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Gout: The silent pandemic

"Many patients with chronic gout is willing to pay money every month jail terms for be cured of their gout. Younger patients, patients whose primary concern is the drop of Health and patients with frequent attacks are willing to pay more. "(willingness to pay for a cure in patients with chronic gout, Dinesh Khanna, MD, MS: Medical Decision Making, vol. 28, No. 4, 606-613 (2008)

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If the fall was a contagious disease, the World Health Organization (WHO) is classified as a pandemic.

Studies in the United States and the United Kingdom government in 1999, the prevalence of gout and hyperuricemia was as high as 41 per 1,000 in the United States and Great Britain the prevalence of diagnosed the drop was 14 per 1000. Studies also indicate that the overall incidence of gout is increasing.

According to studies by Dr. Khanna and international statistics, obviously a treatment for gout is a multibillion-dollar source of revenue for the practice in both the medical and pharmaceutical industry.

It's like a source of potential benefits for drug companies, are an investment in research continues to find new drugs drop.

However, people who can not afford doctors and medicines are based on traditional home remedies passed down from generation to generation. There are many different home remedies for gout, but probably the most universally recommended is vinegar.

Ask your doctor about vinegar, is likely to raise an eyebrow and say: "It's good for dressings and fish and chips, but not medicine."

Ask most of the doctors on the Internet, and discuss in back saying, "There are no studies that say vinegar will lower or anything else. There is no science to support health claims on the vinegar.

Despite this, doctors believe that science can really behind using vinegar to treat and manage gout. Unfortunately, the conclusion is not science simple as the type of vinegar and drop into an Internet search to find a host of credible scientific research papers. No peer-reviewed journals doctor about using vinegar as a treatment for gout. Research In fact, there is very little about vinegar and health.

The rationale: For scientists, vinegar is a condiment, a mixture of chemicals in dilute acetic acid flavonoids sitting on the kitchen shelf. Through experimental research, the scientists to the bottle of glacial acetic acid or use of a compound salt of acetic acid such as potassium, sodium, calcium and acetate.

In the body human, scientists use the words of acetate or acetyl. Therefore, if you are looking for scientific articles by vinegar or acetic acid even fall, is not everything, and only find a few mentions about the acetate salts is directly related to gout.

However, when it comes of scientific research on the substantiality of the biochemistry of acetate virtually all living things, studies of more than one person can count. In fact, acetate is so important to all aspects of our being, not only find a way in our daily diet, but also the liver produced by the enzymatic action fatty acids. Even in our large intestine, a family of bacteria called Acetobacter produces acetic acid, which enters the bloodstream.

Acetic acid is essential for all functions of our body enzymes in brain function in DNA repair.

To re – gout:

Uric acid levels (hyperuricemia) are usually associated with gout, but not necessarily appropriate, because gout can occur in people with normal levels of uric acid. The important factor is the acidity of the blood and urine. Under acidic conditions, uric acid becomes what urologists call a "free ions", which is less soluble and more likely to form uric acid crystals (monosodium urate) associated with gout and calculations Uric acid kidney stones.

When the blood becomes acidic, the body is acidic, and that affects all metabolic functions.

With the increased acidity of blood, there is also an increase in serum sodium.

At this stage, is the perfect environment for the formation of urate crystals MSG. The crystals are formed mainly in the extremities of the body where blood flow is poor, as the toe and finger.

The reason for this is that blood flow from the heart, the less force is behind the move Blood. The decreased blood flow in the extremities, where the fall occurs usually offers the possibility of a reaction between sodium and uric acid in the form of monosodium urate crystals.

Whether the blood is high or low uric acid, the acidity of the blood and excess sodium, which creates the environment for crystallization to occur.

However, Alkaline make some blood can change the solubility of uric acid, nearly 10 times, causing the monosodium urate crystals dissolve in the blood. Increasing the alkalinity of the blood also increases the alkalinity and all body fluids. This means that uric acid crystals and dissolve uric acid enters the blood in a form more easily excreted.

A simple way to test the acidity of urine is take a small sample (one tablespoon) and add a pinch of baking soda (sodium bicarbonate). If you see bubbles and begins to dissolve, the urine is acidic – the bubble, the urine more acidic. If it sinks to the bottom without any response, either side is neutral or alkaline. More than likely, if urine is acidic (the baking soda bubbles and dissolves quickly), it is on track an attack of gout.

In healthy people, the blood is placed on the alkaline side.

Acids in the blood and urine are also indicators of other health problems and health problems that may occur in the future such as diabetes, heart and hypertension, etc.

Now, I had to do with the vinegar and gout?

There is a function that called the "alkaline tide" what happens when we eat. When the stomach makes acid for digestion, the blood becomes alkaline. This feature allows the blood acid / alkalinity balance. However, if for any reason, the blood becomes too acidic, alkaline tide may not be the right fit, and the blood is acidic.

The ingestion of diluted vinegar before eating to help increase the alkalinity of the blood. Acetic acid in vinegar is absorbed directly into the lining of the stomach and the bloodstream changes in acetate bicarbonate antacids (AN). The alkalinity of the blood increases. Once the acid in the blood or standard alkaline alkalinity, "the" tide function works correctly.

The tide "alkaline" is also important in normal renal function, elimination of uric acid.

People for whom the vinegar and acetic acid works, relief compared to the fall in hours after ingestion, due to rapidly growing alkalinity of the blood.

Alkaline blood uric acid and is in the solution until they are eliminated in sweat and urine.

Some studies with acetate hemodialysis show based on the blood acetate has an expanding effect on blood vessels, which also help to dissolve of sodium urate crystals by increasing blood flow to affected areas.

The fact of the matter is that any old vinegar will do, but not pasteurized, natural fermented vinegar may be more beneficial in the long run. The reason is that if someone is in the lower digestive tract, which may fail in the population of Acetobacter to produce acetic acid. Unpasteurized vinegar help Acetobacter recolonization.

To maintain a colony of Acetobacter animation symbiotic is preferable to the introduction of certain products from whole-grain fiber in your diet foods such as Acetobacter like to eat fiber. The need for adequate food Acetobacter to produce acetic acid supplements that our system with acetate regulate blood acidity and alkali levels and perform other essential metabolic functions occur.

Once you Acetobacter and maintain a thriving settlement in their intestines, you can never have another problem with the drop again.

You do not need to go to the health food store and buy expensive "organic vinegar, suggested by many fans. It's pretty easy to make your own unpasteurized vinegar. Only have to open a bottle of cheap wine and let sit a few weeks – Acetobacter well as alcohol.

The fruit vinegar home is more pleasant tasting. You can make your own departure from the fermentation of fruit juice in a glass, stainless steel, or food containing high quality plastic for three weeks to a month. The secret is to give a stir every few days ago that the oxygenation process happen faster.

There are many wild Acetobacter floating in the air for fermentation Vinegar naturally, all you have to do is step back and let nature take its course.

Then you should you should do is to dilute a tablespoon or two in the liquid and drink before meals to stabilize your blood and urine acid or alkaline balance throughout the day.

There are other benefits of the contribution acetate documented in medical journals, such as increased energy production, lowering cholesterol and strengthening the immune system itself. However, others that the essential character acetate existence of life, there is little research on the dietary acetate and its potential benefits.

It would also be beneficial to increase the potassium-rich foods in your diet and stay away from phosphate and nitrogen-rich. Too many phosphates and nitrates in food produce concentrations acid in blood.

Furthermore, adequate fluid intake is essential to eliminate uric acid.

For those of you who enjoy to visit your doctor and talk about the fall of various drugs, have taken the pill of his book and take a look at potassium acetate.

"A practitioner's handbook of Materia Medica and Therapeutics ", indicates that the potassium acetate (acetic acid salt) is effective in the treatment of gout.

The American Medical Association also recommends that, in his book for the treatment of hyperuricemia associated with kidney problems, "Handbook of Useful Drugs" saying: "potassium acetate is oxidized in the body of potassium carbonate or bicarbonate. This tends to make the blood alkaline, and salts excreted by the kidneys urine less acidic … It's a brand diuretic, increasing urine and urine solids without irritation of the kidneys … "

Thus, despite sour views on medical and vinegar, can help management suffers economically fall. # # #

References:

1. (Willingness to pay for a cure in patients with chronic gout, Dinesh Khanna, MD: Medical Decision Decisions, vol. 28, No. 4, 606-613 (2008).

2. The increasing prevalence of gout and hyperuricemia over 10 years among the elderly in a managed care population, KL, Wallace et al: Journal of Rheumatology 2004 31, 1582-1587.

3. Epidemiology of gout: results from the general practice of the UK Research Database, 1990-1999; Mikulas T, et al: Annals of the Rheumatic Diseases 2005 64: 267-272.

4. Percipit uric acid – Nature Cure: Philosophy and practice based on the unity of the disease and care; Lindlahr Henry, MD: The Cure Nature Publishing Company, Chicago – 1922 (the most coherent explanation, I find).

5. The contribution the large intestine to blood acetate in man, Scheppach W, et al: Am J Physiol Endocrinol Metab 271: E58-E64, 1996.

6. Randomized controlled trial of acetate in the preterm infants receiving parenteral nutrition; Olufunmi Peters et al: Arch Dis Child Fetal Neonatal Ed 1997; 77: F12-F15 (July).

7. Acetate volume Business and oxidation of plasma; Skutch CL, et al: Journal of Clinical Investigation, 1979.

8. 80% -85% success with medical therapy to treat, prevent uric acid stones: Elizabeth Mechcatie: Family Practice News, 15 April 2000.

9. Kinetic aspects of acetate metabolism of healthy humans using [1-13C]-acetate; Pouteau E., et al, Am J Physiol Endocrinol Metab 271: E58-E64, 1996.

10. The fermentation of carbohydrates in human colon and its relation to acetate concentration in venous blood: Pomare EW, et al: Journal of Clinical Investigation, 1985.

11. Alkaline Tide http://en.wikipedia.org/wiki/Alkaline_tide.

12. Sodium acetate-induced relaxation mesenteric arterial rings: Jauchem JR, et al; microcirculation 1 :37-54, 1981.

About the Author

George Glasser is a UK based writer. He is mainly noted, internationally, for his investigative environmental journalism on water quality issues. In 2001, Glasser won the prestigious “Project Censored Award” for the expose’ “Is Your Bathtub a Toxic Dump?” published in Earth Island Journal. He is best known for his expose on drinking water fluoridation and the phosphate fertilizer industry. Presently, Glasser is broadening his scope to write on other health issues.

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