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

What is Gout and What Causes It?

Gout is a form of inflammatory arthritis. It is fairly common condition that is very painful. It usually attacks one joint, more commonly the big toe. It may also be found in other joints such as the hand, wrist, elbow, knee, and ankle.

Symptoms in the affected joint/s may include

Intense pain in one or more joints

Swelling in and around the affected joint

Red, shiny skin over the affected joint

Heat and tenderness in the joint

Limited range of motion in more advanced cases

There are times when the symptoms get worse, which is known as gout flares while there are times that there are no symptoms. If gout remains uncontrolled, there may be repeated bouts that can lead to gouty arthritis, a worsening form of arthritis. 

Gout is caused by a condition known as hyperuricemia, which happens when there is too much uric acid in the body. Uric acid is a breakdown product of purines from the food we eat. The crystallization of uric acid in the joints cause the pain attacks and may lead to kidney stones as well. 

Gout symptoms may come and go but there are some ways to manage symptoms and prevent gout flares. Maintaining adequate fluid intake may help curb attacks. Dietary changes such as avoiding purine rich foods may also help. 

Certain medications may reduce the pain and inflammation of gout attacks. These include NSAIDs, colchicine, and corticosteroids. Other drugs work to decrease the level of uric acid in the blood and prevent uric acid deposits in the joints such as allopurinol, probenecid, febuxostat, and lesinurad. Newer drugs are being developed to manage chronic gout. 

If you experience sudden and intense pain in your joint, seek medical care as soon as possible. Untreated gout can lead to worsening pain and joint damage. Gout comorbidities include sleep problems, mental health problems, diabetes, heart disease, kidney disease, tophi, and bone loss. 

If you have chronic gout, contact us to find out more information.

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. 

 The Arthritis Foundation reported that well over half - around 60 percent - of patients will experience a second round of gout within 12 months, while a vast majority of patients - nearly 85 percent - will complain of the condition again in the ensuing three year period after their first attack. 
9 convenient locations throughout Collier, Lee, Charlotte, and Sarasota Counties

We have 9 convenient locations throughout Collier, Lee, Charlotte, and Sarasota Counties

FFLC Naples
730 Goodlette Rd, Suite 102 Naples, FL 34102

FFLC North Naples
840 111th Avenue, Suite 3 Naples, FL 34108

FFLC Estero
21401 Corkscrew Village Lane, Suite 4, FL 33928

FFLC Cape coral
530 S.E. 16th Place, Suite A
Cape coral, FL 33990

FFLC East Naples / Marco Island

12250 Tamiami Trail East, Suite 101
Naples, FL 34113

FFLC Ft. Myers @ International Blvd
6846 International Center Blvd.
Suite B
FT Myers, FL 33912

FFLC @ Colonial Blvd
1645 Colonial Blvd
 Fort Myers, FL 33907

FFLC Port Charlotte
3161 Harbor Blvd, Suite B
Port Charlotte, FL 33952

FFLC Port Charlotte
Call Today: 239 430 3668 (FOOT)
Self Service # 844-889-1725
Fax: 239 692 9436