avoid medications that cause high uric acid levels in the blood, and drink large amounts of water to reduce the concentration of uric acid in the urine and thus reduce the incidence of stones in the kidneys , Abstinence from alcoholic beverages, which reduces the ability of the body to remove uric acid, and a periodic check every 6 months by the analysis of the proportion of uric acid in the blood.
• Medications include the use of anti-inflammatories or analgesics and colchicine and drugs that reduce uric acid such as alopurinol and propanase.
• Alternative medicine includes celery, turmeric, licorice, avocado, cherries, ginger, oats, olives, watercress, apple, cucumber and lemon.