What Causes Gout And How To Get Rid Of It

Home Remedies For Long

The American College of Rheumatology recommends a couple of lifestyle modifications for preventing future attacks of gout:

1) Lose weight if you need to. Being overweight can increase uric acid levels as well as put pressure on the joints.

2) Follow a low-purine diet. Another effective way to reduce uric acid levels is to follow a low-purine diet. Purines are organic compounds that break down into uric acid. Following a low-purine diet means avoiding the big four alcohol, shellfish, red meat, and high fructose corn syrup.

Limiting these foods is also beneficial for heart health and people with gout are at higher risk for heart disease.

But dont go overboard with dietary changes to relieve gout pain though, advises Dr. Fields. You can find lists of thousands of different foods youre not supposed to have if you have gout. Those recommendations are impossible to follow and can make you crazy.

How Can I Self

The methods of managing an acute attack of gout differ from the ongoing methods for managing gout. If youve been diagnosed with gout, youll benefit in the long term from making healthy changes to your lifestyle, such as:

• maintaining a healthy body weight. If you do need to lose weight, make sure your weight loss is gradual as crash diets can increase uric acid levels
• drinking alcohol in moderation and avoiding binge drinking
• drinking plenty of water, and staying hydrated
• avoiding, or eating in moderation, foods that are high in purines. Talk with a dietitian for tips and advice
• exercising regularly aim to complete at least 30 minutes of physical activity most days of the week
• working closely with your GP to prevent further attacks and actively manage your condition.

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If you havegout, youre all too familiar with the sudden, burning joint pain that a gout attack can bring on most commonly in the big toe.

Gout a type ofarthritis is caused by too much uric acid in the blood. Usually, having an excess of uric acid isnt harmful. In fact, many people with high levels in their blood never get gout. But when uricacid levels in your blood are too high, the uric acid may form hard crystals in your joints.

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Essential Oils For Gout Treatment

Some essential oils have properties that can help with the inflammation associated with gout .

Yarrow oil, celery seed, lemongrass oil, etc. are some of the essential oils for gout. Topical application can help soothe the pain and reduce inflammation.

Do note, however, that essential oils can sometimes cause irritation. So, it is best to mix them with a carrier oil before applying on the skin.

Treating Gout At Home

This section on how to relieve gout pain is a very useful reference for those nights when you wake

up in agony. When you have a gout attack, you need to get the uric acid out of your system and treat

the pain.

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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

What Are The Causes And Triggers Of Gout In The Elbow

The buildup of uric acid in the body is known as hyperuricemia. Your body produces uric acid when it breaks down purines. These are compounds found in all your cells. You can also find purines in several types of food, especially red meat and some seafood, as well as alcohol and some sugar-sweetened drinks.

Usually, uric acid passes through your kidneys, which help to eliminate extra uric acid in your urine. But sometimes theres too much uric acid for your kidneys to handle. In other cases, the kidneys cant process a typical amount of uric acid due to an underlying condition.

As a result, more uric acid circulates throughout your body, ending up in your elbow as uric acid crystals.

4 percent of adults in the United States. It tends to be more common in men because women usually have lower levels of uric acid. But after menopause, women start to have higher uric acid levels. As a result, women tend to develop gout at an older age than men do.

Experts arent sure why some people produce more uric acid or have trouble processing it. But theres evidence that the condition is often genetic.

Other things that may increase your risk of developing gout include:

• consuming a lot of high-purine foods
• consuming foods and drinks, especially alcohol, that increase uric acid production
• being overweight

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Am I At Risk Of Having Gout

Youre more likely to have a gout attack if you:

• are male
• have a family history of gout
• have elevated levels of uric acid in the blood
• drink too much alcohol
• eat a diet high in purines such as meat, sweetbreads, offal, shellfish, and fructose
• are overweight or obese
• use diuretics
• have type 2 diabetes, high blood pressure or high cholesterol these conditions can mean that your kidneys are less able to flush out the urates
• have kidney disease

About Uric Acid And Hyperuricemia

Now that you have known what exactly leads to the gout flare ups, you must have a brief idea of how the uric acid functions in the body. Uric acid is formed when the body breaks down the purines. The purines are a substance that can be found from certain foods that we eat, or are also available in the body cells. This amount of uric acid that is produced during the breaking down of the purines is eliminated from the body through kidneys or through urine. However, in some cases, people either produce too much of the uric acids or the kidneys fail to eliminate even the normal amount of uric acid that is produced. This is when hyperuricemia occurs and as a consequence, people get gout flare ups.

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What Causes Gout Flare Ups & How To Get Rid Of It

Gout is a common condition that affects many people. It is painful and the first flare ups of gout can be shocking. Gout flare ups are actually painful inflammation of the joints. They are caused by the uric acids. The uric acids are sharp needle like crystals that build up in the bone joints. Though many people think that the gout flare ups occur out of nowhere, they are actually caused by a number of factors that trigger the condition over time. Amongst these, the most common ones are certain foods, medicines, drinks and sometimes, even stress can be a major cause.

How Is Gout Diagnosed

Gout is diagnosed using a number of tests including:

• medical history
• physical examination
• blood test to measure urate levels although this cannot confirm gout
• removing a sample of fluid from the joint if you have gout, uric acid crystals can be seen under a microscope. This is the most definitive test
• ultrasound scan can identify early crystal formation in the fluid between your joints.

Early diagnosis and treatment is very important. The main goal for everyday management of gout is to reduce the level of uric acid in your blood so it cant form crystals in the tissues or joints and cause joint damage.

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What Is Uric Acid

Uric acid is a waste byproduct of purine breakdown in the body. Purines are naturally produced in the body, as well as found in some foods. As purines are broken down, uric acid is created. Normally uric acid is either reabsorbed in the body or excreted via the urine and feces.

When there are more purines in the body than it can process, uric acid builds up in the bloodstream. This is called hyperuricemia. Hyperuricemia can cause gout and/or kidney stones in some people, while others have no signs or symptoms at all.

Verywell / Alexandra Gordon

Treatment for gout often includes medications, diet modification, and lifestyle changes, such as managing weight and quitting smoking. The foods you eat can have a direct impact on gout flares.

During a gout attack, modifying your diet may help decrease the length of the flare. Continuing to follow a gout-friendly diet, specifically a low-purine diet, may help prevent the risk of future gout attacks up to five fold.

When Is Surgery Considered For Gout

The question of surgery for gout most commonly comes up when a patient has a large clump of urate crystals , which is causing problems. This may be if the tophus is on the bottom of the foot, and the person has difficulty walking on it, or on the side of the foot making it hard to wear shoes. An especially difficult problem is when the urate crystals inside the tophus break out to the skin surface. This then can allow bacteria a point of entry, which can lead to infection, which could even track back to the bone. Whenever possible, however, we try to avoid surgery to remove tophi. The problem is that the crystals are often extensive, and track back to the bone, so there is not a good healing surface once the tophus is removed. In some rare cases, such as when a tophus is infected or when its location is causing major disability, surgical removal may be considered.

Since it is hard to heal the skin after a tophus is removed, a skin graft may be needed. For this reason, we often try hard to manage the tophus medically. If we give high doses of medication to lower the urate level, such as allopurinol, over time the tophus will gradually reabsorb. In severe cases, we may consider using the intravenous medication pegloticase , since it lowers the urate level the most dramatically, and can lead to the fastest shrinkage of the tophus.

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What Happens At Your Appointment

The GP may ask about your diet and if you drink alcohol.

They may refer you to see a specialist and arrange a blood test and scan. Sometimes a thin needle is used to take a sample of fluid from inside the affected joint, to test it.

The blood test will find out how much of a chemical called uric acid there is in your blood.

Having too much uric acid in your blood can lead to crystals forming around your joints, which causes pain.

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How Gout Treatment Prevents Disease Progression

Fortunately, in part because of its long history, gout is one of the most well-understood and most medically treatable forms of arthritis. The progression of gout is preventable by starting appropriate treatment as soon as possible, Dr. Meysami says. Uric acid-lowering agents, such as allopurinol , can decrease uric acid levels and prevent gout attacks.

During flares, gout patients can take NSAIDs or corticosteroids to calm the attack. Local steroid injections may also be given. A medication called colchicine is also often used to stop acute attacks, but its given now at a much lower dose in order to avoid side effects, including stomach upset.

After a flare ends, long-term treatment can begin. Almost all people with gout will need medication to control their urate, Dr. Fields says. To get a good outcome, people with gout need to get their blood urate level below 6.0 mg/dl and keep it there. By doing that, the body will gradually pull the urate crystals out of their joints, and the flares can stop. Tophi will also gradually disappear.

Medications called xanthine oxidase inhibitors limit the amount of uric acid your body produces. These include allopurinol and febuxostat . Colchicine, which decreases the inflammatory response to gout, may also be given along with allopurinol at the start of long-term treatment after a flare subsides.

The Role Of Uric Acid

Uric acid is produced when your body breaks down purines, which are substances naturally found in your body, as well as in protein-rich foods. At normal levels in your blood, uric acid is a powerful antioxidant and does not cause any damage. The body keeps uric acid at a set level by excreting it through the kidneys and in urine.

It is possible to have hyperuricemia and not develop gout. About two-thirds of people with elevated uric acid levels never have gout attacks. It is not known why some people do not react to abnormally high levels of uric acid.

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Control Your Body Weight

You know that gout caused by uric acid affects your joints and results in inflammation. That is why you must maintain proper body weight to avoid this condition. It will also help you in preventing the risk of gout flare-ups and other serious health issues. One major scientific fact you must know is that there is a clear link between overweight and increased uric acid levels.

On the contrary, as fasting causes rapid loss of weight, it also raises your uric acid levels. Thus, you must not consider fasting to reduce your obesity. The safest option for you is to consult a physician who will create a proper diet chart. You can reach your goal safely.

Home Care For A Gout Flare

If your doctor has diagnosed you with gout and given you medicine for a flare-up, take the medicine as directed when you know youâre having one. In most cases, that will probably be as soon as the first signs begin.

Your doctor may prescribe nonsteroidal anti-inflammatory drugs such as celecoxib, indomethacin, meloxicam, or sulindac or suggest you take over-the-counter NSAIDs, like naproxen or ibuprofen. Depending on your medical history, your doctor may prescribe steroids or other medicines to reduce inflammation, such as colchicine .

In some cases, you already may be taking medicine like colchicine to prevent gout flare-ups. Your doctor may have also suggested:

• Rasburicase

If you canât take allopurinol or it is not effective, your doctor may prescribe . It should be used with caution, however, because it has been linked to increased risk of death from heart disease and from other causes.

Just because you have a flare doesn’t mean these medicines aren’t working. In the first few months that you take them, you may have an attack as your body adjusts to the drug. Your doctor will likely have given you something to take if this happens, too.

If youâve been taking preventive gout medicine for a long time and youâre having flares for the first time in a while, call your doctor. They may talk to you about changing your dosage or your medicine.

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Can Physical Workouts Reduce Your Uric Acid Level

High uric acid is responsible for mortality risks. Researchers have found that the serum uric acid of more than 7 mg/dL can increase your mortality risk by 22%. The risk can be higher for those who are physically inactive. Thus, you must do physical workouts regularly.

In most cases, patients go for drug therapy when they have kidney stones and gout. Some patients also like to avoid medications due to their fear of side effects. However, they must rely on physical workouts to control their uric acid levels.

To stay fully active, you must do your physical workouts for at least 150 minutes every week. You will be considered low active, while your weekly exercise duration is below 90 minutes.

Frequent exercising can help you in controlling uric acid and gout symptoms. You can lose weight, manage your stress, and stay healthy. However, for gout patients, we need to share one important thing. They must not exercise until their inflammation and pain are reduced.

But, being new to physical workouts, you must consult your doctor. He will give you tips on how to stay active. Researchers have observed that our body fat carries more uric acid compared to our muscles. Thus, by reducing body fat, you may control your blood uric acid levels. You will also have better cardiovascular health for regular exercising.