Gout is a type of inflammatory arthritis caused by the accumulation of uric acid crystals in the joints, leading to sudden and severe pain, swelling, redness, and tenderness. Uric acid builds up when the body produces it in excess or fails to excrete it efficiently through the kidneys. Common triggers include a diet high in purines (found in red meat, shellfish, and alcohol), dehydration, obesity, and certain medical conditions like hypertension. Gout typically affects the big toe but can also occur in other joints such as the ankles, knees, elbows, or fingers.
Attacks often occur suddenly, frequently at night, and can last for days to weeks if untreated. Recurrent gout can lead to chronic joint damage and the formation of tophi, hardened deposits of uric acid under the skin.
Treatment and pain management for gout focus on relieving acute attacks and preventing future episodes. During an acute attack, nonsteroidal anti-inflammatory drugs (NSAIDs), colchicine, or corticosteroids are commonly prescribed to reduce pain and inflammation. Resting and elevating the affected joint, along with applying ice packs, can also help alleviate symptoms. Long-term management aims to lower uric acid levels to prevent flare-ups and joint damage. Medications can reduce uric acid production, while some drugs can enhance its excretion. Lifestyle changes, including a lowpurine diet, weight management, hydration, and reducing alcohol intake, play a crucial role in managing gout. Regular check-ups and adherence to treatment plans can help individuals maintain joint health and prevent complications.
