All About Gout

A disease often linked to poor diet and excess body weight, gout has a long history. Accounts of gout cases go back thousands of years. Historically, it was common among royalty and other wealthy classes, who could afford to eat diets that put them at risk. For this reason, gout is often referred to as "the disease of kings." And since many Americans nowadays eat diets that are in many ways similar to those of history's kings, it's no surprise that gout is making a comeback.

In many people with gout, the first sign of the condition is severe pain, swelling, and redness in the big toe. Pain and inflammation can also occur in the feet, ankles, knees, wrists, fingers, or elbows. Usually the pain becomes severe over a matter of hours and resolves over several days. Gout is more common in men than women, and it affects older people more often than the young.

This disease is caused by a buildup of excess uric acid in the body. Normally, uric acid is eliminated by the kidneys, but when the body produces too much uric acid, or when the kidneys aren't excreting it well because of impaired kidney function, the excess uric acid can form crystal deposits in the joints, resulting in pain and swelling.

Excess weight, high blood pressure, and excess alcohol consumption (particularly beer and distilled spirits) have all been associated with an increased risk of gout. High consumption of meats and fish may also contribute. Certain medications may also be associated with a higher risk of gout. These include diuretics, aspirin, and other drugs containing salicylic acid, niacin, cyclosporine (used to prevent rejection after a transplant), and levodopa (for Parkinson's disease).

To confirm that gout is the cause of pain and inflammation, your doctor may need to use a needle to take a fluid sample from the affected area. This sample is then sent to a lab and tested for the presence of uric acid crystals. Gout is usually, but not always, associated with elevated levels of uric acid in the blood. But a high level of uric acid on a blood test alone is not sufficient to confirm the diagnosis of gout. If gout is diagnosed, medications are available to help reduce the number and severity of gout attacks and should be taken as directed. In addition, adopting a healthy, balanced diet with moderate amounts of meat and fish, limiting alcohol consumption, drinking plenty of water, and losing excess weight can also help to control gout symptoms.

If you suspect you may have gout, schedule an appointment with your doctor today. You don't have to just live with the pain.