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Gout — Symptoms, Care & Specialists | Needsdoctor
Joints • Rheumatology

Gout

Gout is an inflammatory arthritis caused by uric-acid crystal deposition. Flares often begin suddenly—commonly at the big toe—with intense pain, redness, warmth, and swelling. Management includes rapid flare treatment, longer-term urate lowering when indicated, and attention to triggers and lifestyle.

Overview

Gout is a metabolic/inflammatory arthritis due to monosodium urate crystals. The first attack often involves the big toe (podagra), but ankles, knees, mid-foot, wrists, and elbows may be affected. Untreated, recurrent flares can lead to chronic arthritis and tophi.

Common Symptoms

  • Sudden, severe joint pain—often at night or early morning.
  • Redness, warmth, marked swelling, and extreme tenderness.
  • Limited range of motion during a flare.
  • Between flares, symptoms may fully resolve.

Typical Triggers

  • High-purine foods (certain red meats, organ meats, some seafood), heavy alcohol (especially beer/spirits).
  • Dehydration, crash diets/fasting, and high-fructose beverages.
  • Medications that raise uric acid (e.g., some diuretics); medical conditions (CKD, metabolic syndrome).

Testing & Treatment

Diagnosis is clinical and/or by crystal analysis; uric-acid levels help guide long-term care. Flare treatment may include NSAIDs, colchicine, or corticosteroids as prescribed. For recurrent flares, tophi, or urate nephrolithiasis, long-term urate-lowering therapy (e.g., allopurinol) is considered—titrated to target serum urate.

See a clinician promptly for a suspected flare—early treatment shortens duration and pain.

Diet & Lifestyle

  • Hydrate well; favor whole foods; limit alcohol (especially beer/spirits) and high-fructose drinks.
  • Moderate portions of red meat/seafood; avoid organ meats; emphasize vegetables, legumes, dairy (if tolerated).
  • Maintain healthy weight with gradual loss if indicated; regular low-impact activity between flares.

Ayurvedic Perspective (Supportive)

Traditional routines may support comfort—warm, easily digestible meals, adequate rest, gentle movement and stress-reduction practices. These measures can complement care but do not replace evidence-based medical therapy for gout. Discuss herbs/supplements with your clinician to avoid interactions.

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