Problem description:
My husband is suffering from gout and type 2 diabetes. Sometimes his feet are swollen and painful. I feel numb in my hands and feet at ordinary times. He has to break to be comfortable. How to tell what is the reason? Also, diabetics should always eat soy products, and gout patients should not eat them. Can they eat? What does he eat in this condition? Thank you.
Analysis:
Hello; The onset of acute gouty arthritis is generally without warning. Minor injuries, surgery, excessive drinking, excessive consumption of food rich in protein, fatigue, emotional tension or various diseases can all be induced. Typical symptoms are severe pain in one or several joints at night, which will gradually increase and become unbearable, and symptoms such as joint redness, fever and tenderness will appear.
This disease most often involves the soles of toes and is called foot gout. In addition, it can also involve the arch, ankle, knee, wrist and elbow. Because the blood circulation in these parts is poor and urate is easy to crystallize at low temperature, crystals can be deposited around the joints in these parts. Crystals can also be deposited in the external ear or other places with relatively low body temperature, but gout rarely affects the spine, buttocks or shoulders.
Symptoms of acute gouty arthritis also include chills, fever, general malaise and increased heart rate. Gout mostly occurs in middle-aged men and postmenopausal women. If symptoms appear before the age of 30, gout will generally worsen.
The initial symptoms often appear in a joint and last for several days, then the symptoms gradually disappear and the joint function recovers. There are generally no symptoms before the next gout attack. However, if the disease worsens and is not actively treated after the attack, it will lead to more frequent attacks and spread to multiple joints, and the diseased joints will cause permanent damage.
Severe chronic gout that leads to deformity will also be aggravated, and urate crystals will deposit around joints and tendons, causing damage and gradually limiting joint activity. Hard urate crystals (tophi) often form under the skin around the joints. Tophi can also occur in kidneys and other organs, such as the subcutaneous part of the external ear and near the elbow joint. If left untreated, the tophi of hands and feet will break and release lime-like crystals.
Osteoarthropathy caused by diabetes is called diabetic osteoarthropathy, and the incidence rate is about 0. 1% ~ 6.8%. Because of the high incidence of diabetes, it is not uncommon.
The occurrence of arthropathy is closely related to neuropathy and angiopathy caused by diabetes. Diabetes often leads to the disappearance and obstacle of the depth sense of joint motion reflex control, which will overload the joint for a long time, damage the joint ligament and joint capsule, destroy the articular cartilage, fracture the bone and dislocate the joint. At the same time, diabetes often appears sympathetic neuropathy, vasodilation and congestion, osteoclast activity is enhanced, osteoblast activity is inhibited, leading to osteolysis and absorption. In addition, diabetic angiopathy will affect bone nutrition, which is also one of the causes of osteoarthropathy.
Diabetes will not only lead to contracture of palms and soles, but also limit the normal activities of other joints. This is the same as hand and foot contracture, and it is also the result of skin hardening around joints. It is reported that the incidence of joint activity limitation caused by diabetes is about 9% ~ 32%, which is characterized by asymptomatic activity limitation and local skin thickening. If diabetes is not well controlled and the course of disease is long, the greater the impact; Children with diabetes are more limited in joint movement than adults. Ankylosing spondylitis and hyperosteogeny have a high incidence in middle-aged and elderly diabetic patients, with males more than females. Its performance is similar to ankylosing spondylitis, which is characterized by low back and lower limbs pain, stiff spine and limited movement.
The basis of the treatment of this disease is to control diabetes, and because the pathological basis of diabetic osteoarthropathy is microangiopathy, it is necessary to pay attention to the improvement of microcirculation for diabetic patients, especially those with a long course of disease. Although western medicine has a certain effect on improving microcirculation, Chinese medicine may have greater potential. On the basis of syndrome differentiation and treatment, and on the premise of controlling blood sugar, we can choose salvia miltiorrhiza, Ligusticum chuanxiong, safflower, peach kernel, Paeonia lactiflora, Angelica sinensis, leech, rhubarb, Rhizoma Sparganii and Rhizoma Curcumae to promote blood circulation and remove blood stasis. In addition, some Chinese patent medicines, such as Danshen tablets, Danshen dripping pills, Di 'ao Xinxuekang and Xueshuanxinmaining, also have certain curative effects.