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Understanding Gout

Gout is a type of inflammatory arthritis that occurs when high levels of uric acid accumulate in the blood, leading to the formation of urate crystals in the joints and surrounding tissues. This results in sudden and severe pain, swelling, redness, and warmth in the affected joint.

Gout is common in the big toe, but can also occur in the ankles, knees, hands, and wrists. Gout is commonly managed with medications, lifestyle changes, and dietary modifications to reduce uric acid levels and prevent future attacks.

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Medications Prescribed for Gout

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Colchicine (Colcrys)
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Prednisone (Rayos, others)
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Allopurinol (Zyloprim)

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Common Questions About Gout

What does gout feel like?

Gout causes sudden and severe pain, swelling, and tenderness in the affected joint. The pain is often described as a burning or stabbing sensation that can be excruciating. The affected joint may also feel hot to the touch, and the skin over the joint may appear red and shiny. People with gout may also find it difficult to move the affected joint.

Gout attacks can come on suddenly and usually occur at night, lasting several hours to a few days. Some people with gout may experience chronic pain and joint damage if the condition is not managed properly.

What is the first sign of gout?

The first sign of gout is sudden, intense pain, tenderness, redness, and swelling in the affected joint, often within the first 12-24 hours of the gout attack. Other symptoms may include fever or fatigue.

What causes gout flare-ups?

Gout flare-ups occur as a result of the buildup of uric acid crystals in the joints, leading to inflammation and pain. Uric acid is a waste product normally eliminated through urine, but excess amounts can form crystals in the joints. Gout flare-ups can be triggered by factors such as eating a lot of high-purine foods, not drinking enough water and healthy liquids, being exposed to prolonged stress, injuring a joint, and taking certain medications. Managing triggers can help prevent flare-ups.

What foods can cause gout?

Certain foods are known to trigger gout attacks by increasing the levels of uric acid in the body. These foods include high-purine animal products such as red meat, organ meats (e.g. liver, kidneys), seafood (e.g. anchovies, sardines, mussels), and some types of game meats. Alcohol, particularly beer, is also a known trigger for gout attacks, as it increases uric acid production and impairs its excretion from the body.

Other foods and beverages that may contribute to gout include sugary drinks, fructose, and high-fat dairy products. People with gout (or who are prone to gout attacks) are advised to limit or avoid these foods and to maintain a healthy weight, as obesity can also increase the risk of a gout flare-up.

Is gout arthritis?

Yes, gout is a type of arthritis caused by the buildup of uric acid crystals in the joints. It triggers an immune response that leads to joint inflammation, pain, and swelling. Gout can cause joint damage and other health problems if left untreated. Seeking treatment is important to manage symptoms and prevent long-term complications.

Is gout hereditary?

Yes, genetic factors can play a role in the development of gout, particularly in the way that the body processes and eliminates uric acid. People with a family history of gout are more likely to develop the condition themselves, and studies have identified specific genetic mutations that increase the risk of gout. However, genetics isn’t the only factor that contributes to gout. Lifestyle factors such as diet and alcohol consumption also play a key role. Therefore, while genetics may increase the risk of developing gout, it’s not a guarantee and can be managed through lifestyle changes and medication.

How can you stop gout pain at night?

To alleviate gout pain at night, apply an ice pack or elevate the affected joint. Over-the-counter pain relievers may help, but should be used under the guidance of a healthcare professional. Drinking plenty of fluids, avoiding alcohol and sugary drinks, and maintaining a healthy weight can also reduce the frequency and severity of gout attacks. A low-purine diet and avoiding trigger foods can also help prevent gout attacks. Be sure to consult with a healthcare professional if gout pain is severe or persistent.

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