11 doctors weighed in:

How do you get tested for gout?

11 doctors weighed in
Dr. John Goldman
Internal Medicine - Rheumatology
4 doctors agree

In brief: Urate crystals

In the joint it is urate crystals not uric acid.
The urate salt precipitates in the joint. Identifying the monosodium urate crystalsthe smoking gum to diagnose gout. As a rheumatologist were like this way to guarantee the patient needs long term therapy and the risks this may involve. In the urine that is where we find uric acid crystals, not in the joint during a gout attack.

In brief: Urate crystals

In the joint it is urate crystals not uric acid.
The urate salt precipitates in the joint. Identifying the monosodium urate crystalsthe smoking gum to diagnose gout. As a rheumatologist were like this way to guarantee the patient needs long term therapy and the risks this may involve. In the urine that is where we find uric acid crystals, not in the joint during a gout attack.
Dr. John Goldman
Dr. John Goldman
Thank
Dr. Timothy Ashley
Internal Medicine & Pediatrics
3 doctors agree

In brief: Get fluid from joint

The most reliable way to test for gout is for your doctor to get fluid from an affected joint and to examine it using special microscopic techniques- a type of crystal called uric acid causes gout and can be seen.
If fluid cannot be taken, some doctors will check uric acid in the blood. High levels support the diagnosis, but cannot ensure that the urate is causing the joint pain.

In brief: Get fluid from joint

The most reliable way to test for gout is for your doctor to get fluid from an affected joint and to examine it using special microscopic techniques- a type of crystal called uric acid causes gout and can be seen.
If fluid cannot be taken, some doctors will check uric acid in the blood. High levels support the diagnosis, but cannot ensure that the urate is causing the joint pain.
Dr. Timothy Ashley
Dr. Timothy Ashley
Thank
1 comment
Dr. Angus Worthing
Agree with Dr. Ashley. Also, in some cases your doctor can establish a diagnosis based on asking certain questions about how quickly joint pain started, and whether there was redness and swelling. Diagnostic xrays are helpful in advanced cases. Some doctors use ultrasound also.
Dr. Angus Worthing
Internal Medicine
2 doctors agree

In brief: Multiple ways

Two ways to diagnose gout: simply having a history and physical possibly with xray and blood test, or this plus a needle aspiration of fluid extracted from the inflamed joint which can prove gout crystals are the cause of pain.
Most people can be diagnosed based on history/ physical.

In brief: Multiple ways

Two ways to diagnose gout: simply having a history and physical possibly with xray and blood test, or this plus a needle aspiration of fluid extracted from the inflamed joint which can prove gout crystals are the cause of pain.
Most people can be diagnosed based on history/ physical.
Dr. Angus Worthing
Dr. Angus Worthing
Thank
Dr. PHILIP WALLER
Internal Medicine - Rheumatology

In brief: EXAM/LABS/TESTS

The classic symptoms of gout include the quick onset of pain, redness, swelling, and warmth to a the joint most commonly involved is the big toe.
Oher joints can be involved, so a physical exm is important. Lab testing can show a high uric acid level. The most definitive test is taking fluid out of a joint with a needle and analyzing it with a microscope for uric acid. I hope this helps.

In brief: EXAM/LABS/TESTS

The classic symptoms of gout include the quick onset of pain, redness, swelling, and warmth to a the joint most commonly involved is the big toe.
Oher joints can be involved, so a physical exm is important. Lab testing can show a high uric acid level. The most definitive test is taking fluid out of a joint with a needle and analyzing it with a microscope for uric acid. I hope this helps.
Dr. PHILIP WALLER
Dr. PHILIP WALLER
Thank
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