00:00And we're back here at Pinoy M.D.
00:02Oh my goodness, if you are one of the Team Mongo every Friday,
00:09Oh my goodness, Friday is Mongo Day, right?
00:11Oh my goodness, listen up, because if you are not,
00:15if you are very fond of that,
00:17you might be experiencing pain in your joints
00:21or what we call gout, right?
00:24Oh my goodness, that's very painful, right, Doc?
00:27Well, this gout, it can cause a lot of complications
00:32because it's high in uric acid.
00:34What we're going to treat now
00:36is what we call a sophacious gout,
00:38where not only does the joint hurt and swell
00:43and it manifests here in our patient,
00:45but there are also bumps
00:48because of the high uric acid.
00:51This is what we call a sophacious gout.
00:54So let's not waste any more time
00:56and let's find out how we can avoid
00:59the sophacious gout.
01:02I don't want that.
01:03So if you don't want that either,
01:05know the details in this report.
01:09As a driver in Saudi Arabia,
01:11Arthur's body was strong back then.
01:14But the good run of his life and health
01:21was stopped by his feelings.
01:25When his illness worsened,
01:28he couldn't move.
01:31When I got sick, I was at home.
01:34I could only sit on the sofa.
01:38Arthur was 31 years old
01:40when he had a lump
01:43on his feet and hands.
01:45But since these don't hurt,
01:48he was just stuck
01:51and didn't even go to the doctor.
01:54It started to turn white inside.
01:59I didn't feel anything.
02:01I thought it was just a lump.
02:03When I took it out, it was gone.
02:06Arthur continued to drink beer
02:08and eat his favorite foods.
02:13I really don't like meat.
02:16I don't like rice.
02:18I don't like it at all.
02:20It's disgusting.
02:22But in 2014,
02:24his lumps got bigger
02:26on his feet and hands.
02:28And he even pooped.
02:31There was also a white crystal
02:33coming out of his wound on his feet.
02:36It was the worst.
02:38It was bleeding.
02:40When I walked,
02:44my slippers were full of poop.
02:49His illness worsened
02:51and so did his lumps.
02:53That's why he went to the doctor.
02:56I couldn't walk.
02:58It was painful.
03:01That's when Arthur found out
03:03that he has gouty arthritis.
03:07It was painful.
03:09I tried to hold it in.
03:11When I was at the back of the house,
03:13I just cried.
03:16According to Dr. Geraldine Geng Zamora,
03:18a rheumatologist,
03:21gout is a type of arthritis.
03:24Gout is a type of arthritis
03:26or rheumatism
03:28where uric acid is high
03:30in our blood or body.
03:33It's natural for all of us
03:35to have uric acid in our body.
03:37It's usually produced
03:39by urinating or pooping.
03:42But if the amount of uric acid
03:44in the body is too high,
03:47it sticks to the joints
03:49or joints of a person
03:51which results in
03:53swelling, pain,
03:55and gout.
03:57According to Dr. Zamora,
03:59gouty arthritis
04:01is also possible.
04:03It's very likely
04:05that if you have relatives
04:07who have gout,
04:09and you also have high uric acid
04:11and you have a gout attack,
04:13it's most likely because of your genes.
04:15The chances of gout
04:17are higher for middle-aged men
04:21and women
04:23who are near menopausal stage.
04:25Age is a factor.
04:27As we age,
04:29more cells in our body
04:31die.
04:33Over time,
04:35as the uric acid level
04:37accumulates,
04:39the attack becomes more frequent.
04:41It's also possible for men
04:43to have gout earlier,
04:45like Arthur.
04:47To ease the pain,
04:49he took pain relievers
04:51and prescribed medicine.
05:03But after a year,
05:05Arthur's gout
05:07got worse.
05:09Until 2019,
05:11he had to take
05:13a more intensive medication.
05:15I brought it to the doctor.
05:17He injected it.
05:19I can't take it anymore.
05:21I feel like I can't take it anymore.
05:23Let's continue
05:25talking about gout.
05:27It's very painful.
05:29You can see that it's literally swollen.
05:31We have interviewed
05:33many people
05:35who have gout.
05:37Yes, Connie. That's why
05:39it's important to measure
05:41the level of uric acid.
05:43Although food has a big
05:45contribution in increasing
05:47uric acid,
05:49there are foods that increase
05:51the level of purine.
05:53Gout and
05:55uric acid
05:57are also symptoms
05:59that our body
06:01experiences
06:03a lot of oxidation.
06:05Uric acid
06:07is considered
06:09endogenous
06:11or produced by our own body.
06:13Our body uses it
06:15to protect us
06:17against oxidation.
06:19If uric acid is too high,
06:21we should not only know
06:23how to lower it,
06:25we should also know
06:27why it rises.
06:29There are ways to avoid
06:31gout.
06:33Arthur used to be
06:35an active OFW.
06:39He moved slowly
06:41because of his gout.
06:43I used to have gout.
06:45I missed it
06:47when I wanted to go
06:49but I couldn't.
06:51In 2020,
06:53Arthur finished his contract
06:55with a company in Saudi Arabia.
06:57Because of his illness,
06:59he decided to
07:01go back to the Philippines.
07:03I decided to
07:05find a job here
07:07so that I can
07:09support my family.
07:11According to Arthur,
07:13in 2019,
07:15his condition worsened
07:17because of his gout.
07:19I went to the doctor
07:21and was injected.
07:23His illness was relieved.
07:25After that, I left him
07:27for a few months.
07:29I didn't feel anything.
07:31If a part of your body
07:33is damaged,
07:35instead of taking
07:37the medicine for several days,
07:39you can inject
07:41a steroid.
07:43All of us
07:45are in danger of gout,
07:47especially if we neglect it.
07:49It's because of the uric acid
07:51in our body.
07:53It's usually
07:55caused by sneezing
07:57or sneezing.
07:59But if the uric acid
08:01is too high in the body,
08:03it sticks to the joints
08:05or the joints
08:07that are prone to gout.
08:09When Arthur
08:11admitted that he felt
08:13a part of his body damaged,
08:15he left his
08:17condition again.
08:19That's why his recovery
08:21didn't last long.
08:23If I get rid of my illness,
08:25I can't avoid it.
08:27Observation by
08:29Dr. Geraldine Zamora,
08:31Arthur's condition
08:33can also be caused by chronic
08:35tofecious gout.
08:37If he has a tofie
08:39in different parts of his body,
08:41it's like his tofie is exploding
08:43in his feet.
08:45It's a complication.
08:47That's what we call
08:49chronic tofecious gout.
08:51It takes a long time
08:53to recover from
08:55chronic tofecious gout
08:57like Arthur's.
08:59It's possible
09:01that the tofie will disappear
09:03but it will take a long time.
09:05My patients
09:07are told that if you
09:09let it grow for a long time,
09:11it will take a long time
09:13for the tofie to dissolve.
09:15It's also possible
09:17that the patients
09:19who are under the operation
09:21have a bad condition.
09:23Dr. Zamora reminds
09:25that it's important to lower
09:27the uric acid level in the patient's body
09:29before the operation.
09:33It can be removed
09:35using surgery
09:37or surgical means.
09:39What we want to happen is
09:41before the surgery,
09:43the patient's uric acid level
09:45needs to be lowered
09:47because if not,
09:49the operation will be a waste.
09:51Dr. Zamora said that
09:53lowering the uric acid level
09:55is a maintenance medicine
09:57for gout.
09:59The patient needs to understand
10:01that this is a maintenance medicine.
10:03To avoid gout,
10:05it's better
10:07to have a healthy lifestyle.
10:09If you lower the calories,
10:11it will reduce
10:13the fat.
10:15If you have less fat cells,
10:17less fat,
10:19less uric acid
10:21will be produced in the body.
10:23In terms of food,
10:25it's better to avoid
10:27eating and drinking
10:29foods high in uric acid.
10:31It's not prohibited
10:33to eat seeds
10:35in moderation
10:37or in a sufficient amount.
10:39Mung beans, beans,
10:41and vegetables in general
10:43are not prohibited
10:45for people with gout
10:47or rheumatism.
10:49They are not the culprit
10:51for high uric acid levels.
10:53The manner of cooking is more important.
10:55For example,
10:57cook mung beans
10:59or any other dishes
11:01that are not too salty.
11:03Dr. Zamora's advice
11:05for people with gout?
11:07Regular consultations with a doctor
11:09and follow the prescribed medicine.
11:11My suggestion
11:13to Dr. Zamora is
11:15to consult
11:17with a doctor.
11:19The doctor's recommendation
11:21is good to follow.
11:23Most likely,
11:25the doctor will prescribe
11:27a low uric acid level.
11:29The doctor will maintain it for a long time
11:31so that the patient can understand
11:33and the medicine won't stop
11:35if the patient is no longer in pain.
11:37Not everything
11:39is the same for Arthur
11:41and others like him.
11:43The doctor should consistently
11:45lower the uric acid level
11:47to less than 5 mg per deciliter
11:49especially if there are
11:51tofai
11:53so that they can eventually
11:55dissolve.
11:57The medicine is really individualized.
11:59It really depends on the patient's condition
12:01and other medical issues.
12:05Follow the prescribed medicine
12:07to reduce
12:09the uric acid level
12:11to lower it.
12:13Remember,
12:15no matter what you feel
12:17in your body,
12:19no matter how painful it is,
12:21you can still find a solution
12:23if you can dissolve it early.
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