Treatment FAQ

where do you go for treatment of gout

by Addie Zboncak Published 2 years ago Updated 2 years ago
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Make an appointment with your doctor if you have symptoms that are common to gout. After an initial examination, your doctor may refer you to a specialist in the diagnosis and treatment of arthritis and other inflammatory joint conditions (rheumatologist).Mar 6, 2021

Medication

Lifestyle and home remedies. Medications are often the most effective way to treat acute gout and can prevent recurrent attacks of gout. However, making certain lifestyle changes also are important, such as: Limiting alcoholic beverages and drinks sweetened with fruit sugar (fructose).

Self-care

This is important because the signs and symptoms of gout are not specific and look like signs and symptoms of other diseases. Doctors who specialize in gout and other forms of arthritis are called rheumatologists. To find a provider near you, visit the database of rheumatologists on the American College...

Nutrition

There's nothing you can do to stop an attack once it starts, but you can ease some of the symptoms at home. Some people with gout, also known as gouty arthritis, say an attack begins with a burning, itching, or tingling feeling in a joint maybe an hour or two before the flare-up starts.

What is the best treatment for gout?

Where can I find a doctor who specializes in gout?

Can you stop a gout attack once it starts?

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What kind of doctor do u see for gout?

A primary care doctor is usually the doctor who treats gout. They can order uric acid blood tests, perform joint aspirations, and prescribe medications to treat the disease.

Do I need to see a GP for gout?

See a GP if you have: 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.

When should you seek treatment for gout?

See your GP if you suspect you have gout and it hasn't been previously diagnosed. Contact your GP immediately or call the 111 service if you have both: severe, worsening joint pain and swelling. a high temperature (fever) of 38C (100.4F) or above.

How do hospitals treat gout?

Nonsteroidal anti-inflammatory drugs (NSAIDs), or corticosteroids, which are either taken orally or injected into the affected joint, are two of the most common treatments for acute attacks of gout.

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 is the best thing to drink if you have gout?

WaterWater. Drinking plenty of water is best if you have gout. Other beverages recommended for gout patients include milk, tart cherry juice, and coffee—all in moderation.

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...•

How long does gout last untreated?

An episode of gout usually lasts for about 3 days with treatment and up to 14 days without treatment. If left untreated, you're more likely to have new episodes more frequently, and it can lead to worsening pain and even joint damage. During an episode of gout, you'll experience intense joint pain.

Does walking on gout foot make it worse?

Is it OK to walk with gout? It is safe for people to walk with gout. In fact, doing joint friendly activities such as walking can help improve gout-related pain. Gout is a form of arthritis that usually affects the big toe joint, but it can also affect the lesser toes, ankles, and knees.

Can you end up in hospital with gout?

Our study found that risk of acute gout attack was increased 4-fold with hospitalization. These findings are noteworthy because up to 18% of gout patients are hospitalized each year (all causes), making hospitalization an important potential exposure at the population level.

How do you get rid of gout pain fast?

6 Ways to Deal with Painful Gout AttacksTake an NSAID (but not aspirin) Over-the-counter non-steroidal anti-inflammatory drugs (NSAIDs), such as ibuprofen or naproxen, can help relieve gout pain. ... Take your prescription drugs. ... Apply ice to the joint. ... Elevate the joint. ... Take it easy. ... Stay hydrated.

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...

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.

Treatment

  • Tests to help diagnose gout may include: 1. Joint fluid test.Your doctor may use a needle to draw fluid from your affected joint. Urate crystals may be visible when the fluid is examined under a microscope. 2. Blood test.Your doctor may recommend a blood test to measure the levels of uri…
See more on mayoclinic.org

Causes

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Contraindications

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Medical uses

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Interactions

Overview

  • Uric acid is the end product of purine (nucleic acid component of DNA) metabolism and is produced normally by the body during tissue remodeling and breakdown. About 20% of uric acid is derived from purines ingested in food. Causes of hyperuricemia can be divided into two major categories: decreased clearance of uric acid from the kidney and increased synthesis of uric acid.
See more on hopkinsarthritis.org

Administration

  • Probenecid may be given to patients with decreased clearance of uric acid by the kidney and normal renal function. In general its use should be limited to patients under the age of 60. Probenecid acts by inhibiting reabsorption of uric acid in the proximal tubules of the kidney. Starting dose is at 500 mg to 1000 mg daily and increased to 1500 mg to 2000 mg as needed. O…
See more on hopkinsarthritis.org

Prevention

  • Allopurinol is a well tolerated, inexpensive, and commonly used uric acid lowering agent. Allopurinol can be started at doses as low as 100 mg daily (100 mg qod if creatinine clearance < 10 cc/min) and titrated by 100 mg every 10-14 days to achieve a serum uric acid level of 4-5 mg/dl. Liver tests, blood counts, and renal function and should be monitored while on therapy. T…
See more on hopkinsarthritis.org

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