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What are Gout Symptoms? 9+ explanations about how it is!

Leer alles over jicht symptomen in dit artikel!

Jicht is een gewrichtsontsteking die wordt veroorzaakt door afzettingen van urinezuurkristallen. Deze stof is afkomstig van de afbraak van voedsel, met name voedsel van dierlijke oorsprong.[1] The kidneys usually eliminate uric acid. The kidneys usually eliminate excess uric acid from the blood. However, if too much uric acids is in the blood it can build up in joints and cause inflammation. This is called the gout attack. This is a more common condition in men. It is rare in women and occurs only after menopause.

What does a Gout Attack look like?

Gout sufferers are often awakened by sudden pains in their big toes in the middle of the nights. Nighttime pain could be caused by fluid buildup in the joints during the day. This fluid leaves the joint faster than the uric acids when the person lies down. This increases the concentration of the acid and makes it more susceptible to crystal formation.[2]

It is usually unbearable and gets worse with mobilization and palpation. The pain is intense, and the joint becomes red, hot, and swollen. The pain usually subsides within a few days. Itchy and flaky toes. It is possible that the attack will be repeated months or even years later.[3] U kunt ook pijn hebben in uw vinger, elleboog of knie.

Soms zijn andere symptomen van crisis:

  • Koorts
  • Verhoogde hartslag (tachycardie)
  • Je algemeen onwel voelen
  • Chills (not so often)

And then, what happens with Gout Symptoms?

De eerste aanval betreft meestal één gewricht, en kan enkele dagen tot een week duren.

Gout pain and symptoms will gradually disappear. The symptoms disappear and the joint functions normally again. Untreated attacks can become more severe and more frequent, as well as affecting multiple joints. An attack that isn’t treated can lead to subsequent attacks lasting up to three weeks.[4] A fever above 38.5°C, along with symptoms such as chills, weakness, vomiting and rash, should be reported to a doctor. This is especially important if the person has never experienced an attack or had previous attacks.

Chronic gout is a condition in which the blood levels of uric acids remain high. Gout can become chronic after repeated attacks. It can also lead to joint deformation. The damage to the joints and tendons from uric acid crystals over time will reduce joint movement.[5]

Stop Gout before it strikes again

Making lifestyle changes can help you prevent further gout attacks and slow the progression of the disease.

Your doctor may recommend:

  • Eating one less portion of meat or seafood a day
  • Drinking wine instead of beer or avoiding alcohol altogether
  • Drinking one glass of skimmed milk a day, as low-fat dairy products appear to lower uric acid levels and have a protective effect

Anti-inflammatory drugs and corticosteroids can treat the symptoms of gout attacks.[6] Your doctor may also prescribe newer medications that reduce the amount of uric acid in your blood.

Learn about the best diet for gout, all the possible treatments and the best natural remedies:

Huismiddeltjes tegen jicht

jicht oorzaken jicht oorzaken

Wat zijn de eerste tekenen van jicht?

Er zijn waarschuwingssignalen van een jichtaanval mogelijk. Zij worden gekenmerkt door een matige pijn van een gewricht met tintelingen, ongemak en een beperking van de beweeglijkheid. Het belang van de herkenning van deze fase door de patiënt is hem in staat te stellen vroegtijdig te beginnen met de anti-inflammatoire behandeling van de jichtaanval.

Jichtaanvallen kunnen ook uit zichzelf ophouden zonder behandeling. Alles wordt weer normaal zonder nawerkingen... tot de volgende aanval. Jichtpatiënten zullen in de loop der jaren een paar aanvallen krijgen. Ze zullen vaker voorkomen dan gewoonlijk, en ze zullen in de komende twee jaar dichter bij elkaar komen te liggen. Dit is acute jicht.

What is gout and how does it manifest itself?

Gout is a disease caused by the deposit of microscopic uric acid crystals in the joints, causing painful inflammation. Sometimes, these crystals form clumps that can be felt - tophi - or are deposited in the kidneys, causing nephritic colic or alterations in kidney function.

It is a disease that causes sudden periods of severe pain, tenderness, redness, high temperature and swelling (inflammation) in some joints. It usually affects one joint at a time, mainly the big toe joint. It can also affect other joints such as the knee, heel, foot, hand, wrist and elbow. It rarely affects the shoulders, hips and spine. If you have gout in one joint, it does not mean that it will spread to the other joints.

Occasionally, synovial bursae or tendons may become inflamed, leading to bursitis or tenosynovitis, respectively. If the disease is allowed to progress, attacks may not resolve completely, affecting several joints at once and severely limiting the patient's quality of life.

Soms, in gevorderde stadia, verschijnen tastbare ophopingen in de vorm van harde knobbeltjes, tophi genoemd. Soms zetten zich urinezuurkristallen af in de nieren, wat leidt tot episoden van nefritische koliek.

Hoe kan ik zien of ik jicht heb?

Gout attacks (especially the first ones) seem to come on suddenly and are accompanied by redness, pain and swelling in the affected joint, generally the big toe. However, in reality, the uric acid has been building up for some time. Attacks are often triggered by a sudden rise in uric acid levels, which can be caused by a high-protein meal, a heavy night’s drinking (especially if you’ve been drinking beer) or a period of dehydration.

De symptomen treden vaak 's nachts op en verergeren in de loop van de volgende 8 tot 12 uur. Hoewel de eerste aanval vaak aan de basis van de grote teen optreedt, kan jicht ook de knie, de hiel, de enkel of de voet aantasten. De pijn bij jicht is hardnekkig en intens, en de zwelling blijft niet altijd beperkt tot het eerste aangetaste gewricht.

Hier de tekenen die je vertellen of je jicht hebt:

  • De aanval treedt plotseling op, vaak 's nachts, in rust, met het verschijnen van intense pijn (brandend, knarsend gevoel) in een gewricht. De pijn is maximaal na 6 tot 12 uur;
  • De ontstekingsziekte treft slechts één gewricht (mono-artritis), meestal in het gewricht aan de basis van de grote teen. Zelden komt het voor in de knie of de enkel.
  • De lokale symptomen zijn belangrijk. De pijn is zeer intens, als knarsend of brandend. Het getroffen gewricht is rood, gezwollen, heet, volumineus en uiterst pijnlijk bij de geringste aanraking. De huid en de onderhuidse weefsels zijn vaak zeer rood en oedemateus (gezwollen).
  • De pijn is scherp en gaat gepaard met lokale cutane hyperesthesie.
  • Koorts en koude rillingen kunnen voorkomen.

Op de huid zijn stigmata van de ziekte zichtbaar; dit zijn de gouty tophus, witachtige knobbeltjes onder de huid.

How does gout start?

You can recognize a gout attack by looking for these signs:

  • The attack can occur suddenly, usually at night, and causes intense pain in the joint (burning, grinding sensation). The pain can last from 6 to 12 hours.
  • Inflammatory disease affects only one joint, it's most common in the legs and the area at the base the big toe. It is more common in the ankle or knee.
  • The affected joint may be red, swollen and warm. It can also become very painful if touched. Subcutaneous tissue and skin can become very reddened and oedematous.
  • It is possible to get fever, chills, increased heart rate (tachycardia) and feeling of general malaise

Waar begint jicht?

De jichtaanval komt zeer plotseling en is zeer pijnlijk. Het aangetaste gewricht is gezwollen en rood. Na verloop van tijd en zonder passende behandeling leidt het aanhouden van een hoog urinezuurgehalte in het bloed tot de vorming van pijnloze klontjes, tophus genaamd, in de gewrichten en onder de huid.

Slechts één gewricht in het onderste lidmaat. Soms worden meerdere gewrichten tegelijk aangetast, wat men jichtpolyartritis noemt. Andere gewrichten kunnen worden aangetast: handen, polsen, ellebogen, uitzonderlijk de wervelkolom.

Gewoonlijk treft de eerste jichtaanval één gewricht in het onderste lidmaat. Later kunnen meerdere gewrichten worden aangetast, waaronder de pezen (jichtpeesontsteking), of de periarticulaire bursa (jichtslijmbeursontsteking). Het meest voorkomende gebied dat het eerst wordt aangetast is de grote teen.

It’s red and hot. Pulserende pijn. Het kan een paar dagen tot weken duren. De eerste aanval is meestal korter en minder hevig dan de volgende.

Waar doet het pijn als je jicht hebt?

Jicht is een veel voorkomende en complexe vorm van artritis die bij iedereen kan voorkomen. Het wordt gekenmerkt door plotselinge, hevige aanvallen van pijn, zwelling, roodheid en gevoeligheid in een of meer gewrichten, vaak in de grote teen.

Een jichtaanval kan plotseling optreden en kan er vaak toe leiden dat u midden in de nacht wakker wordt met het gevoel dat uw grote teen in brand staat. Het aangetaste gewricht is heet, gezwollen en zo zacht dat zelfs het gewicht van het laken ondraaglijk kan lijken.

Jichtsymptomen kunnen komen en gaan, maar er zijn manieren om de symptomen onder controle te houden en opflakkeringen te voorkomen.

De plaats is meestal de grote teen, maar het kan ook de knie, de hand of de heup betreffen. Het begint geleidelijk, evolueert geleidelijk tot het ondraaglijk wordt (de patiënt kan zijn vellen niet meer dragen).

Het doet altijd pijn op het door jicht aangetaste gewricht ter plaatse.

Een aanval kan van een dag tot enkele weken duren.

What pain with gout?

The pain usually occurs abruptly, often during the night:

  • In a very short time, the joint goes from normal to very severe inflammation.
  • Very intense pain: often described as unbearable.
  • Swelling and redness of the joint.
  • Local increase in temperature of the joint.
  • Great sensitivity to touch.
  • Fever may also be present, although its occurrence requires ruling out other processes, such as infection.
  • Sometimes generalized joint pain and general malaise

Joints in the extremities of the limbs are more sensitive than others, partly because they are colder. Cold can cause liquid uric acid to turn into uric acid crystals.

What are the 4 stages of gout?

The disease actually progresses in four stages, from the silent accumulation of uric acid in the blood to chronic arthritis.

Here's what happens in each stage and how to stop your gout progressing to the next level.

Stage 1: Asymptomatic gout

Gout occurs when a substance called uric acid builds up in the blood. Uric acid is formed naturally when our bodies break down purines, compounds found in our own tissues and in some foods. It should be noted that not everyone with high uric acid levels develops gout.

Normally, uric acid is dissolved in the blood, filtered by the kidneys and excreted in the urine. In people with gout, however, this process goes wrong. This can happen when you eat too many purine-rich foods, including liver, dried beans, mushrooms and peas. In other cases, your kidneys do not remove enough uric acid from the body.

In the early stages of gout, uric acid builds up in the blood, causing a condition known as hyperuricaemia. There are usually no symptoms and no treatment is needed, but the uric acid can still harm your body.

Stage 2: Acute gout

Eventually, the excess uric acid forms crystals that build up in the spaces of the joints. These needle-like crystals (monosodium urate or MSU) cause pain in the big toe. They can also affect other joints, including the ankles, feet, knees and wrist.

Acute flare-ups can occur suddenly, often at night, and last from a few days to several weeks. In addition to pain, other symptoms include redness, swelling and heat in the affected joint.

When you experience an attack, get treatment quickly to avoid permanent joint damage. Rest, avoid alcohol, reduce animal protein and use an ice pack to cool and soothe the painful joint.

Step 3: Interval or intercritical gout

Like the calm in the eye of a cyclone, gout can lie dormant between attacks. You will usually experience a pain-free period after an attack that can last for months or even years. However, uric acid can continue to build up in your bloodstream and joints, preparing for its next assault.

Try to eat well, drink plenty of water and take medication. Losing weight if you need to can also prevent future attacks.

Stage 4: Chronic tophaceous gout

This is the most debilitating form of gout. It usually takes a long time to develop - up to 10 years - and is more common in people with untreated gout.

If your gout is chronic, you may continually experience symptoms typical of other types of arthritis, including joint pain. In addition, you may develop nodules of uric acid in the soft tissue around your joints. These are known as tophus and are most common on the fingers, elbows and toes.

Uric acid can also damage your bones and build up in your kidneys, causing kidney stones and other damage.

How can I test myself for gout?

If you think you may have gout, it is important to be tested and diagnosed by a doctor so you can get the treatment you need. Learn about gout testing.

Tests for gout include:

  • Synoviale vloeistof analyse

Synovial fluid is found in your joints. This test determines if there are urate crystals in the joint fluid, which could mean that you have gout. This is considered to be the most reliable test for diagnosing gout. Synovial fluid testing takes only a few minutes. You may first be injected with an anaesthetic (a medicine that numbs the area) with a small needle. When the area is numb, the doctor or nurse will insert a larger needle into the affected joint and take a sample of the fluid. If you have had an anaesthetic, you will feel little pain.

  • Uric acid blood test

A blood test can determine the uric acid concentration in your blood. If the uric acid concentration is high, it could mean that the person has gout.

Blood uric acid levels between 3.5 and 7.2 milligrams per decilitre (mg/dL) are considered normal for most people. In cases of gout, doctors recommend keeping the uric acid level below 6.0 mg/dL.

Blood uric acid tests alone should not be used in the diagnosis of gout. This is because there are people with high uric acid who never have gout and people with low uric acid who do have gout. To confirm whether a person has gout, doctors use the results of other tests along with the uric acid test.

  • Urine uric acid test

A urine test can determine the concentration of uric acid in the body. If the uric acid concentration is high, it could mean that the person has gout. The sample should contain the urine passed during 24 hours.

Urinary uric acid levels between 250 and 750 mg are considered normal for most people.

Like the blood uric acid test, the urine uric acid test alone will not be used to diagnose gout. To confirm whether a person has gout, doctors use the results of other tests along with the uric acid test.

  • Röntgenfoto van het gewricht

Your doctor may do an X-ray of your joint to check that your joint pain is not due to injury or something other than gout. In people with chronic gout, the doctor may recommend an X-ray of the joint to see if there is any joint damage caused by gout.

  • Ultrasound

The ultrasound machine creates images of the body's muscles and joints from sonic waves. The doctor may use ultrasound to look for uric acid crystals, called tophi, in the joints.

  • Dual-energy computed tomography (DECT)

DECT uses two types of x-rays to obtain images of the inside of the body. DECT is able to find urate crystals that are missed by other techniques. It is a useful test when other tests fail to confirm whether a person has gout.

Bronnen

Symptoms of Diseases

Symptoms of Diseases

Xlibris Corporation. 2014

A Treatise on Gout

A Treatise on Gout

Gout: Diagnosis and Management of Gouty Arthritis and Hyperuricemia

Gout: Diagnosis and Management of Gouty Arthritis and Hyperuricemia

Professional Communications. 2022

Gout: Diagnosis and Management of Gouty Arthritis and Hyperuricemia; provides an overview of gout and its etiology, along with specific information about clinical features and diagnosis of gout. Management of acute gouty arthritis is covered in detail, as well as dietary and nonpharmacologic treatment approaches. Pharmacologic uric acid-lowering therapy is detailed, and therapeutic algorithms are provided to assist in formulating a disease management plan. Updated 2nd edition reflects the...

 

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  5. Sociedad Española de Reumatología (SER) – Inforeuma. “Diez preguntas y respuestas sobre la gota” | Publisher Site
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1 Commentaar

  • Bianca
    Geplaatst op 1. november 2022 op 12:33

    Ik heb de afgelopen maanden zeer intense pijn en zwelling in mijn knie gehad en ik kon niet begrijpen wat er met me aan de hand was, bij toeval kwam ik op deze pagina en ik realiseerde me dat ik alle symptomen van jicht in mijn knie heb. Dankzij deze informatie kan ik begrijpen wat er met mij gebeurt en ik weet dat ik onmiddellijk actie moet ondernemen om te voorkomen dat dit iets chronisch wordt.

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