A Short Note On Diabetes And Its Effect On The Patient Severe Pain

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Gout is a condition of the joint that causes the patient severe pain. It is characterized by an increase of uric acid in the blood that lasts for some time. This elevation of uric acid in the blood is called hyperuricemia. In normal development, uric acid is chemical that is produced in the body. This chemical is created when the body breaks down substances called purines. Normally, uric acid dissolves in the blood and is excreted by the kidneys and passes through the urine. If the patient’s body produces an excess of uric acid or doesn 't remove enough if it, they can get sick. However, not all patients that have elevated uric acid levels will develop gout (Edwards, 2013). Under-excretion or over-production of uric acid by the…show more content…
Patients can also have an increased risk related to other diseases that they have like hypertension, some renal and cardiovascular diseases, and diabetes. Some medications can also affect a gouty flare ups like Vitamin B3, diuretics, niacin, medications used to treat tuberculosis, and cyclosporine. Surgical procedures and trauma to the joints can also cause a gouty flare-up (Finney, 2014). Gout presents itself in four different stages. In stage one, the patient will experiences a gouty flare up but then will have symptoms free periods of time even though the uric acid levels in the blood continue to be elevated. Some patients can also present with no symptoms at all. In the second stage, the patient will start to experience acute arthritis that has a sudden onset usually within six to twelve hours. The flare ups of gout tend to be located in the small joints like the fingers, wrists, elbows, and knees. The most common flare up symptoms can usually be found in the patient’s great toe. If the patient doesn’t treat seek treatment the flare-ups can last anywhere from seven to ten days. Symptoms that the patient can experience besides painful, swollen joints are chills, headaches, and weakness. At this point the patient can still experience symptom free periods and this is stage three, or interval gout. However if the gout continues to be left untreated, the time in between will be decreased. The body will also start to
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