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Gout

infographic showing how a healthy foot looks like and how a gout looks like

What is a Gout?

Gout is a general term for a variety of conditions caused by a buildup of uric acid. This buildup usually affects the feet.

Causes: 

  • have parents, siblings, or other family members with gout

  • drink alcohol

  • take medications such as diuretics and cyclosporine

  • have a condition like high blood pressure, kidney disease, thyroid disease, diabetes, or sleep apnea

Symptoms:

 

  • Intense joint pain. Gout usually affects the big toe, but it can occur in any joint. Other commonly affected joints include the ankles, knees, elbows, wrists and fingers. The pain is likely to be most severe within the first four to 12 hours after it begins.

  • Lingering discomfort. After the most severe pain subsides, some joint discomfort may last from a few days to a few weeks. Later attacks are likely to last longer and affect more joints.

  • Inflammation and redness. The affected joint or joints become swollen, tender, warm and red.

  • Limited range of motion. As gout progresses, you may not be able to move your joints normally.

Treatments:

  • Ice. Apply ice to the affected area to reduce swelling. Do not apply ice directly to the skin. Use an ice pack or wrap a towel around the ice. Apply ice for about 20 minutes at a time.

  • Elevate. Frequently raise and keep the affected area above the level of the heart.

  • Rest. Move the affected area as little as possible while symptoms are present.

  • Over-the-counter non-steroidal anti-inflammatory medicines. If the gout attack is mild, anti-inflammatory drugs available without a prescription (ibuprofen, naproxen) may relieve pain. Because there are serious side effect of using non-steroidal anti-inflammatory drugs — even the over-the-counter strength — be sure to check with your doctor before taking them.

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