What is Gout?

Gout is a type of arthritis that is caused by uric acid crystals getting caught in the spaces between the joints of the feet, the hands and some larger joints. The tissue around the joints becomes inflamed, and this inflammation triggers the sensitive nerve endings at the joint, causing extreme pain.

Uric acid is a waste product from the body, especially from proteins called purines. It is passed out in the urine by the kidneys, which sometimes cannot cope with the load of uric acid, and this causes a build-up in the body.

What are the Symptoms of Gout? 痛风的症状是什么?

The main symptom is severe pain, usually in the hands or feet, especially at the base of the big toe. Sometimes gout can strike in other joints, such as the elbow or the knee. The pain usually comes on without warning, often in the early hours of the morning, and soon the joint becomes so tender that one cannot bear even the weight of the bedsheets. The inflamed skin over the joint is often red, shiny and dry. The first attack usually involves only one joint and may last from a few hours to several days, generally about 2 or 3 days depending on how soon treatment is commenced. Sometimes there may be only one attack in a person’s lifetime.

Who gets Gout?

Almost any person can get gout, because all human beings produce about as much uric acid as the kidneys can handle. However, it does appear to be hereditary and is far more common in men, especially between the ages of 30 and 60.

It is one of the oldest disorders known to humans, and some well-known victims include Alexander the Great, Kublai Khan, Michelangelo, Martin Luther, Isaac Newton, Henry Ⅷ, John Wesley, Francis Bacon and Benjamin Franklin.

What causes Gout? 是什么导致痛风?

Contrary to popular belief, it is not necessarily brought on by high living and gluttony. Overindulgence in rice foods and alcohol can certainly bring on an acute attack in those who are prone to gout. It is associated with obesity and high blood pressure. Some drugs, particularly diuretics (fluid tablets), injury, surgery or starvation can bring on gout.

What are the Risks of Gout?

Gout is a curable disease, but if it is untreated it can cause kidney disease, including kidney stones.

What is the Treatment for Gout? 痛风的治疗方法是什么?

The acute attack

The earlier the attack is treated the better. Contact your doctor about the best treatment and the right pain-killer. Aspirin is not recommended for the pain of gout. Bed rest is important. Some relief can be obtained by applying a hot compress or ice to the affected joint. Keep the weight of the bedclothes off the foot by placing a bed cradle or similar object under the bedclothes.

Since gout may strike only once, no further treatment is needed apart from following the ‘rule of moderation’. If gout keeps returning, it will be necessary to go onto tablets that may have to be taken for a lifetime in order to prevent more acute attacks.

Rules of moderation

Do:

•    Gout Diet : Restrict intake of food high in purines, especially organ meats (liver, brain, kidneys, sweetbread) and tinned fish (sardines, anchovies, herrings)
•    Reduce your intake of alcohol
•    Eat a normal weight, but avoid ‘crash’ diets
•    Wear comfortable shoes
•    Get regular exercise

Don’t:

•    Take your worries to bed
•    Exercise too strenuously
•    Overexpose yourself to cold
•  Drink excessive amounts of alcohol (keep to a modest level only,e.g.2 standard drinks a day)

Gout Joint diseases Symptoms & Causes - Treatment @ MDIMC

Please seek Medical attention as soon as possible if you are unsure of you or your family's health condition.


Latest Influenza Vaccines (Protects against Flu and H1N1 Viruses)

Make your Appointment at Tel: 6694 1661

Management of Joint Pains & Gout

Rishi Manchanda: What makes us get sick? Look upstream

Rishi Manchanda has worked as a doctor in South Central Los Angeles for a decade, where he’s come to realize: His job isn’t just about treating a patient’s symptoms, but about getting to the root cause of what is making them ill—the “upstream" factors like a poor diet, a stressful job, a lack of fresh air. It’s a powerful call for doctors to pay attention to a patient's life outside the exam room.


Health Assessment & Screening Packages

Bone Mass Loss for Men & Women with Age - Health Screening @ MDIMC
Flu Symptoms & Prevention - Treatment @ MDIMC

Latest Influenza Vaccine

Asymptomatic patients may display no symptoms of illness. Vulnerable people should get vaccinated against Influenza which protects susceptible people from, as well as exclude the Flu and H1N1 viruses should they start to show URTI or ARI symptoms.

a. Vaccination decreases the risk of co-infection with COVID-19.

b. Vaccination reduces the burden of respiratory illnesses in the healthcare system.

The latest Influenza Vaccine is now available. It protects against the Flu and H1N1 Viruses. Ministry of Health Safety protocols are adhered to at all times for the safe vaccination of you and your family.

* Importance of Keeping your Vaccinations Up-to-date


Up to $400 per Medisave Account per year can be used for Vaccinations under the National Adult & Childhood Immunisation Schedule - Influenza, Pneumococcal (PCV13/PPSV), Human Papillomavirus (HPV2/HPV4), Hepatitis B, Tetanus, Diphtheria & Pertussis (Tdap), Measles, Mumps & Rubella (MMR) and Chickenpox (Varicella)

Part of the National Influenza Sentinel Surveillance programme with MOH. If you have a fever of > 38 degrees with a cough, our clinic is able to test for COVID-19. For children below 12 years old with clinical diagnosis of HFMD (eg fever, oral ulcers, rash), our clinic can test for Hand Foot & Mouth Disease (The tests are for surveillance purposes only).

NAIS & NCIS - Singapore is free from vaccine-preventable diseases like poliomyelitis, diphtheria, tetanus and pertussis (whooping cough) because of our successful immunisation progamme.

National Adult Immunisation Schedule (NAIS) Singapore @ MD International Medical Centre. Make your vaccination appointment at Tel: 6694 1661.

Up to $400 per Medisave Account per year can be used for Vaccinations under the National Adult & Childhood Immunisation Schedule - Influenza, Pneumococcal (PCV13/PPSV), Human Papillomavirus (HPV2/HPV4), Hepatitis B, Tetanus, Diphtheria & Pertussis (Tdap), Measles, Mumps & Rubella (MMR) and Chickenpox (Varicella).


Risk Factors of COVID-19 Complication

Source : Observer Research Foundation


Lung, Neurological, Liver & Kidney Diseases


Covid Symptoms & Prevention - Treatment @ MDIMC

Co-infection of COVID-19 with other infectious diseases is possible

Reduce your risk of getting sick with COVID-19

  • Make sure your vaccinations are up-to-date. People older than 65 years, and those with many underlying conditions, such as those who are immunocompromised or with significant liver disease, are recommended to receive vaccinations against Influenza and pneumococcal disease (PCV). Click here for Vaccination schedules (NAIS/NCIS).
  • Do not delay getting medical care for your underlying condition because of COVID-19. MD International Medical Centre has contingency MOH infection prevention protocols to protect you from getting COVID-19 if you need care for your underlying condition.
  • Continue your medications and do not change your treatment plan without talking to your doctor.
  • Make sure that you have at least a two-week supply of your chronic disease medications.
  • Call MDIMC @ Tel: 6694 1661 for a medical appointment if you have any concerns about your underlying medical conditions or if you get sick. Our clinic is a PHPC-accredited medical clinic. Under the MOH Swab & Go Home programme, our doctors can do a COVID-19 PCR Swab test if you meet the MOH medical crtieria.

Pain Relief Management & Treatment, Vaccinations, Health Screening, COVID & Allergy Testing, Dermatology Treatments, Minor Surgical Procedures


Reduce Stress / Anxiety Prevention - MDIMC

Healthy Diets for Optimal Health

Food Health / Detox / Immune Support / Cancer Prevention
Probiotics / Good Bacteria Effects - MDIMC
Vitamin D Deficiency Symptoms - Treatment @ MDIMC
Vitamin B12 Deficiency Symptoms - MDIMC
Zinc Deficiency Symptoms & Causes - Treatment @ MDIMC
Iodine Deficiency Symptoms - MDIMC
Iron-rich foods for Low blood haemoglobin

MD International Medical Centre

Medical Services available:

  • General Practice Family Medicine - Illnesses & Infections
  • Minor Surgical Procedures
  • IV Infusion of Medications
  • Respiratory Medicine - Influenza, Colds, Cough, Upper Respiratory Tract Infections (URTI), Acute Respiratory Infections (ARI), Sinus Infection
  • Treatment of Gastric issues, Stomach aches, Irritable Bowel Syndrome, Heartburn
  • Infectious diseases & Virology - COVID-19, Dengue, Flu, Hepatitis B etc
  • Dermatology - Skin Problems (Eczema, Acne, Rash, Boils, Dermatitis, Pigmented or Dry Skin, Moles /Skin Tags /Wart Removal)
  • Dermoscopy - Non-invasive Detection of Skin Cancer, Pubic lice & Scabies
  • Treatment of Insect Bites & Stings
  • Look Younger - Botox injections
  • Eye Health / Ophthalmology - Conjunctivitis, Foreign body in the Eye etc
  • Respiratory Medicine - Cough, Wheezing, Shortness of breath
  • Ear, Nose & Throat (ENT) - Ear Wax Removal, Ear Otitis Enterna, Nose Bleed-Epistaxis, Snoring & Sleep Apnoea, Vertigo & Dizziness, Audiogram (Hearing test)
  • Pain Management, Treatment & Therapy - Arthritis, Back & Joint Pain, Migraine, Gout
  • Sports Medicine - Treatment of Sports Injuries
  • Vaccinations / Immunization - Latest Flu vaccine, Sinopharm COVID Vaccine & Booster
  • Travel Health - Travel Vaccinations & Health checks, Travellers' Diarrhoea
  • Allergy tests / Allergic Rhinitis / Asthma Management
  • Health Screening / Blood tests
  • Management of Chronic Diseases - Treating Prediabetes, Diabetes & Insulin Resistance / Hypertension
  • Heart Health - ECG Heart monitoring / High Cholesterol management / Chest pains
  • Executive Health Assessment - Pre-Employment check-up / Work Permit / Employment Pass / Employment Pass
  • Student Pass / Driving License Check-up
  • Personal Health Management - Preventative Medicine & Disease Prevention
  • Elderly / Senior Health
  • Men's Health - Erectile Dysfunction medications etc
  • Women's Health- Osteoporosis, Heavy Periods, Breast lumps, Urinary Tract Infection, Anaemia, Tremors
  • Child Health & Nutrition / Paediatrics
  • Obesity / Weight control & Safe Weight loss / Nutrition & Diet
  • Depression / Anxiety / Insomnia & Stress Management
  • Erectile Dysfunction medications / Sexually transmitted diseases (STD)

Public Health Preparedness Clinic

National University Health System Primary Care Network

Singapore Ministry of Health Chronic Disease Management Programme (CDMP)

The information provided in this website is for knowledge purposes only. It does not constitute medical advice.

Should you encounter any medical problem that you are unsure of, always consult your doctor or health care provider for assistance and medical advice.

MD International Medical Centre / MD International (Singapore) Pte Ltd

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9 Taman Serasi #01-11, Botanic Gardens View

Tel : 65-6694-1661  Fax : 65-6694 1771

Email : contact@mdimc.sg

Clinic hours:

Monday to Friday: 9am-12.30pm / 2pm-6.30pm    Saturday: 9.30am-1pm

*Last registration is 30mins before the closing time

Closed on Sundays & Public Holidays

- Cashless service with most International Insurance companies and Insurance Medical cards are accepted

- Japanese, English & Mandarin-speaking Doctors and Medical staff

Please contact us at Tel: 6694 1661 to make an appointment.

Please make an appointment for the following at Tel: 6694 1661:

* Minor Surgical Procedure

* Health Screening / Blood Test

* Dermatology Treatment

* Allergy Testing

* Pain Treatment & Therapy

* Vaccination

* Pre-Departure PCR Swab Test / Serology Testing

  • 小型外科手术
  • 健康检查/验血
  • 皮肤科治疗
  • 过敏测试
  • 疼痛管理与治疗
  • 疫苗接种
  • 出发前 PCR 拭子检测
  • 血清学检测

OUR MEDICAL TEAM

Dr Don Lau – Medical Director

MBBS (Monash), B Med Sc (Hons) (Monash), Dip Pract Derm (Wales, UK)

Fujiwara Takanori

The Chiropractic Association Singapore, Japan Chiropractic Register, American Chiropractic Association, California Chiropractic Association

Physiotherapy-trained NBCE The National Board of Chiropractic Examiners

YAMAGATA Chihiro 山懸千尋

Registered Psychologist


MD International Medical Centre

Medical Services

Minor Surgical Procedures :

·       Injection for Supraspinatus or Bicipital Tendonitis / Epicondylitis / Trigger finger / Plantar Fasciitis

·       Tendon Sheath Injection

·       Excision of small Skin tumours / Lipomas / Nail bed / Ear lobe cysts / Meibomian cyst

·       Removal of Skin sutures / Skin tags / Sebaceous cysts / Various foreign bodies / Corneal foreign body

·       Liquid Nitrogen Therapy

·       Treatment of Plantar Warts / Calluses / Corns / Ganglions

·       Splinters under nails

·       Olecranon and Pre-patellar Bursitis

·       Ear syringing

·       Embedded earring stud


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