Debunking Common Misconceptions About Gout

(Family Features) When many people think of gout, they often picture swelling and pain in the big toe. However, gout – an extremely painful form of inflammatory arthritis – can occur in any joint when high levels of uric acid in the blood lead to the formation of urate crystals.

If your body creates too much uric acid or cannot clear uric acid properly, you may experience sudden and sometimes severe gout attacks, called flare-ups, that include pain, swelling, or redness in your joints. The condition can disrupt many aspects of daily living, including work and leisure or family activities.

“I was diagnosed with kidney disease in 2009 and it wasn’t too long after that I started dealing with gout issues,” said registered nurse Theresa Caldron. “Gout affects your quality of life in a lot of different ways. You’re going through days of pain and no one knows it because you don’t look sick.”

Because the kidneys filter and release uric acid, people with kidney disease are more likely to experience a buildup of urate crystals and, therefore, gout. In fact, 1 out of 10 people with chronic kidney disease have gout, and an even higher percentage of people with gout have kidney disease.

To help debunk some myths around the condition, the American Kidney Fund, in partnership with Horizon Therapeutics, created the “Goutful” education campaign, which aims to educate and empower patients with gout to help them live easier and prevent further health complications, especially relating to their kidneys. Consider these common myths:

Myth: Gout is rare.
Gout is a relatively common condition. More than 8 million Americans have gout, and it is the most common form of arthritis in men over 40.

Myth: Gout is a man’s disease.
Anyone can get gout, but it’s more common in men than women. Though men are 10 times more likely to develop gout, rates of gout even out after age 60 since gout tends to develop for women after menopause.

Myth: Only people who are obese get gout.
People of all sizes can develop gout. Though people who are obese are at higher risk, gout is more common in people who have other health problems like diabetes, high blood pressure, high cholesterol, or kidney disease. Others more at-risk for gout are males 30-50 years old, Asians, Pacific Islanders, Black people, people with a family history of gout, people with organ transplants, and people exposed to lead.

Myth: Gout eventually goes away on its own.
Symptoms of gout attacks often go away within a few days, but that doesn’t mean gout is gone. Even if you don’t feel symptoms, urate crystals can build up beneath the surface, which can cause long-term health problems like joint and kidney damage.

Myth: There are things you can eat to prevent or cure gout.
Certain foods may help decrease the level of uric acid in your body, but diet alone is not a cure for gout. People with gout who follow healthy diets may still need medicine to prevent flare-ups and lower uric acid levels. Alcohol and foods rich in purines, especially red meat and seafood, should be avoided if you are prone to gout.

If you think you might have gout, talk with your doctor or a gout specialist about your symptoms. Visit kidneyfund.org/gout to learn more about gout and kidney disease.

 

Photo courtesy of Getty Images

 

SOURCE:
American Kidney Fund

How to Make the Holidays Less Stressful for the Whole Family


(Family Features) Between changes in the routine and visiting family (or having them visit you), the holidays can be emotionally overwhelming for children and adults alike, even in “normal times.” Add in inclement weather, the desire for a perfect holiday, and parents still working, and you have a perfect cocktail for emotional meltdowns.

“The key to enjoying whatever this holiday season brings is to acknowledge the range of emotions the entire family may be feeling and hold space for those feelings,” said Ariel Acosta from KinderCare’s Inclusion Services team. “By working on a few key things now before the heightened expectations and busyness set in, families can build a toolbox of skills that will help make the season less stressful for everyone.”

Consider these tips to help families prepare for a less stressful holiday season.

Find ways to destress as a family – Throw on some music and have a dance party. Incorporate some simple yoga moves or stretches into your day to create mindful moments. Help your children create a list of calm-down techniques to choose from when they start to become overwhelmed or as a way to reset after an outburst, such as taking a deep breath.

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Set expectations for greetings – Talk with your children about your family’s expectations around greetings and help them think of and practice different ways to say hello, such as a hug, handshake, high-five, wave, or verbal greeting. Giving your children options ahead of time allows them to choose the greeting that feels most comfortable in the moment. To lessen the pressure, make sure family members and friends understand what you and your children are comfortable with. For example, “It looks like Zazil doesn’t want a hug right now, Auntie Mei. Perhaps a high-five would be better.”

Give your children (and yourself) grace – Talk with your children about the range of emotions you feel throughout the day. This can help them learn emotional literacy and flexible thinking. It also normalizes feelings. When a big feeling does happen, remember to connect before you correct by labeling and validating your child’s emotions: “I can see that you’re really sad we have to leave the party. Leaving makes me feel sad, too. What would help you feel better?”

If your child is engaged in unsafe behaviors, like hitting, wait until after everyone is calm before talking about what could be done differently next time.

“How you handle your mistakes can be a powerful example for your children,” Acosta said. “Once you’re calm, explain what happened to your children. Start by naming your emotion, apologize if you didn’t handle your feelings well, and let your children know what you plan to do differently next time. ‘I was really mad you two were arguing and I yelled. I shouldn’t have done that. Next time, I’m going to try to remember to take some deep breaths to help me speak more kindly.’”

For more tips to help your children with social and emotional development, visit kindercare.com.

Photo courtesy of Getty Images
SOURCE:
KinderCare

Managing Complications of Lupus

 

(Family Features) Many people may recognize the term “lupus” and think of it as an autoimmune disease that can cause joint pain and swelling, but you may not be aware lupus impacts an estimated 1.5 million Americans and can affect many parts of the body.

The disease that causes the immune system to attack its own tissues mainly impacts women, who make up 9 out of 10 lupus patients. Genetics also play a role in lupus; if you have a family member with lupus or another autoimmune disease, you are at greater risk.

Some racial and ethnic groups are also at elevated risk, including those of Black, Asian American, Hispanic/Latino, Native American, and Pacific Islander heritage. Additionally, Black, Hispanic/Latino and Asian American lupus patients are more likely to develop complications, including kidney damage, also known as lupus nephritis, and these patients tend to have worse outcomes than white patients.

Lupus nephritis – kidney swelling and irritation caused by lupus – affects up to 60% of patients with lupus, according to the American Kidney Fund. It can cause permanent kidney damage, called chronic kidney disease, which can affect your quality of life. People with lupus nephritis also have a higher chance of heart problems, blood vessel problems, and developing certain types of cancer.

Symptoms of lupus nephritis include weight gain, fatigue, joint pain or swelling, muscle pain, fever, high blood pressure, and frequent urination. Because some of the symptoms of lupus nephritis can also look like symptoms of other diseases, it’s important for lupus patients to talk to their doctors about testing their kidney function regularly. Testing your kidney function involves a urine test to look for protein and a blood test to check for waste products in your blood.

If you are diagnosed with lupus nephritis, it is important you see a kidney doctor, called a nephrologist. Treatment for lupus nephritis focuses on preventing additional kidney damage. It’s also important to recognize lupus nephritis can impact your mental health, too. These tips from the American Kidney Fund can help you navigate your care and cope with lupus nephritis:

  • Ensure your kidney function is tested regularly and you are referred to a nephrologist.
  • Keep records of your symptoms, tests, and test results so you can share them with your doctors in detail.
  • Consider medication to lower your blood pressure, if directed by your health care provider, which can help lower the amount protein in your urine.
  • Write down questions you have for your doctor and bring them to your next visit.
  • Take notes on what your doctor says during your visits.
  • Find healthy ways to cope, such as meditating, journaling, or exercising.
  • Take a diuretic, or water pill, if directed by your health care provider, to help rid your body of extra fluid, which can raise your blood pressure and cause strain on your heart.
  • Talk to a professional, such as a mental health therapist, counselor, or social worker, to help understand and process emotions, improve coping skills and advocate for your needs.
  • Join a support group to connect with others who have similar experiences.
  • Ask your doctor for handouts or suggestions for where you can go for more information.
  • Don’t be afraid to get a second opinion if you feel your doctor is not taking your concerns seriously.

To learn more and find resources to help cope with lupus nephritis, visit KidneyFund.org/lupus.

Photo courtesy of Getty Images
SOURCE:
American Kidney Fund