Treatment FAQ

what is gout? who gets it? why? what is treatment?

by Dr. Josiane Veum V Published 2 years ago Updated 2 years ago
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Medication

Homeopathic Remedies for Gout

  1. Aconite. : Aconite can be taken in order to get instant relief, when gout attack approaches. ...
  2. Colchicum : Colchicum is a very common homeopathic remedy for treating gout. ...
  3. Ledum. : Ledum is a very useful remedy for treating gout. ...
  4. Belladonna. ...

Self-care

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.

Nutrition

What Food to Eat

  • Fruits and vegetables: all fruits and vegetables are fine and cherries could even help prevent attacks of gout as it lowers uric acid levels
  • Whole grains: oats, barley, brown rice, others
  • Dairy: low-fat dairy products provide many benefits as part of a gout diet
  • Legumes: beans and lentils are great proteins as are soybeans and tofu

More items...

What are the best home remedies for gout?

Your doctor may have also suggested:

  • Allopurinol (Aloprim, Lopurin, Zyloprim)
  • Canakinumab ( Ilaris Ilaris Ilaris)
  • Lesinurad ( Zurampic)
  • Pegloticase ( Krystexxa)
  • Probenecid ( Probalan)
  • Rasburicase ( Elitek)

What is gout and what can I do about it?

What can you eat to prevent gout?

What are the medications for treating gout?

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What causes a person to get 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.

What is the main treatment for gout?

During an acute gout attack, the main priority of drug treatment is to reduce pain and inflammation. There are three categories of drugs used for this: NSAIDs, colchicine, and corticosteroids. Two other types of medications are taken daily to help prevent future gout attacks: xanthine oxidase inhibitors and probenecid.

What are the 10 foods that trigger gout?

The top 10 foods and drinks that trigger gout are:Sugary drinks and sweets. ... High fructose corn syrup. ... Alcohol. ... Organ meats. ... Game meats. ... Certain seafood, including herring, scallops, mussels, codfish, tuna, trout and haddock.Red meats, including beef, lamb pork and bacon.Turkey.More items...•

What are the warning signs of gout?

7 Gout Symptoms You Might Be IgnoringPain in your big toe. ... Pain in your knees, ankles, wrists, and/or elbows. ... Intense pain that strikes in the middle of the night. ... Pain that occurs in flares: rapidly worsens, then starts to ease up. ... Fatigue/lack of energy. ... Strange lumps and bumps around your joints. ... Kidney stones.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...

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.

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.

What are the best doctors for gout?

Health care providers who may provide treatment for gout include: Rheumatologists, who specialize in arthritis and other diseases of the bones, joints, and muscles. Dietitians, who can teach you about how to follow a healthy diet to improve your health. Nurse educators, who specialize in helping people understand their overall condition ...

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:

What are some ways to break down urate?

Eating foods that are rich in purines (usually from animal sources), a substance that breaks down into urate. Drinking beverages that have high-fructose corn syrup, such as soda. Some health conditions, such as overweight or obesity, high blood pressure, and chronic kidney disease. Some medications.

What are the causes of gout?

These include untreated high blood pressure and chronic conditions such as diabetes, obesity, metabolic syndrome, and heart and kidney diseases. Certain medications.

Why do men have gout?

Gout occurs more often in men, primarily because women tend to have lower uric acid levels. After menopause, however, women's uric acid levels approach those of men. Men are also more likely to develop gout earlier — usually between the ages of 30 and 50 — whereas women generally develop signs and symptoms after menopause.

What is the most common form of arthritis that can affect anyone?

Gout is a common and complex form of arthritis that can affect anyone. It's characterized by sudden, severe attacks of pain, swelling, redness and tenderness in one or more joints, most often in the big toe.

What causes uric acid to increase?

Factors that increase the uric acid level in your body include: Diet . Eating a diet rich in red meat and shellfish and drinking beverages sweetened with fruit sugar (fructose) increase levels of uric acid, which increase your risk of gout. Alcohol consumption, especially of beer, also increases the risk of gout. Weight.

Where does gout affect the big toe?

Gout most commonly affects the joint at the base of the big toe. The signs and symptoms of gout almost always occur suddenly, and often at night. They include: Intense joint pain. Gout usually affects the big toe, but it can occur in any joint. Other commonly affected joints include the ankles, knees, elbows, wrists and fingers.

Does aspirin increase uric acid?

Low-dose aspirin and some medications used to control hypertension — including thiazide diuretics, angiotensin-converting enzyme (ACE) inhibitors and beta blockers — also can increase uric acid levels. So can the use of anti-rejection drugs prescribed for people who have undergone an organ transplant.

Can gout come and go?

The affected joint is hot, swollen and so tender that even the weight of the bedsheet on it may seem intolerable. Gout symptoms may come and go, but there are ways to manage symptoms and prevent flares.

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 does gout affect the body?

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. Gout is a treatable condition, and the uric acid level can be decreased by medication and lifestyle changes. Talk to your healthcare provider about medications that can reduce uric acid levels. They can also discuss changes you can make to your diet and lifestyle to prevent and reduce gout attacks.

What is the term for the buildup of uric acid in the joints and soft tissue?

The buildup of uric acid in the joints and soft tissue is called tophus. Some people with gout can also develop other health problems, such as severe arthritis, kidney stones and heart disease. It’s important to discuss your symptoms with a healthcare provider.

How does the body make uric acid?

The human body makes uric acid during the breakdown of chemicals called purines found in certain food and drinks. This normal byproduct goes through the kidneys and exits the body when you pee. Sometimes the body produces too much uric acid. Or the kidneys can’t do a good job handling it.

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.

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.”.

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 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 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.

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.

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 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.

What is a tophi in gout?

Gout with tophus. When uric acid crystals build up in joints for a long time, they produce hard deposits called tophi under the skin. Without treatment, these tophi can damage bone and cartilage and leave the joints permanently disfigured. Tophi are swollen lumps around the joints that look like knots on a tree trunk.

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 does gout affect the body?

Genes associated with gout affect the amount of uric acid the body holds onto and releases. Because of genetic factors, gout runs in families. People with a parent, sibling, or other close relative who has gout are more likely to get this condition themselves. It’s likely that genes only set the stage for gout.

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.

What medications can help with gout?

Drugs that prevent gout attacks include: xanthine oxidase inhibitors, such as allopurinol (Lopurin, Zyloprim) and febuxostat (Uloric) probenecid (Probalan) Along with medications, your doctor may recommend lifestyle changes to help manage your symptoms and reduce your risk of future gout attacks.

Tests and diagnosis

Gout can often be challenging to diagnose, as its symptoms are similar to those of other conditions. While hyperuricemia occurs in most people who develop gout, it may not be present during a flare-up. As a result, a person does not need to have hyperuricemia for a diagnosis.

Asymptomatic hyperuricemia

A person can have elevated uric acid levels without any outward symptoms. While individuals do not need treatment at this stage, high uric acid levels in the blood can cause silent tissue damage.

Acute gout

This stage occurs when urate crystals in a joint suddenly cause acute inflammation and intense pain. This sudden attack is a “flare” and may last between 3 days and 2 weeks. Stressful life events and excessive alcohol consumption could be contributors to flare-ups.

Interval or intercritical gout

This stage is the period in between attacks of acute gout. As a person’s gout progresses, these intervals become shorter. Between these periods, urate crystals may continue to build up in tissue.

Chronic tophaceous gout

Chronic tophaceous gout is the most debilitating type of gout and may result in permanent damage to the joints and the kidneys. At this stage, people can have chronic arthritis and develop tophi in cooler areas of the body, such as the joints of the fingers.

Pseudogout

One condition that experts easily confuse with gout is calcium pyrophosphate deposition, known as pseudogout. The symptoms of pseudogout are very similar to those of gout, although the flare-ups are usually less severe.

Complications

In some cases, gout can develop into more severe conditions, including kidney stones or recurrent gout.

What is the best treatment for gout?

Medications for acute gout attack: These medications are usually prescribed to treat an acute attack of gout: 1 Nonsteroidal anti-inflammatory drugs ( NSAIDs ): These can quickly relieve the pain and swelling of an acute gout episode. They can shorten the attack, especially if taken in the first 24 hours. 2 Corticosteroids: These drugs can be taken by mouth or injected into an inflamed joint to quickly relieve the pain and swelling of an acute attack. Corticosteroids usually start working within 24 hours after they are taken. 3 Colchicine: An anti-inflammatory medicine that works best if taken within the first 24 hours of a gout attack.

What causes gout in the body?

Gout occurs when urate crystals accumulate in the joint, causing inflammation and intense pain. This typically occurs when there are high levels of uric acid in the blood. Uric acid is produced when purine-rich foods such as steak, organ meats, seafood, and alcoholic beverages, especially beer and drinks sweetened with fruit sugar (fructose), ...

What are the factors that increase uric acid levels?

Risk factors: The following factors increase the uric acid level in the body: Diet : Eating a diet rich in meat, seafood, alcohol, and beverages sweetened with fructose (fruit sugar) increase levels of uric acid, which increase the risk of gout. Obesity: Higher the bodyweight, higher the uric acid produced in the body.

Why do men get gout?

Inadequate hydration. Age and sex: Gout occurs more often in men because women have lower uric acid levels. Men are more likely to develop gout between the ages of 30 and 50 years, and women may develop signs and symptoms after menopause. Recent surgery or trauma.

What causes uric acid to rise?

Obesity: Higher the bodyweight, higher the uric acid produced in the body. Medical conditions: Certain diseases and conditions increase the risk of gout, such as untreated high blood pressure, diabetes, and heart and kidney diseases. Certain medications: Certain anti- hypertension medication, aspirin, etc. can increase uric acid levels.

How to reduce purines?

Limiting or avoiding alcohol consumption and drinks sweetened with fructose (fruit sugar) Limiting intake of foods high in purines, such as red meat, organ meats, and seafood. Drinking plenty of fluids. Exercising regularly and maintaining a healthy body weight.

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Diagnosis

Treatment

Lifestyle and Home Remedies

Alternative Medicine

Medically reviewed by
Dr. Shreenidhi Kulkarni
Your provider will work with you to develop a care plan that may include one or more of these treatment options.
Treatment involves medication and life style changes.
Medication

Nonsteroidal anti-inflammatory drugs (NSAIDs): To relieve pain and swelling associated with the gout

Ibuprofen . Indomethacin . Celecoxib


Corticosteroid: Controls the gout inflammation and pain

Prednisone


Anti-gout agents: Reduces the pain associated with gout

Colchicine


Xanthine Oxidase inhibitors: Lower uric acid production

Allopurinol . Febuxostat . Probenecid . Lesinurad . Pegloticase

Self-care

Always talk to your provider before starting anything.

  • Apply ice packs
  • Keep the legs in an elevated position

Nutrition

The foods which are known to reduce uric acid levels, consuming these will help reduce gout attacks inlcude:

  • Skim milk and other low fat dairy products
  • Whole grain foods
  • Plant oils (olive, canola, sunflower)
  • All vegetables
  • Some fruits (that are less sweet)
  • Vitamin C supplements
  • Coffee

Avoid foods containing high amount of purines, which include:

  • Red meat and organ meat (liver, tongue and sweetbreads)
  • Shellfish such as shrimp and lobster
  • Sugary beverages
  • Excessive alcohol

Specialist to consult

Rheumatologist
Specializes in the treatment of arthritis, autoimmune diseases, pain disorders affecting joints, and osteoporosis.
Primary care physician
Specializes in the acute and chronic illnesses and provides preventive care and health.

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