How to check if you have gout
Gout is a type of inflammatory arthritis that occurs when uric acid crystals build up in the joints, causing sudden and severe pain, swelling, and redness. It typically affects the big toe, but it can also affect other joints in the feet, ankles, knees, hands, and wrists.
Symptoms of gout
The most common symptom of gout is a sudden and severe pain in the big toe. The pain is often described as burning, throbbing, or aching. It can be so severe that it makes it difficult to walk or even wear shoes.
Other symptoms of gout include:
Swelling and redness in the affected joint
Stiffness in the affected joint
Heat and tenderness in the affected joint
Decreased range of motion in the affected joint
Tophi, which are hard, white deposits of uric acid crystals that can form under the skin
Causes of gout
Gout is caused by a build-up of uric acid in the blood. Uric acid is a waste product that is produced when the body breaks down purines, which are found in certain foods.
Purine-rich foods that can trigger gout
Red meat
Organ meats (such as liver, kidneys, and sweetbreads)
Seafood (especially shellfish)
Alcohol (especially beer)
Sugary drinks
Some types of beans and lentils
Risk factors for gout
Certain factors can increase your risk of developing gout, including:
Obesity
High blood pressure
High cholesterol
Diabetes
Kidney disease
Family history of gout
Use of certain medications (such as diuretics and aspirin)
How to check if you have gout
If you think you may have gout, it is important to see a doctor for a diagnosis. Your doctor will likely perform a physical examination and ask about your symptoms and medical history. Your doctor may also order blood tests and/or imaging tests to confirm the diagnosis.
Blood tests
Blood tests can measure the level of uric acid in your blood. A high level of uric acid can indicate that you have gout.
Imaging tests
Imaging tests, such as X-rays and ultrasound, can show the presence of uric acid crystals in your joints.
Treatment for gout
The goal of treatment for gout is to reduce pain and inflammation and prevent future attacks. Treatment may include:
Medication
Nonsteroidal anti-inflammatory drugs (NSAIDs)
Colchicine
Corticosteroids
Uric acid-lowering drugs
Lifestyle changes
Losing weight
Eating a healthy diet
Limiting alcohol intake
Exercising regularly
Surgery
Surgery may be necessary to remove uric acid crystals from the joints if other treatments do not work.
Prevention of gout
There is no surefire way to prevent gout, but you can reduce your risk by:
Losing weight
Eating a healthy diet
Limiting alcohol intake
Exercising regularly
Avoiding purine-rich foods
Taking uric acid-lowering medication if you have a history of gout
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