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Gout: A Type of Arthritis
My patients are always
surprised to learn that gout is a form of arthritis. This type of arthritis
results from a build-up of body substances called uric acid. High levels
of uric acid may not only affect the joints but other organs in the body,
including the kidneys. When uric acid levels become very high, they become
deposited in the joints as crystals. These crystals produce the pain of
a gout attack.
Gout, commonly thought of as an aristocrat’s disease, can affect
anyone. Although more common in men than women, an estimated one million
Americans suffer from this disorder. Attacks often begin at night, and
may only affect one joint, such as the big toe. The involved joint usually
turns red, becomes hot, swollen, and is very painful. A common error is
to take aspirin for the pain. Aspirin in small doses may actually make
a gout attack worse.
A correct diagnosis
is very important. Rheumatologists will usually remove fluid from the
joint and examine it for gout crystals. Once the diagnosis has been confirmed,
treatment can be started.
Treatment for gout is very simple and effective. Unfortunately, many people
with gout suffer unnecessary and painful attacks. Medications can stop
an attack within hours, and will often prevent future attacks.
Gout Crystals (yellow) under a Polarized Microscope
All medications have potential side effects, risks and interactions with other medications as well as over the counter drugs. Not all medications are right for all patients. You should always check with your physician or health care provider prior to the use of any medication.