GOUT Symptoms, Causes and Treatment

Do you suffer from GOUT pain, if so please call 713-482-8538

Gout is a kind of arthritis that occurs when uric acid builds up in the joints.

- Acute gout is a painful condition that typically affects one joint.
- Chronic gout is repeated episodes of pain and inflammation, which may involve more than one joint.

Causes, incidence, and risk factors

Gout is caused by having higher-than-normal levels of uric acid in your body. Your body may make too much uric acid, or have a hard time getting rid of uric acid. If too much uric acid builds up in the fluid around the joints (synovial fluid), uric acid crystals form. These crystals cause the joint to swell up and become inflamed.

Not everyone with high uric acid levels in the blood has gout.

The exact cause is unknown. Gout may run in families. It is more common in males, postmenopausal women, and people who drink alcohol. People who take certain medicines, such as hydrochlorothiazide and other water pills, may have higher levels of uric acid in the blood.

GOUT may also develop in people with:
- Diabetes, Kidney Disease, Obesity, Sickle cell anemia and other hemolytic anemias, Leukemia and similar types of disorders

The condition may occur after taking medicines that interfere with the removal of uric acid from the body.

Symptoms

Acute Gout attacks:
- Symptoms develop suddenly and usually involve only one or a few joints. The big toe, knee, or ankle joints are most often affected.
- The pain frequently starts during the night and is often described as throbbing, crushing, or excruciating.
- The joint appears warm and red. It is usually very tender (it hurts to lay a sheet or blanket over it).
- There may be a fever.
- The attack may go away in several days, but may return from time to time. Additional attacks usually last longer.

After a first gouty attack, it has been found that people show no symptoms and some of them will go months or even years between gouty attacks. Some People may develop chronic gouty arthritis, but others may have no further attacks. Those with chronic arthritis develop joint deformities and loss of motion in the joints. They will have joint pain and other symptoms most of the time.
After one gouty attack, more than half of people will have another attack.

Tophi are lumps below the skin around joints or in other places. They may drain chalky material. Tophi usually develop only after a patient has had the disease for many years.

Signs and tests

- Synovial fluid analysis (shows uric acid crystals)
- Uric acid - blood
- Joint x-rays (may be normal)
- Synovial biopsy
- Uric acid - urine

If you have questions and or suffering from GOUT, we may be able to help.

feel free to call 713-484-6947 or 713-482-8538

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