Aired (September 16, 2023): Ano nga ba ang gout? Ano nga ba ang sanhi ng sakit na ito? Panoorin ang video.
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00:00 What if we thought that the pain was just a simple physical pain?
00:04 I was young when Raray was looking for me.
00:07 She got lost.
00:08 My body was already telling me that I was already drunk when I was in Virginia.
00:13 She was sent home in a coma.
00:15 A bullet wound to the hand or foot.
00:24 She is Joanna. At the age of 30, she was at the prime of her career as a customer service agent.
00:31 But last year, she had to stop her job after she had a hard time walking.
00:40 When she went to the doctor, she found out that the reason was gout.
00:45 I was already working.
00:49 I noticed that when I was working, I felt pain.
00:54 I asked myself why my feet hurt.
00:56 I had a hard time walking.
00:58 But it wasn't that bad.
01:00 I was just limping.
01:02 But she said that she just let go of her foot pain.
01:06 It was 8 years of pain.
01:10 Until this November, she said that her foot pain was the worst.
01:18 I was bedridden.
01:19 I couldn't eat.
01:21 I was just trying to walk.
01:23 I was wearing a diaper.
01:25 My whole body was always itching.
01:28 From my shoulder to my legs, it reached the point where it was numb.
01:34 That's when Joanna's gout spread to different parts of her body.
01:47 Gout is an inflammatory arthritis that causes pain and it can lead to complications.
01:54 Gout is a condition of hyperuricemia.
01:59 Hyperuricemia is when the level of uric acid is high or zero mu rate in blood.
02:05 When it's too high, it's hard for the kidney to eliminate it.
02:11 That's why uric acid deposits in the joints when it reaches a certain level.
02:16 When it hurts, that's called flare.
02:19 It usually hits the foot first.
02:23 It's particular to men because it's natural for women to have lower uric acid levels.
02:30 But it can also be a source of obesity.
02:33 Gout has a high predisposition of genetics.
02:38 If your uncle, grandfather, or grandfather has gout, there's a high chance that you'll have gout.
02:46 Especially if they had gout when they were younger.
02:49 In Joanna's case, her mother also has gout.
02:53 Now, it's hard for Joanna to move.
03:03 When I move, I just drag her to where she wants to go.
03:08 Because she can't get a job, Joanna decided to sell online.
03:15 When I go out, I'm in a wheelchair.
03:20 One of the most common manifestations of gout is the presence of 2-5 from the uric acid.
03:28 These are the crystals that surround our joints.
03:33 When they come out of our skin, it looks like a nana.
03:37 But in Joanna's case, the gout came out of her fingers.
03:45 I can't even close it. I can't write properly.
03:52 Joanna also noticed that whenever she eats string beans, her joints hurt.
03:58 It started when I ate beans.
04:02 We ate string beans with eggplants.
04:08 I noticed that it hurts here.
04:11 I was in a bad condition for 3 days.
04:16 But doc, is it true that string beans can cause gout?
04:22 For some patients, beans can really trigger a flare or grains.
04:27 The most common foods that can trigger a gouty flare or increase uric acid in the body would be red meat,
04:34 meat, alcohol, shellfish, and drinks with high fructose syrup or sugar can also trigger a gouty gout.
04:46 I like to eat sweet foods.
04:51 I also eat processed foods.
04:53 I also drink soft drinks.
04:58 But I eat and drink in moderation.
05:03 I just have a few drinks.
05:07 But Joanna's gout is not the same as the aforementioned foods.
05:13 So, the question is, why does her gout appear like this?
05:18 In 2017, I was diagnosed with congenital kidney disease.
05:24 I asked my nephro, "Doc, what is the cause of this? Why did you change your kidney?"
05:30 He said, "It's congenital. Since birth, you have it."
05:35 She was just a kid. She was taken to the hospital for a month because of UTI or infection in her teeth.
05:42 This was the early sign of her kidney disease.
05:46 Her gout was caused by stage 4 chronic kidney disease.
05:51 I was referred to get an ultrasound.
05:54 I was able to see that my kidney was small.
05:58 I also saw in the lab that my uric acid was very high.
06:02 If the kidneys congenitally are not functioning to the best of its ability,
06:09 it's hard to eliminate the uric acid.
06:13 And of course, there are still many factors.
06:16 But her doctor reminded her to be careful because anyone can have gout.
06:22 Gout can happen to anybody.
06:26 The risk is higher if you are genetically predisposed.
06:29 But regardless of age and gender, you can still have gout.
06:34 Joanna admitted that she only took her congenital kidney disease medicine.
06:39 She did not take any medicine to lower her uric acid.
06:43 I'm also afraid of taking too much medicine.
06:49 But I also think about the coldness of the coughs.
06:58 You can use a hot plastic bag or other things in your house.
07:04 Joanna's home remedy to reduce her gout is to soak a cotton ball in hot water.
07:12 I soak it in hot water so that the coldness will not enter.
07:16 Then I cover it with a plastic bag.
07:18 I also take a pain reliever so that I can walk the next day.
07:24 Joanna's gout has been mild since then.
07:28 Gout has four stages.
07:31 The first stage is when the uric acid level is high but the patient has no symptoms.
07:38 This is called asymptomatic hyperuricemia.
07:42 The second stage is gout flare or gouty arthritis.
07:49 The third stage is intercritical gout.
07:53 This is a phase of remission.
07:56 The fourth stage is chronic to facious gout.
08:00 This is when we see bumps on the feet, knees, and hands.
08:05 Contra gout is now being released online.
08:10 Let's consult the doctors.
08:13 Look at the ice on her hands.
08:20 Is it effective to put an ice ball?
08:25 It's okay as long as there's ice.
08:28 It's okay for first aid.
08:30 It's very safe.
08:31 Put it in the ice ball for 10 to 15 minutes before you go to the hospital.
08:35 Is the water mixed with salt and oil approved?
08:40 I don't think it has any benefits for the patient.
08:46 So, I would not recommend it.
08:48 This is when the feet are sleeping at a higher level than the head.
08:54 It may be more beneficial for arthritis.
08:58 But for gout, it depends.
09:01 It's not always available.
09:04 But for the many home remedies that are released against gout,
09:08 the truth is that gout is not permanent.
09:12 Instead, it can be managed with the help of medicine and avoid triggers.
09:17 But this is the only way to reduce the chance of gout.
09:23 The right diet.
09:24 Make sure that the meal plan includes low-carb foods,
09:28 such as vegetables, fruits, and whole grains.
09:32 Number one, stay well hydrated.
09:35 If the water level is low or dehydrated, it can trigger a gouty attack.
09:41 I am taking my medicine to lower my blood pressure.
09:46 And I am also taking all the preventive medicines.
09:49 Gout is not permanent.
09:51 But it can cause complications.
09:54 The most important thing is to see a doctor if you have symptoms.
10:01 If you have symptoms, you should see a doctor immediately.
10:07 Do not wait for the problem to heal before we can solve it.
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