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Doctor insights on: Gout

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Dr. Pierre Moeser
912 Doctors shared insights

Gout (Overview)

Occurs when too much uric acid gets deposited in a joint. Lifestyle factors like red meat and alcohol can play a role.


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What are the symptoms of gout?

What are the symptoms of gout?

Usually joint pain: A gout attack is one of the most severe joint pains that you can experience. The most common site is the big toe. Other symptoms of gout can be kidney stones (also painful) or chalky deposits in the skin (painful if large and draining through the skin). Gout can cause joint deformity. The good news is that gout is a very treatable disease with dietary changes and medications. ...Read more

Dr. Pierre Moeser
912 Doctors shared insights

Gout (Overview)

Occurs when too much uric acid gets deposited in a joint. Lifestyle factors like red meat and alcohol can play a role.


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What are the tests for gout?

What are the tests for gout?

Blood work: Blood work for uric acid level is the most common.
A joint aspiration could also be done with sending the material to the lab to see if crystals exist. ...Read more

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Gout (Tip)

Want to get rid of painful gout, eat fresh raw foods and cut out the sausage and beer! ...See more

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What are some treatments for gout?

Gout: Control your diet to avoid foods high in purines. Limit your use of alcohol and aspirin. Get tested for food sensitivities and avoid those foods as well. Drink plenty of water. If your uric acid cannot be controlled naturally, then Allopurinol should be able to. ...Read more

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What increases the risk of developing gout?

What increases the risk of developing gout?

Diet, medications: High purine diet, certain medications as well as other systemic conditions. ...Read more

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Gout (Tip)

Start allopurinol, normalize uric acid levels and you will not have to deal with gout. ...See more

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Is gout a symptom of CKD or does it cause ckd?

Is gout a symptom of CKD or does it cause ckd?

Either is possible: Gout with accompanying hyperuricemia can cause kidney disease (uric acid nephropathy). It can also be due to kidney disease, as a decline in kidney function is often associated with increased uric acid levels. Anyone with gout should have there kidney function checked regularly. A nephrologist is usually skilled to detect which is the primary disorder. ...Read more

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Gout (Tip)

Treatment with Allopurinol or uloric is mandatory for virtually all patients! ...See more

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What are the symptoms of gout?

Usually joint pain: A gout attack is one of the most severe joint pains that you can experience. The most common site is the big toe. Other symptoms of gout can be kidney stones (also painful) or chalky deposits in the skin (painful if large and draining through the skin). Gout can cause joint deformity. The good news is that gout is a very treatable disease with dietary changes and medications. ...Read more

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What are telltale signs of gout?

What are telltale signs of gout?

Swollen joint: A hot red swollen joint what comes on rather suddenly without trauma. It usually happens in the big toe joint but can happen in any joint in the body.

It hurts to move or touch the joint, ice can make it feel better until you see your podiatrist for a prescription to reduce the inflamation. ...Read more

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Gout (Tip)

Reduce protein intake. Stay away from alcohol. ...See more

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Why are doctors reluctant to diagnose gout?

Why are doctors reluctant to diagnose gout?

We are not, usually.: Gout can mimic a number of other diseases including osteoarthritis, rheumatoid arthritis, and infected joint (an emergency). While gout classically affects the big toe, it can affect other joints or many joints at once. Labs/exam may not always be enough to diagnose. The most accurate way to diagnose gout is to collect fluid from the joint and analyze it under a certain type of microscope. ...Read more

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What causes gout?

What causes gout?

Uric Acid: Accumulation of utica acid in the joints and soft tissues from high serum levels. Although genetic it can be aggravated by certain diets. ...Read more

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Husband once told by doctor he has gout but refuses to get gout blood test. I heard gout if left untreated can harm other joints, is this true?

Husband once told by doctor he has gout but refuses to get gout blood test. I heard gout if left untreated can harm other joints, is this true?

Yes: Blood tests do not diagnose gout. Finding urate crystals in joint fluid does. Failure to treat gout leads to irreversible joint damage, kidney damage and stones and arteriosclerosis. You husband is playing with fire. If he has gout he needs to be treated with daily Allopurinol to normalize the serum uric acid level and prevent these issues. ...Read more

Dr. Ronald Krauser Dr. Krauser
4 other doctors agreed
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Gout (Tip)

You do not have to live with it. Take Allopurinol regularly to prevent attacks. ...See more

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What are the tests for gout?

Blood work: Blood work for uric acid level is the most common.
A joint aspiration could also be done with sending the material to the lab to see if crystals exist. ...Read more

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How do you know if you have gout or not?

Get Evaluated: Gout is diagnosed by history physical exam and aspiration of the swollen joint. The fluid is then examined, if it has uric acid crystals this confirms the diagnosis of gout. ...Read more

Dr. Thomas Namey Dr. Namey
1 other doctor agreed
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Gout (Tip)

Very few cases can be diet managed. Most people will require Allopurinol or uloric! Diet can help! ...See more

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I'm 29 and my uric acid is 8.2 and I get pain in my legs especially when I sleep. Does it mean I got gout disease? What is best cure for it?

I'm 29 and my uric acid is 8.2 and I get pain in my legs especially when I sleep. Does it mean I got gout disease? What is best cure for it?

No.: Gout does not generally give symptoms like that. Sounds like you have another problem. You didn't elaborate, but you may have cramps or restless legs syndrome or another entity. Your uric acid level is mildly elevated. It is associated with gout but certainly not causative.

Try non steroidal such as Ibuprofen 400 mg before bed to see if it helps. You might add 325 mg acetominophen if needed. ...Read more

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What is the best way to treat gout?

Be pro-active: Watch your diet (avoid triggers)
take medications to prevent uric acid levels from rising. ...Read more

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Gout (Tip)

Watch your diet! Talk to your doctor about preventative measures. Be proactive about symptoms. ...See more

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How is gout treated?

With medication: Antiinflammatories, and Colchicine are used to address the pain and inflammation of the [acute] gout attack. Allopurinol is commonly used to control uric acid levels. There are other options available as well- talk to your doctor. ...Read more

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Is colchicine recommended for treating gout?

Yes......: However there are other medicines that may be better. Treatment of an acute gouty flare is different that that for prevention of these. See your primary care doctor to see what medicine or combinations of medicine is best for you. ...Read more

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Best gout treatment?

Best gout treatment?

Depends: There are several really good treatments for gout. If you are in an active flare, and your kidneys are good, and you are not at risk for an ulcer, indomethocin is very effective and inexpensive. Just be sure to take it with food. If you are not immunocompromised in any way Colchicine is another good treatment, and inexpensive too. If you develop diarrhea stop it right away. Prevention is best! ...Read more

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What are some good treatments for gout?

What are some good treatments for gout?

Diet, meds: Aside from changing diet and possible medications causing gout, the two common drugs to lower uric acid are Allopurinol and uloric. Rarely, probenecid is used. A new infusion, krystexxa, (pegloticase) is necessary very rarely. During flares, anti-inflammatories, ice and rest are helpful. A rheumatologist treats this kind of arthritis. ...Read more