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Diseases - Gout

What is Gout?
How can I know if I have Gout?
How can I now if I am at risk Gout?
What are the signs and symptoms of Gout?
What are the complications of Gout?
How can Gout be treated?
Can Gout be treated?
How can I get more information Gout?

What is Gout?

  • Gout is a type of arthritis that may occur at any age, but mainly effects men between the ages of 40 to 50.
  • Gout affects 2.1 million Americans. There is no cure.
  • Gout is a disease that causes sudden, severe pain, tenderness, redness, warmth and swelling in joints.
  • It affects one joint at a time, often the large joint of the big toe. It can affect other joints, such as the knee, ankle, foot, hand, wrist and elbow.
How can I know if I have Gout?
  • Sudden severe joint pain and swelling
  • Shiny red or purple skin around the joint
  • Extreme tenderness in the joint area
Proper medical treatment is the key to avoiding long-term joint damage.

How can I know if I am at risk for Gout?

Gout may be caused by:
  • Drinking too much alcohol
  • Surgery
  • Sudden, severe illness
  • Crash diets
  • Joint injury
  • Chemotherapy
  • Eating too many foods that contain purines.

HIGHEST LEVELS OF PURINES, BEST TO AVOIDMODERATE LEVELS OF PURINES, EAT OCCASIONALLYLOW LEVELS OF PURINES, NO RESTRICTIONS
LiverAsparagusCarbonated drinks
KidneyBeefCoffee
AnchoviesBouillonFruits
SardinesChickenBreads
Herrings
(including roe)
CrabGrains
MusselsDuckMacaroni
BaconHamCheese
ScallopsKidney beansEggs
CodLentilsMilk products
TroutLima beansSugar, syrups, sweets
HaddockMushroomsTomatoes
VealLobsterGreen vegetables
Game Meats
(venison, etc.)
OystersGelatin
TurkeyPorkNuts
Alcohol, especially beerShrimp 
GraviesSpinach 
Mackerel  


What are the signs and symptoms of Gout?

The symptoms come on very fast. The first sign often will appear at night.
  • Sudden severe joint pain and swelling
  • Shiny red or purple skin around the joint
  • Extreme tenderness in the joint area
Proper treatment is the key to avoiding long-term joint damage.

What are the complications of Gout?

Pain and swelling. The pain and swelling is caused by uric acid crystals that collect in the joint. Uric acid is the end product of purine metabolism. Uric acid normally breaks down in blood and is removed from the body through the kidney. But, in people with gout, uric acid builds up in the blood and creates crystals. The crystals then build up in the joints and other tissues. The uric acid crystals are what cause pain and inflammation.

After many years, these crystals build up in the joint and surrounding tissue forming large lumps under the skin called tophi (TOE-fy). If the tophi are not treated by a medical professional they damage the joints. The uric acid crystals can form kidney stones. This happens when you do not drink enough water. Gout is a disease that may come about with high blood pressure or kidney infections.

How can Gout be treated?

The best treatment of gout is to watch your diet and take the medication your doctor has prescribed. The treatment goal is to relieve pain, shorted the time the joints are inflamed, prevent inflammation and prevent joint damage. Gout medications are strong, so talk to your health professional and pharmacist about the medication you are taking.

When pain occurs:
  • Rest your joints
  • Complete bed rest, keeping the inflamed joint above your heart
  • Cold packs should be placed on the inflamed area
  • Avoid foods high in purines.
  • Avoid alcohol
  • Weight reduction
  • Medication
Can Gout be treated?

There is no cure for Gout. Gout is a serious condition that requires medical care. Drink plenty of water, take your medication and watch your diet.

How can I get more information about Gout?

See your doctor first.

For more information you may visit, http://www.arthritis.org/conditions/diseasecenter/gout.asp
For more information, contact:
Rosetta Swinton, RN
Episcopal Director of Health
Ph: (843) 876-1949
Fax: (843) 792-7476
swintonr@musc.edu