Some people may never experience gout signs and symptoms again. People with gout can develop more-severe conditions, such as: In some people, receiving a vaccination can trigger a gout flare. Experiencing recent surgery or trauma can sometimes trigger a gout attack. Men are also more likely to develop gout earlier - usually between the ages of 30 and 50 - whereas women generally develop signs and symptoms after menopause. After menopause, however, women's uric acid levels approach those of men. Gout occurs more often in men, primarily because women tend to have lower uric acid levels. If other members of your family have had gout, you're more likely to develop the disease. So can the use of anti-rejection drugs prescribed for people who have undergone an organ transplant. Low-dose aspirin and some medications used to control hypertension - including thiazide diuretics, angiotensin-converting enzyme (ACE) inhibitors and beta blockers - also can increase uric acid levels. These include untreated high blood pressure and chronic conditions such as diabetes, obesity, metabolic syndrome, and heart and kidney diseases. Certain diseases and conditions increase your risk of gout. If you're overweight, your body produces more uric acid and your kidneys have a more difficult time eliminating uric acid. Alcohol consumption, especially of beer, also increases the risk of gout. Eating a diet rich in red meat and shellfish and drinking beverages sweetened with fruit sugar (fructose) increase levels of uric acid, which increase your risk of gout. Factors that increase the uric acid level in your body include: You're more likely to develop gout if you have high levels of uric acid in your body. When this happens, uric acid can build up, forming sharp, needlelike urate crystals in a joint or surrounding tissue that cause pain, inflammation and swelling. But sometimes either your body produces too much uric acid or your kidneys excrete too little uric acid. Normally, uric acid dissolves in your blood and passes through your kidneys into your urine. Alcoholic beverages, especially beer, and drinks sweetened with fruit sugar (fructose) promote higher levels of uric acid. Purine-rich seafood includes anchovies, sardines, mussels, scallops, trout and tuna. Purines are also found in certain foods, including red meat and organ meats, such as liver. Your body produces uric acid when it breaks down purines - substances that are found naturally in your body. Urate crystals can form when you have high levels of uric acid in your blood. Gout occurs when urate crystals accumulate in your joint, causing the inflammation and intense pain of a gout attack. Seek medical care immediately if you have a fever and a joint is hot and inflamed, which can be a sign of infection. Gout that goes untreated can lead to worsening pain and joint damage. If you experience sudden, intense pain in a joint, call your doctor. As gout progresses, you may not be able to move your joints normally. The affected joint or joints become swollen, tender, warm and red. Later attacks are likely to last longer and affect more joints. After the most severe pain subsides, some joint discomfort may last from a few days to a few weeks. The pain is likely to be most severe within the first four to 12 hours after it begins. Other commonly affected joints include the ankles, knees, elbows, wrists and fingers. Gout usually affects the big toe, but it can occur in any joint. The signs and symptoms of gout almost always occur suddenly, and often at night. Gout most commonly affects the joint at the base of the big toe. Getting close with Souma, however, means constant interaction with the rest of the sexy, muscular fire department-and although Souma's heart is set on Ryou, can she stop hers from wandering?Gout causes intense pain and swelling around one or more joints. But due to his persistent interest in her, Ryou realizes he might just reignite the burning flames of passion between them. Moving in with her childhood friend means Ryou has to build boundaries-physical ones-because to cross them means to jump straight into Souma's lustful arms. But with Ryou left homeless and all her possessions lost, Souma opens his home to her. Although she was once interested in him, her crush was short-lived due to Souma's infamous womanizing ways. In a strange twist of fate, one of the firefighters turns out to be her childhood friend, Souma Mizuno. Fortunately, someone has called the fire department, and they are speedily able to rescue her. Trapped within a deadly blaze with no means of escape, Ryou frantically makes as much noise as possible to alert her neighbors. Ryou Fujihashi wakes up to her apartment burning. Yubisaki kara Honki no Netsujou: Osananajimi wa Shouboushi (Sub)
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