Gout is characterized by sudden attacks of pain, swelling,
and redness in one or more joints, more commonly the big toe. The symptoms of
gout may come and go. The painful attack usually starts at night, often in the
big toe. Other joints may also be affected.
It is important to get treatment as soon as you can in order
to stop the joint swelling and pain. See a physician if you have sudden severe
joint pain or hot, swollen, red skin over the affected joint.
Chronic gout can cause white lumps (tophi) under the skin,
usually on the ears or elbows. This painful buildup of urate crystals under the
skin can be very painful. Over time, the bone around a joint may be destroyed,
leading to joint deformity, loss of mobility or range of motion, and bone loss.
You may also develop kidney stones or chronic kidney disease.
Treatment of gout flares is usually short-term and limited. NSAIDs
work to reduce swelling in the joint. Oral medications may be prescribed for gout
flares such as colchicine but care must be taken for people with kidney
problems. Steroid medications or glucocorticoids are also used for gout flares.
Your physician will then work to taper your dose. Medications that lower urate
levels may also be prescribed such as allopurinol, probenecid, losartan, and the
like. Dietary and lifestyle changes may also be recommended.
These medications along with lifestyle changes may lower
urate levels over time. However, these medications may cause side effects such
as stomach upsets, headaches, dizziness, rashes, heart and kidney problems, and
increased blood pressure.
The more uric acid builds up, the more risk of permanent
damage to your bones and joints. If you have chronic gout, see us at any of our
offices across SWFL for an evaluation.
