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?

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?

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?

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)

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


Sinopharm COVID-19 & Latest Influenza Vaccines (Protects against Flu and H1N1 Viruses) / Pre-Departure COVID-19 PCR  Swab & Serology Tests for Travellers, Serology Testing to Certify Vaccination status and Pre-Event COVID Testing. Make your Appointment at Tel: 6694 1661

Flu Subsidy Scheme eligible for Singaporeans & PRs (Pay subsidized rate of $10 for Consultation and Treatment) & Merdeka Generation /Pioneer Generation seniors (Pay subsidized $5) for patients with Acute Respiratory Infections (ARIs).

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

Asymptomatic patients may not display no symptoms of illness. Vulnerable people should get vaccinated against Influenza as the stop gap until the COVID vaccine is found. The Flu vaccine would protect susceptible people from, as well as exclude the Flu and H1N1 viruses should they start to show URTI or ARI symptoms.

- Latest Influenza Vaccine

The latest Influenza Vaccine is now available. It protects against the Flu and H1N1 Viruses. In the event that a person displays flu-like symptoms after the Flu vaccination, both Flu and H1N1 may be excluded in his diagnosis, and treatment can be sought quickly should the patient have contracted COVID-19.

Ministry of Health Safety protocols are adhered to at all times for the safe vaccination of you and your family.

* Latest COVID-19 Updates & Health Tips

* 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 MOH's Swab & Go Home programme. Our clinic can carry out the COVID-19 Swab test for anyone who meets the MOH medical criteria. All individuals aged 13 and above, diagnosed with ARI will be COVID Swab-tested. Cost of Swab test to be borne by Ministry of Health Singapore.

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).

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

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).

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



Risk Factors of COVID-19 Complications

Source : Observer Research Foundation


Lung, Neurological, Liver & Kidney Diseases


Sinopharm COVID-19 Vaccine in Singapore

Sinopharm COVID-19 Vaccine is now available @ MD International Medical Centre. Make a Vaccination or Booster Appointment at Tel: 6694 1661. Learn more about Sinopharm here.

Sinopharm BBIBP-CorV vaccine has now been approved for use by private clinics in Singapore against the COVID-19 virus under the Special Access Route. It is the first China-made vaccine to be approved by the World Health Organisation (WHO).

To date, more than a billion doses of the Sinopharm BBIBP-CorV have been administered. The vaccine has also been approved for use in over 50 countries around the world.

Inactivated vaccines are a tried-and-tested form of vaccine technology which is used in other well-established vaccines, such as the Flu and Hepatitis B vaccines.

If you would like to receive the Sinopharm vaccine or booster, please make your appointment at MD Int'l Medical Centre at Tel: 6694 1661.

Effects of COVID-19 on the Brain

COVID Symptoms to watch out for:

SARS-CoV-2 Virus Infection of Human Organ  Tissues through Cell ACE-2 Receptors:

mRNA Vaccines Possible Adverse Reactions or Side Effects (source: https://jamanetwork.com/journals/jama/fullarticle/2778441)

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 (Flu 2021/22) 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.


Healthy Diets for Optimal Health


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 (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 & Mandarin-speaking Doctors and Medical staff

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

OUR MEDICAL TEAM

Dr Don Lau – Medical Director

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

Fujiwara Takanori

- Doctor of Chiropractic

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

Physiotherapy-trained NBCE The National Board of Chiropractic Examiners

Medical Conditions Treatable with Chiropractic:  

  • Head & Neck – Neckaches/ Spondylosis/ Wry Neck/ Whiplash/ Headaches/ Migraine/ Facial Palsy
  • Back – Back Strain/ Slipped Disc/ Scoliosis/ Sciatica/ Spondylosis/ Spondylolisthesis/ Spondylolysis
  • Shoulder – Frozen Shoulder/ Rotator Cuff Tear/ Impingement Syndrome
  • Elbow – Tennis Elbow/ Golf Elbow
  • Hip / Knee – Anterior Knee Pain/ Runner’s Knee/ Meniscus Injury/ Ligament Injury
  • Foot – Plantar Fasciitis/ Heel Pain/ Metatarsalgia
  • Joint – Arthritis/ Cartilage Wear & Tear/ Osteoarthritis
  • Ligament – Sprains/ ACL Laxity/ Ankle Sprain
  • Muscle – Strains/ ITB Tightness/ Hamstring Tear
  • Tendons – Tendonitis/ Repetitive Strain Injury/ Tendinopathy
  • Sports Injuries
  • Obesity – Exercise & Meal Planning 
  • Post Operation/ Hospitalization
  • Fibromyalgia

Dr Lee Sao Bing – Opthalmologist (in-house Specialist)

MBBS, MMed(Ophth), FRCSEd(Ophth), MD, FAMS

Dr Pang Yoke Teen – ENT (Visiting Consultant)

FRCS (ORL), FRCS(EDIN), (FRCSGLASG), FAMS, MBBS

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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