Treatment FAQ

what is gout symptoms treatment and causes

by Ms. Scarlett Schamberger Published 3 years ago Updated 2 years ago
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Symptoms

Gout can be effectively treated and managed with medical treatment and self-management strategies. Your health care provider may recommend a medical treatment plan to Manage the pain of a flare. Treatment for flares consists of nonsteroidal anti-inflammatory drugs (NSAIDs) like ibuprofen, steroids, and the anti-inflammatory drug colchicine.

Causes

Gout is a painful form of arthritis. When your body has extra uric acid, sharp crystals may form in the big toe or other joints, causing episodes of swelling and pain called gout attacks. Gout is treatable with medications and changes in diet and lifestyle. Appointments 216.444.2606 Appointments & Locations Request an Appointment

Prevention

Sep 23, 2021 · Gout is a general term for a variety of conditions caused by a buildup of uric acid. This buildup usually affects the feet. If you have gout, you’ll probably feel swelling and pain in …

Complications

Excess uric acid can build up and form crystals in and around joints, resulting in gout symptoms, such as inflammation, pain, redness, stiffness, and heat in and around joints. In fact, gout can be diagnosed by examining synovial fluid from the affected joint under a microscope to see if it contains the characteristic uric acid crystals.

How can you tell if you have gout?

Apr 21, 2022 · Redness is one of the symptoms people start noticing when they get to know about their gout. Usually, pain comes after the redness, but redness can come after feeling mild pain. Apart from that, affected joints may also get swollen, tender, and warm at the same time.

What are the best ways to manage gout?

Chronic gout can lead to persistent inflammation in the joints, making them more stiff and immobile. This is made worse by stone formation, and you may need surgery to repair or replace severely damaged joints. 3. Kidney stones and kidney disease High levels of uric acid, especially in chronic gout, can lead to the formation of kidney stones.

What is the initial treatment for gout?

May 02, 2017 · Also called "gouty arthritis," gout is a painful form of arthritis caused by too much uric acid in the body. The painful flare-ups may be concentrated in …

What is the first sign of gout?

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What is the main cause of gout?

Gout is caused by a build-up of a substance called uric acid in the blood. If you produce too much uric acid or your kidneys don't filter enough out, it can build up and cause tiny sharp crystals to form in and around joints. These crystals can cause the joint to become inflamed (red and swollen) and painful.Apr 2, 2021

What are the warning signs of gout?

What are the warning signs of gout?Severe joint pain. Urate crystals in your joints cause extreme pain that can often wake you up in the middle of the night. ... Lingering pain. ... Raging inflammation and redness. ... Decreased mobility.

What are the 10 foods that trigger gout?

Food and drinks that can cause a flare-up of gout include alcohol, beef, pork, chicken liver, wild game, sardines, anchovies, yeast, and beverages with high-fructose corn syrup, such as soda.Dec 16, 2021

What is the main treatment for gout?

NSAIDs help reduce pain and swelling in the joints during a gout attack. Popular types are ibuprofen and naproxen. If you take NSAIDs in the first 24 hours, it can help shorten the attack. Other ways to reduce the pain are to ice, rest, and raise the joint.

What is the fastest way to get rid of uric acid?

Natural Ways to Reduce Uric Acid in the BodyLimit purine-rich foods.Avoid sugar.Avoid alcohol.Lose weight.Balance insulin.Add fiber.Reduce stress.Check medications and supplements.

How long does gout last for?

An attack of gout usually lasts 5 to 7 days, then gets better. It may not cause lasting damage to joints if you get treatment immediately. Ask for an urgent GP appointment or call 111 if: the pain is getting worse.

What is the best vitamin for gout?

Some studies show that vitamin C can help lower uric acid levels in people who have gout, while a 2009 study showed that the more vitamin C men took, the less likely they were to get gout. Vitamin C is readily available in supplements as well as in common foods.

What not to eat if you have gout?

Foods to Avoid if You Have GoutBeer and grain liquors (like vodka and whiskey)Red meat, lamb, and pork.Organ meats, such as liver, kidneys, and glandular meats like the thymus or pancreas (you may hear them called sweetbreads)Seafood, especially shellfish like shrimp, lobster, mussels, anchovies, and sardines.More items...•Jun 15, 2021

What foods make gout worse?

Foods and drinks that often trigger gout attacks include organ meats, game meats, some types of fish, fruit juice, sugary sodas and alcohol. On the other hand, fruits, vegetables, whole grains, soy products and low-fat dairy products may help prevent gout attacks by lowering uric acid levels.Apr 19, 2018

Is hot water good for gout?

Soaking in cold water is most often recommended and considered most effective. Ice packs may also work. Soaking in hot water is typically only recommended when inflammation isn't as intense. Alternating hot and cold applications may also be helpful.

How can I check my uric acid levels at home?

A uric acid test measures the amount of uric acid in the body. Uric acid is a chemical that's produced when your body breaks down purines....How is a uric acid urine test performed?On day 1, urinate into the toilet after waking up. ... After that, take note of the time and collect all urine for the remaining 24 hours.More items...

What Are The Signs and Symptoms of Gout?

Gout flares start suddenly and can last days or weeks, followed by long periods of time—weeks, months, or years—without symptoms before another fla...

What Increases Your Chances For Gout?

The following make it more likely that you will develop hyperuricemia, which causes gout: 1. Being obese. 2. Having certain health conditions—conge...

Who Should Diagnose and Treat Gout?

The disease should be diagnosed and treated by a doctor or a team of doctors who specialize in care of gout patients. This is important because the...

How Can I Manage My Gout and Improve My Quality of Life?

Gout affects many aspects of daily living, including work and leisure activities. Fortunately, there are many low-cost self-management strategies t...

Learn More About Arthritis

1. Arthritis Types(https://www.cdc.gov/arthritis/basics/types.html) 2. Physical Activity for Arthritis(https://www.cdc.gov/arthritis/basics/physica...

What is the most common symptom of gout?

The most common symptom of gout is pain in the affected joint, such as the big toe. Gout flares often start suddenly at night, and the intense pain may wake you up. In addition, your joint may feel swollen, red, warm, and stiff. Gout flares usually occur in one joint. They can be triggered by:

How to know if you have gout?

Points To Remember About Gout 1 Gout is a type of arthritis that causes pain and swelling in your joints, usually as flares that last for a week or two, and then go away. 2 With early diagnosis, treatment, and lifestyle changes, gout is one of the most controllable forms of arthritis. 3 The most common symptom of gout is pain in the affected joint, such as the big toe. 4 Your doctor may recommend taking medications to manage the cause of your gout and treat active gout flares, and making changes to your diet and lifestyle.

How long does gout flare up?

Gout is a type of arthritis that causes pain and swelling in your joints, usually as flares that last for a week or two , and then go away. With early diagnosis, treatment, and lifestyle changes, gout is one of the most controllable forms of arthritis. The most common symptom of gout is pain in the affected joint, such as the big toe.

How to prevent gout flares?

Prevent future flares. Stop damage to your joints. Care for other conditions or complications that happen with gout. Your doctor may recommend: Taking medications to manage the cause of your gout and treat active gout flares. Making changes to your diet and lifestyle.

How to manage gout?

You can do many things to help manage gout, such as: Losing weight, which helps reduce urate levels and can help stop or lower the number of flares you have if you are overweight or obese. Making diet changes, such as: Drinking less alcohol, including nonalcoholic beer.

How to reduce swelling in gout?

When you have a gout flare, you can help reduce symptoms from the flare by: Putting ice on the affected area to help reduce swelling and pain. Elevating the affected limb, if possible, to help reduce swelling. Resting the affected joint.

What is the job of a nurse educator?

Nurse educators, who specialize in helping people understand their overall condition and set up their treatment plans. Pharmacists, who dispense medications and teach people about the medications, including the importance of taking them as prescribed.

What is the pain of gout?

A note from Cleveland Clinic. Gout is a painful form of arthritis. Extra uric acid in your body creates sharp crystals in the joints, leading to swelling and extreme tenderness. Gout usually starts in the big toe but can affect other joints.

What is gout in the body?

Gout is a painful form of arthritis. When your body has extra uric acid, sharp crystals may form in the big toe or other joints, causing episodes of swelling and pain called gout attacks. Gout is treatable with medications and changes in diet and lifestyle. Appointments 216.444.2606. Appointments & Locations.

Why does my big toe hurt?

It’s due to a crystal called uric acid. Gout causes pain and swelling in one or more joints. It typically affects the big toe. But it’s also found in other joints, including the knee, ankle, foot, hand, wrist and elbow.

How do you know if you have gout?

During a gout attack, symptoms in the affected joint (s) may include: Intense pain. Redness. Stiffness. Swelling. Tenderness, even to light touch, such as from a bedsheet. Warmth, or a feeling like the joint is “on fire.”.

Why do men get gout?

Women reach these uric acid levels after menopause. People are more likely to get gout if they have: Obesity, or a lot of extra weight.

What is the best way to treat gout?

You take steroids by mouth or with an injection. Drugs that help lower levels of uric acid in your body to prevent or reduce future episodes of gout attacks: Allopurinol, taken as a pill. Febuxostat, taken as a pill. Pegloticase, given as an intravenous (in the vein) infusion. Probenecid, taken as a pill.

How to prevent gout?

You can make certain lifestyle changes to help prevent gout: Drink plenty of water to help your kidneys function better and avoid dehydration. Exercise regularly to stay at a healthy weight. Extra weight increases uric acid in your body and puts more stress on joints.

How to treat gout attacks?

However, lifestyle choices also are important, and you may want to: Choose healthier beverages. Limit alcoholic beverages and drinks sweetened with fruit sugar (fructose).

How to get rid of gout in the body?

Low-fat dairy products may be a better source of protein for people prone to gout. Exercise regularly and lose weight. Keeping your body at a healthy weight reduces your risk of gout. Choose low-impact activities such as walking, bicycling and swimming — which are easier on your joints.

What foods are good for gout?

Purine-rich seafood includes anchovies, sardines, mussels, scallops, trout and tuna. Low-fat dairy products may be a better source of protein for people prone to gout. Exercise regularly and lose weight.

What is the best medication for gout?

Drugs used to treat gout flares and prevent future attacks include: Nonsteroidal anti-inflammatory drugs (NSAIDs). NSAIDs include over-the-counter options such as ibuprofen (Advil, Motrin IB, others) and naproxen sodium (Aleve), as well as more-powerful prescription NSAIDs such as indomethacin (Indocin, Tivorbex) or celecoxib (Celebrex).

What are the side effects of prednisone?

Side effects of corticosteroids may include mood changes, increased blood sugar levels and elevated blood pressure.

Can a blood test show gout?

Blood test results can be misleading, though. Some people have high uric acid levels, but never experience gout. And some people have signs and symptoms of gout, but don't have unusual levels of uric acid in their blood. X-ray imaging. Joint X-rays can be helpful to rule out other causes of joint inflammation.

What causes gout attacks?

high blood pressure. kidney disease. Sometimes it can be hard to pinpoint which of these factors is behind your gout attacks. Keeping a diary is one way to track your diet, medications, and health to help identify the cause of your symptoms.

What does it feel like to have gout?

This buildup usually affects your feet. If you have gout, you’ll probably feel swelling and pain in the joints of your foot, particularly your big toe. Sudden and intense pain, or gout attacks, can make it feel like your foot is on fire.

Why does gout cause uric acid?

The buildup of uric acid in your blood from the breakdown of purines causes gout. Certain conditions, such as blood and metabolism disorders or dehydration, make your body produce too much uric acid. A kidney or thyroid problem, or an inherited disorder, can make it harder for your body to remove excess uric acid.

How long does gout last?

For acute gout, symptoms come on quickly from the buildup of uric acid crystals in your joint and last for 3 to 10 days. You’ll have intense pain and swelling, and your joint may feel warm. Between gout attacks you won’t have any symptoms. If you don’t treat gout, it can become chronic.

Why does my big toe hurt?

After the acute attack, it may subside to a dull ache. The pain, as well as swelling and other symptoms, are the result of the body launching a defense (by the immune system) against uric acid crystals in the joints.

What to do if you have gout?

drink alcohol. take medications such as diuretics and cyclosporine. have a condition like high blood pressure, kidney disease, thyroid disease, diabetes, or sleep apnea. In some people with gout, diet is the cause. Find out which foods are especially high in gout-producing purines.

How to prevent gout?

Here are a few steps you can take to help prevent gout: Limit how much alcohol you drink. Limit how much purine-rich food, such as shellfish, lamb, beef, pork, and organ meat, you eat. Eat a low-fat, nondairy diet that’s rich in vegetables. Lose weight.

What are the causes of gout?

There are several factors that can make a person more susceptible to gout, according to the NIH. A few are: 1 Having a family history of gout 2 Being overweight 3 Having kidney problems 4 Lead exposure 5 Drinking too much alcohol 6 Taking certain medications like diuretics or niacin

What is gouty arthritis?

Also called "gouty arthritis," gout is a painful form of arthritis caused by too much uric acid in the body. The painful flare-ups may be concentrated in the big toe (a symptom known as podagra), as well as swelling and pain in the ankles, knees, feet, wrists or elbows. Flare-ups last days in the beginning, but can become progressively longer.

How common is gout in men?

Gout is most commonly seen in men, particularly those between the ages of 40 and 50. It is a very common disease. Six million adults age 20 and older have reported being diagnosed with gout according to the National Institute of Arthritis and Musculoskeletal and Skin Diseases (NIAMS).

What happens when you have uric acid in your blood?

The high concentration of uric acid in the blood will eventually convert the acid into urate crystals , which can then accumulate around the joints and soft tissues. Deposits of the needle-like urate crystals are responsible for the inflammation and the painful symptoms of gout.

How long does gout pain last?

According to the Mayo Clinic, common symptoms of gout are: Intense joint pain that is most severe in the first 12 to 24 hours. Joint pain that lasts a few days to a few weeks and spreads to more joints over time. Redness, tenderness and swelling of the joints.

Is gout a rheumatoid arthritis?

Gout and rheumatoid arthritis (RA) both cause bumpy, painful joints, but they couldn't be more different. Rheumatoid arthritis is a disease in which the body's immune system attacks itself, causing damage to tissue and organs while gout has nothing to do with the immune system. "Unfortunately, when chronic, it can involve many joints making it difficult to distinguish from rheumatoid arthritis," Dr. Nathan Wei, a rheumatologist and director of the Arthritis Treatment Center in Frederick, Maryland, told Live Science. "Obviously, if the patient has a high level of rheumatoid factor and anti-CCP, that helps. However, a few patients may have concomitant RA and gout."

What is the difference between pseudogout and gout?

"The main difference between gout and pseudogout are the types of crystals that deposit into the joints ...

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Diagnosis

Treatment

Symptoms
If you are experiencing new, severe, or persistent symptoms, contact a health care provider.

Major symptom includes sudden attack of severe foot pain in joints, mainly the big toe. Most commonly attacks during the night and tends to wake you up from a sound sleep.

Other symptoms include:

  • Tender joints
  • Warm in the joints
  • Joint redness
  • Swelling
  • Joint destruction

Causes

The risk factors which causes excess uric acid include:

  • Caused due to accumulation of uric acid crystals, called urate, in the joints.
  • Excess consumption of meat and seafood
  • Obesity
  • Certain conditions like heart disease, kidney disease
  • Family history
  • Age - common for above 50 years of age
  • Certain medications
  • The risk factors include:
  • Obesity
  • Family history of gout
  • Age - It usually affects between the ages of 30 and 50
  • Sex - Men are more likely to develop gout

Prevention

Lifestyle modifications can prevent gout attack:

  • Drink plenty of water and avoid sweetened drinks.
  • Avoid alcohol consumption – limit or avoid alcohol consumption completely.
  • Consume low-fat dairy products – intake protein through low fat dairy products. These are effective against gout.
  • Limit the consumption of meat, fish and poultry
  • Maintain a healthy weight.

Complications

People with gout may develop complications if untreated

Advanced gout:

  • If untreated, uric acid crystals can get deposited under the skin in nodules called as tophi
  • This can be present in fingers, hands, feet, elbows or Achilles, etc.
  • Usually painless, during gout attacks these may become swollen and tender

Recurrent gout:

  • For some people gout may reoccur again multiple times a year, this could damage the joints

Kidney Stone:

  • Uric acid crystals deposited on the kidney tubules can cause kidney stones

Lifestyle and Home Remedies

Alternative Medicine

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