Gout
Overview
Causes
Uric acid forms when the body breaks down purines in foods. Some foods also contain purines. Sometimes the body makes too much uric acid. It may also have problems passing uric acid out of the body through the kidneys. Uric acid crystals form when uric acid levels get too high. This leads to gout.
Risk Factors
Gout is more common in men and older adults.
The main risk factor is having high levels of uric acid in the blood. Other things that may raise the risk are:
- Eating foods high in purines, such as red meat, seafood, and alcohol
- Eating or drinking things that are high in fructose, such as sugary drinks
- Some medicines, such as diuretics, cyclosporin, and chemotherapy drugs
- Obesity
- Having certain health problems, such as congestive heart failure, high blood pressure, or kidney disease
SymptomsandDiagnosis
Treatments
Treatment
The goal of treatment is to manage symptoms and prevent flare-ups. This can be done with:
- Supportive care, such as keeping clothes or bedding off the joint to ease pressure
- Medicines to ease swelling and pain, such as ibuprofen, corticosteroids, and colchicine
- Stopping or changing medicines that may be causing gout
- Dietary changes, such as a low-purine diet and limiting alcohol and sugary drinks
- Lifestyle changes, such as maintaining a healthy weight through diet and exercise
This content is reviewed regularly and is updated when new and relevant evidence is made available. This information is neither intended nor implied to be a substitute for professional medical advice. Always seek the advice of your physician or other qualified health provider prior to starting any new treatment or with questions regarding a medical condition.
Edits to original content made by Denver Health.
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a (Gouty Arthritis)
RESOURCES
American Arthritis Society http://www.americanarthritis.org
Arthritis Foundation https://www.arthritis.org
References
Gout. American College of Rheumatology website. Available at: http://www.rheumatology.org/I-Am-A/Patient-Caregiver/Diseases-Conditions/Gout. Accessed September 25, 2020.
Gout. Arthritis Foundation website. Available at: http://www.arthritis.org/about-arthritis/types/gout. Accessed September 25, 2020.
Gout. EBSCO DynaMed website. Available at: https://www.dynamed.com/condition/gout . Accessed September 25, 2020.
Gout. National Institute of Arthritis and Musculoskeletal and Skin Diseases website. Available at: http://www.niams.nih.gov/Health%5FInfo/Gout/default.asp. Accessed September 25, 2020.
Gout overview. Family Doctor—American Academy of Family Physicians website. Available at: http://familydoctor.org/familydoctor/en/diseases-conditions/gout.html. Accessed September 25, 2020.
Gout management—prevention of recurrent attacks. EBSCO DynaMed website. Available at: https://www.dynamed.com/management/gout-management-prevention-of-recurrent-attacks . Accessed September 25, 2020.
Pascart T, Lioté F. Gout: state of the art after a decade of developments. Rheumatology (Oxford). 2019 Jan 1;58(1):27-44.