• Skip to main content
  • Skip to footer
Call Us (508) 587-0700
  • Patient Forms
  • Request an Appointment
Associates in Nephrology, PC
  • Home
  • Offices
    • Brockton, MA
    • Taunton, MA
  • Kidney Centers
    • Brockton Regional Kidney Center
    • Brockton Dialysis Center
    • Taunton Regional Dialysis Center
  • Our Providers
    • Dr. Allan Lauer
    • Dr. Daniel Bohl
    • Dr. Ian Wu
  • Conditions
    • Chronic Kidney Disease
    • Hypertension
    • Electrolyte Disorders
    • Kidney Stones
    • Glomerulonephritis
    • End-Stage Kidney Disease
    • Kidney Transplant
    • Renal Failure
  • Contact Us

Gout

Back to Patient Education
  • Introduction
  • Anatomy
  • Causes
  • Symptoms
  • Diagnosis
  • Treatment
  • Prevention
  • Am I at Risk
  • Complications

Introduction

Gout is a disorder that can cause sudden joint pain.  It occurs most commonly in the big toe, although it may affect other joints.  The buildup of uric acid, a substance found naturally in the body and in certain foods, causes gout.  Episodes of gout tend to come and go.  Symptoms are treated with medications to ease pain and decrease inflammation.  Measures can be taken to help prevent gout in some cases.
Back to top

Anatomy

Uric acid is a natural substance that is found in the body.  The body uses uric acid to help break down purines, a substance found in the body and in certain foods, such as organ meats, mushrooms, and anchovies.  The kidneys eliminate uric acid in urine.  A build-up of uric acid can occur if the kidneys do not remove enough of it or if the body over produces it.  An excess of uric acid can lead to the formation of urate crystals.  The urate crystals in joints cause pain and inflammation.
Back to top

Causes

Gout is a type of arthritis that is caused by an excess of uric acid in the body.  The surplus of uric acid causes needle-shaped urate crystals to form in the joints or surrounding tissues. The urate crystals cause pain and inflammation.

Back to top

Symptoms

Gout usually begins with sudden symptoms, frequently during the night.  Gout most commonly develops in the big toe, but it can also occur in almost any joint.  Gout causes significant pain and tenderness.  The joint may appear red and swollen.
Back to top

Diagnosis

You should contact a doctor, such as a podiatrist, if you suspect that you have gout in your foot.  Diagnosis and treatment are necessary to prevent joint damage. A doctor can diagnose gout by examining your joint and conducting some tests. 
 
A joint fluid test is used to determine if urate crystals are in your joint fluid.  Your doctor will use a needle to draw fluid from your joint for testing.  Blood tests are used to test for the amount of uric acid in your blood.  Your doctor will interpret the results of these tests to confirm a diagnosis of gout.
Back to top

Treatment

Gout is treated with medications to relieve pain and inflammation, such as non-steroidal anti-inflammatory drugs, colchicine, and steroids.  Your doctor may prescribe medications to decrease uric acid production in your body or to help your body remove uric acid.  It may be helpful to limit foods that contain purines, such as red meat, and avoid drinking alcohol.  It may be helpful to drink plenty of water to help the kidneys eliminate uric acid.
Back to top

Prevention

You may help prevent gout by avoiding alcohol. 

Avoid eating foods that are high in purines and limit the amount of protein from meat that you eat to about 5 or 6 ounces per day.

Back to top

Am I at Risk

Gout most frequently develops in men between the ages of 40 and 50 years.  Women who develop gout tend to do so after menopause when their levels of uric acid rise.  Gout can be hereditary; meaning, if other people in your family have gout, your risk for the condition is increased.

Risk factors for gout include:
• Consuming alcohol
• High blood pressure
• High cholesterol and high triglycerides
• Diabetes
• Arteriosclerosis- Narrowing of the arteries
• Low-dose aspirin
• Certain diuretic medications (thiazide diuretics) and anti-rejection medications for organ transplant recipients
Back to top

Complications

In addition to causing gout, a build-up of uric acid can cause kidney stones.  Untreated gout can lead to advanced gout, which is associated with nodules of urate crystals that form under the skin (tophi).  For some people, gout is a recurring condition that happens several times a year.

Back to top

Copyright ©  - iHealthSpot Interactive - www.iHealthSpot.com

This information is intended for educational and informational purposes only. It should not be used in place of an individual consultation or examination or replace the advice of your health care professional and should not be relied upon to determine diagnosis or course of treatment.

The iHealthSpot patient education library was written collaboratively by the iHealthSpot editorial team which includes Senior Medical Authors Dr. Mary Car-Blanchard, OTD/OTR/L and Valerie K. Clark, and the following editorial advisors: Steve Meadows, MD, Ernie F. Soto, DDS, Ronald J. Glatzer, MD, Jonathan Rosenberg, MD, Christopher M. Nolte, MD, David Applebaum, MD, Jonathan M. Tarrash, MD, and Paula Soto, RN/BSN. This content complies with the HONcode standard for trustworthy health information. The library commenced development on September 1, 2005 with the latest update/addition on February 16, 2022. For information on iHealthSpot’s other services including medical website design, visit www.iHealthSpot.com.

Footer

  • Request an Appointment

    REQUEST AN APPOINTMENT

    Can’t call us right now? Submit an online request instead.

    Learn More
  • PATIENT EDUCATION

    PATIENT EDUCATION

    Discover more in our interactive patient library.

    Learn More
  • OUR BLOG

    OUR BLOG

    Get helpful tips & the latest news on kidney care.

    Learn More
  • Home
  • Offices
  • Kidney Centers
  • Our Providers
  • Conditions
  • Contact Us
  • Request an Appointment
  • Accessibility Statement
  • HIPAA Privacy Policy
  • Sitemap
Copyright © · Associates in Nephrology, PC · All Rights Reserved
iHealthspot Medical Website Design and Medical Marketing by iHealthSpot.com

Our kidney care specialists at Associates in Nephrology specialized training and experience needed to diagnose and treat kidney conditions such as Chronic Kidney Disease, Electrolyte Disorders, End-Stage Kidney Disease, Glomerulonephritis, Hypertension, Kidney Stones, Kidney Transplant, and Renal Failure. Contact us at (508) 587-0700 or request an appointment online to visit our kidney centers.