Connect with us

Editorial

GOUT: Disease of the kings

Published

on

 

Gout was in the old days referred to as the rich man’s disease because it usually attacked kings and upper class citizens who could afford to binge on food and wine. However, with current lifestyle changes, it is slowly emerging that gout can strike anyone regardless of his or her social standing. This article explores the intricacies of this disease.

History has it that King Henry the eighth suffered from gout and so did Leonardo Da Vinci, the famous Italian painter. Closer home, Kenya’s eighth vice president – Michael Kijana Wamalwa – also suffered from gout adding to the list of celebrities and high profile individuals who got plagued by the disease. For the longest time, gout has been known as a disease of the affluent. But tides are slowly changing and the scope of its victims currently includes young adults and low-income earners.

The Centre for Disease Control and Prevention (CDC) defines gout as, “a joint disease resulting from deposition of uric acid crystals in tissues and fluids within the body.” Gout is caused by a chemical in the blood called uric acid (urate) and it affects the knees, wrists, ankles, fingers and elbows.

Uric acid is a by-product of substances found in food called purines. The body naturally eliminates uric acid in the urine and faeces but in some people, the kidney cannot flush it out quickly enough leading to a build up. From time to time, the level may become too high leading to the formation of tiny grit-like crystals of uric acid. The crystals then collect in a joint and irritate joint tissues causing an inflammation and severe pain.

Some of the complications that arise from untreated gout are kidney stones and kidney failure especially when the urate levels are too high. The disease can be said to be fatal when kidney functions are compromised as a result of gout. It can also cause severe joint damage.

Symptoms…

One of the most distinct symptoms of gout is sudden, severe attack of pain, redness and tenderness of the joint at the base of the big toe. For no apparent reason, this pain attack usually occurs at night. Other symptoms include:

A needle-shaped crystal bulge around the affected joint.

  You will also experience discomfort in the affected joints, which may hinder your mobility.

As the inflammation subsides, you will notice that the skin will be itchy and flaky and will eventually start to peel off.

Diagnosis and treatment

The standard diagnosis for gout involves extraction and microscopic analysis for urate crystals from the affected joint. Crystals of uric acid must be seen in the fluid to confirm the diagnosis of gout before treatment can commence.

It is common to find people who suffer from gout with medicine on stand-by. Some of their medications include anti-inflammatory tablets, which they swallow until the swelling subsides. Doctors also prescribe painkillers strong enough to keep the pain down during gout attacks. The next set of drugs is aimed at reducing the level of uric acid in the blood by improving the kidney’s ability to remove uric acid from the body. The doctor will prescribe the most suitable medication for you.

Foods that ease gout

Those suffering from gout should eat foods rich in zinc, which may be decreased during gout attacks. They should also increase their uptake of fruits and vegetables to guarantee constant supply of vitamin C, which may help the kidneys to excrete uric acid. Drinking at least two litres of water a day will help flush out urate crystals via the kidney.

Foods to avoid

Top on this list is meat including liver both of which are rich in purines. The popular nyama choma is a no-no for gout sufferers. Other foods include asparagus, cauliflower and mushrooms, beans, peas, lentils, mackarel, sardines, and shrimps, which also contain considerable amount of purines. Dried fruits should be eaten in moderation since fructose increases urate production.

Expert Advice…

Another reason why gout affects middle and low-income earners is their uncontrolled zeal for booze. Alcohol increases the production of uric acid from purines and inhibits normal kidney function. It is therefore advisable to avoid alcoholic drinks or have them in moderation.

Published in January 2015

Continue Reading
Click to comment

Leave a Reply

Your email address will not be published. Required fields are marked *

Cover Story

Elizabeth Nzisa: The Firstborn Who Became a Mother Overnight

Published

on

While most teenagers spend their days focused on school, friendships, and dreams for the future, Elizabeth Nzisa, fondly known as Shiku, was forced to grow up much faster than she ever imagined. At only 17 years old, she found herself taking on the role of a mother to her three younger siblings after her family was hit by tragedy not once, but twice.

Her story, shared in an emotional interview, is a powerful reflection of strength, sacrifice and the deep bond between siblings. Elizabeth recalls the moment her life changed completely. Her mother died while giving birth to their youngest sibling, a baby boy. In the middle of that painful loss, their father walked away from the family, leaving Elizabeth alone with a newborn and two other young children to care for.

Mama yetu alipass 2024, Feb. Alipass akipata haka katoto kadogo. Dad naye akatuacha akaenda

 

Becoming a Mother Too Soon

She explains that she had no choice but to step up and become the parent in the house. She raised her youngest brother from the day he was born, and to this day he calls her mum, not knowing she is actually his big sister. That detail alone shows how much responsibility she carried at such a young age. She became the provider, the protector, the caregiver, and the emotional support for her siblings while she was still trying to understand life herself. With little help from relatives, Elizabeth had to find ways to survive, balancing school when she could, doing small jobs and making sure her siblings were fed, safe and loved.

The journey was not easy. She faced financial struggles, emotional exhaustion, and the pressure of trying to stay strong even when she felt overwhelmed. There were moments when she doubted herself and wondered if she was doing enough. Still, her story is not about defeat. It is about endurance. Elizabeth talks about finding strength through faith, support from the people around her, and the determination to keep her family together no matter how hard things became.

Over the years, she made sure her siblings stayed in school, had food on the table, and grew up feeling loved despite everything they had lost. What could have been a completely broken home became a family held together by her sacrifice and commitment.

Many viewers reacted emotionally, saying the story moved them to tears. Some described firstborn daughters as second mothers, while others said her life shows the kind of courage people rarely see but should never forget.

 

Click here to read our March issue 2026

Continue Reading

Cover Story

Elizabeth Nzisa: The Firstborn Who Became a Mother Overnight

Published

on

While most teenagers spend their days focused on school, friendships, and dreams for the future, Elizabeth Nzisa, fondly known as Shiku, was forced to grow up much faster than she ever imagined. At only 17 years old, she found herself taking on the role of a mother to her three younger siblings after her family was hit by tragedy not once, but twice.

Her story, shared in an emotional interview, is a powerful reflection of strength, sacrifice and the deep bond between siblings. Elizabeth recalls the moment her life changed completely. Her mother died while giving birth to their youngest sibling, a baby boy. In the middle of that painful loss, their father walked away from the family, leaving Elizabeth alone with a newborn and two other young children to care for.

Mama yetu alipass 2024, Feb. Alipass akipata haka katoto kadogo. Dad naye akatuacha akaenda

 

Becoming a Mother Too Soon

She explains that she had no choice but to step up and become the parent in the house. She raised her youngest brother from the day he was born, and to this day he calls her mum, not knowing she is actually his big sister. That detail alone shows how much responsibility she carried at such a young age. She became the provider, the protector, the caregiver, and the emotional support for her siblings while she was still trying to understand life herself. With little help from relatives, Elizabeth had to find ways to survive, balancing school when she could, doing small jobs and making sure her siblings were fed, safe and loved.

The journey was not easy. She faced financial struggles, emotional exhaustion, and the pressure of trying to stay strong even when she felt overwhelmed. There were moments when she doubted herself and wondered if she was doing enough. Still, her story is not about defeat. It is about endurance. Elizabeth talks about finding strength through faith, support from the people around her, and the determination to keep her family together no matter how hard things became.

Over the years, she made sure her siblings stayed in school, had food on the table, and grew up feeling loved despite everything they had lost. What could have been a completely broken home became a family held together by her sacrifice and commitment.

Many viewers reacted emotionally, saying the story moved them to tears. Some described firstborn daughters as second mothers, while others said her life shows the kind of courage people rarely see but should never forget.

 

Click here to read our March issue 2026

Continue Reading

Cover Story

Endometriosis and sex: How to make intimacy pain-free

Published

on

There is no doubt that endometriosis can affect a woman’s way of life. The condition slews a couple of conditions, painful sex being one of them. Penetration pulls and pushes any tissue growth behind the vagina and lower uterus.

Although symptoms may differ from woman to woman, here are some things you can do to lessen your pain and ensure you have some good time:

Take a dose of painkillers

Take an over the counter painkiller that sits well with your body before intercourse and incase pain persists, take another one as prescribed.

Track your cycle and try at certain times of the month

Most women with endometriosis experience excruciating pain during their period and ovulation. Keep track of your cycle so that you can know when you are ovulating. You can use apps like my calendar and flo period tracker to track your periods. This will help you know when best to engage in sexual intercourse.

READ ALSO: Crucial Facts About Endometriosis Everyone Should Know About

Use lube

Vaginal dryness is not something to be ashamed of and if you happen to have it, lube should be your best buddy. Make sure to use any silicon or water based lubricant anytime you feel like your vagina is dry. Ensure the application is of good amount to achieve a wet area.

Explore alternatives

Talk with your partner about things that turn you on and bring you pleasure. Just to mention a few; mutual masturbation, foreplay, kissing and mutual fondling. Sex does not have to mean intercourse.

Try different positions

Experimenting different positions can teach you and your partner which ones hurt and the ones that bring direct pleasure with no or less pain. Positions that are considered better vary from person to person so take the time to explore and learn yourself with your partner.

Find the right rhythm

Finding the right rhythm can help you experience less discomfort during sex. Quick thrusting or deep penetration can aggravate pain. Talk to your partner about that which you do not like and find ways that will satisfy the both of you like exchanging positions so that you can control the speed and rhythm.

Bottom line

Intimacy does not have to be boring, painful or make you hate the condition that you have. Talk openly about your feelings around sex and penetration and what would help to ease your concerns.

Our FREE  e-paper March Issue is here!
As we celebrate our women this month, we bring you the best stories and the most inspiring features to get you going.
Click HERE to read!

Continue Reading

Trending

Copyright © 2017 Zox News Theme. Theme by MVP Themes, powered by WordPress.