Resolving Severe Pain That Is Constantly Experienced By Chronic Kidney Disease And Diabetic Patients

Have you ever felt a burning sensation in your toe that is so sensitive you cannot even lay a sheet over it? You may not know it, but you are probably having a Gout attack. The painful disorder is very common and equally as painful in people with Chronic Kidney Disease and Diabetes because they share common  physical characteristics and conditions, such as prolonged periods of sitting which lead to obesity.

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Gout is a type of arthritis caused by having an excess buildup of uric acid (a waste product that the body produces). It causes sudden, extreme attacks of pain, swelling, and redness; most often striking the big toe, but Gout also can attack the feet, ankles, knees, hands, and wrists. 

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Many of the reasons you are suffering with Gout are out of your control. When you come home from a long Dialysis session, your body may just be completely unable to conduct exercises or extraneous activity. Also, if you begin exercising and your blood sugar skyrockets, chances are you will have to stop and put it off until another time. However, there are some things in your favor to suffer less Gout attacks or none at all. By making slight changes to your lifestyle, not only will you relieve your Gout, you can improve your CKD and Diabetes. 

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Most people with CKD and Diabetes do not even realize that they have Gout because it is not known what exactly triggers it. The pain is sudden, it often occurs in the night, and people attribute it with "just getting old" since it occurs in the joints (toe, knee, or ankle). Still if your are experiencing pain that you view as "throbbing," "crushing," or "excruciating" in your joints and that appear warm, red, tender, or swollen then you likely are having Gout attacks. They may be accompanied by a fever and then go away within a few days, but return later.   

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While you could live your life trying to dodge attacks and suffering during the inevitable days your Gout sets-in, you can and should do better. With a few simple strategies, you can greatly improve the quality of your life by better managing these very painful attacks which ultimately lead to joint damage and loss of motion in the joints.

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Diet and lifestyle changes such as: Limiting your intake of red meat; reducing sugary beverages; eating healthy dairy products, vegetables, fruits (less sugary ones), and whole grains; not drinking alcohol; as well as drinking coffee and taking vitamin C may help prevent Gouty arthritis. 

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Ensure that you maintain reasonable expectations. You cannot solve this major problem just by adjusting your diet. Hence, talk to your Nephrologists who can offer preemptive medication to limit attacks such as Allopurinol or Probenecid (write those names down) to decrease uric acid levels in your blood. They can also prescribe the most appropriate pain relievers like Ibuprofen, Naproxen, or Indomethacin to take when symptoms begin as well as Prednisone, Codeine, Oxycodone, and Colchicine (write medication names down) to stop pain within 12 hours, minimize swelling, and prevent inflammation. 

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References: 

Feature, Elizabeth Shimer BowersWebMD. "Gout and Diabetes." WebMD.com.

Board, A.D.A.M. Editorial. "Gout." Http://www.ncbi.nlm.nih.gov/. U.S. National Library of Medicine.

BRIAN F. MANDELL, MD, PhD*, and HOSSAM EL-ZAWAWY, MD, MS. "Managing Gout: How Is It Different in Patients with Chronic Kidney Disease?" Http://www.ccjm.org/. The Cleveland Clinic Foundation.

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