痛风医患对话英语

病情分析：

Patient: Doctor, I’ve been experiencing severe pain in my big toe and it’s swollen. It’s really affecting my daily life.

Doctor: I see. How long have you been feeling this way?

Patient: It started about two days ago. The pain came on suddenly and has been getting worse.

Doctor: Based on your symptoms, it sounds like you might be experiencing a gout attack. Gout is a form of arthritis that happens when uric acid crystals build up in the joints. It often affects the big toe first.

Patient: Oh no, that sounds painful. What causes gout?

Doctor: Gout can be caused by several factors, including diet, genetics, and lifestyle. Foods high in purines, like red meat and alcohol, can increase uric acid levels. Also, dehydration or certain medications can contribute to gout attacks.

Patient: So, what should I do to manage the pain?

Doctor: To help with the pain, you can try resting the affected joint and elevating your foot. Applying ice packs for 20-30 minutes at a time can also help reduce swelling. Over-the-counter anti-inflammatory drugs like ibuprofen can help relieve pain and inflammation.

Patient: Are there any long-term treatments to prevent future attacks?

Doctor: Yes, we can prescribe medications to lower uric acid levels. These include allopurinol or febuxostat. Additionally, making dietary changes such as reducing intake of high-purine foods and staying well-hydrated can help prevent future episodes.

Patient: Thank you, doctor. I’ll make sure to follow your advice.

Doctor: You’re welcome. If the pain persists or worsens, don’t hesitate to come back. Managing gout effectively involves both medication and lifestyle adjustments.

痛风病人可能会出现关节红肿热痛，关节表面皮肤紫红、紧张、发亮。最初的发作可能只累及一个关节。也许是一顿啤酒配海鲜的高嘌呤饮食之后，也许毫无特殊的诱因，痛风可能就找上门来了。

这时候到风湿免疫科就诊是比较适合的，风湿免疫科主要是诊断治疗与关节肌肉肌腱以及关节周围软组织的一些炎症，痛风因为是一个急性的代谢性的关节炎，所以风湿免疫科大夫，会根据病人的症状体征、血尿酸的检查结果、超声检查、X光、双能CT等结果，制定一个个性化的治疗方案。这时候病人需要遵医嘱服药，进行日常的生活管理。

如果体检查出来尿酸高，此时可能没有任何痛风的症状，也建议就诊，高尿酸血症可能会伴随一生不出现痛风症状，但也有很大概率发生病变，及早就诊干预，防患于未然。

本回答来自： 黑龙江省医院  |  向TA提问 投诉  |  2025-06-09