What Can Trigger A Gout Attack
Several things can cause the crystals to shake loose into your joint cavity, triggering an attack. These include:
- a knock or injury to the joint
- an illness that may make you feverish
- having an operation
- having an unusually large meal, especially a fatty meal
- drinking too much alcohol
- dehydration
- starting urate lowering therapy, especially at a high dose, or not taking your treatment regularly each day.
What Are The Treatments For Gout
Most physicians recommend managing gout with lifestyle and diet changes. There are also medical interventions available for controlling and preventing gout pain. Treatment and prevention approaches include:
- Topical creams, like Voltaren, often provide immediate pain relief during a gout attack.
- Prescription medications, including the anti-inflammatory drug colchicine for pain. Providers may also recommend different drugs that regulate uric acid production for patients with recurring cases of gout.
- Injections including cortisone to relieve pain and inflammation.
- Dietary restrictions to reduce high-purine foods. Replace those foods with a diet high in whole grains, fruits, vegetables, nuts, and legumes. Your doctor may recommend switching from red meats to poultry and low-fat dairy foods for protein.
- Hydration: drink plenty of fluids to help eliminate uric acid. Water, milk, and tart cherry juice are the best choices.
- Immobilize and elevate the foot to reduce swelling and inflammation.
Gout Joint Pain And Your Orthopaedist
If you have sudden, intense pain in your toeor pain in any other jointmake an appointment with your orthopaedist. Your orthopaedic provider can diagnose the problem and work with you to provide both immediate pain relief and long-term solutions. If youre diagnosed with gout, your provider may recommend cortisone injections and/or medications along with lifestyle changes. At Countryside Orthopaedics, we work to keep every patient active and feeling good, so you can stick with the activities you love. If gout or another joint condition is slowing you down, lets get it diagnosed and take the first steps to get it under control.
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Do Gout Medications Have Any Side Effects
- Gout medications are well tolerated by most people. However, like other medications, they have potential side effects.
- Allopurinol is well tolerated by most people, but in some people, it can cause an allergicrash. Very severe rashes rarely can occur after taking allopurinol, and any allergic type rashes that develop while a patient is taking allopurinol are taken seriously.
- Colchicine can cause signs and symptoms such as nausea, diarrhea, and rarely muscle weakness and abnormal blood counts.
- Probenecid is generally well tolerated but should not be used in patients who have uric acid kidney stones, as it can worsen the kidney stones and potentially harm the kidneys in these patients.
Points To Remember About Gout
- Gout is a type of arthritis that causes pain and swelling in your joints, usually as flares that last for a week or two, and then go away.
- With early diagnosis, treatment, and lifestyle changes, gout is one of the most controllable forms of arthritis.
- The most common symptom of gout is pain in the affected joint, such as the big toe.
- Your doctor may recommend taking medications to manage the cause of your gout and treat active gout flares, and making changes to your diet and lifestyle.
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Can You Get Rid Of Gout
It ought to be fairly obvious why youd want to get gone gout, but is it actually doable?
Sure can be, but theres not a one-size will fit all solution.
Within the next section, well become going over whats worked best for us!
You wont want to lose out on this free video clip.
NOTICE: Id highly recommend going to your doctor or seeing a specialist about this situation, since we arent experts. See our medical disclaimer for more details.
We dont know what will work for you, but we know whats worked for us and others
The Importance Of Diet And Exercise In Managing Gout
The lifestyle choices you make each day can have a dramatic effect on the severity and regularity of your symptoms. One place to start is by choosing to eat a low-purine diet. Although its impossible to avoid purine entirely since its in so many foods, try to stay away from foods known to have high purine content.
These include:
- Alcoholic beverages of all types
- Anchovies
- Liver and other organ meats
- Mussels
- Pork
- Shrimp
Its also essential to engage in regular exercise when you have gout, especially those that improve range of motion, increase strength, and build endurance. The good news is that range of motion exercises are easy to do. You just need to rotate your ankles, feet, head, neck, and wrists frequently throughout the day. This helps to reduce stiffness and keep your joints flexible.
To increase your strength, try doing some low-impact exercises such as Pilates, tai chi, or yoga. Dont forget to stretch and warm up before you start exercising. Resistance exercises using weights helps to maintain and increase muscle strength, which is important because it takes the pressure off your sore joints and helps to strengthen them.
If you think you could be suffering from gout but dont have a diagnosis yet, call 681-342-3490 to schedule an appointment with your doctor at United Hospital Center or request a referral to one of our rheumatologists.
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How Is Gout Treated
Gout can be effectively treated and managed with medical treatment and self-management strategies. Your health care provider may recommend a medical treatment plan to
- Manage the pain of a flare. Treatment for flares consists of nonsteroidal anti-inflammatory drugs like ibuprofen, steroids, and the anti-inflammatory drug colchicine.
- Prevent future flares. Making changes to your diet and lifestyle, such as losing weight, limiting alcohol, eating less purine-rich food , may help prevent future attacks. Changing or stopping medications associated with hyperuricemia may also help.
- Prevent tophi and kidney stones from forming as a result of chronic high levels of uric acid. Tophi are hard, uric acid deposits under the skin. For people with frequent acute flares or chronic gout, doctors may recommend preventive therapy to lower uric acid levels in the blood using drugs like allopurinol, febuxostat, and pegloticase.
In addition to medical treatment, you can manage your gout with self-management strategies. Self-management is what you do day to day to manage your condition and stay healthy, like making healthy lifestyle choices. The self-management strategies described below are proven to reduce pain and disability, so you can pursue the activities important to you.
How Will Gout Affect Me
Attacks can vary from person to person. Some people only have an attack every few years, while others have attacks every few months.
Without medication attacks tend to happen more often and other joints can become affected.
Having high urate levels and gout for a long time can lead to other health problems, including:
- narrowing of the arteries – which can lead to an increased risk of stroke or heart attacks or other heart problems
- osteoarthritis, which occurs when the urate crystals and hard tophi cause joint damage.
- an increased risk of developing kidney disease or worsening of the condition if you already have it
- kidney stones
- an increased risk of some cancers, especially prostate cancer
- mental health problems, including depression
- underactive thyroid
- erectile dysfunction in men.
If you take medication to lower your urate levels, and have a healthy diet and lifestyle, most of the damage and complications caused by gout can be stopped.
Treatments for gout are incredibly successful. There are two main parts to treating gout, which are:
- treating the acute attack
- treatments to prevent future attacks.
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People With Gout At Risk Of Premature Death
A new study found that people with gout have a 25 percent greater likelihood of dying prematurely than people without gout. The findings also show that this increased mortality rate has not improved over the past 16 years, unlike the mortality rate for people with rheumatoid arthritis .
Gout, which affects more than 4 percent of adults in the United States, is the most common form of inflammatory arthritis. It develops in some people who have high levels of uric acid in the blood. The acid can form needle-like crystals in a joint and cause sudden, severe episodes of pain, tenderness, redness, warmth and swelling. Gout is also associated with other illnesses, such as cardiovascular disease and metabolic syndrome.
The study, published online recently in Annals of the Rheumatic Diseases, looked at data available in The Health Improvement Network an electronic medical record database in the United Kingdom that includes information on more than 10 million people.
The researchers identified more than 103,000 people with gout from the database. Each person with gout was matched based on age, sex and what calendar year they were entered into the database with up to five people without gout . The researchers then divided the participants into two groups based on the gout patients year of diagnosis, forming an early group and a late group . They then looked at how many people in each group died every year.
How To Know If Your Gout Is Progressing
As you become more familiar with gout symptoms, you may be able to sense that a gout attack is coming on. Worsening of pain, swelling, redness, and warmth of the affected joint during the attack is the sign of progression of that attack, Dr. Meysami says.
In addition, the disease overall may progress with recurrent or more frequent gout attacks with longer duration, the involvement of more joints, and the presence of tophi, Dr. Meysami says.
If you have more than one gout flare a year, its really important to get on a regular gout medication, says Dr. Fields.
Recommended Reading: Are Gout And Kidney Stones Related
Treating Gout With Medications
Certain medications reduce the pain and inflammation of gout attacks, such as anti-inflammatory drugs , colchicine, and corticosteroids. Other medications decrease the level of uric acid in the blood and prevent the deposit of uric acid in joints , the kidneys , and in tissue , helping to prevent further attacks and complications. These drugs include allopurinol, febuxostat, lesinurad, and probenicid.
How Does A Doctor Diagnose Gout
If you have sudden or severe pain in a joint, you should talk to your primary care provider . Your PCP may send you to a rheumatologist, a doctor who specializes in gout and other kinds of arthritis.
Healthcare providers consider several things when confirming gout:
- Symptoms: The provider will ask you to describe your symptoms, how often they happen and how long they last.
- Physical examination: Your provider will examine the affected joint to look for swelling, redness and warmth.
- Blood work: A test can measure the amount of uric acid in your blood.
- Imaging tests: You may have pictures taken of the affected joint with X-rays, an ultrasound or MRI.
- Aspiration: The provider may use a needle to pull fluid from the joint. Using a microscope, a team member can look for uric acid crystals or a different problem .
Read Also: Can You Recover From Gout
What Else Should I Ask My Healthcare Provider About Gout
Consider asking your healthcare provider:
- What is causing the gout?
- Do I have any joint damage?
- What can I do to prevent future attacks?
- Can any gout medications help me?
- How long will I need to take gout medications?
A note from Cleveland Clinic
Gout is a painful form of arthritis. Extra uric acid in your body creates sharp crystals in the joints, leading to swelling and extreme tenderness. Gout usually starts in the big toe but can affect other joints. Gout is a treatable condition, and the uric acid level can be decreased by medication and lifestyle changes. Talk to your healthcare provider about medications that can reduce uric acid levels. They can also discuss changes you can make to your diet and lifestyle to prevent and reduce gout attacks.
Last reviewed by a Cleveland Clinic medical professional on 11/15/2020.
References
Medications To Prevent Gout Complications
If you experience several gout attacks each year, or if your gout attacks are less frequent but particularly painful, your doctor may recommend medication to reduce your risk of gout-related complications. If you already have evidence of damage from gout on joint X-rays, or you have tophi, chronic kidney disease or kidney stones, medications to lower your body’s level of uric acid may be recommended.
- Medications that block uric acid production. Drugs such as allopurinol and febuxostat help limit the amount of uric acid your body makes. Side effects of allopurinol include fever, rash, hepatitis and kidney problems. Febuxostat side effects include rash, nausea and reduced liver function. Febuxostat also may increase the risk of heart-related death.
- Medications that improve uric acid removal. Drugs such as probenecid help improve your kidneys’ ability to remove uric acid from your body. Side effects include a rash, stomach pain and kidney stones.
Recommended Reading: Is Mineral Water Good For Gout
Differences Between Men And Women
Sex differences play a role in which joints are affected:
- In men, about 85% of gout flare-ups affect joints in the lower extremities. About 50% of first-time gout attacks involve a big toe joint.8
- In women, a gout attack is most likely to occur in a knee.10 In addition, women may be more likely to get gout in the upper extremities.9
While women are less likely to get gout, they are more likely to have multiple joints affected by gout.13
Gout Symptoms And Complications
Gout is not gout until symptoms occur. When they do, they usually come on suddenly and, at least initially, affect a single joint. Within hours, that joint becomes red, swollen, hot, and painful they’re called gout attacks for a reason. It’s easy to mistake a gout attack for a localized infection of a joint. The metatarsophalangeal joint at the base of the big toe is often the site of the first attack, but the knees, ankles, and joints between the many small bones that form the foot are also common sites. People who already have osteoarthritis the most common form of arthritis often experience their gout attacks in the joints of the finger
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Treating A Gout Attack
As is true for many painful conditions, the first-line treatment for a gout attack is taking one of the nonsteroidal anti-inflammatory drugs , such as diclofenac, ibuprofen, or indomethacin. For people who can’t take NSAIDs, a drug called colchicine is an alternative. It’s been used for centuries maybe even longer specifically for gout. The trouble with colchicine is its side effects, especially the copious diarrhea. If neither an NSAID nor colchicine is an option, then gout attacks can be treated with an oral corticosteroid, such as prednisone, or with corticosteroid injections into the joints.
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 signs and symptoms of gout are not specific and can look like signs and symptoms of other inflammatory diseases. Doctors who specialize in gout and other forms of arthritis are called rheumatologists. To find a provider near you, visit the database of rheumatologistsexternal icon on the American College of Rheumatology website. Once a rheumatologist has diagnosed and effectively treated your gout, a primary care provider can usually track your condition and help you manage your gout.
Read Also: How Does Allopurinol Treat Gout
How Can I Help Prevent Bone And Joint Damage From Gout
If you have gout and are concerned about the long-term effects of the disease, talk with your doctor. He or she may be able to prescribe medicine and/or recommend lifestyle changes that can help manage your uric acid level. If you are already taking ULT, be sure to ask your doctor about medicine to prevent gout flares.
NOTE: This article was not written by a medical professional and is not intended to substitute for the guidance of a physician. These are not Hikmas recommendations for gout flare prevention, but rather facts and data collected from various reliable medical sources. For a full list of resources and their attributing links, see below.
What Increases Your Chances For Gout
The following make it more likely that you will develop hyperuricemia, which causes gout:
- Being male
Also Check: Medications To Treat Gout Include Agents And Allopurinol
Why Does My Gout Come Back So Often
Im incredibly sorry for the delay.
The full detailed video on Why Does My Gout Come Back So Often is now out:
How Thousands Of People Have Stopped Gout Pains Eating Particular Foods
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