ARTICOLI CORRELATI

Seven rules to follow to avoid fall flu

The sweet summer days have now left us. With the arrival of autumn, and the resulting drop in temperatures accompanied by increasingly frequent rains, the risk of getting sick also

Nutrition in old age

In Italy, about 20 percent of the population is over 65 years old. To reconcile the increase in average life span with a good quality of life, it is necessary

Shingles: find out more about it

The St. Anthony’s Fire, also called St. Anthony’s rash or Herpes zoster according to scientific nomenclature, is a viral disease that affects individuals who have contracted chickenpox in the past,

Growing old is also this.

Physical energies inevitably drop and so does the readiness of reflexes and efficiency in learning and retaining new information. One may already feel tired when waking up or down in

Women perceive pain more than men

Perception of pain in women and men The differences between men and women have always been the subject of scientific study. Male human beings differ greatly from female human beings,

For gout sufferers, sleeping well is often a dream

gotta

Better explaining to the physician the impact of rheumatic disease symptoms on night rest is important to optimize therapy and improve quality of life.

Gout is a rheumatic disease characterized by the deposition of uric acid crystals within the joints, leading to the development ofchronic inflammatory arthritis associated with extremely painful recurrent acute attacks. Available therapies, combined with some dietary and lifestyle measures, can reduce the frequency of attacks and lessen the symptoms of the disease when they occur, but not eliminate them completely.

Sufferers, therefore, often have to deal with pain, burning, and swelling, usually very intense and associated with the substantial inability to move and use the affected joints (especially, wrists/hands, elbows, knees, or ankles/feet), either during the day or at night, for periods that can exceed 1-2 weeks.

A recent study conducted at the University of Alabama (United States) verified that in addition to the discomfort caused by the disease in daily life, the majority of patients with gout also experience serious sleep impairment nocturnal, with all that comes with it in terms of residual fatigue, nervousness, and decreased physical and intellectual performance during the day. To make matters worse, then, sleep deprivation at night increases pain sensitivity, further worsening the discomfort. In short: a dog biting its own tail that can come to much harm if the unfavorable interference between pain and sleep is not prevented or, at least, defused early.

The first step to do this is to optimize basic drug therapy and the anti-inflammatory and antalgic therapy that is essential in gout flare-ups, but alone it is not enough. Indeed, the same study warns that it is not only physical pain and the inability to assume a comfortable position in bed that prevent patients from sleeping soundly.

Also interfering with falling asleep and causing frequent awakenings are anxiety and depression consequent to concern about the symptoms of the acute attack and about suffering from a chronic “fickle” and unpredictable disease, the need to get up frequently to go to the bathroom to urinate, the side effects of medications prescribed to control the rheumatic disease, and, in a proportion of patients, the interference of gout with the ability to effectively manage obstructive apnea syndrome.

According to the researchers, compensating for all these aspects requires a “broadened” approach that takes into account the full range of disorders experienced by the patient and provides targeted remedies that can alleviate them. To this end, it is imperative that physicians actively investigate all possible critical issues associated with acute gout attacks and individual reactions to prescribed medications, but if they do not do so, it must be the patients who accurately report all the physical and mental symptoms they experience, throughout the day and night, and their variations over time. With a little effort on both sides and adherence to prescribed therapies, the situation will surely improve.

Source

Singh JA et al. Any sleep is a dream far away: a nominal group study assessing how gout affects sleep. Rheumatology 2018;57(11):1925-1932. doi:10.1093/rheumatology/kex535

SPECIALISTI IN EVIDENZA

  • Profile picture of Dott.ssa Ilaria Berto
    active 3 years, 12 months ago

    Basic Doctors, Acupuncturists, Aesthetic Doctors

    • Via Antonio Corradini 1 - Este
    phone
  • Profile picture of Dott.ssa Carmela Tizziani
    active 3 years, 12 months ago

    Coroner, Certifying Doctor, Basic Doctors

    • Via Gaetano Bruno 25 - Napoli
    phone
  • Profile picture of Dott.ssa Irene Pistis
    active 3 years, 12 months ago

    Aesthetic Doctors, Basic Doctors, Certifying Doctor

    • Via della Reoubblica 461/3 - Vergato
    phone
  • Profile picture of Dr. Giandomenico Mascheroni
    active 3 years, 12 months ago

    Endocrinologists, Basic Doctors, Certifying Doctor

    • Via Petrarca 53 - Carnago
    phone
  • Profile picture of Dr. Fabio Fabi
    active 3 years, 12 months ago

    Sports Doctors, Internist, Basic Doctors

    • Via Sarsina 147 - Roma
    phone

PATOLOGIE CORRELATE

Rheumatism

The term “rheumatism” refers to an extremely wide and varied group of disorders comprising more than one hundred rheumatic diseases that are very diverse in terms of causes, symptoms and

Basedow’s disease

Basedow’s disease, also known as Basedow-Graves disease, is an autoimmune disease that affects the thyroid gland and results in the typical symptoms of hyperthyroidism, ophthalmopathy/exophthalmos, and dermopathy. Basedow’s disease can

Cytomegalovirus

Cytomegalovirus is a DNA virus that belongs to the herpes virus group. After primary infection it persists in a latent form in the body and can reactivate when defense systems

Oral candidiasis

Oral candidiasis, also called thrush, is a condition characterized by the accumulation on oral mucous membranes of the fungus Candida albicans. It is an infectious and resistant pathogen that can

Chronic obstructive pulmonary disease (COPD)

According to the official definition, COPD is “a pathological condition of the respiratory system characterized by chronic and partially reversible airflow obstruction to which bronchial (chronic bronchitis), bronchiolar, (small airway

Coronavirus infection

Actually, Coronavirus belongs to a type of viruses that can cause various diseases from simple cold to severe acute respiratory syndrome (SARS) and Middle East respiratory syndrome (MERS). In 2019,

Restless leg syndrome

Restless legs syndrome is a chronic disorder characterized by the onset of a feeling of general leg discomfort, which occurs when the legs are kept still even for short periods

Bronchitis

The term bronchitis refers to an acute inflammation of the trachea and bronchi that generally arises as a result of a viral or, more rarely, bacterial infection. In overall healthy

Magnetic resonance imaging

Nuclear magnetic resonance (NMR), also more simply called magnetic resonance imaging (MRI), is an extremely sensitive and informative diagnostic imaging technique based on the use of electromagnetic fields that are

Nasal polyposis

Nasal polyps are soft, painless, noncancerous growths that form on the lining of the nasal cavity or paranasal sinuses and as, they increase in volume, can cause respiratory obstruction. They
CULTURA E SALUTE
 
AGGIORNAMENTI
 
PERCORSI
 

your advertising
exclusively ON
MY SPECIAL DOCTOR

complete the form and you will be contacted by one of our managers