60 years old Uncle is suffering from gouty arthritis. He gets acute attack very frequently due to high uric acid levels. Is there any permanent treatment for this? And suggest the diet details. Can he get best solution in ayurveda medicine? Please give valuable suggestion. Thanks.

Dr. Nilesh NolkhaRheumatologist6yrs exp

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Hi gout is a very severe disease, it affects joints, heart and kidneys. Most people forget that uric acid which deposits in joints can deposit in heart and kidneys too. So basically besides most painful joints it can kill also. Also as disease progresses the arthritis spreads and can have a devastating effect (google gouty arthritis, gouty top, gouty joint, gouty erosions images). The treatment is very simple, but to be taken continuously. Also its a widespread misconception that you should stop dals. Dals are very healthy source of protein, and they need not be stopped in gout. Gout is a very severe form of arthritis. It has acute and chronic phase. In acute phase requires immediate management in the form of certain drugs. Chronic phase requires treatment to prevent attacks and later lower uric acid. Also you do not need to stop dals or even non veg as is the common misconception. You can please choose a private consult if you need more detailed treatment and dietary advice. Attacks go gout can be treated with any form of therapy. But chronic gout requires a simple tablet in allopathy (like a single tablet in patients having high blood pressure), to prevent further attacks and prevent heart and kidney disease. No drug in ayurveda can do that. 

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