Gout is a type of arthritis caused by high levels of uric acid in the blood. When uric acid forms crystals in the joints, it leads to sudden attacks of severe pain, swelling, redness, and tenderness, commonly in the big toe.
Acute gout usually presents as a sudden, intense joint pain, often at night. The affected joint (commonly the big toe) becomes:
Red
Swollen
Warm to touch
Extremely painful even with light pressure
See a doctor if you experience:
Sudden, severe joint pain
Recurring pain in the same joint
Swelling or redness in joints
Suspected high uric acid levels
Early treatment helps prevent joint damage and complications.
Gout occurs when uric acid builds up in the blood, leading to crystal formation in the joints. This happens due to:
Overproduction of uric acid
Reduced kidney function
Certain foods and drinks high in purines
Common risk factors include:
Family history of gout
High-purine diet (red meat, seafood, alcohol)
Obesity
Medical conditions like hypertension, diabetes, kidney disease
Certain medications (like diuretics)
If untreated, gout can lead to:
Joint damage or deformity
Tophi (crystal deposits under the skin)
Kidney stones
Chronic gouty arthritis
You can reduce the risk of gout attacks by:
Limiting alcohol and purine-rich foods
Staying hydrated
Maintaining a healthy weight
Taking medications if prescribed
Regular monitoring of uric acid levels
Diagnosis involves:
Physical examination and history of symptoms
Blood tests to check uric acid levels
Joint fluid analysis (to detect crystals)
X-rays or ultrasound for joint damage or urate deposits
Treatment focuses on relieving pain during attacks and lowering uric acid to prevent future flares:
Anti-inflammatory medications (NSAIDs)
Colchicine or steroids
Uric acid-lowering medications like allopurinol
Lifestyle modifications
Drink plenty of water
Avoid alcohol, sugary drinks, and red meat
Eat low-fat dairy, vegetables, and whole grains
Exercise regularly and maintain healthy weight
Limit stress and stay consistent with prescribed medication