Conquering Gout:

A Guide to Relief and Prevention

Imagine waking up to a searing pain in your foot. Your big toe is swollen and feels like it’s on fire. The throbbing pain makes it difficult to walk, let alone put on a shoe. That’s the kind of pain gout can cause – and it can come and go.

In 2015, the Philippine Rheumatology Association estimated that 1.6% of Filipinos suffer from this painful condition. The prevalence of gout in the country has increased over the years because of unhealthy diet and lifestyle.

Gout can make everyday activities challenging but don’t let it get you down. By understanding the symptoms and triggers, you manage this condition better. Let’s explore the ins and outs of gout and how to relieve the pain and prevent flares.

What is Gout?

Mayo Clinic defines gout as an inflammatory type of arthritis that can strike anyone. It hits you hard and fast, causing swelling, redness, severe pain, and tenderness in one or more joints.

Signs and Symptoms: How to identify if it is gout

Inflammation and intense joint pain – A gout attack can occur suddenly, jolting you awake in the middle of the night with a burning sensation. The affected joint, such as the big toe, feels swollen and hot. It also feels tender, so tender that the mere brush of the blanket can be very painful. The toes, fingers, wrists, elbows, knees, and ankles are commonly affected joints.
Lingering pain – A gout attack may last around three to ten days. The pain may be most severe within the first four to 12 hours after onset. After the severe pain subsides, it might leave a lingering discomfort that can last from a few days to a few weeks. Some attacks can affect more joints and last longer.
Mobility issues – Gout can affect mobility, making it difficult to move your joints normally.

Not all joint pains are considered gout. Consult a doctor for a proper diagnosis. The doctor may request a blood test, joint aspiration, and imaging tests.

Treatment

According to Cleveland Clinic, there is no cure for gout but treatment can be given to manage the symptoms:

NSAIDs (ibuprofen and naproxen) can alleviate pain and swelling. Individuals with stomach ulcers, kidney disorders, and other health issues should consult their doctor before taking NSAIDs.
Corticosteroids can be prescribed by your doctor to reduce inflammation. It may be taken orally as a pill or injected into the affected area.
Colchicine is another prescribed medication that can reduce pain and inflammation.
Medications to lower uric acid levels may also be prescribed.
Eating less purine-rich foods may be suggested to help lower uric acid levels.

Risk Factors

The following factors can increase an individual’s risk of developing gout:

Family history of gout
Overweight
Consume foods high in purines (e.g., anchovies, sardines, animal organs, beans, beer, and gravy)
Consume too much alcohol
Take medications prescribed by your doctor, such as beta-blockers, thiazide diuretics, and ACE inhibitors.

Complications

Over time, unmanaged gout can cause permanent damage to joints and kidneys, and it’s also associated with kidney stones.

How to Prevent a Gout Attack?

Your lifestyle choices can contribute to gout. Making changes in your day-to-day life can help reduce the risk of gout attacks. Here are some tips that you might consider:

Exercise regularly to help you lose weight and relieve stress off your joints
Eat a balanced diet to control your weight
Cut down on sugary food and drinks
Consume less meat and seafood
Avoid high purine and high-fat foods
Drink lots of water to help prevent uric acid stones
Refrain from drinking alcohol

Conclusion

Don’t let gout take over your life. By recognizing the signs and symptoms, consulting a healthcare provider, and making lifestyle changes, you can conquer gout and live a quality life.

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