Gout is a form of arthritis that most commonly affects the big toe, but can affect other joints as well. This condition can be either acute or chronic. Acute gout typically affects only one joint and is not recurring, while chronic gout reoccurs and may involve multiple joints. If left untreated, chronic gout can harm joints, tendons, and tissues, causing loss of motion and severe joint pain. Gout is more common in men and postmenopausal women.

Causes of gout

Gout is caused by a high level of uric acid in the blood. The hard salts of uric acid build up in the joints, causing them to become inflamed. In some cases, the high level of uric acid is caused by your body producing too much of the chemical; in other cases, your body has difficulty removing uric acid, and it builds up. However, having a high level of uric acid in the blood is not usually harmful, and many people with a high level of uric acid will never develop gout.

Your risk of developing gout increases if you: 

• Are overweight. 
• Consume large amounts of alcohol. 
• Eat too much meat and fish containing purines (a chemical compound that is metabolized into uric acid).

Gout symptoms

If you have gout, you will typically experience symptoms in the middle of the night. The most common symptom of gout is a sharp pain or throbbing in your big toe or another joint such as the ankle or knees. This pain is often accompanied by redness and swelling.

Some individuals may have only one gout attack in their lifetime. For others, gout may develop into a chronic condition that reoccurs every so often. Sometimes months, even years will go by before another gout attack. Subsequent gout attacks usually last longer.

Treatment of gout

If you are suffering from gout, it is important to rest the joint. You can take anti-inflammatory medication, such as ibuprofen, to reduce swelling. However, it is important that you avoid aspirin, as it can increase the uric acid level in the blood.

If symptoms are severe or recurring, contact our office for treatment. Our physicians can prescribe stronger non-steroidal anti-inflammatory drugs (NSAIDs) and painkillers. In some cases, a shot of corticosteroids may also be administered. Symptoms can be relieved within a day when treated the right away.

If you have chronic gout, medications can be prescribed to reduce uric acid buildup in your blood. Future attacks may also be prevented by adjusting your diet to include a variety of healthy foods while avoiding alcohol and limiting consumption of foods high in purine such as meat, seafood, asparagus, spinach, kidney beans, mushrooms, gravy, and yeast.