Gout

Gouty arthritis, hyperuricaemia or otherwise known as urate crystal deposition disease has an estimates prevalence of about 3% in the adult population

Symptomatic gout is more common in middle aged men and post menopausal women but can occur in younger patients as well

Gout can be diagnosed by assessing the affected joint with X-rays, the fluid in an affected joint can be assessed or your doctor might use a combination of a blood test and clinical history

Gout typically has three different stages:

  • Gout flares 
  • Intercritical gout (a time period between flares where a patient is asymptomatic)
  • Chronic gouty arthritis and tophaceous gout 

Gouty flares can be triggered by multiple factors like

  1. diet
  2. drugs/medications
  3. alcohol
  4. hospitalization
  5. trauma

There are two main reasons to treat Gout. Firstly is to minimize regular gout attacks (thus to manage the pain and prevent joint damage) and secondly to minimize renal complications of hyperuricaemia and kidney stones

Treatment would include  urate lowering medications and lifestyle modifications. Here I often refer to a dietitian to assist in the process

Click on the link for some lifestyle tips : Lifestyle tips for Gout

References

https://www.rheumatology.org/I-Am-A/Patient-Caregiver/Diseases-Conditions/Gout

Uptodate

https://www.cdc.gov/arthritis/basics/gout.html#:~:text=Gout%20is%20a%20common%20form,no%20symptoms%2C%20known%20as%20remission.

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