Gout Center - Reading, PAReading 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 Reading * Arthritis & Osteoarthritis Center  Reading Hospital  Arthritis & Osteoarthritis Center  Arthritis & Osteoarthritis Center  Arthritis & Osteoarthritis Center  Emkey Arthritis & Osteoarthritis Clinic  PMA Medical Specialists LLC  Lancaster Rheumatology Associates  Lancaster Rheumatology Associates  Lancaster Rheumatology Associates  Michael D Perilstein MD  Pottstown Medical Specialists  PMA Medical Specialists LLC  Pottsville Internist Associates  OAA Orthopaedic Specialists  OAA Orthopaedic Specialists  Arthritis & Rheumatology Associates PC  LVPG Arthritis & Rheumatology  LVPG Arthritis & Rheumatology  LVPG Arthritis & Rheumatology  Coordinated Health  Chester County Rheumatology  Chester County Rheumatology  Lebanon Internal Medicine Assoc  Lebanon Internal Medicine Assoc  Lebanon Internal Medicine Assoc  Lebanon Internal Medicine Assoc  Lancaster Rheumatology Associates  Lancaster Rheumatology Associates  Lancaster Rheumatology Associates  LVPG Arthritis & Rheumatology  LVPG Arthritis & Rheumatology  Ronald E Krauser MD PC  Ronald E Krauser MD PC  Marzena Bieniek MD PC  Timothy R Howard DO  East Penn Rheumatology Associates  East Penn Rheumatology Associates  East Penn Rheumatology Associates  The Arthritis Center  Ellen Meryl Field MD  Rheumatology Associates Ltd  Rheumatology Associates Ltd  Rheumatology Associates Ltd  Rheumatology Associates Ltd  M Anthony Albornoz MD  Delaware County Rheumatology  Delaware County Rheumatology  Arthritis and Rheumatic Disease Consultants  Arthritis and Rheumatic Disease Consultants  Arthritis and Rheumatic Disease Consultants  Drs Constantine & Wolfe  Bryn Mawr Medical Specialists  Bryn Mawr Medical Specialists  Bryn Mawr Medical Specialists  Bryn Mawr Medical Specialists  Whalen Rheumatology Group  Hershey Medical Center  Hershey Medical Center  Hershey Medical Center  Ritu Khurana MD  Frank C Passero MD  Gary V Gordon MD  Gary V Gordon MD  Gary V Gordon MD  Mark A Durback MD  Martin Bergman MD  Jefferson Osteoporosis & Arthritis Center  Jefferson Osteoporosis & Arthritis Center  Jefferson Osteoporosis & Arthritis Center  Jefferson Osteoporosis & Arthritis Center  Jolanta Zelaznicka MD  The Arthritis Center  Rheumatic Disease Associates  Rheumatic Disease Associates  Rheumatic Disease Associates  Rheumatic Disease Associates  Rheumatic Disease Associates  Rheumatic Disease Associates  Rheumatic Disease Associates  Allergy, Asthma & Arthritis Associates PC  Rheumatic Disease Associates  Division of Rheumatology Presbyterian Med Ctr  Penna Rheumatology Assoc iates  Veterans Affairs Medical Center  Perelman Center for Advanced Medicine Rheumatology  Perelman Center for Advanced Medicine Rheumatology  Perelman Center for Advanced Medicine Rheumatology  Perelman Center for Advanced Medicine Rheumatology  Perelman Center for Advanced Medicine Rheumatology  Perelman Center for Advanced Medicine Rheumatology  Perelman Center for Advanced Medicine Rheumatology  Perelman Center for Advanced Medicine Rheumatology  Perelman Center for Advanced Medicine Rheumatology  Perelman Center for Advanced Medicine Rheumatology  Einstein Internal Medicine Associates  AEMC Res &Technical Development  Ved P Gupta MD  AEMC Res &Technical Development  Temple University Hospital Rheumatology Reading, PennsylvaniaUpcoming Local Events2012-05-26
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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 Reading
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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
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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)
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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
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Chronic Pain
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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
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