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Gout doctor Wang Wei treats gout and helps patients who eat colchicine to recover their health

author:Gout doctor Wang Wei

Gout is associated with an increased concentration of uric acid in the blood. Uric acid is the end product of purine metabolism, 80% of the body's uric acid comes from endogenous purine metabolism, and the remaining 20% comes from foods rich in purines or nucleic acid proteins. Normally, uric acid dissolves in the blood and is excreted with urine. When the level of uric acid in the blood is too high (medically called hyperuricemia), urate crystals may be deposited in the joints, causing an inflammatory response and severe pain. Exacerbations in the acute phase are self-limiting and resolve spontaneously within 2 weeks. This does not mean that it is possible not to take medicine. One is because the pain in the acute phase is unbearable, and the other is because if the treatment is not timely, with the progression of gout, a large number of tophi deposited into the joint, which will cause joint damage, but the best way is to go to the regular hospital in time for treatment, long-term medication may cause damage to our liver and kidneys.

Gout doctor Wang Wei treats gout and helps patients who eat colchicine to recover their health

Mr. Li, who lives in Hanyang, is 40 years old this year and came to Wuhan Tongpu Gout Hospital for treatment because of "limb muscle pain and fatigue for half a month". According to the leader of the hospital Wang Wei, he knew that he had a history of gout for 10 years, and whenever gout attacked, he took colchicine (according to the instructions of 6-12 tablets / day) for treatment, and the symptoms could be alleviated. 2 weeks before myalgia and fatigue, due to the attack of gout in the right leg, I took 6 tablets of colchicine / day by myself, and because the symptoms continued to not be relieved, I continued to use the drug for 14 days. Half a month ago, the patient suddenly appeared bilateral calf flexion itching pain with fatigue, 3 days later the symptoms progressed to the posterior thigh, self-medication after the ointment did not improve, gradually appeared limb muscle pain, general weakness and difficulty swallowing. After examination, it was found that the uric acid value was as high as 620 μmol/l, the myoskeletal ultrasound showed that there were more urate crystals in the big toe of the right foot and the knee joint, and the blood test also found that several indicators such as alanine transaminases, total bilirubin, and cardiac enzymes showed glutamine-based transpeptidase were significantly increased.

Wang Wei's team leader diagnosed that the patient was damaged by muscle, nerve and liver function caused by long-term use of colchicine pain treatment. Due to the seriousness of his condition, Wang Wei's team leader immediately arranged for a nurse to handle the hospitalization procedures for him. During the treatment, Wang Wei decided to implement a two-step treatment strategy for him, on the one hand, to adjust his physical condition through drugs and alleviate the adverse effects of colchicine on the body; on the other hand, he used the characteristic TCM targeted acid-draining balance treatment system to treat it at the source, reduce the side effects of the drug to the minimum extent, nourish the liver and kidneys.

It is understood that after 5 days of hospitalization, Mr. Li's symptoms of redness, swelling and pain disappeared; uric acid crystals were eliminated after 15 days of hospitalization. Because its physiological indicators met the discharge criteria, Wang Wei, the leader of the group, asked him to take the medicine home to continue the consolidation treatment for 1 course. Some time ago, Mr. Li came to the hospital again for review, all indicators are within the normal range, and gout has not had a seizure since that treatment, and I am very grateful for the help of Team Leader Wang Wei.

Finally, Wang Wei team leader reminded the majority of gout patients that although Western medicine works quickly, it will produce drug resistance over time, the efficacy will gradually decrease, and it will pose a great threat to our physical health, and we must solve the problem from the source in time to avoid a long period of illness and cause greater harm to the body.

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