Gout

Gout is an inflammatory reaction caused by a build up of crystals in the joints. It is a type of arthritis.

It is quite often seen in the big toe, but it can also affect the ankles, knees, hands, wrist or elbows. Gout is treatable and affected joints will usually return to normal after an attack.

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What happens?

Gout is caused when uric acid accumulates in the joints and causes inflammation. Uric acid is a waste product of the body which is normally passed out in the urine.

It occurs because some people do not pass out enough uric acid or they produce too much of it in the first place. When uric acid builds up in the body it can form crystals in and around joints, which leads to inflammation and pain.

How will it affect me?

Your joints will become swollen, red and extremely painful. An attack will usually only last for a few days. The joints will return to normal in most people.

How is it treated?

There are several ways in which you can make yourself feel better. Anti-inflammatory drugs will ease the inflammation and pain. You should not take aspirin because this increases the levels of uric acid in the body.

It is important to visit your GP as some people will require drugs to lower the uric acid levels in their body.

What can you do?

To prevent further attacks of gout you should consider:

• losing weight if you are overweight, and generally keeping fit
• limiting your alcohol intake as alcohol can increase the uric acid levels
• avoiding certain foods, such as red meat (particularly offal such as liver and kidneys) which can also increase uric acid levels

The Arthritis Care Helpline is available to answer any specific questions you may have on all aspects of gout and arthritis.