Recently, the temperature in Beijing has continued to be low, and the number of outpatients in the pain department of Beijing Jishuitan Hospital has increased. In addition to patients who have aggravated the pain symptoms of diseases such as osteoarthritis due to cooling, in the clinic of deputy chief physician Tao Yan, there are patients with acute gout caused by frequent eating of shabu-shabu recently.
Doctor, my knee has been sore for several days, and it's still a little swollen. Mr. Chen, 50, came to Tao Yan's clinic with severe knee pain, and the doctor checked the area of his pain, and the right knee was indeed swollen, and the skin temperature was slightly higher than that on the left side. "What day did you start hurting?Have you been eating and resting differently lately?Mr. Chen recalled that after a heavy snowfall last week, he had several meals of mutton at home, after which his knee began to feel uncomfortable, and the pain quickly developed from a dull pain to a severe pain.
Have you had a previous physical examination with high uric acid?Tao Yan continued to ask the patient. Mr. Chen said that his blood uric acid was indeed not low, but because he had no symptoms before, he did not take it seriously and did not seek medical treatment for it. Tao Yan immediately arranged for the patient to have his blood checked and found that Mr. Chen's blood uric acid value had exceeded 700, which was much higher than the high limit of the normal value. "You are eating incorrectly and causing an increase in uric acid, which leads to an acute attack of gout. Tao Yan referred the patient to the Department of Nephrology for a specialist in high uric acid** and told him to control his diet.
In winter, when the weather is cold, everyone eats hot pot frequently and eats a lot of 'hard dishes'. Tao Yan said that recently, due to the rapid increase in blood uric acid due to the intake of high-purine foods, there are many patients with acute attacks of gout, "middle-aged male patients in their forties and fifties are the majority, and even young patients in their twenties and thirties also appear from time to time." ”
The doctor reminded that gout patients and middle-aged, obese, family history and other high-risk groups of hyperuricemia should pay special attention to a healthy diet, eat less animal offal, beef and mutton, seafood, hot pot, barbecue and other foods that are easy to cause purine metabolism disorders and uric acid accumulation. ”
At the same time, the musculature around the knee joint is thin, and a sudden drop in temperature may cause local vasoconstriction, which can exacerbate the pain symptoms. "On cooling days, we should first ensure warmth, and when the pain occurs acutely, we should not insist on walking and exercising, but we can go to the pain clinic or related specialist outpatient clinics for treatment, clarify the cause of local pain, and diagnose and treat the symptoms. ”
*: Beijing**client reporter Sun Leqi.