How is gouty arthritis treated?

Patient's question:

How is gouty arthritis treated?

Doctor's answer:

The goals of gout treatment include: rapidly controlling the recurrence of arthritis and relieving pain; correcting hyperuricemia to reduce harm to the kidneys; for severe cases, surgical removal of tophi or corrective surgery on damaged joints. When acute gouty arthritis recurs, colchicine can be used for pain relief, and for mild pain, topical blood-activating ointments are sufficient. For high blood uric acid levels, sodium bicarbonate tablets should be used, and for significantly elevated levels, bromfenac is recommended. For persistently high blood uric acid levels, allopurinol should be considered. In clinical diagnosis, bed rest should be recommended, avoiding walking, and cold compresses can be used to alleviate pain. The affected area should be elevated appropriately, and if the pain is unbearable, appropriate blood-activating medications can be taken. General treatment refers to changes in lifestyle. Individuals with excessive weight should gradually reduce it.

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