How to distinguish gout from kidney stones, and how to treat gout

Gout withkidney stoneIt is two different diseases, and the differential diagnosis is mainly based on clinical manifestations, laboratory tests, and imaging tests. There is also a difference in treatment between the two, and it is necessary to treat it according to the specific situation.

1. Differential diagnosis

1. Clinical manifestations: gout is manifested as joint pain, redness, swelling, fever and other symptoms, often at night, with obvious tenderness in the affected joints, and in severe cases, there may be limited activities. whereaskidney stoneIt is manifested as a dull pain or cramping in the lower back, accompanied by nausea, vomiting and other symptoms, and the pain can radiate to the abdomen.

2. Laboratory examination: elevated blood uric acid level is a typical manifestation of gout, while patients with kidney stones generally do not have elevated blood uric acid. The amount of uric acid in the urine can also vary.

3. Imaging examination: The existence of kidney stones can be found through X-ray, ultrasound and other imaging examinations, and their size and location can be determined. Imaging tests for gout are usually unremarkable.

2. Treatment

1. Gout: For patients with gout in the acute stage, they should immediately stop exercising and rest, and at the same time use non-steroidal anti-inflammatory drugs such as ibuprofen sustained-release capsules and diclofenac sodium sustained-release tablets according to the doctor's instructions to relieve pain symptoms. If the condition is severe, it is necessary to seek medical attention in time and use drugs such as colchicine under the guidance of a doctor. In daily life, it is necessary to avoid the intake of high-purine foods, such as animal offal, seafood, etc.

2.kidney stone:aboutkidney stoneSmaller patients can promote the passage of stones from the body by drinking plenty of water and exercising properly.For larger kidney stones, surgical treatment is required. Commonly used surgical methods include extracorporeal shock wave lithotripsy, percutaneous nephrolithotomy, etc.

Gout and kidney stones are two different diseases, and it is necessary to make a clear diagnosis and treatment according to specific symptoms and related examinations.