Gout
  1. What is gout?
  2. How is gout treated?
  3. What else can I do to manage my gout?

What is gout?

Gout is a type of arthritis caused by a buildup of uric acid in the body. When uric acid levels are too high, it can form crystals that settle in the joints, leading to sudden pain, swelling, and redness.

For many people, gout is partly genetic. The kidneys may not remove uric acid as effectively as they should, which allows it to build up over time.

RhemInfo Gout: https://rheuminfo.com/docs/diseases/pictos/Gout-Patient-Guide-RheumInfo_EN.pdf

How is gout treated?

Gout flares are treated with medications that reduce pain and inflammation. These may include colchicine, anti-inflammatory medications (NSAIDs) such as indomethacin, cortisone injections, or prednisone.

These treatments are typically used for a short period (about 1–2 weeks) until the flare settles.

RheumInfo Colchicine: https://rheuminfo.com/docs/medications/pictos/Colchicine-Patient-Guide-RheumInfo_EN.pdf

RheumInfo: Prednisone: https://rheuminfo.com/en/medications/prednisone/

We can also use medications to lower uric acid levels and help prevent future gout flares.

The most common first treatment is allopurinol. It is started at a low dose and gradually increased based on your blood test results.

Our goal is to lower your uric acid level to below 360, which helps reduce the risk of flares and joint damage over time.

RheumInfo Allopurinol: https://rheuminfo.com/docs/medications/pictos/Allopurinol-Patient-Guide-RheumInfo_EN.pdf

What else can I do to manage my gout?

There are several lifestyle changes that can help manage gout and reduce the risk of flares:

  • Weight: Aim to maintain a healthy body weight. Carrying excess weight can increase uric acid levels and worsen gout.
  • Exercise: Try to get at least 30 minutes of moderate activity (where you are slightly out of breath but can still talk) 5 days per week, along with strength training twice per week.
  • Diet: A Mediterranean diet or DASH diet is recommended. These focus on fruits, vegetables, whole grains, nuts, and healthy fats like olive oil, with fish included a couple of times per week.
  • Avoid triggers: Certain foods and drinks can trigger gout flares. Common ones include red meat, shellfish, and sugary drinks (such as soft drinks).
  • Smoking: If you smoke, quitting is strongly recommended.
  • Alcohol: Limit alcohol intake. Some types, especially beer, can trigger flares in some people.