How to Treat Gout Without Chemicals

How to cure gout without medication can be done by eating various fruits or herbal plants. These foods or herbal plants have ingredients that can reduce uric acid levels in the blood.

Gout is a type of arthritis that occurs due to high levels of uric acid in the blood. High levels of uric acid can crystallize and accumulate in the joints, making the joints painful, swollen, and appear reddish when viewed from the outside.

How to Cure Gout Without Chemical Drugs

The most common way to cure a gout attack is by taking medication. However, how to cure gout without drugs can also be done so that uric acid levels return to normal and you can move comfortably.

Gout attacks will actually continue to occur as long as uric acid levels in the blood are high. Therefore, how to cure gout without medication is done with the aim of controlling uric acid and reducing the risk of recurrence.

The following is a further explanation of the various ways to cure gout without medication that you need to know:

1. Eat foods that contain magnesium

The first way to cure gout without medication is to meet the body’s need for magnesium as much as 340-360 milligrams per day. Magnesium itself is one of the minerals needed by the body.

Some studies show that adequate magnesium intake in the body will affect the decrease in uric acid levels. That way, the risk of gout attacks can be reduced.

You can fulfill your body’s need for magnesium by eating foods high in magnesium, such as spinach, kale leaves, avocados, bananas, salmon, tuna, whole grains, and nuts. In addition, you can also take magnesium supplements according to your doctor’s advice, if needed.

2. Eating cherries

Cherries contain anthocyanin compounds that can reduce uric acid levels and relieve pain due to inflammation, including inflammation in the joints. Therefore, eating cherries regularly can prevent gout attacks.

A study states that cherries that are dark in color and have a sour taste are the best types of cherries to cure gout. You can consume 3 cherries every day so that the benefits of this fruit as a way to cure gout without drugs can be obtained optimally.

3. Eating apples

Eating apples is also included in how to cure gout without medication that you can do. This is because apples contain malic acid which can reduce uric acid levels in the blood. That way, you will avoid gout attacks that can make joints painful.

To control uric acid, you are advised to consume only 1 apple per day. The reason is, apples contain fructose which can actually trigger a gout attack if consumed excessively.

4. Eating celery seeds

How to cure gout without drugs on this one may still sound familiar. The reason is, celery is often consumed in its stems or leaves. Meanwhile, there are still many people who do not know that celery seeds can also be consumed and have many benefits, including curing gout without medication.

Celery seeds contain luteolin and beta selinene compounds that are anti-inflammatory. Both compounds are effective for lowering uric acid levels and reducing inflammation in the joints due to high uric acid levels.

If you want to consume it, you can use celery seeds as an additional spice in food or boil and drink the cooking water as herbal tea.

5. Drinking the boiled water of nettle leaves

Nettle leaves are known as leaves that can make itchy when they touch the skin. However, behind the side effects, nettle leaves are known as a natural remedy for gout.

This is because nettle leaves have anti-inflammatory properties that can reduce uric acid levels in the blood, thus preventing gout attacks. Even so, further research is still needed on the benefits of nettle leaves as a way to cure gout without medication.

You can process nettle leaves into herbal tea. To do this, wash 2-3 pieces of nettle leaves and then boil them with water until it boils. Drink the boiled nettle leaf water when the temperature is no longer hot. For optimal benefits, you can drink nettle leaf tea 3 times a day.

6. Drinking bay leaf cooking water

Another way to cure gout without medication that you can try is with bay leaves. The benefits of bay leaves themselves in overcoming gout come from some of the antioxidant content in them, namely flavonoids and ethanol, which can reduce uric acid levels in the blood.

How to process bay leaves for consumption is not much different from nettle leaves. You h

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8 Fruits Suitable for People with Diabetes

Fruits for diabetes are fruits that have a low glycemic index, such as apples, oranges, and pears. Not only do they have a low glycemic index, these fruits are rich in nutrients and antioxidants that are beneficial for maintaining the health of diabetics.

Fruits are a good source of nutrition for the body because they contain various vitamins, fiber, minerals, and antioxidants that are beneficial for health. However, some people think that fruit is not suitable for diabetics because it can increase blood sugar levels.

The Fruits that are Good to Eat for Diabetics

This is not entirely true because not all fruits can cause spikes in blood sugar levels. There are several fruits for diabetics that are safe to consume because they have a low glycemic index.

In addition, fruits for diabetes also consist of fruits that are rich in fiber and antioxidants. These ingredients have the benefit of preventing blood sugar spikes and inflammation in diabetics.

With a low glycemic index, fruits for diabetes are safe to consume because they prevent sudden increases in blood sugar levels. Not only that, this type of fruit can also fulfill the nutritional needs of diabetics.

The following are some types of fruits for diabetes that can be used as choices:

1. Apples

Apples have long been believed to prevent various diseases. This is because apples are relatively low in calories and carbohydrates, contain a lot of fiber, and are a good source of vitamin C.

In fact, just from the skin alone, apples can meet almost 20% of daily fiber needs and are rich in antioxidants.

2. Oranges

Oranges are an excellent source of vitamin C. In fact, by eating just one orange, you can fulfill 78% of your daily vitamin C needs.

Oranges also contain folate and potassium that can keep blood pressure stable. This fruit is also good and safe to consume by diabetics as it is low in carbohydrates and calories.

3. Pears

Apart from being low in carbohydrates, pears are high in fiber. This makes pears as one of the fruits for diabetes that is safe to consume. Apart from being consumed directly, you can also mix this fruit into salads or processed into juice.

4. Guava

Research shows that guava contains a low glycemic index making it good for consumption by diabetics. In addition, this tropical fruit is also known as a good source of vitamin C and contains a variety of other nutrients, such as folate, beta carotene, and protein.

5. Cherries

The antioxidant and potassium content makes cherries worthy of being used as a fruit for diabetes. Both contents are believed to increase the immunity of diabetics.

In fact, canned cherries, which are commonly used as decoration for tarts, are still considered safe for consumption by diabetics, as long as sugar is not added.

6. Strawberries

Strawberries have a high fiber content. Strawberries should be consumed directly without processing first so that the benefits of vitamin C can be obtained optimally.

Another benefit of this fruit for diabetes is that it can increase insulin sensitivity so that the body can regulate sugar levels better. However, the benefits of strawberries for diabetics still need to be studied further.

7. Papaya

Although not everyone likes this tropical fruit, in fact papaya is one of the fruits for diabetes that is safe for consumption. Papaya is a fruit with a moderate glycemic index that will not increase blood sugar levels too quickly.

In addition, papaya is also rich in fiber so that it can cause a feeling of fullness longer. So, the desire to snack on foods that can increase blood sugar levels can be prevented. This fruit for diabetes is also believed to lower blood sugar levels thanks to its anticosidic content.

8. Avocado

Avocados are famous for their good fat content which is good for diabetics. Consumption of this fruit for diabetes can actually help maintain ideal body weight, lower cholesterol, and increase insulin sensitivity.

In addition, avocado consumption will not increase blood sugar levels drastically and can provide an optimal source of fiber.

Although the above fruits are good for diabetics, try to consume them without added sugar. Choose fruits that are still fresh and make sure not to consume them in excess or in large portions. Fruit for diabetes can also be consumed in the form of juice, but avoid adding sugar, milk, or artificial sweeteners.

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Causes of Endometrial Cancer and How to Prevent It

Endometrial cancer is cancer that attacks the inner lining of the uterus. This condition generally occurs in women who have entered menopause, which is around 60-70 years old.

The endometrial layer acts as a place to attach a fertilized egg. Therefore, the endometrial wall will thicken before menstruation. If the egg is not fertilized, the endometrium will decay so that menstruation occurs.

Endometrial cancer is one type of cancer in the female reproductive organs that often occurs. Based on WHO data in 2020, there were more than 7,000 cases of endometrial cancer in Indonesia, with 2,000 of them experiencing death.

Endometrial cancer can be detected early, characterized by abnormal bleeding in the vagina. If detected early, doctors can perform a hysterectomy or surgical removal of the uterus to treat this condition.

Types of Endometrial Cancer

Endometrial cancer is divided into two main types, namely:

  • Type 1 endometrial cancer
  • This type is the most common. The development of cancer cells in type 1 occurs slowly (non-aggressive) and can be detected early.
  • Forms of endometrial cancer type 1 are endometrioid adenocarcinomas.
  • Type 2 endometrial cancer
  • This type has a more aggressive nature. Cancer cells in this type develop and spread faster, and recur more often.
  • The forms of type 2 endometrial cancer are uterine serous carcinomas and clear cell carcinomas.

Causes of Endometrial Cancer

Endometrial cancer occurs when cells in the endometrium undergo changes (mutations). These changes cause the cells to grow rapidly and uncontrollably and develop into cancer cells.

It is not yet known exactly why these cells grow uncontrollably. However, there are several factors that are thought to increase a person’s risk of endometrial cancer, namely:

  • Imbalance of progesterone and estrogen hormones in the body
  • Excess weight or obesity
  • Age 60-70 years
  • Menopause
  • Menstruation at an early age (<12 years old)
  • Menopause at a later age than usual (>50 years)
  • Never been pregnant
  • Tamoxifen hormone therapy, for breast cancer patients
  • Colon cancer
  • Polycystic ovary syndrome (PCOS)
  • Family history of endometrial cancer
  • Other types of cancer, such as breast cancer or uterine cancer

Endometrial Cancer Symptoms

The most common symptom of endometrial cancer is vaginal bleeding. This symptom usually appears since the early stages of cancer. However, the nature of this bleeding may vary depending on whether the patient is menopausal or not.

If the patient is not yet menopausal, vaginal bleeding is characterized by:

More blood during menstruation with a longer menstrual period (more than 7 days).
Blood spots appear outside the menstrual period
The menstrual cycle occurs every 21 days or sooner
Bleeding occurs before or after sexual intercourse

In patients who have menopause, any bleeding or spotting from the vagina that appears at least a year after menopause should be seen by a doctor immediately.

Apart from bleeding, other early symptoms of endometrial cancer are vaginal discharge that is watery or mixed with blood, and pain during sexual intercourse.

If it has developed and entered an advanced stage, endometrial cancer will cause additional symptoms, such as:

  • Pelvic pain
  • Decreased body weight
  • Loss of appetite
  • Lumps appearing in the lower abdomen
  • Fatigue
  • Flatulence
  • Changes in urination and bowel movement patterns
  • Pain in the lower abdomen, back, or legs

When to see a doctor

See a doctor immediately if you experience any of the symptoms below:

  • Bleeding that occurs after menopause, after sexual intercourse, or outside the menstrual cycle
  • Vaginal bleeding that lasts more than 7 days
  • Menstruation that occurs more than once a month
  • Vaginal discharge that occurs after menopause
  • Pelvic pain or cramps that do not improve

Although the above conditions are not always associated with endometrial cancer, early examination is necessary so that the cause can be identified and treated immediately.

Diagnosis of Endometrial Cancer

To diagnose endometrial cancer, the doctor will ask questions about the symptoms experienced and the patient’s medical history, followed by a physical examination.

Furthermore, the doctor will conduct further examinations to determine the diagnosis, including:

Pelvic examination

A pelvic examination is performed by examining the outside of the vagina, then inserting two fingers into the vagina while pressing the patient’s abdomen using the other hand. The aim is to detect abnormalities in the uterus and ovaries.

The doctor may also use a speculum to detect abnormalities in the vagina and cervix.

Transvaginal ultrasound

This examination involves inserting a special device called a transducer into the vagina. It emits high-frequency sound waves into the uterus to be converted into images on a monitor. This allows the doctor to see the texture and thickness of the endometrium.

Hysteroscopy

Hysteroscopy involves inserting a special instrument with a small camera and light (hysteroscope) into the uterus through the vagina. This tool helps the doctor to see the endometrium and the condition inside the uterus.

Endometrial biopsy

This examination involves taking a tissue sample from the lining of the uterus, which is then analyzed in the laboratory. The aim is to detect the presence of cancer cells.

Dilation and curettage

This examination is also called curettage, which is the scraping or scraping of tissue in the uterus using a special tool. This procedure is performed if the sample from the biopsy is not sufficient to detect cancer cells and the results of the analysis cannot be confirmed.

If endometrial cancer is suspected to be at an advanced stage, the doctor will perform X-rays, CT scans, PET scans, and MRIs, to detect whether the cancer has spread to other organs.

The doctor may also perform a cystoscopy or colonoscopy, to detect if the cancer has spread to the bladder or digestive tract.

Endometrial Cancer Stages

Once endometrial cancer is diagnosed, the doctor will determine the stage of endometrial cancer. There are four stages of endometrial cancer, namely:

  • Stage 1: cancer is still in the uterus
  • Stage 2: the cancer has spread to the cervix (cervix)
  • Stage 3: the cancer has spread outside the uterus, such as to the lymph nodes in the pelvis, but has not yet reached the colon or bladder
  • Stage 4: the cancer has spread to the bladder, colon, and even to other organs or parts of the body

Endometrial Cancer Treatment

Endometrial cancer treatment can be done with several methods that are determined based on several factors, namely:

  • Stage or degree of spread of cancer cells in the uterus
  • Overall health condition of the patient
  • Endometrial cancer type and tumor size
  • Location of endometrial cancer

The following are some actions that can be taken to treat endometrial cancer:

Surgery

Surgery is one of the most effective treatments for endometrial cancer. Surgery can be performed at an early stage of endometrial cancer.

The surgery performed is uterine removal surgery (hysterectomy). Based on the condition of endometrial cancer, hysterectomy may also be accompanied by procedures to remove the tubes and ovaries.

In a hysterectomy, the doctor may also remove the seed lymph nodes in the uterine area, to detect the spread of cancer cells. Please note that this surgery may prevent the patient from having children in the future.

Chemotherapy

Chemotherapy is the administration of drugs to kill cancer cells and prevent their spread. This therapy is performed on endometrial cancer that has spread to other parts of the body or has recurred.

The types of chemotherapy drugs used are cisplatin, carboplatin, doxorubicin, or paclitaxel.

Radiotherapy

Radiotherapy is a therapy using high radiation beams to destroy cancer cells. This may be done after a hysterectomy or in combination with chemotherapy.

Radiotherapy can also be used to inhibit the spread of cancer cells when surgery cannot be performed. There are two types of radiotherapy, namely:

External radiotherapy, by directing energy beams to the part of the body affected by the cancer
Internal radiotherapy (brachytherapy), by placing radioactive material inside the vagina

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