A member asked:

What is gout?

88 doctors weighed in across 49 answers
Dr. Danny Proffitt answered

Specializes in Family Medicine

Gout is an inborn error of metabolism where uric acid (product of breakdown of proteins) is either over produced or under excreted by the body. When the level is high enough, the uric acid precipitates out of the body fluids and forms crystals of ua . This ususally occurs in the joints and is like ground glass in a joint. The body reacts, swells, hurts and miserable. There is treatment.

Answered Jun 15, 2020

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Dr. Arthur Bobrove answered

Specializes in Rheumatology

A painful form of acute arthritis resulting from a build up of uric acid in and around the joints. It resolves, if untreated , in a matter of days but is likely to recur unless the body's uric acid is lowered. Medications, diet, and alcohol contribute to uric acid buildup. Fortunately it is readily treatable.

Answered Oct 13, 2018

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Dr. Chad Boomershine answered

Specializes in Rheumatology

Gout is a form of arthritis caused by uric acid crystals. Uric acid crystals form when the amount of uric acid, a natural waste product, becomes too high in the blood. Uric acid levels can become high due to poor kidney function, obesity, or genetics. Gout is treated by decreasing inflammation to treat the arthritis and by decreasing uric acid levels in the blood to dissolve the crystals.

Answered Jun 23, 2018

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Dr. Chad Boomershine answered

Specializes in Rheumatology

Gout is a form of arthritis caused by uric acid crystals. Uric acid crystals form when the amount of uric acid, a natural waste product, becomes too high in the blood. Uric acid levels can become high due to poor kidney function, obesity, or genetics. Gout is treated by decreasing inflammation to treat the arthritis and by decreasing uric acid levels in the blood to dissolve the crystals.

Answered Aug 26, 2018

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Dr. John Goldman answered

Specializes in Rheumatology

People with gout have elevated uric acid in the blood. When the level of uric acid is too high, it forms monosodium urate crystals that precepitate in the joints. The body trys to eliminate these urate crystal and this causes inflammation and the gout attack. Urate crystals occur in the joint but because of physiology in the urinary track it causes uric acid crystals in the urine.

Answered Sep 28, 2016

5.9k views

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Dr. Kenneth Cheng answered

Specializes in Family Medicine

Gout is a condition where the waste product, uric acid, builds up in the blood causing the formation of uric acid crystals in the joints. Most commonly, this occurs in the big toe or in the foot/heel areas. Foods (seafood, beer, etc.) can also raise uric acid levels initiating a gout flare. Treatment is aimed at reducing the uric acid level and/or reducing joint inflammation.

Answered Jun 15, 2020

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Dr. Chad Boomershine answered

Specializes in Rheumatology

Gout is a form of arthritis caused by uric acid crystals. Uric acid crystals form when the amount of uric acid, a natural waste product, becomes too high in the blood. Uric acid levels can become high due to poor kidney function, obesity, or genetics. Gout is treated by decreasing inflammation to treat the arthritis and by decreasing uric acid levels in the blood to dissolve the crystals.

Answered Dec 8, 2015

6.1k views

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Dr. Shabbir Hossain answered

Specializes in Internal Medicine

Gout is inflammation/arthritis of a joint from depostion of uric acid crystals.

Answered Oct 4, 2016

5.9k views

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Dr. Gurmukh Singh answered

Specializes in Pathology

Acid in tissue. Gout is usually due to excessive production of uric acid that then deposits as crystals in various tissues, mostly in joints, skin and kidneys. It causes painful arthritis. See this site for more info. http://www.ncbi.nlm.nih.gov/pubmedhealth/pmh0001459/.

Answered Jun 15, 2020

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Dr. Alan Ettinger answered

Specializes in Podiatry

Involving purine metabolism. Blood test is needed to check uric acid levels.

Answered Mar 3, 2019

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Dr. Jeffrey Kass answered

Specializes in Podiatry

Arthropathy = or a type of arthritis that usually attacks one joint. It occurs when there is an elevation of uric acid.

Answered Mar 3, 2019

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Dr. Joseph Newman answered

Specializes in Podiatry

Gout is a form of acute inflammatory arthritis caused by uric acid buildup. The hallmarks of inflammation- pain, redness, swelling, heat that come on abruptly are consistent with a gout attack. See a podiatrist to diagnose this. X-rays may be taken, and labs ordered to make the diagnosis.

Answered Mar 3, 2019

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Dr. John Michalski answered

Specializes in Orthopedic Surgery

This is a crystalline deposition disease which is diagnosed with negative birefringent needle like crystals seen with polarized light. Serum uric acid levels may or may not be elevated. It affects many joints, includes swelling, pain, sensitivity, and erythema. Usually treat with uricosurics like Allopurinol maintenance or Colchicine for acute flares.

Answered Jun 24, 2014

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Dr. Ronald Oberman answered

Specializes in Podiatry

Is a disease caused by the over production or under excretion of uric acid the uric acid forms crystals in blood that can be deposited in a joint. The cooler the location( farther from heart: such as feet) , the more likely this may occur in a joint there. Can be treated and controlled with medication and diet.

Answered Jul 25, 2014

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Dr. Alan Wittenberg answered

Specializes in Podiatry

Gout, like diabetes, affects the entire body. It is an error in the metabolism of a substance called purines. The body cannot break this down enough to be expelled from the body. Purines stay in the body in the form of uric acid. When this getsto a high enough level, it forms crystals which get deposited in the joints-- usually one joint at a time, this can be controlled by medication.

Answered Jul 4, 2017

5.3k views

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Dr. Steven Sheskier answered

Specializes in Orthopedic Foot and Ankle Surgery

Gout is a condition caused by elevated uric acid in the blood. When the level gets high enough the uric acid can form crystals that inflame a joint causing it to be pain, swollen and hot. Typically in the great toe but can occur in the ankle, knee or elbow to name a few of the common joints. Elevated uric acid is caused by overproduction and decreased excretion. Internist and rheumatologist most hel.

Answered May 22, 2014

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Dr. Robert Greer answered

Specializes in Family Medicine

Uric acid can get in a joint , often the first joint of the big toe and cause pain, redness & swelling.Your dr has quick relief.

Answered Apr 19, 2020

5.3k views

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Dr. Ramachandran Srinivasan answered

Specializes in Rheumatology

Gout is recurrent attacks of acute inflammatory arthritis .Mp joint at big toe is the most affected .50% of cases. It can present as tophi, kidney stones, or urate nephropathy. It is due to elevated uric acid in the blood. The uric acid crystallizes and deposits in joints, tendons, and surrounding tissues causing inflammation

Answered Nov 27, 2017

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Dr. John Munshower answered

Specializes in Family Medicine

It is a medical condition usually characterized by recurrent attacks of acute inflammatory arthritis due to high levels of uric acid in the blood.

Answered Jan 1, 2023

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Dr. Ronald Krauser answered

Specializes in Rheumatology

Gout is an acute arthritis caused by irate crystals in a joint. It can also present with kidney stones.

Answered Mar 25, 2023

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Dr. Jeffrey Bowman answered

Specializes in

A very painful condition that is usually found in the big toe joint which has an abundance of uric acid crytals. Used to b called the rich mans disease due to the noble diet. Treated by strong antiinflamatory drugs then drugs to control the production of the uric acid crystals.

Answered Aug 20, 2015

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Dr. Ronald Krauser answered

Specializes in Rheumatology

Gout is an acute inflammatory arthritis due to the present of uric acid crystals in the joint. It may also be defined as having uric acid kidney stones.

Answered Jul 17, 2014

4.3k views

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Dr. Jonathan Hausmann answered

Specializes in Rheumatology

Gout is a chronic disease caused by deposition of uric acid crystals in the joints. This deposition causes acute episodes of joint swelling, redness, and pain, which can last for several days before it resolves on its own. Gout usually affects the great toe, but if left untreated, can affect other joints in the body.

Answered Aug 20, 2015

3.8k views

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Dr. Larry Greenbaum answered

Specializes in Internal Medicine - rheumatology

by the over accumulation of uric acid. Gout can cause acute attacks with severe pain, redness, and swelling (for men, especially common in the foot). If left untreated, it can cause chronic arthritis involving multiple joints.

Answered Nov 28, 2017

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Dr. Jeffrey Kass answered

Specializes in Podiatry

levls causing the uric acid to come out of the blood steam and crystalizes in spots that are in extremities. 75% of the time the first MPJ joint. Can also occur other spots like pinna of the ear.

Answered Jul 5, 2017

1.8k views

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Dr. Dean Giannone answered

Specializes in Internal Medicine

Gout comes from a problem with the body's handling of uric acid, leading to uric acid crystals accumulating in the fluid within joints. The body's inflammatory response to these crystals results in episodes of severe pain in the joints involved. Usually starts with a first episode at the base of the big toe; subsequent bouts can occur in other joints.

Answered Feb 14, 2017

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Dr. Darragh O'Carroll answered

Specializes in Emergency Medicine

Gout causes attacks of painful inflammation in one or more joints. It is a type of arthritis . The pain of a gout attack can be severe. Gout is caused by a chemical in the blood called uric acid that deposits in joints. Classically it will start in the great toe, but is also common in ankle and knees. Luckily, non narcotic pain relievers such as Ibuprofen and indomethacin are very effective.

Answered Nov 5, 2016

901 views

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Dr. Dean Giannone answered

Specializes in Internal Medicine

Gout comes from a problem with the body's handling of uric acid, leading to uric acid crystals accumulating in the fluid within joints. The body's inflammatory response to these crystals results in episodes of severe pain in the joints involved. Usually starts with a first episode at the base of the big toe; subsequent bouts can occur in other joints.

Answered Nov 5, 2016

901 views

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Dr. Parthiban Munnainathan answered

Specializes in Family Medicine

Hi, Thank you for your question. Pain and inflammation occur when too much uric acid crystallizes and deposits in the joints. Symptoms of gout include severe pain, redness, and swelling in joints, often the big toe. Attacks can come suddenly, often at night. During an acute attack, anti-inflammatory medications (NSAIDs) can help to relieve pain and shorten the length of the attack. Dr. M

Answered Nov 28, 2017

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Dr. Emran Rouf answered

Specializes in

It is an inflammation of joints where monosodium urate crystals get deposited in affected joints, ultimately causing acute joint pain with intermittent flare-up and can causechronic joint deformity over time. Many patients have high Uric acid level in blood. Obesity, alcohol, and certain food items that are rich in purines can trigger gout. Toes, ankles, knees are commonly affected

Answered Nov 27, 2017

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Dr. answered

Specializes in

Gout causes attacks of pain and swelling in one or more joints. An anti-inflammatory painkiller usually eases an attack quickly. Lifestyle factors may reduce the risk of having gout attacks. These include losing weight (if overweight), eating a healthy diet and not drinking much alcohol or sugar-sweetened soft drinks. If gout attacks come back then taking certain medicines such as allopurinol each

Answered Jun 11, 2017

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Dr. answered

Specializes in

Gout is a common painful form of arthritis (joint swelling or inflammation). It causes sudden bouts of severe joint pain and swelling, especially in your toes, knees, elbows, wrists and fingers. If left untreated, gout can cause serious damage to joints, kidneys and your quality of life. http://www.healthnavigator.org.nz/health-a-z/g/gout/ Check out

Answered Jun 11, 2017

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Dr. answered

Specializes in

Formation of urate crystals in the joints causes pain in the joints . This is called gout.

Answered Jun 11, 2017

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Dr. answered

Specializes in

Gout is a form of arthritis causing inflammation (swelling and pain) of the joints and can cause whitish lumps on the ears and elsewhere called tophi. It comes and goes, particularly in the toes. It is caused by a build up of uric acid which come from the diet. Kai moana in particular can be a problem but also beer and peas and other food. See http://www.healthnavigator.org.nz/health-a-z/g/gout/

Answered Dec 18, 2017

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Dr. Ronald Krauser answered

Specializes in Rheumatology

Gout is arthritis or kidney stone caused by uric acid crystals. The arthritis causes intense pain and swelling often involving the base of the big toe.

Answered Jul 25, 2014

3.9k views

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Dr. Jonathan Hausmann answered

Specializes in Rheumatology

Gout is a chronic disease caused by deposition of uric acid crystals in the joints. This deposition causes acute episodes of joint swelling, redness, and pain, which can last for several days before it resolves on its own. Gout usually affects the great toe, but if left untreated, can affect other joints in the body.

Answered May 8, 2016

3.8k views

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Dr. Andrew Malinchak answered

Specializes in Family Medicine

There are medications to treat acute attacks of gout and medicines to keep it under long term control. Also, there are certain foods (red meat, shellfish, organ meats, nuts/seeds) and alcohol can cause attacks.

Answered Feb 24, 2018

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Dr. Arnold Beresh answered

Specializes in Podiatry

You need to see a doctor who can prescribe proper medication to relieve the symptoms and reoccurance of the gout.

Answered Mar 2, 2015

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Dr. Michael Benjamin answered

Specializes in Hematology and Oncology

Flares can be managed with Colchicine and anti-inflammatory medicines. Reducing uric acid turnover with medications like Allopurinol is good for long-term control. A low-purine diet is also advisable. My site has more information on diets for diseases: http://whatsthedose.Com/diets.Html.

Answered Sep 23, 2016

5.7k views

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Dr. Joseph Rosin answered

Specializes in Internal Medicine

Briefly: gout is a specific condition related to the presence of uric acid crystals in joints and other locations. In the joints it is usually acutely painful, red and swollen . It can also can occur in the form of tophi which appear as lumps in the skin. Uric acid deposits can cause kidney stones. Usually the condition is from and overproduction or reduced excretion of uric acid.

Answered Jun 18, 2018

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Dr. Pierre Moeser answered

Specializes in Rheumatology

Gout is over accumulation of uric acid in the body. A gouty arthritis attack is one of the most severe joint pains possible. Other symptoms of gout can be kidney stones (also painful) or chalky deposits in the skin. Gout can cause joint deformity. Gout is a very treatable disease with dietary changes and medications.

Answered Apr 18, 2019

5.8k views

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Dr. Ronald Oberman answered

Specializes in Podiatry

Antiinflammatory medication will such as Ibuprofen or alleve will often relieve or improve pain. See a physician. A cortisone injection can also be performed by doc. Gout is a systemic condition where you are either over producing or underexcreting uric acid. Your physician will do blood, urine as well as other tests.You may need permanent medication.You need to stay away from foods that can cause.

Answered Sep 28, 2016

5.6k views

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Dr. Thomas Dowling answered

Specializes in Orthopedic Spine Surgery

This depends whether you have an acute case or not. If not acute, talk to your doctor about certain chronic medications like Allopurinol & diet modifications as well as adequate hydration. For acute attacks there are several medications like Colchicine and Indomethacin or steroids.

Answered Jun 25, 2014

5.6k views

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Dr. Jeffrey Kass answered

Specializes in Podiatry

Watch your diet, have uric acid brought to 6.0 or below. For an acute attack, hot water soaks, oral antiinflammatory pills, and if pain severe a local nerve block or steroid infiltration can help.

Answered Jan 23, 2019

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Dr. Clark Pillsbury answered

Specializes in Podiatry

Avoid red meat, red wine, beer, shell food, sea food, organ food. High blood pressure medicine can cause gout. Work with your medical doctor. Allopurinol may help control the uric acid level.

Answered Jan 23, 2019

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Dr. Jeffrey Kass answered

Specializes in Podiatry

So they can treat you. Uric acid levels need to be controlled. If there is an acute attack these are painful and treatment can be initiated.

Answered Sep 28, 2016

5.6k views

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Dr. Stratos Christianakis answered

Specializes in Rheumatology

My advice is to see a rheumatologist for a full consultation on options. First thing is to cut out alcohol and red meat, and avoid triggering factors (diuretics).

Answered Apr 2, 2014

5.4k views

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Dr. Arthur Mandelin answered

Specializes in Rheumatology

Despite the common advice about diet restrictions, most gout sufferers cannot control the disease with diet alone. Several medications are available, which usually work very well.

Answered Oct 4, 2016

5.4k views

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Dr. David Hettinger answered

Specializes in Podiatry

Increase your fluid intake, rest the joint, avoid purine-high foods and alcohol, especially beer. If you have any meds from a previous flare-up, take them. If you don't have any left you can use otc Naproxen (1, 500mg per day maximum). ..And get to your doctor as soon as possible!

Answered Jun 30, 2014

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