Gout: Causes, Symptoms, Diagnosis & Treatment Options
Gout is a painful form of inflammatory arthritis that often affects the joints, particularly the base of the big toe. It’s caused by a buildup of uric acid in the blood that forms crystals in the joints, leading to inflammation and intense pain. This article covers gout causes, symptoms, diagnosis, and treatment options to help you manage the condition effectively.
What Causes Gout?
Gout is caused by an excess buildup of uric acid in the blood, a condition known as hyperuricemia. When your body produces too much uric acid or your kidneys donβt eliminate it properly, sharp urate crystals can form in a joint, causing pain and inflammation.
Common causes include:
- Eating too much red meat or seafood
- Alcohol consumption, especially beer
- Obesity or being overweight
- Family history/genetic predisposition
- Poor kidney function
Symptoms and Signs of Gout
Gout often begins suddenly and frequently occurs at night. The most commonly affected joint is the big toe, but it can appear in other joints like the knees, ankles, hands, and elbows as well.
Common symptoms include:
- Severe joint pain
- Redness and inflammation around the joint
- Warmth and tenderness
- Limited range of motion
- Lingering discomfort even after pain decreases
How Is Gout Diagnosed?
To diagnose gout, your doctor may recommend several tests and examinations:
- Joint Fluid Test: Used to detect urate crystals under a microscope
- Blood tests: Measures uric acid levels
- X-rays or Ultrasound: Helps detect crystal deposits or joint damage
Note that uric acid levels can be normal during an active attack, so a joint fluid analysis is often the most reliable method.
Gout Treatment and Long-Term Management
Immediate Treatment for Gout Attacks
- NSAIDs (Ibuprofen, Naproxen)
- Colchicine
- Corticosteroids (oral or injections)
Preventive Measures & Long-Term Care
- Allopurinol or Febuxostat to lower uric acid levels
- Probenecid to improve uric acid elimination
- Weight loss and improved hydration
- A low-purine diet (less red meat, seafood, organ meats)
- Vitamin C supplements and low-fat dairy products
Conclusion
Knowing the causes, symptoms, diagnosis, and effective treatment of gout can help you avoid unnecessary pain and complications. If you experience symptoms of gout, consult a specialist for early diagnosis and a personalized treatment plan.
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