Gout Center - Bethesda, MDBethesda Rheumatologist Doctors for GoutType of Physician: Rheumatologist What is a Rheumatologist? A subspecialty certification by the Board of Internal Medicine; practitioners treat diseases of the joints, muscles, bones, and tendons. The rheumatologist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries, etc. The rheumatologist may work closely with other specialists such as orthopaedic surgeons and physical therapists. Specialty: Rheumatology Common Name: Rheumatologist Doctors in Bethesda * National Institute of Arthritis  National Institute of Arthritis  Deborah S Litman MD  Arthritis & Rheumatism Associates  Potomac Arthritis & Rheumatism  Center for Rheumatic Diseases & Osteoporosis  Russell R Rothenberg MD  Center for Rheumatic Diseases & Osteoporosis  Center for Rheumatic Diseases & Osteoporosis  Arthritis & Rheumatism Associates  Arthritis & Rheumatism Associates  Arthritis & Rheumatism Associates  Arthritis & Rheumatism Associates  Arthritis & Rheumatism Associates  Capital Medical Services  Rockville Internal Medical Group  Drs Schnapp & Barth PA  Drs Schnapp & Barth PA  Leisure World Medical Center  FDA Center for Devices  Robert H Knitzer MD  Linda Katz MD  Oliver J Lawless MD  Arthritis & Pain Associates  Arthritis & Pain Associates  Arthritis Associates of Prince George County  Maryland Advanced Arthritis and Rheumatology  Edger V Potter Jr. MD  Mahesh & Renu Chandra MDs  Greater Metropolitan Orthopaedics & Rheumatology  Greater Metropolitan Orthopaedics & Rheumatology  Chaim Bernard Mond MD FACR  Gregory McCormack MD  Columbia Medical Practice Internal Medicine  Arthritis Care Specialists of Maryland  Arthritis Care Specialists of Maryland  Arthritis Care Specialists of Maryland  S Krishna Nandipati MD  Eldersburg Arthritis  Eldersburg Arthritis  Nasseri Clinic  A Shams MD FACR  Drs Yap Cueto & Miller  Alex Hertzman MD  Margaret A Fountain MD  Rida Frayha MD  Harbor Hospital  MMI Orthopaedic Associates of Frederick  MMI Orthopaedic Associates of Frederick  Arthritis & Osteoporosis Center  Ronald S Pototsky MD  Drs Reddy & Reddy  John Meyerhoff MD  Mercy Medical Center Rheumatology Medicine  Mercy Medical Center Rheumatology Medicine  Health Associates  Anne Arundel Rheumatology  Mary Michels MD  Johns Hopkins Outpatient Center  Carroll Arthritis  Jack R Lichtenstein & Associates  The Orthopaedic & Sports Medicine Center LLC  Jack R Lichtenstein & Associates  Jack R Lichtenstein & Associates  JHH Rheumatology Lupus Center  Falls Medical Specialists  Falls Medical Specialists  Drs Iglehart & McConnell  Raymond W Wilson MD  Stuart M Levine MD  Johns Hopkins Bayview Medical Center  Johns Hopkins Bayview Medical Center  Johns Hopkins Bayview Medical Center  Johns Hopkins Bayview Medical Center  Johns Hopkins Rheumatology Vasculitis Center  Johns Hopkins Rheumatology Vasculitis Center  Johns Hopkins Hospital Rheumatology  Lynn M Billingsley MD  Johns Hopkins Hospital Rheumatology  Johns Hopkins Hospital Rheumatology  Peter A Holt MD  Johns Hopkins Hospital Rheumatology  Johns Hopkins Hospital Rheumatology  Johns Hopkins Hospital Rheumatology  Baltimore Arthritis & Rheumatology LLC  Rheumatology Associates of Baltimore  Rheumatology Associates of Baltimore  Rheumatology Associates of Baltimore  Rheumatology Associates of Baltimore  Patuxent Rheumatology Associates LLC  Roger W Marcus MD  Robert W Timmons MD  Delmarva Orthopaedic Clinic Bethesda, MarylandUpcoming Local Events2012-06-02
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GoutWhat is gout? What is hyperuricemia?Gout is a disease that results from an overload of uric acid in the body. This overload of uric acid leads to the formation of tiny crystals of urate that deposit in tissues of the body, especially the joints. When crystals form in the joints, it causes recurring attacks of joint inflammation (arthritis). Gout is considered a chronic and progressive disease. Chronic gout can also lead to deposits of hard lumps of uric acid in the tissues, particularly in and around the joints and may cause joint destruction, decreased kidney function, and kidney stones. Gout has the unique distinction of being one of the most frequently recorded medical illnesses throughout history. It is often related to an inherited abnormality in the body's ability to process uric acid. Uric acid is a breakdown product of purines that are part of many foods we eat. An abnormality in handling uric acid can cause attacks of painful arthritis (gout attack), kidney stones, and blockage of the kidney-filtering tubules with uric acid crystals, leading to kidney failure. On the other hand, some people may only develop elevated blood uric acid levels (hyperuricemia) without having manifestations of gout, such as arthritis or kidney problems. The state of elevated levels of uric acid in the blood without symptoms is referred to as asymptomatic hyperuricemia. Asymptomatic hyperuricemia is considered a precursor state to the development of gout. The term gout refers the disease that is caused by an overload of uric acid in the body, resulting in painful arthritic attacks and deposits of lumps of uric acid crystals in body tissues. Gouty arthritis is typically an extremely painful attack with a rapid onset of joint inflammation. The joint inflammation is precipitated by deposits of uric acid crystals in the joint fluid (synovial fluid) and joint lining (synovial lining). Intense joint inflammation occurs as the ... Recommended Reading Related to GoutWhat is a sedimentation rate?A sedimentation rate is common blood test that is used to detect and monitor inflammation in the body. The sedimentation rate is also called the erythrocyte sedimentation rate because it is a measure of the red blood cells (erythrocytes) sedimenting in a tube over a given period of time. Sedimentation rate is often abbreviated as sed rate or ESR. How is a sedimentation rate performed?A sedimentation rate is performed by measuring the rate at which red blood cells (RBCs) settle in a test tube. The RBCs become sediment in the bottom of the test tube over time, leaving the blood serum visible above. The classic sedimentation rate is simply how far the top of the RBC layer has fallen (in millimeters) in one hour. The sedimentation rate increases with more inflammation. What is the normal sedimentation rate?The normal sedimentation rate (Westergren method) for males is 0... Other Related Gout ArticlesEmergency Contact for Bethesda
Nearby Bethesda Hospitals *National Institutes of Health Suburban Hospital Psychiatric Institute of Washington Sibley Memorial Hospital Holy Cross Hospital Walter Reed Army Medical Center Georgetown University Hospital Washington Adventist Hospital National Rehabilitation Hospital Washington Hospital Center Washington DC VA Medical Center Children's National Medical Center Howard University Hospital The George Washington University Hospital Providence Hospital The HSC Pediatric Center Virginia Hospital Center The Specialty Hospital of Washington Dominion Hospital Shady Grove Adventist Hospital Adventist Rehabilitation Hospital of Maryland Potomac Ridge Behavioral Health Adventist HealthCare Gladys Spellman Specialty Hospital Prince George's Hospital Center Saint Elizabeth's Hospital Inova Alexandria Hospital Inova Fairfax Hospital Inova Fairfax Hospital for Children Northern Virginia Mental Health Institute Montgomery General Hospital United Medical Center The Specialty Hospital of Washington-Hadley Doctors Community Hospital Laurel Regional Hospital Reston Hospital Center Inova Fair Oaks Hospital Inova Mount Vernon Hospital Fort Washington Hospital Howard County General Hospital Southern Maryland Hospital Center Inova Loudoun Hospital Center Sheppard Pratt at Ellicott City Prince William Hospital Potomac Hospital North Spring Behavioral Healthcare Baltimore Washington Medical Center Graydon Manor Behavioral Health Spring Grove Hospital Center Springfield Hospital Center Anne Arundel Medical Center Saint Agnes Hospital Kernan Hospital Northwest Hospital Harbor Hospital Center Bon Secours Baltimore Health System Civista Medical Center University of Maryland Medical Center Baltimore VA Medical Center University Specialty Hospital Maryland General Hospital Mercy Medical Center Levindale Hebrew Geriatric Center & Hospital Kennedy Krieger Institute Sinai Hospital of Baltimore Frederick Memorial Hospital Johns Hopkins Hospital Featured Articles*Provider Directory Terms of Use: The WebMD 'Provider Directory' is provided by WebMD for use by the general public as a quick reference of information about Providers. The Provider Directory is not intended as a tool for verifying the credentials, qualifications, or abilities of any Provider contained therein. Inclusion in the Provider Directory does not imply recommendation or endorsement nor does omission in the Provider Directory imply WebMD disapproval. |
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Kidney Stones
- One in every 20 people develop a kidney stone at some point in their life. A kidney stone is a hard mineral and crystalline material formed within the kidney or urinary tract. Kidney stones symptoms and signs are, blood in the urine and pain in the abdomen, flank (lower back), or groin. A number of different conditions can lead to kidney stones including: gout, hypercalciuria, people with inflammatory bowel disease, kidney disease, and hypoparathyroidism. Some medications also increase the risk of kidney stones.
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Kidney Failure
- Kidney failure can occur from an acute event or a chronic condition or disease. Prerenal kidney failure is caused by blood loss, dehydration, medication. Some of the renal causes of kidney failure are from sepsis, medications, rhabdomyolysis, multiple myeloma, and acute glomerulonephritis. Post renal causes of kidney failure include bladder obstruction, prostate problems, tumors, or kidney stones. Treatment options included diet, medications, or dialysis.
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High Blood Pressure
- High blood pressure, also known as hypertension, is a repeatedly elevated blood pressure exceeding 140 over 90 mmHg -- a systolic pressure above 140 with a diastolic pressure above 90. There are two causes of high blood pressure, primary and secondary. Primary high blood pressure is much more common that secondary and its basic causes or underlying defects are not always known. It is known that a diet high in salt increases the risk for high blood pressure, as well as high cholesterol. Genetic factors are also a primary cause. Secondary high blood pressure is generally caused by another condition such as renal hypertension, tumors, and other conditions. Treatment for high blood pressure is generally lifestyle changes and if necessary, diet.
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Rheumatoid Arthritis
- Rheumatoid arthritis is an autoimmune disease that causes chronic inflammation of the joints, the tissue around the joints, as well as other organs in the body. Because it can affect multiple other organs of the body, rheumatoid arthritis is referred to as a systemic illness and is sometimes called rheumatoid disease.
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Knee Pain
- The knee joint is composed of three compartments and ligaments which stabilize the joint. Causes of knee pain may include injury, degeneration, infrequently infection and rarely bone tumors. Although routine x-rays do not revel meniscus tears, they can be used to exclude other problems of the bones and tissues. The knee joint is the most commonly involved joint in rheumatic disease, as well as immune diseases that affect various tissues of the body.
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Dehydration
- Dehydration is the excessive loss of body water. There are a number of causes of dehydration including heat exposure, prolonged vigorous exercise, and some diseases of the gastrointestinal tract. The best way to treat dehydration is to prevent it from occurring.
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Foot Pain
- Foot pain may be caused by injuries (sprains, strains, bruises, and fractures), diseases (diabetes, Hansen disease, and gout), viruses, fungi, and bacteria (plantar warts and athlete's foot), or even ingrown toenails. Pain and tenderness may be accompanied by joint looseness, swelling, weakness, discoloration, and loss of function. Minor foot pain can usually be treated with rest, ice, compression, and elevation and OTC medications such as acetaminophen and ibuprofen. Severe pain should be treated by a medical professional.
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Hip Bursitis
- Bursitis of the hip results when the fluid-filled sac (bursa) near the hip becomes inflamed due to localized soft tissue trauma or strain. Symptoms include stiffness and pain around the hip joint. If the hip bursa is not infected, hip bursitis can be treated with ice compresses, rest, and antiinflammatory and pain medications.
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Menopause
- Menopause is the time in a woman's life when menstrual periods permanently stop, also called the “change of life." Menopause symptoms include hot flashes, night sweats, irregular vaginal bleeding, vaginal dryness, painful intercourse, urinary incontinence, weight gain, and emotional symptoms such as mood swings. Treatment of menopausal symptoms varies, and should be discussed with your physician.
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Sacroiliac Joint Dysfunction (SI Joint Pain)
- Sacroiliac joint (SI) dysfunction is a general term to reflect pain in the SI joints. Causes of SI joint pain include osteoarthritis, abnormal walking pattern, and disorders that can cause SI joint inflammation including gout, rheumatoid arthritis, psoriasis, and ankylosing spondylitis. Treatment includes oral medications, cortisone injections, and surgery.
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Alcoholism
- Alcoholism is a disease that includes alcohol craving and continued drinking despite repeated alcohol-related problems, such as losing a job or getting into trouble with the law.
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Arthritis
- Arthritis is inflammation of one or more joints. When joints are inflamed they can develop stiffness, warmth, swelling, redness and pain. There are over 100 types of arthritis including osteoarthritis, rheumatoid arthritis, ankylosing spondylitis, psoriatic arthritis, lupus, gout, and pseudogout.
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Fever
- Although a fever technically is any body temperature above the normal of 98.6 degrees F. (37 degrees C.), in practice a person is usually not considered to have a significant fever until the temperature is above 100.4 degrees F (38 degrees C.). Fever is part of the body's own disease-fighting arsenal: rising body temperatures apparently are capable of killing off many disease- producing organisms.
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Polycythemia (High Red Blood Cell Count)
- Polycythemia (elevated red blood cell count) causes are either primary (aquired or genetic mutations) or secondary (diseases, conditions, high altitude). Treatment of polycythemia depends on the cause.
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Bursitis
- Bursitis is inflammation of a bursa. A bursa is a tiny fluid-filled sac that functions as a gliding surface to reduce friction between tissues of the body. There are 160 bursae in the body. The major bursae are located adjacent to the tendons near the large joints, such as the shoulders, elbows, hips, and knees.
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Obesity
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Bursitis of the Knee
- Bursitis of the knee results when any of the three fluid-filled sacs (bursae) become inflamed due to injury or strain. Symptoms include pain, swelling, warmth, tenderness, and redness. Treatment of knee bursitis depends on whether infection is involved. If the knee bursa is not infected, knee bursitis may be treated with ice compresses, rest, and antiinflammatory and pain medications.
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Chronic Pain
- Chronic pain is pain (an unpleasant sense of discomfort) that persists or progresses over a long period of time. In contrast to acute pain that arises suddenly in response to a specific injury and is usually treatable, chronic pain persists over time and is often resistant to medical treatments.
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Pseudogout
- Pseudogout, a form of arthritis, results when deposits of crystals collect in and around the joints. Symptoms of pseudogout include pain, stiffness, warmth, and joint swelling of the knees, ankles, hips, shoulders, and/or wrists. Treatment for pseudogout aims to decrease inflammation through the use of nonsteroidal antiinflammatory drugs, ice, and rest.
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Hydroxyapatite Crystal Disease
- Hydroxyapatite crystal disease is the inflammation caused by hydroxyapatite crystals. These tiny crystals of hydroxyapatite deposit by mistake in or around joints and may cause inflammation of the joints and nearby tissues such as the tendons and ligaments (particularly causing rotator cuff problems in the shoulder). Treatment options include rest, cold application, medications to reduce inflammation, and cortisone-related medication injections.
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Medications
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