Gout Vs Pseudogout: How Can We Tell
Pseudogout is inflammatory arthritis caused by the. the build-up of calcium crystals in joints. As the name suggests, pseudogout looks like gout.
Generally, it can be challenging to differentiate between the two. However, there are clues as to whether symptoms are pseudogout or gout.
First, unlike gout, pseudogout tends to affect older people in their 60s and 70s. Second, pseudogout affects the knees, ankles, and wrists rather than the toes. Finally, attacks of pseudogout can last for many weeks and sometimes months rather than days in gout.
Immediate Gout Pain Relief: What Are Your Options
Generally, you can take simple steps to get the pain and swelling under control. Examples include ice, compression of the joint, and rest from sport. Also, you need to keep well hydrated and avoid alcohol.
Medications from your doctor can help. Anti-inflammatory tablets such as ibuprofen can stop an acute attack if taken early. Similarly, a drug called colchicine can stop gout in its tracks if taken in the first 24 hours. Often, the dose of colchicine is one tablet three times a day decreasing to twice a day after a week as the pain settles.
Warning Signs Of A Gout Flare
Some people with gout, also known as gouty arthritis, say an attack begins with a burning, itching, or tingling feeling in a joint maybe an hour or two before the flare-up starts. The joint may feel a little stiff or a bit sore. Not long after, the telltale signs of gout begin. If you get repeated attacks, you’ll learn your body’s signals that one is about to begin.
Sometimes, people with gout have no early signs that a flare is about to start. They may just wake up in the middle of the night with a very painful joint.
When the flare starts, most people have redness, swelling, and severe pain, usually in one joint. The most common place for gout is the base of the big toe, but it can happen in other joints such as the elbow, knee, wrist, ankle, and instep.
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Pain Relief Without Medicine
Use cold. If your pain isn’t too bad, try cold packs or compresses on the joint to lower inflammation and soothe the ache. Wrap ice in a thin towel and apply it to the joint for up to 20 minutes several times a day. Do not apply ice to your hands or feet if you have nerve problems from diabetes or other causes.
Rest the joint. It’s a good idea to rest it until the pain eases up. You probably won’t want to move it much anyway. If you can, raise the joint on a pillow or other soft object.
Drink water. When your body doesnât have enough water, your uric acid levels rise even higher. Stay hydrated to help keep those levels normal.
Watch what you eat and drink. Foods that are high in substances called purines, such as some seafood, organ meats like liver, and fatty foods, can raise the uric acid in your blood even more. So can fructose-sweetened drinks and alcohol — especially beer.
Stop Gout Pain Audience
I wrote Stop Gout Pain before I split my advice between . So this is relevant to all gout sufferers who want to stop gout pain. More importantly, it explains why you need to choose between stopping gout pain now, and how to stop gout flare-ups returning.
The section about stopping gout pain within two hours is specifically for .
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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
Hot And Cold Compresses
Switching between a hot compress for three minutes and a cold compress for 30 seconds on the affected area can help reduce pain and swelling that occurs during a gout attack.
In most people, a first acute gout attack comes without warning, and there arent any other symptoms of high uric acid. Prevention efforts for gout are focused on preventing future attacks or lessening their severity.
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Learn How To Relieve Pain From Gout In Foot Naturally Using These Remedies
See how to relieve pain from gout in foot naturally using one of these four remedies. Check out the ingredients that you need to use!
Excess uric acid in the body produces a metabolic arthritis called gout. It is a toxic material present in the waste of the body.
A person may suffer a gout attack when the levels of this acid increase significantly. Very strong pain usually occurs by the formation of crystals that are not expelled from the body and are deposited in kidneys and joints.
There is no need to worry, as there are many home remedies that help eliminate these crystals of uric acid. So, if you also want to know how to relieve pain from gout in foot, keep reading!
Get Answers Advice And Medicine
The pain from a gout attack usually gets better in 3 to 10 days. But youâll feel better faster if the gout is treated. If you think you might have it, contact your doctor. An exam and tests will show if itâs gout or something else, like an infection.
Talk with your doctor about the best medicines for you. The type will depend on how well your kidneys work, the possible side effects, and other health issues.
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Treatment To Reduce Pain And Swelling
Gout is usually treated with anti-inflammatory medicine like ibuprofen.
If the gout does not improve after 3 to 4 days, you might be given steroids as tablets or an injection.
You should:
- take any medicine you’ve been prescribed as soon as possible, it should start to work within 3 days
- rest and raise the affected limb
- keep the joint cool apply an ice pack, or a bag of frozen peas wrapped in a towel, for up to 20 minutes at a time
- drink lots of water, unless advised not to by your GP
- try to keep bedclothes off the affected joint at night
Do not knock the joint or put pressure on it.
What About Prp Injections For Gout
PRP injections for gout are only reserved for special cases. Just like cortisone injections, PRP injections are anti-inflammatory and will have a beneficial effect. This effect is probably better if the injected joint has underlying degenerative changes such as osteoarthritis. Nevertheless, the effect of PRP is less than cortisone. Overall, we would only consider PRP injection for gout if the risks of a cortisone injection are too great.
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Who Is At Risk For Gout
Anyone can be affected by gout.
Gout is most common in middle-aged men, especially those with a family history of the disease. Women can get gout, too, most often after menopause.
Your chances of developing gout are higher if you:
- Are overweight
- Drink too much alcohol, especially beer
- Eat a diet rich in meat and fish, which can be high in chemicals called purines
- Take certain medicines, like water pills , that can trigger an attack
Recent research also indicates that genetics may play a big role in determining who gets gout. Ask your doctor if you have questions about your risk for developing this condition.
What Can Increase Your Risk
A high level of uric acid in the blood is the main factor that increases your risk of developing gout. However, it’s still uncertain why some people with a high level of uric acid in the blood develop gout, while others with an equally high level don’t.
Other factors that may increase your risk of developing gout are outlined below.
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Home Remedies And Lifestyle
Gout symptoms are caused by the excessive accumulation of uric acid, a condition known as hyperuricemia. Over time, the build-up can lead to the formation of uric acid crystals in and around a joint, triggering severe and protracted bouts of pain and inflammation.
As such, gout treatment is focused on two things: the reduction of uric acid and the alleviation of gout pain.
How To Get Fast Relief From Gout Attacks
Gout pain can be debilitating, and can prevent you from performing routine activitieseven walking or standing can hurt.
Thats because many attacks start at the base of the big toe.
Pain and inflammation in this region can make walking or standing for long periods of time excruciating.
There are a few home remedies that may provide quick relief for a gout flare-up.
But if your pain is severe, sudden, or worsening, contact a healthcare professional before attempting any remedies at home.
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Using Tart Cherry Juice For Gout
Tart cherry juice may help decrease uric acid levels and inflammation in gout. Research is limited, with often small numbers of study participants and short-term follow-up.
Nevertheless, a 2019 review of six studies that looked at the effect of cherry juice or cherry extract intake on gout concluded that cherry intake was associated with a reduced risk of gout attacks. Researchers did note that larger, more long-term studies are needed to clarify this association.
When choosing tart cherry juice, be sure to look for unsweetened varieties to help reduce the amount of added sugar in your diet.
How Is Gout Treated
When you have a gout attack, pain relief is your first goal. Its important to call your doctor even if the pain has stopped. The uric acid buildup that triggered your gout attack may still be irritating your joints and could eventually cause seriousdamage, like joint destruction and kidney damage.
Your doctor may:
- Give you a shot of corticosteroids to ease discomfort quickly
- Prescribe a long-term medication that can prevent and even reverse uric acid buildup
- Recommend lifestyle changes or alternative treatments
Theres a lot you can do on your own to ease symptoms:
- Rest the affected joint until the attack passes and for 24 hours after the attack.
- Elevate painful joints.
- Use ice to reduce swelling.
- Relieve inflammation with NSAIDS . Avoid aspirin, which can worsen symptoms.
- Limit alcohol, especially beer and hard liquor.
- Cut back on meat and seafood, which can raise uric acid levels.
- Follow a moderate exercise program.
- Control your weight. Being overweight increases your risk for gout.
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How To Stop Gout Pain
This article was medically reviewed by Jonas DeMuro, MD and by wikiHow staff writer, Jessica Gibson. Dr. DeMuro is a board certified Pediatric Critical Care Surgeon in New York. He received his MD from Stony Brook University School of Medicine in 1996. He completed his fellowship in Surgical Critical Care at North Shore-Long Island Jewish Health System and was a previous American College of Surgeons Fellow.There are 12 references cited in this article, which can be found at the bottom of the page. This article has been viewed 18,146 times.
You’ve probably heard of arthritis, but may not be as familiar with gout, an arthritic disorder. Also called gouty arthritis, gout is a painful disorder caused by high levels of uric acid in the tissues, joints, and blood. If you have gout, your body produces either too much uric acid or it doesn’t excrete uric acid efficiently. Your doctor can work with you to treat gout with medication. You can also try to reduce your risk factors in order to treat gout and manage pain.XResearch source
Managing Symptoms And The Underlying Triggers
Gout is a form of arthritis caused by the buildup and crystallization of uric acid in a joint. Depending on the severity of an attack, treatment may involve over-the-counter anti-inflammatory drugs to alleviate pain, as well as behavioral modifications to reduce the frequency of attacks. Chronic attacks may require prescription medications to help reduce uric acid levels in the blood.
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Whats The Outlook For People With Gout
Untreated gout can lead to permanent joint damage. The buildup of uric acid in the joints and soft tissue is called tophus. Some people with gout can also develop other health problems, such as severe arthritis, kidney stones and heart disease. Its important to discuss your symptoms with a healthcare provider.
The Role Of Diet In Gout Prevention
Dietary control may be sufficient in a patient with mildly elevated uric acid, for example, 7.0 mg/dL
For those with a higher level, for example, 10.0 mg/dL, diet alone will not usually prevent gout. For the latter, even a very strict diet only reduces the blood uric acid by about 1 mg/dL- not enough, in general, to keep uric acid from precipitating in the joints. The cutoff where patients with gout seem to dramatically reduce their number of attacks is when their uric acid level is taken below 6.0 mg/dL.4
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What Are The Risk Factors For Gout
Risk factors for gout include:
- being male
- taking medications that increase water excretion by the kidneys
- being overweight
- eating a diet with a lot of meat, offal and shellfish
- having kidney disease, high blood pressure, diabetes or abnormal levels of fat and cholesterol in the blood
- drinking a lot of alcohol, especially beer, port or spirits
- going on a crash diet or fasting
- being of Maori or Pacific Islander origin, which can predispose a person to high uric acid levels
Gout is more common in men than in women, and among women it’s more common after menopause. It’s more likely to occur in older people, but can affect anyone.
It can also affect people with certain types of blood disorder and people in treatment for cancer.
If You Are Having Repeated Attacks See Your Doctor
Some patients can go a long time between attacks. In fact, for 62 percent of patients the next attack will be more than a year away, and some won’t have another attack in the next 10 years. However, if you begin to have more frequent attacks, talk to your doctor about escalating treatment. People think its normal to have flares every now and then, but its not. The gout can be doing damage to your joints. It means you still have too much uric acid, says Shakouri. In particular, ask about allpurinol. It wont help with an acute attack but will help prevent future attacks by reducing uric acid production.
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Gout Pain Relief In 2 Hours
The important rules about stopping gout pain are:
- You need pain relief combinations. A single drug is not sufficient to treat the 3 aspects of gout pain.
- You need gout strength dose. Because over-the-counter dose is often insufficient for full-blown gout flares. So, ask your doctor or pharmacist about the correct dose for gout pain.
The 3 aspects of gout pain that you need to tackle are:
When To Get Help For A Gout Flare
It’s always a good idea to let your doctor know that you are having a flare. Sometimes, you may need to follow up to make sure your treatment plan is working or if your symptoms don’t improve. Call your doctor if:
This is your first flare-up. There are several other conditions, such as a joint infection, that have some of the same symptoms as gout attacks.
You have a highfever and chills. Gout attack symptoms may include a mild fever, but a higher temperature may be a sign of an infection.
Your symptoms don’t get any better after 48 hours or don’t end after about a week. If you don’t start to feel somewhat better after a few days, call your doctor. They may suggest a different treatment. Most gout attacks will go away by themselves in several weeks, even without treatment.
Show Sources
Rebecca Manno, MD, MHS, assistant professor of medicine, division of rheumatology, Johns Hopkins University School of Medicine.
Robert T. Keenan, MD, MPH, assistant professor of medicine, division of rheumatology and immunology, Duke University School of Medicine.
Scott Zashin, MD, clinical professor of medicine, University of Texas Southwestern Medical School attending physician, Presbyterian Hospital.
Lan Chen, MD, PhD, attending rheumatologist, Penn Presbyterian Medical Center.
Gout and Pseudogout Treatment & Management: “Treatment.”
Johns Hopkins Arthritis Center: “Gout — Treatments for Gout.”
Merck Manual: “Gout.”
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