Dr. Kevin Lam* Dr. Wesley Drew Chapman * Dr. Isin Mustafa
Dr. Patrick Bartholomew * Dr. Lauren Pelucacci * Dr. Sahiba Singh
Dr. Joseph Altepeter * Dr. Lori DeBlasi * Dr. Robert Bello
Treatment of Chronic Gout
Gout causes pain in swelling in one or more joints, more commonly the big toe. It is a form of inflammatory arthritis that is caused by buildup of uric acid.
People are more likely to get gout if they have diabetes, congestive heart failure, hypertension, kidney disease, obesity, and family history of gout. Other risk factors include a diet high in animal proteins, and on diuretics.
Gout attacks can happen frequently or may take years between episodes. These can happen over and over again in the same joint or in different joints.
There are different types of medications available for gout. For instance, NSAIDs are used to reduce pain and swelling, as well corticosteroids and colchicine. Some medications lower the level of uric acid in the body to prevent episodes of gout such as allopurinol. It is important to note that if gout is not treated, attacks may become more frequent and last longer.
Untreated gout can lead to permanent damage. Over time, uric acid builds up in the joints and soft tissue called tophi. You may also develop other health issues such as kidney stones, heart disease, and severe arthritis.
When gout continues to flare up even though you are taking anti-inflammatories to treat flare symptoms and a daily oral medication to lower your uric acid levels, this is a sign that your gout is chronic and out of control.
If you have gout that does not respond to the usual medications, see us today for evaluation.
CHD, coronary heart disease; PAD, peripheral arterial disease; PVD, peripheral vascular disease; sUA, serum uric acid
Negative effects of gout on the heart, kidneys, joints
Some people may experience recurrent gout. If left untreated, there can be deposits of urate crystals under the skin nodules called tophi, commonly found in the fingers, hands, feet, Achilles tendon, and the backs of the ankles. Urate crystals may also collect in the urinary tract of people with gout, eventually causing kidney stones.
People with gout have also been found to have higher risk of cardiovascular disease. Hyperuricemia is associated with endothelial dysfunction, which may contribute to risk of heart disease.
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