Gout
What is gout?
Gout is the most common cause of inflammatory arthritis in men over 40 years of age, it is a condition in which uric acid gets deposited in the joint and causes severe, recurrent joint pain.
What are the symptoms of gouty arthritis?
When the uric acid level in the blood is high, it deposits in the joint and causes inflammation in the joint resulting in excruciating pain. Gout most commonly affects the foot, although any joint in the body can get affected. Pain starts as a dull aching pain but soon develops into very severe throbbing pain which may be one of the most severe pain one has ever experienced.Pain of gout usually subsides in 2-3 days and the patient can resume normal life. If uric acid levels are not controlled other joints get affected.
How you can diagnose gouty arthritis?
Diagnosing gout doctor has to aspirate fluid from the affected joint. This fluid will show needle shaped crystals under the microscope. Gout cannot be diagnosed based only on elevated uric acid levels in the blood.Serum uric acid levels will be elevated at some time in almost all patients with gout, but the level can be normal at the time of an acute gouty attack in as many as 30% of patients
What are the long term complications gouty arthritis?
Gout if not treated properly can result in kidney stones and result in kidney failure. Moreover, these patients are at higher risk of heart attacks. Uric acid can get deposited beneath the skin resulting in formation of a chalky substance called “Tophi”
What are the treatment options for gouty arthritis?
First priority in a patient who has a severe attack of gout is to relieve his pain. For this the best available method is to give intraraticular injections. Other drugs available are NSAIDs, Cochicine etc. The primary aim of long term management of gout is to decrease the uric acid levels to normal. Weight reduction helps in reducing the uric acid levels in the blood.
Foods like seafood, soft drinks like Coca cola/Pepsi, alcohol, etc. increases the uric acid level in the blood and has to be avoided. Taking lot of milk decreases uric acid level in the blood. Drinking lots of water also can help gout patients by increasing the uric acid excretion. To decrease the uric acid levels like Allopurinol or newer drugs like Febuxostat has to be used in the majority of patients with gout. The target is to keep the level of uric acid below 6 mg %
FAQ
Questions about Gout
General information only — your rheumatologist will advise on your own situation.
Book an appointmentGout is a form of inflammatory arthritis caused by uric acid crystals depositing in a joint, leading to severe, recurring joint pain. It is the most common inflammatory arthritis in men over 40.
It most commonly affects the foot, but any joint in the body can be involved.
No. The diagnosis is confirmed by finding needle-shaped crystals in fluid taken from the affected joint. Uric acid levels can even be normal during an attack.
Untreated gout can lead to kidney stones and kidney damage, deposits under the skin called tophi, and a higher risk of heart attacks.
Losing excess weight, drinking plenty of water and avoiding seafood, sugary soft drinks and alcohol can help lower uric acid. Most patients also need long-term medicine, which your rheumatologist will advise on.
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