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What is Gout?

People with high levels of uric acid in the blood develop inflammatory arthritis known as gout. It is characterised by repeated attacks of severe joint pain, swelling, and redness, which are sudden and can develop overnight. Needle-like crystals are formed in the joints due to the uric acid deposits, which leads to sudden pain.

What are its associated signs and symptoms?

It most commonly affects the joint of the big toe of the foot. Some of the common signs and symptoms associated with gout include:

  • Severe and sudden pain in the joints (especially knee, toes, elbow, and finger) along with stiffness
  • Swollen and red, hot skin over the affected area
  • Fever and chills

What are its main causes?

Gout is mainly caused by:

  • Accumulation of uric acid in your bloodstream and formation of urate crystals in  joint
  • Combination of genetic and environmental factors
  • Diet rich in certain purine foods
  • Obesity
  • Excessive alcohol intake
  • Pseudogout (or acute calcium pyrophosphate arthritis)

How is it diagnosed and treated?

A detailed history of the symptoms will be taken, and a physical examination will be conducted by the physician. Certain tests are also conducted to assist the diagnosis:

  • Blood test to determine serum uric acid levels
  • X-ray
  • Ultrasound scan to identify early crystal formation in the fluid between the joints
  • Computed tomography (CT) or magnetic resonance imaging (MRI) to examine soft tissue and bone

Gout can be treated with

  • Management of the pain due to flare
    • Nonsteroidal anti-inflammatory drugs (NSAIDs) are used to treat flares, which includes ibuprofen, steroids, and the anti-inflammatory drug colchicine
  • Prevention of future flares by
    • Changing diet and lifestyle
    • Shedding extra weight
    • Avoiding alcohol consumption
    • Avoiding purine-rich foods (red meat or organ meat)
    • Changing or stopping medications associated with hyperuricemia (e.g., diuretics)
  • Use of uric acid-lowering agents
    • Allopurinol
    • Febuxostat
    • Pegloticase
  • Self-management strategies
    • Eat a healthy diet
    • Perform adequate physical activity
  1. Medicines for Gout
  2. Doctors for Gout
Dr. Vivek Dahiya

Dr. Vivek Dahiya

ओर्थोपेडिक्स

Dr. Vipin Chand Tyagi

Dr. Vipin Chand Tyagi

ओर्थोपेडिक्स

Dr. Vineesh Mathur

Dr. Vineesh Mathur

ओर्थोपेडिक्स

Medicines for Gout

Medicines listed below are available for Gout. Please note that you should not take any medicines without doctor consultation. Taking any medicine without doctor's consultation can cause serious problems.

Medicine NamePack SizePrice (Rs.)
Diclogesic RrDiclogesic Rr 75 Mg Injection25
DivonDIVON GEL 10GM0
VoveranVOVERAN 1% EMULGEL 30GM105
DolserDolser 400 Mg/50 Mg Tablet Mr0
Renac SpRenac Sp Tablet51
Unofen KUnofen K 50 Mg Tablet0
ExflamExflam 1.16%W/W Gel48
Rid SRid S 50 Mg/10 Mg Capsule32
Diclonova PDiclonova P 25 Mg/500 Mg Tablet13
ValfenValfen 100 Mg Injection10
FeganFegan Eye Drop16
RolosolRolosol 50 Mg/10 Mg Tablet67
DiclopalDiclopal 50 Mg/500 Mg Tablet16
VivianVivian 1.16% Gel0
I GesicI Gesic 0.1% Eye Drop26
Rolosol ERolosol E 50 Mg/10 Mg Capsule51
DicloparaDiclopara 50 Mg/500 Mg Tablet0
Vivian PlusVivian Plus 50 Mg/500 Mg Tablet13
Instanac TpmInstanac Tpm 1.16% W/W Gel76
Rolosol RbRolosol Rb 50 Mg/10 Mg Tablet55
Diclopil PlusDiclopil Plus 50 Mg/500 Mg Tablet3
Vivogesic(Bes)Vivogesic 25 Mg Injection3
LofenLofen 1% Gel0
Saral DSaral D 50 Mg/10 Mg Tablet49

Do you or anyone in your family have this disease? Please do a survey and help others

References

  1. Center for Disease Control and Prevention [internet], Atlanta (GA): US Department of Health and Human Services; Gout
  2. tional Institutes of Health; [Internet]. U.S. National Library of Medicine. Gout
  3. Dinesh Khanna. et al. 2012 American College of Rheumatology Guidelines for Management of Gout Part I: Systematic Non-pharmacologic and Pharmacologic Therapeutic Approaches to Hyperuricemia. Arthritis Care Res (Hoboken). 2012 Oct; 64(10): 1431–1446. PMID: 23024028
  4. Newberry SJ. Diagnosis of Gout: A Systematic Review in Support of an American College of Physicians Clinical Practice Guideline.. Ann Intern Med. 2017 Jan 3;166(1):27-36. PMID: 27802505
  5. National Health Service [Internet] NHS inform; Scottish Government; Gout
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