Gout Treatment

OVERVIEW

Gout is a painful form of arthritis. When your body has extra uric acid, sharp crystals can form in your joints (usually your big toe). Flare-ups of symptoms like pain and swelling come and go in periods called gout attacks. Treatment is usually a combination of symptom management and changing your diet.

What is gout?

Gout is a form of inflammatory arthritis that causes pain and swelling in your joints. Gout happens when there’s a buildup of uric acid in your body.

Gout most commonly affects your big toe joint. But it can affect other joints, including your:

  • Knees.
  • Ankles.
  • Feet.
  • Hands and wrists.
  • Elbows.

Gout symptoms come and go (recur) in episodes called flares or gout attacks. A healthcare provider will suggest medications and changes to your diet that will lower your uric acid levels and minimize how often you experience gout attacks in the future.

Causes

  • Diet: High intake of purine-rich foods (e.g., red meat, shellfish, sugary beverages) can elevate uric acid levels.
  • Alcohol Consumption: Excessive alcohol intake, especially beer and spirits, can increase uric acid production.
  • Obesity: Being overweight can lead to increased uric acid production and reduced elimination by the kidneys.
  • Genetics: A family history of gout may increase susceptibility.
  • Medical Conditions: Certain conditions, such as hypertension and diabetes, can also raise the risk of developing gout.

Risk Factors for Gout

  • Dehydration: Insufficient fluid intake can contribute to higher uric acid concentrations.
  • Obesity: Being overweight increases uric acid production and decreases excretion.
  • Medical Conditions: Hypertension, diabetes, and kidney disease can elevate uric acid levels.
  • Genetics: Family history of gout may increase susceptibility.
  • Age and Gender: More common in men; risk increases with age and after menopause for women.
  • Medications: Diuretics and certain immune-suppressing medications can raise uric acid levels.
  • Dehydration: Insufficient fluid intake can contribute to higher uric acid concentrations.

Symptoms

  • Intense Joint Pain: Sudden onset of severe pain, often occurring at night. The big toe is the most commonly affected joint, but gout can also affect other joints, including the ankles, knees, wrists, and fingers.
  • Swelling and Inflammation: The affected joint becomes swollen, tender, and warm to the touch. The surrounding area may also appear red and inflamed.
  • Limited Range of Motion: Due to pain and swelling, movement of the affected joint may be restricted, making it difficult to perform daily activities.
  • Lingering Discomfort: After the intense pain subsides, discomfort may persist in the affected joint for days or weeks.
  • Recurrent Attacks: Gout can lead to recurrent attacks, with symptoms returning after a period of remission. The frequency and intensity of attacks may vary among individuals.
  • Tophi (Chronic Gout): Over time, untreated gout can lead to the formation of tophi, which are lumps of urate crystals that develop under the skin around joints and in other areas (e.g., ears, elbows). Tophi can be painful and may cause joint deformities.

Diagnosis of Gout

Diagnosing gout typically involves a combination of assessing symptoms, medical history, and conducting specific tests. Here are the key steps in the diagnosis:

  • Medical History:  The healthcare provider will inquire about your symptoms, including the location, intensity, and duration of joint pain, as well as any previous gout attacks.
  • Physical Examination: A physical exam will assess the affected joints for swelling, redness, and warmth.
  • Joint Fluid Analysis:  A definitive diagnosis is often made by analyzing fluid extracted from the affected joint through a procedure called arthrocentesis. This fluid is examined for the presence of uric acid crystals.
  • Blood Tests: Blood tests measure uric acid levels. Elevated levels may indicate gout, but some individuals with gout may have normal uric acid levels during an attack.
  • Imaging Tests: X-rays may be used to rule out other conditions or assess joint damage. Ultrasound or dual-energy CT scans can also help visualize urate crystals in the joints.

Complications of Gout

Complications from joint pain can arise if the underlying condition is not adequately managed. These complications may include:

  • Recurrent Gout Attacks: Frequent and severe gout attacks can occur, leading to ongoing discomfort and disruption of daily activities.
  • Tophi Formation: Over time, uric acid crystals can accumulate and form lumps called tophi under the skin, often around joints and in other areas (e.g., ears, elbows). These can become painful and may cause joint damage.
  • Joint Damage: Chronic gout can lead to joint damage and erosion, resulting in chronic pain and decreased mobility.
  • Kidney Stones: High uric acid levels can lead to the formation of kidney stones, which can cause severe pain and urinary issues.
  • Kidney Disease: Persistent high levels of uric acid may contribute to kidney damage over time, potentially leading to chronic kidney disease.
  • Cardiovascular Issues: Gout is associated with an increased risk of cardiovascular diseases, including hypertension, heart attack, and stroke.

Why Choose Sukhveen Hospital for Gout Treatment?

  • Expert Team: Sukhveen Hospital boasts a team of experienced specialists who are knowledgeable in diagnosing and treating gout effectively.
  • Comprehensive Care: The hospital offers a holistic approach to gout management, addressing both acute attacks and long-term prevention strategies.
  • Advanced Diagnostics: State-of-the-art diagnostic facilities, including joint fluid analysis and imaging tests, ensure accurate diagnosis and tailored treatment plans.
  • Personalized Treatment Plans: Treatment is customized based on individual patient needs, including medication management and lifestyle modification support.
  • Patient Education: The hospital emphasizes patient education, helping individuals understand their condition, risk factors, and the importance of lifestyle changes.
  • Supportive Environment: Sukhveen Hospital provides a compassionate and supportive atmosphere, ensuring that patients feel comfortable and cared for throughout their treatment journey.
  • Follow-up Care: Ongoing monitoring and follow-up care are prioritized to manage uric acid levels effectively and prevent future gout attacks.
Book Appointment Online