Gout is hereditary? Gout requires a lifetime of medicine?

Last night, gout doctors received such a message:

Doctor! I am only 26 years old. Why is it so unfair to me? Last week, I suddenly had a pain in my toe. My fiancee accompanied me to the hospital. After the examination, the doctor said it was gout. At first, everything was fine. As a result, this week, she said we could not get married, and her family did not agree.

Her family said: You see, his father also has gout. The disease will be inherited. Children will also have gout in the future. How do you live?


There are many patients who ask [will gout be inherited], but not many people break up because of gout. Is gout really so terrible that it is necessary to break up?

How painful is gout?

Gout can be less painful.

Many patients go to the hospital because of joint pain and then find out gout. Joint pain is often the most direct pain brought to us by gout.

Good control of patients, gout once or twice a year or even a few years do not attack. And some patients, living habits, medication are not exquisite, the result is a month or two hair once, miserable. Just joint pain is good, more serious body gout stone, kidney stone and even kidney failure.

Gout can be terrible, but standard treatment is not so terrible.

If you have gout, you have to take medicine for a lifetime?

Everyone is afraid of becoming a [medicine jar], but not all gout requires a lifetime of medicine.

Everyone’s illness varies in severity. Some may be able to control gout well simply by lifestyle adjustment, while others need to take medicine for a long time or even for life.

Benzbromarone, allopurinol, febustat and other acid-lowering drugs are all aimed at reducing uric acid to reach the standard. For those without tophus, it is usually required to reduce it to 360 mol/L; However, for those with tophus, it needs to be reduced to 300 mol/L.

After using uric acid-lowering drugs on the basis of improving lifestyle and the blood uric acid reaches the standard for a period of time, doctors will generally reduce the amount of uric acid-lowering drugs. At this time, it is very important to continuously detect the blood uric acid level. If the uric acid level is maintained well, doctors will continue to consider reducing the amount of drugs.

When a small dose of uric acid-lowering drugs can make the blood uric acid reach the standard and metabolic indexes such as blood pressure, blood sugar, blood lipid and body weight are improved, you can try to stop using uric acid-lowering drugs under the guidance of doctors.

Parents have gout, and children also have gout?

Not necessarily.

Generally speaking, gout is a disease, but gout is divided into many types. Some are primary gout, and the cause of the disease is not very clear. In this kind of patients, there are indeed people who suffer from gout caused by genetic problems. Some are secondary gout, which is caused by high uric acid and gout caused by other diseases, such as renal insufficiency and malignant tumors.

For gout caused by genetic problems, if parents are ill, children are more likely to suffer from gout, but not 100%.

There is a saying that goes like this, and this sentence also applies to gout. Genetic abnormalities are indeed more prone to diseases, but acquired unhealthy lifestyles such as obesity, high purine diet and alcohol abuse are also related to gout. And unhealthy lifestyles can make a difference.

Gout is not an incurable disease, but many people still have many misunderstandings about gout.