Acute Gout Treatment

Gout is caused by high levels of uric acid in the bloodstream, known as hyperuricaemia. This can result from a combination of genetics, diet, alcohol consumption, dehydration, or certain medications. When uric acid forms crystals in the joints, it triggers a painful inflammatory response.

The symptoms typically include intense joint pain, swelling, redness, and warmth in the affected area. The pain often starts suddenly, usually at night, and can be severe enough to make it hard to move the joint. The most common area affected is the big toe, but gout can also affect ankles, knees, and fingers.

The treatment focuses on reducing pain and inflammation during flare-ups. Medications such as Colchicine tablets or non-steroidal anti-inflammatory drugs (NSAIDs) are commonly prescribed. Resting the affected joint and using cold compresses can also help ease discomfort while the flare settles.

Colchicine helps by reducing the inflammation caused by uric acid crystals in the joints. It doesn’t lower uric acid levels directly but helps control pain and swelling during a gout attack. It works best when taken as soon as symptoms begin.

A single gout attack isn’t usually dangerous, but repeated untreated flare-ups can damage joints and surrounding tissue. Over time, chronic gout can lead to long-term joint stiffness, and the formation of uric acid deposits called tophi. Managing gout early helps prevent these complications.

An acute gout attack can last anywhere from a few days to two weeks, depending on severity and treatment. Most people start feeling relief within a few days once medication begins. Without treatment, the pain may persist longer and recur more frequently.

A mild gout flare can sometimes improve on its own, but symptoms usually last longer without treatment. Taking prescribed medication helps shorten the duration and reduce the risk of future attacks. It’s important to address the underlying uric acid buildup to prevent recurrence.

Conditions such as septic arthritis, pseudogout, or rheumatoid arthritis can sometimes resemble gout. These conditions also cause joint pain and swelling but differ in their causes and required treatments. A doctor can confirm gout through a physical examination or a uric acid test.

Yes, gout attacks often begin suddenly, sometimes overnight. The pain can be intense within a few hours, even if the joint felt normal beforehand. Many people describe waking up with severe pain, redness, and swelling in a joint.

Severe gout may involve multiple joints, prolonged pain, or frequent flare-ups throughout the year. If symptoms persist or interfere with daily life, it may indicate uncontrolled uric acid levels. In these cases, your doctor might recommend long-term uric acid–lowering medication.

While there’s no permanent cure, gout can be effectively managed with lifestyle changes and medication. Maintaining a healthy weight, reducing alcohol and red meat intake, and staying hydrated all help prevent flare-ups. Long-term uric acid-lowering treatment can stop attacks entirely in many patients.

You should avoid foods high in purines, such as red meat, organ meats, and certain seafood. Limiting alcohol – especially beer and spirits – can also help reduce uric acid buildup. Staying well-hydrated and maintaining a balanced diet support long-term gout management.

You should seek medical advice if you experience severe or recurrent joint pain and swelling. Early diagnosis and treatment help prevent long-term damage and recurring flare-ups. Immediate care is important if you develop fever, chills, or extreme pain, as this may indicate infection.

Untreated gout can become chronic, leading to frequent flare-ups and permanent joint damage. Over time, uric acid crystals can form visible lumps under the skin called tophi. It can also increase the risk of kidney stones and other related health problems.