RM
1
Moderate severity
· Orthopedics
Gout
Uric acid crystal arthritis
Uric acid crystals deposit in joints — classically the big toe — causing sudden severe pain. Modern preventive therapy keeps it from coming back.
At a glance
- Prevalence
- Rising with rich diets
- Typical age
- Men 30+, post-menopausal women
- Outlook
- Curable, prevent recurrence
- System
- Bones
Reviewed by a practising orthopedics doctor
What causes it
Causes
- High purine intake (red meat, organ meat)
- Alcohol, especially beer
- Sweetened beverages, fructose
- Obesity, metabolic syndrome
- Diuretics, kidney disease
How it feels
Symptoms & effects
- Sudden severe joint pain
- Red, hot, swollen big toe
- Lasts days, resolves
- Tophi (chalky lumps) in chronic
- Kidney stones in some
How it’s treated
Treatment & cure
- Colchicine, NSAIDs, steroid in acute
- Allopurinol for prevention
- Febuxostat alternative
- Treat hypertension, kidney function
- Hydration
Staying ahead
Prevention
- Limit red meat, organ meat
- Avoid beer and sugary drinks
- Maintain healthy weight
- Plenty of water
- Treat metabolic syndrome
Do’s
- Take allopurinol daily, lifelong
- Drink 2–3 L water daily
- Eat cherries, low-fat dairy
- Treat the first attack — don't ignore
Don’ts
- Start allopurinol during a flare
- Drink beer 'just at parties'
- Skip prevention because attacks are rare
- Use aspirin (raises uric acid)
See a doctor immediately if
Symptoms are sudden or severe, getting worse despite home care, or interfering with sleep, work or daily life. Don’t self-diagnose from the internet — book a verified clinician below.
Top specialists
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Ranked by patient rating, years of experience and review volume. All verified by MediConsult’s clinical team.
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2
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Disclaimer ·
This article is educational and reviewed by clinicians, but it cannot replace an in-person assessment.
Medication doses, prevention advice and treatment choices vary by person. Always confirm with a doctor before acting on anything here.