Definition of Gout
Gout is a form of arthritis caused by the body forming uric acid crystals that are deposited in the joints. Doctors diagnose gout versus other arthritis forms by the joints affected. The main joint affected is the big toe; others include the knee, ankle, foot, hand, elbow and sometimes the wrist. One of the major ways to treat gout is a diet formulated to rid the body of foods or liquids that might add excess uric acid. Other means of treating gout are prescription, over-the-counter or herbal medications.
Medications for Gout
Over-the-counter medicines or prescriptions may be added to a treatment plan for gout. Doctors might suggest that patients treat the inflammation and pain with ibuprofen or acetaminophen. Aspirin is never used; it can worsen an attack of gout. If these do not prove effective or the pain is severe, doctors might prescribe medication. These include colchicine (an anti-inflammatory) and Ultram, a brand-name pain reliever. Steroids are often given to reduce swelling. The next line of treatment is medication will reduce the amount of uric acid in the joints and prevent recurrence of episodes. These include Probenecid and Allopurinol.
Bleeding is a side effect for some of these medications, but some are safe for people who are prone to bleeding.
Gout Medications That Do Not Cause Bleeding
Among the medications that do not have bleeding listed as a side effect: Tylenol, which is processed by the liver; Ultram, which is more closely related to opiates; steroids; Probenecid and Allopurinol.
Many people also use herbal remedies to treat gout. Devils' claw or willow bark are often used. Devil's claw does not cause bleeding, but willow bark, which is closely related to aspirin, should be avoided.
Herbal teas are also mentioned as a means of reducing uric acid. Drink a cup of water infused with 2 tablespoons of celery seed or a cup of brewed juniper berry tea. These reduce uric acid and do not cause bleeding--they are processed by the kidneys and bladder.
Before using herbal medications, check with a doctor--herbs can interact with prescription medications.
