What to do if you have a gout attack and have a fever
Gout is a common metabolic disease mainly caused by the deposition of uric acid crystals in the joints, often accompanied by severe pain and inflammation. When gout attacks, some patients may also experience fever, which may be related to an increased inflammatory response. The following are methods and precautions for dealing with gout attacks and fever.
1. Common causes of gout attacks and fever
Fever occurs during a gout attack and is usually related to the following factors:
| Reason | Description |
|---|---|
| Increased inflammatory response | Uric acid crystals trigger a strong response from the immune system, causing body temperature to rise. |
| secondary infection | The site of a gout attack may become infected due to broken skin or weakened immunity. |
| Combined with other diseases | Such as kidney disease or metabolic syndrome, which may worsen symptoms. |
2. Treatment of gout attack and fever
When a gout attack is accompanied by a fever, you can take the following steps to relieve symptoms:
| measures | Specific operations |
|---|---|
| drug treatment | Use nonsteroidal anti-inflammatory drugs (such as ibuprofen) or colchicine to reduce inflammation and pain; use antipyretics as directed by your doctor if necessary. |
| Apply cold compress to affected area | Wrap an ice pack in a towel and apply cold compress to the joint for 15-20 minutes each time to relieve swelling and heat. |
| drink more water | Drink more than 2000ml of water every day to promote uric acid excretion. |
| bed rest | Reduce joint movement to avoid exacerbating inflammation. |
| diet modification | Avoid high-purine foods (such as seafood, animal offal) and eat more vegetables and low-fat dairy products. |
3. When do you need medical treatment?
It is recommended to seek medical treatment immediately in the following situations:
| Symptoms | Possible risks |
|---|---|
| High fever that persists (body temperature >38.5℃) | Severe infection or systemic inflammatory response may be present. |
| Increased joint redness, swelling, heat and pain | Septic arthritis or other complications need to be ruled out. |
| With nausea, vomiting, or confusion | Possible uric acid nephropathy or metabolic disorder. |
4. Recommendations for preventing gout attacks
Long-term management is key to reducing gout attacks:
| Precautions | Specific methods |
|---|---|
| Control uric acid levels | Monitor uric acid regularly, with a target value of <360 μmol/L (without tophi) or <300 μmol/L (with tophi). |
| Take medication regularly | Take uric acid-lowering drugs (such as allopurinol, febuxostat) as directed by your doctor. |
| healthy lifestyle | Limit alcohol, lose weight, exercise moderately, and avoid strenuous exercise-induced attacks. |
5. Recent hot topics
According to the entire network data in the past 10 days, the following topics are related to gout treatment:
| hot topics | focus of discussion |
|---|---|
| New uric acid-lowering drugs | Application of SGLT-2 inhibitors in patients with gout and diabetes. |
| Gout and cardiovascular disease | Studies show that patients with gout have a 1.5-fold increased risk of myocardial infarction. |
| Traditional Chinese Medicine External Treatment | Clinical observation on acupuncture and traditional Chinese medicine fumigation in relieving acute attacks. |
Summary:When a gout attack is accompanied by fever, timely anti-inflammatory and analgesic measures are required and body temperature changes must be monitored. If symptoms persist or worsen, you should seek medical attention as soon as possible to check for complications such as infection. Long-term control of uric acid levels and a healthy lifestyle are core measures to prevent recurrence.
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