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Gout is a common form of arthritis that can cause attacks of painful, stiff joints. Gout is caused by a buildup of uric acid in the joints, which forms sharp crystals that cause pain. It often starts in a single joint, such as the big toe.
Gout attacks come on suddenly. A first gout attack will usually get better within 10 days, even with no treatment. You may not have another for months. Over time, attacks can happen more often and last longer.
Symptoms of a gout attack can include:
Symptoms usually go away completely between attacks.
See a healthcare provider if you have repeated attacks of pain and swelling in your joints. Even if the pain has gone away, let your healthcare provider know about it. The uric acid that caused the pain may cause pain or damage to your joints in the future.
Gout usually develops after age 40 in men and after age 55 in women. By age 65, about 4 in every 100 people have it.
Risk factors for gout include:
Some health conditions can also increase risk for gout. These include:
People with gout have a greater risk of getting kidney stones.
To find out if gout is the cause of your pain, your healthcare provider will ask for details about your pain. Gout pain usually comes on suddenly, causes pain for several days, and then goes away.
Your healthcare provider may take fluid from your painful joint and check for uric acid crystals. Or, they may test your blood for high levels of uric acid.
Getting treatment can reduce the pain of a gout attack and help prevent attacks in the future. Without treatment, gout can lead to severe joint damage.
Your healthcare provider may recommend medicines such as:
Your healthcare provider may also recommend lifestyle changes such as:
To help prevent gout attacks, you can:
Gout is caused by tiny needle-like crystals that build up in the joints. The crystals are made of uric acid, a chemical your body makes when it breaks down certain foods. Normally the uric acid dissolves in the blood and passes out of your body when you urinate (pee).
When uric acid builds up, it can form sharp crystals that cause sudden pain in a joint. They can also build up in the kidneys and lead to kidney stones, which can cause problems with urination.