2265 North Clybourn Avenue    Chicago, IL 60614    P: 773.296.6700     F: 773.296.1131

Knowledge Base

Welcome to our extensive library of articles on health concerns and conditions, alternative therapies, nutrition, nutritional supplements, and much more. Acupuncture / Traditional Chinese Medicine Aging Allergies & Food Sensitivities Alternative Therapies Big Pharma Evils Bone Health Candida (Yeast) and Parasites Cardiovascular Health Case Studies Chiropractic & Physical Medicine Dermatology Digestion Diseases Ear, Nose & Throat Environmental Sensitivities Eye Care Fibromyalgia & Chronic Fatigue Fitness & Exercise Health Insurance Issues Healthy Lifestyle Immune System Inflammation Integrative Medicine Lyme Disease & Morgellons Men's Health Mental Health Nutrition, Nutritional Supplements, Vitamins, & Herbal Remedies Pain Management Sexual Health Thyroid, Adrenal, & Sex Hormone Issues Weight Issues Women's Health

Gout

You don’t forget your first gout attack. Pain wakes you up in the middle of the night. Of all things, it’s your big toe that hurts. You try to go back to sleep, but the pain keeps getting worse and by morning, your poor toe can’t even stand the pressure from the bed sheet. Gout, which affects mainly middle-aged men, begins with unusually high blood levels of a waste product called uric acid. Normally uric acid is excreted in the urine, but in a gout-prone person, it precipitates as crystals in certain joints (the big toe, knees, elbows, fingers). The result is a local (and painful) inflammation. The crystals can also accumulate in the skin and in the kidneys (where they can cause kidney stones or even kidney failure).

Conventional medications are available that work well to stop an acute attack of gout as well as prevent additional attacks. But conventional medicines may have side effects and can be toxic to the liver. The nutritional and lifestyle suggestions from WholeHealth Chicago can help keep your gout at bay, and they’ll even make you a healthier person in the process.

What is Gout?
Gout is a condition in which too much uric acid (a substance primarily created by the breakdown of protein in certain foods) builds up in the blood. Normally uric acid is excreted through the urine, but in some people the body simply produces too much of this substance or can’t get rid of it efficiently. The excess uric acid then builds up in the bloodstream and eventually collects in the joints and other tissues. Gout’s characteristic inflammation and severe pain is the result of needle-shaped crystals that precipitate from the high concentration of uric acid. Gout tends to be a man’s disease, affecting more than one in a hundred males over age 40. Though women are less prone to this condition, their likelihood of suffering from gout increases after menopause. Gout is an intermittent disease: It may produce no symptoms much of the time, but then a painful attack can arrive without warning. Uric acid may accumulate in the blood for years without symptoms, then when levels reach a certain point (which varies among individuals), attacks of gout can suddenly begin.

Key Symptoms

  • Excruciating, sudden pain, most often in the big toe, heel, ankle, or instep at onset. Later, the knees, wrists, elbows, fingers, and other areas may be affected.
  • Swollen, red joints
  • Occasionally kidney stones with fever, extreme low-back pain, abdominal swelling, nausea, or vomiting

What Causes Gout?
Scientists don’t yet know the precise cause of gout but they have identified some risk factors:

Family history. One in four gout sufferers has relatives who have gout as well.

Triglyceride levels. Three in four gout sufferers have elevated triglyceride levels.

Weight gain. Men who put on many pounds between the ages of 20 and 40 are especially prone to gout.

Alcohol. Drinking too much alcohol, especially in “binge” patterns of several drinks at a time, appears to play a role in contracting gout.

Purine-rich foods, such as shellfish, liver, anchovies, kidneys and sweetbreads may cause flare-ups in some people. Other risk factors for gout include those as diverse as high blood pressure, kidney disease, crash diets, lead exposure and taking certain medicines, including antibiotics, diuretics and cancer chemotherapy drugs.

Treatment and Prevention
Over the centuries, people with gout slowly discovered that certain foods were able to relieve the misery of gout attacks and even to prevent attacks from occurring. Among the food remedies are several pleasant solutions, including fresh or canned cherries (though you need to eat an entire half pound per day). Experts now know that cherries reduce uric acid levels. Some people prefer cherry fruit extract pills, which are found on health-food store shelves. Strawberries, blueberries, and celery (or celery seed extracts) also seem to help keep gout at bay.

Today, the most effective treatments for acute gout attacks are conventional medications, which are both safe and effective. Most doctors prescribe one of the nonsteroidal anti-inflammatory drugs (NSAIDs) for an acute attack. Patients usually begin to feel relief within 24 hours. An older remedy for both an acute attack of gout, as well as prevention of future attacks, is the prescription drug colchicine, which is derived from an herb, the autumn crocus. Although effective, the oral version has the unpleasant side effect of inducing rather severe diarrhea, so for an acute attack, some doctors give colchicine in an intravenous injection.

For prevention (but not for acute attacks), most doctors prescribe allopurinol, which reduces the production of uric acid altogether. Some doctors prefer probenecid, with or without a little colchicine added. Probenecid increases the urinary excretion of uric acid.

In addition, one alternative therapy that has been used to relieve gout is acupuncture, which can be very effective in the treatment of inflammatory joint conditions.

Just a reminder: If you have a serious medical condition or are taking medication, it’s always a wise idea to talk with your doctor before beginning a supplement program.

How Supplements Can Help
Although conventional drugs are the best bet for treatment of gout, natural supplements may help by easing the pain of attacks as well as possibly preventing subsequent flare-ups. All of the supplements listed here are safe to use long-term, and some (cherry extract, vitamin C) are easier to stick with than others.

The enzyme bromelain is the supplement that seems to help most during an attack, and it should be taken every three hours to help relieve pain. Derived from pineapples, bromelain is widely used to fight all types of inflammation. Lower the frequency to twice a day once the current flare-up has subsided, and continue to take bromelain to help prevent future attacks. (Bromelain should be taken between meals to aid its effectiveness.)

Quercetin is a flavonoid that reduces levels of uric acid. It’s a good preventive and is more efficiently absorbed when taken with bromelain.

Eating cherries is an age-old remedy for preventing gout attacks, because the fruit is rich in flavonoids, which appear to help reduce uric acid levels. Health-food stores often carry cherry fruit extract. Real cherry or blueberry juice often has the same effect.

Celery extract is another food substance that helps lower uric acid levels (you can also eat raw celery). Herbal teas made from cat’s claw, devil’s claw, or olive leaf act either as anti-inflammatory agents or to reduce uric acid, as does the herb nettle.

Vitamin C helps release uric acid from the body’s tissues and then speeds its excretion through urine. This vitamin is best taken in doses spaced throughout the day, however, because a single high dose can free up so much uric acid that a kidney stone may form.

Borage or evening primrose oil can be very useful. These oils interferes with the formation of inflammatory substances in white cells that play a key role in gout attacks. Flaxseed oil and fish oils also have anti-inflammatory properties.

Get supplement dosages and tips in our WholeHealth Chicago Supplement Recommendations for Gout.

Self-Care Remedies
To dilute the urine and reduce uric acid levels, drink eight or more glasses of water a day.

Avoid alcohol, which may precipitate gout pain.

Maintain a normal weight. People who are obese are more likely to have gout.

Avoid fats, refined carbohydrates, and excess protein in the foods you eat.

Avoid purine-containing foods such as organ meats, shellfish, anchovies, legumes, oatmeal, spinach, asparagus, cauliflower, and mushrooms if you think you may be sensitive to them.

When to Call a Doctor

  • If you suffer pain that meets the description of a gout attack. (A doctor can prescribe pain-relieving medications.)
  • If you believe you are passing a kidney stone, which is excruciatingly painful.

Supplement Recommendations

From David Edelberg, M.D. at WholeHealth Chicago: With gout, you’ve actually got two separate situations: acute attacks and life between attacks. Your goal is to minimize the first, and keep the length of the second as long as possible.
You’ll easily recognize an attack of gout: Your big toe suddenly becomes the focal point in your life, and you simply can’t believe how much pain can gather there. Even the pressure of a bed sheet may be too much to bear. Let’s see what can help.

How to Take the Supplements
To treat an acute attack. You’re better off with conventional medications for an acute attack of gout. Call your doctor for some indomethacin, colchicine, or a good nonsteroidal anti-inflammatory drug (NSAID).

If you’re in a pinch, however, just start over-the-counter NSAIDs, such as Alleve or Naproxen, and add the bromelain. Take two tablets of the NSAIDs every three to four hours and double the recommended dose of the bromelain for one or two days (up to 3,000 MCU four times a day); it’s a very safe supplement.

To prevent recurrent attacks. The supplement list is well suited to help forestall acute episodes of gout. The quercetin, cherry fruit extract (as well as fresh or canned cherries), and vitamin C are useful for lowering elevated uric acid levels. A safe long-term anti-inflammatory agent, the fish oils can reduce some of the damage from long-standing deposits of uric acid crystals.

On a long-term basis, I’d opt for the quercetin/cherry/vitamin C/fish oils combination. You can actually start with the amount of vitamin C found in your basic multivitamin and daily antioxidant complex.

In addition, when cherries are in season, you can skip the cherry extract capsule for a while and just enjoy the fruit and the juice. Also remember that other members of the berry family are helpful: Fresh blueberries, strawberries, and blackberries (and their juices) are all effective at lowering uric acid.

Drinking herbal teas made from nettle, devil’s claw, and celery seed may be useful as well; all these natural remedies might help to keep your uric acid at acceptably low levels. You might also try them during an acute attack.

Additional tips:
Keep yourself well hydrated. Try to drink two to three quarts of fluid a day–but not just water. The herbal teas and fruit juices noted above should be consumed as well. Get your uric acid blood level checked periodically. If the levels remain very high, you may need medication to lower them in order to prevent kidney stones or damage to the kidneys themselves. Important:

We at WholeHealth Chicago strongly recommend that everyone take a high-potency multivitamin/mineral and well-balanced antioxidant complex every day. It may be necessary to adjust the dosages outlined below to account for your own daily vitamin regimen. All of our supplement recommendations also assume you are eating a healthful diet.

Be aware that certain cautions are associated with taking individual supplements, especially if you have other medical conditions and/or you’re taking medications. Key cautions are given in the listing below, but you need to see the WholeHealth Chicago Reference Library for a comprehensive discussion of each supplement’s cautions and drug/nutrient interactions.

For product recommendations and orders click here for the Natural Apothecary or call 773-296-6700 ext. 2001.


Join our Newsletter

Get health recommendations, delicious and time-saving recipes, medical news, supplement reviews, birthday discounts, and more!

BIRTHDAY

Health Tips

Dr. Edelberg’s Health Tips contain concise bits of advice, medical news, nutritional supplement and pharmaceutical updates, and stress relief ideas. With every Health Tip, you’ll also receive an easy, delicious, and healthful recipe.

When you sign up to receive Health Tips, you can look forward to Dr. Edelberg’s smart and very current observations arriving in your in-box weekly. They’re packed with helpful information and are often slightly irreverent. One of the most common responses to the tips is “I wish my doctor talked to me like this!”

Quick Connect

Get One Click Access to our

patient-portal

The Knowledge Base

Patient education is an integral part of our practice. Here you will find a comprehensive collection of staff articles, descriptions of therapies and nutritional supplements, information addressing your health concerns, and the latest research on nutritional supplements and alternative therapies.

Join our Newsletter

Get health recommendations, delicious and time-saving recipes, medical news, supplement reviews, birthday discounts, and more!

BIRTHDAY

Upcoming Workshops

 

**Join us for a demonstration of Taoist Tai Chi® internal arts of health
Saturday, August 26th at 11:00AM – 12:00PM
There is no fee for this program
WholeHealth Chicago
2265 North Clybourn Ave.
773-296-6700

This demonstration of Taoist Tai Chi® arts will give you an opportunity to learn more about this ancient path to good health of body and mind. Taoist Tai Chi® arts help to promote a healthy, balanced life style and a simple way to manage stress. Taoist Tai Chi® arts offers a chance to discover a powerful adaptable, and accessible tool for all ages, including seniors, and people with specific health concerns. These arts can be used to help people take responsibility for their health on its own or as a complement to medical treatment they may be receiving.

 

**Facial Rejuvenation Guasha Class
The Ultimate DIY Anti-Aging Facial!

With Mari Stecker, LAc
Thursday September 21, 2017, 6:30-8PM, $65 course fee

Join us and learn a traditional Chinese facial rejuvenation technique that you can do yourself! Guasha treatment is a 2,000 year old Chinese massage technique that uses a flat tool to apply pressure to the skin to increase circulation as it moves along acupuncture channels.

Facial guasha is an easy to learn technique that:
* encourages blood flow and promotes radiance
* prevents wrinkles
* activates cells to regain facial elasticity
* drains fluids to detoxify skin and reduce puffiness
* sloughs off dead skin cells
* uplifts and tones skin
* firms up facial muscles
* minimizes dark circles
* promotes a healthy, younger and more radiant look

Space is limited and registration is required.
Register online or call WholeHealth Chicago at 773-296-6700
More>>

 

**Vaginal Rejuvenation
October 12th, 6:00pm – 8:00pm  Fee: $65
With Mari Stecker, LAc & Renee Zambo, RYT

Are you experiencing vaginal dryness? Or pain with intercourse? Have you been told you have vaginal atrophy due to menopauseAre you frustrated because you believe your sex life is overWell, it doesn’t have to be!

Come learn easy, non-pharmaceutical, non-hormonal, low cost techniques that you can do at home to help alleviate vaginal dryness, atrophy, thinning of vaginal skin and/or painful intercourse.

This class is appropriate for any woman who is experiencing discomfort during intercourse, pelvic exams or daily activities due to vaginal dryness and atrophy as well as women who are experiencing vaginal changes due to perimenopause, menopause, cancer treatments, hysterectomy or medications.

This class will include information on specific instructions for self-treatments that can be done at home as well as yoga postures and meditation that focus on the pelvic region.

Movement and breath will draw awareness to the pelvic floor, and facilitate both the full relaxation and activation of pelvic floor muscles. A short guided meditation will reconnect awareness to the feminine energy held within the pelvis.

Space is limited and registration is required.
Register on-line or by calling (773) 296-6700.

 

Recent Health Tips

  • Women and ADHD, Part 1

    Already ten minutes late for her first appointment, Claire phoned from her car that she’d be in the office in five minutes. Fifteen minutes later, arriving flustered and embarrassed, she blurted “Oh my gosh, I left all the forms on my kitchen table, but I …Read More »
  • The Dangerous Myth of Opioid Addiction

    Trying to reduce the pain of my patients plays a major role in my day-to-day life as a doctor. When I was in training, there was a big debate going on: Should a doctor prescribe an opioid for non-cancer pain? The answer was Never! In …Read More »

August Sale: 20% Off All Hyland Homeopathic Products

Hyland’s has been trusted for generations to provide safe, effective, homeopathic medicines for every member of the family.  Take 20% off these products during August.  Read more>>