Search by name
logo

Gout

A form of arthritis, gout is characterized by sudden attacks that often affect the joints within the big toe, although other joints in the body can be affected. During an attack, a person may experience swelling, pain, and redness in the affected joint.

The sudden an unpredictable nature of a gout attack makes the condition hard to manage. For instance, many people complain of being woken up in the middle of the night because of an attack, which causes sleep deprivation in addition to discomfort. That’s why finding the right treatment for gout is so crucial, as the proper treatment can help you deal with the effects of this common type of arthritis.

Symptoms

Gout is associated with a few different symptoms, including:

  • Joint Pain – Many people experience severe joint pain with gout, which often lasts from 4 to 12 hours. However, less severe pain can linger for up to a few weeks after the initial attack. Along with the big toe joint, gout commonly affects joints in the knees, ankles, wrists, elbows, and fingers.
  • Inflammation – Along with joint discomfort, gout also causes swelling in the affected area. For instance, the skin around the joint may feel red, tender, and inflamed.
  • Reduced Movement – Joint inflammation also negatively affects range of motion, which can limit a person’s mobility during an attack.

Keep in mind that attacks are most common at night and typically appear without warning.

Causes & Risk Factors

Gout is linked to the body’s production of uric acid. When there are issues with the production or breakdown of uric acid, urate crystals can accumulate throughout the body. As urate crystals accumulate, they cause pain and dysfunction in joints and other areas of the body.

Factors that increase the levels of uric acid in the body also increase the risk of gout. These factors include:

  • Being overweight or obese
  • Eating too much red meat
  • Drinking too much alcohol
  • Taking certain medications (such as low-dose aspirin)
  • Drinking beverages containing fructose
  • Untreated medical conditions (including high blood pressure)
  • Having a family history of gout

Complications

For some people, gout is a recurring issue that causes attacks to happen repeatedly during the year. If symptoms are left untreated, a person’s joints may become irrevocably damaged. A person can also develop advanced gout, which causes nodules to form under the skin which often feel swollen and painful during attacks. Urate crystals are responsible for forming these nodules, and they can contribute to kidney stones when they form in the urinary tract.

Diagnosis

It’s often possible to diagnose a patient with gout based on their symptoms and the appearance of the affected joint. However, doctors can use joint fluid tests to look for urate crystals. Blood testing can also be used, but it’s not fully reliable since some people have elevated uric acid levels but do not experience gout. A doctor may also use medical imaging to rule out other medical conditions.

Treatment & Management

Doctors often use medications to treat gout. Some medicines, such as nonsteroidal anti-inflammatory drugs and corticosteroids, are used to treat attacks. These medications can also prevent attacks from occurring in the future. Other medications affect the production and processing of uric acid in the body. For instance, allopurinol reduces the production of uric acid, while probenecid aids the kidneys in removing uric acid.

Consider that not all joint pain is indicative of gout, as symptoms can resemble other forms of arthritis or joint conditions. That’s why it’s important to consult a healthcare professional for an accurate diagnosis. With early treatment and lifestyle adjustments many people can avoid gout attacks.

 
 
 

The content appearing on this site is not intended to treat, diagnose, or provide health care advice. The articles you read here are meant for informational purposes only. Please review additional information to learn more.