Gout Symptoms, Causes, Diagnosis, and Treatment

Information from your Foot and Ankle Doctor in Orange County California.
A condition that results from an increased or overload of uric acid crystals inthe body. Most often it afflicts men.

Symptoms of Gout

Intense, sudden pain, many times beginning in the middle of the night.

Significant erythema, edema and increased temperature across the joint
making it difficult to even have the bed sheets touch the foot.

Most people say the pain is so intense that the bed sheets hurt when they touch the skin.

Causes of Gout

Uric acid is a byproduct of certain types of foods called purines.
Foods which contain large amounts of purines include red meat, red wine, sardines, herring and alcoholic beverages. Some people develop gout because their body naturally overproduces uric acid crystals. Some people have a hard time eliminating normal amounts of uric acid crystals.

The main issue that I find in patients are moments of dehydration. You increase your caffeine or alcohol level, eat specific foods and do not drink enough water to flush out your system.

When the kidney filtration slows down, uric acid builds up and precipitates out in the joints. The big toe joint is the most common area for gout to occur.

Gout can happen at any joint level, even at tendon insertions.

Diagnosis of Gout

A history and physical are most important. X-rays and laboratory blood tests are often used
to confirm the increase in uric acid crystals. Usually by the time the blood is drawn,
the uric acid in the body has normalized.

Treatment of Gout

Oral anti-inflammatory medication is usually prescribed. Within a few days symptoms resolve.

If gouty symptoms return more than twice a year, daily medication is recommended to keep the
uric acid levels low.

Increased attacks will damage the joints and cause early arthritic changes and pain.

Local cortisone injections can also help relieve the pain and inflammation during a gout attack.


These videos are for information only. The contents of the videos, such as graphics, images, text, quoted information and all other materials (“Content”) are provided for reference only, do not claim to be complete or exhaustive or to be applicable to any particular individual’s medical condition. Viewers should always consult with a qualified and licensed physician or other medical care provider. Users are warned to follow the advice of their physicians without delay regardless of anything seen or read in these videos. OC Podiatry assumes no duty to correct or update the Content nor to resolve or clarify any inconsistent information that may be a part of the Content. Reliance on any Content is solely at the User’s risk. The videos may contain health or medically related materials considered sexually explicit. Users are warned that if they may be offended by such Content, an alternate source of information should be found. Publication of information or reference in videos to specific sources such as specific products, procedures, physicians, treatments, or diagnoses are for information only and are not endorsements.

Last Updated 6-23-2021