HealthSheets™


What is Gout?

Gout is a disease that affects the joints. If not treated, it can lead to painful foot and joint deformities. It may lead to kidney problems. But, by treating gout early, you can ease pain and help prevent future problems. Gout can usually be treated with medicine and a change in diet. In severe cases, surgery may be needed.

What causes gout?

Gout is caused by too much uric acid . This is a waste product made by the body. Uric acid is excreted by the kidneys. If the uric acid level in your blood rises too high, it may form crystals. These collect in the joints. This brings on a gout attack. A gout attack is inflammation in the joints that can cause sudden pain and swelling. If you have many gout attacks, crystals may form large deposits called tophi. Tophi can damage joints and cause deformity.

Top view of foot showing bones of the foot with a gout inflammation and uric acid crystals.

Who's at risk for gout?

We understand gender is a spectrum. We may use gendered terms to talk about anatomy and health risk. Please use this information in a way that works best for you and your provider as you talk about your care.

Men are more likely to have gout than women. Women may have gout, but more often after menopause. Some health problems make gout more likely. These include obesity and high cholesterol. And some medicines can trigger a gout attack. These include water pills (diuretics). People who drink a lot of alcohol are at high risk for gout. Some foods can trigger a gout attack.

Things that may trigger a gout attack

  • Alcohol, especially beer, but also red wine and spirits

  • Some meats such as red meat, processed meat, turkey

  • Organ meats such as kidney, liver, sweetbread

  • Shellfish such as lobster, crab, shrimp, scallops, mussels

  • Some fish such as anchovies, sardines, herring, mackerel

Treatment

  • Make lifestyle changes. These include weight loss, exercise, and quitting tobacco use.

  • Limit certain foods and drinks. Reduce your intake of the foods and drinks listed above that may trigger a gout attack. Don't eat or drink things with high fructose corn syrup. This is found in many foods. It's in some sodas and energy drinks.

  • Ask about your medicines. Some medicines may contribute to gout. This includes diuretics. Talk to your provider about other options.

  • Try medicines to reduce the amount of uric acid in the blood. These include allopurinol, probenecid, febuxostat, and lesinurad.

  • Take medicines to treat sudden gout attacks. These include NSAIDs (nonsteroidal anti-inflammatory drugs), steroids, and colchicine.

© 2000-2022 The StayWell Company, LLC. All rights reserved. This information is not intended as a substitute for professional medical care. Always follow your healthcare professional's instructions.
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