What Is Gout?

Gout is a kind of arthritis caused by a buildup of uric acid crystals in the joints. Uric acid is a breakdown product of purines that are part of many foods we eat. An abnormality in handling uric acid and crystallization of these compounds in joints can cause attacks of painful arthritis, kidney stones, and blockage of the kidney filtering tubules with uric acid crystals, leading to kidney failure. Gout has the unique distinction of being one of the most frequently recorded medical illnesses throughout history.

A diet rich in purines (which breaks down into uric acid in our body) from certain sources can raise uric acid levels in the body, which sometimes leads to gout. 

Symptoms of Gout

Acute gout attacks are characterized by a rapid onset of pain in the affected joint followed by warmth, swelling, reddish discoloration, and marked tenderness. The small joint at the base of the big toe is the most common site for an attack. Other joints that can be affected include the ankles, knees, wrists, fingers, and elbows. In some people, the acute pain is so intense that even a bed sheet touching the toe causes severe pain.

Risk Factors for Gout

Obesity, excessive weight gain, especially in youth, moderate to heavy alcohol intake, high blood pressure, and abnormal kidney function are among the risk factors for developing gout. Certain drugs and diseases can also cause elevated levels of uric acid. Also, there is an increased prevalence of abnormally low thyroid hormone levels (hypothyroidism) in patients with gout.

Diagnosing Gouty Arthritis

Gout is considered when a patient reports a history of repeated attacks of painful arthritis, especially at the base of the toes or in the ankles and knees. The most reliable test for gout is detecting uric acid crystals in the joint fluid obtained by joint aspiration.

Foods to limit (very high in purines):

• Organ meats, such as liver, kidneys, sweetbreads, and brains
• Meats, including bacon, beef, pork, and lamb
• Game meats
• Any other meats in large amounts
• Anchovies, sardines, herring, mackerel, and scallops
• Gravy
• Beer

Foods to eat occasionally (moderately high in purines, but may not raise your risk of gout):

• Fish and seafood (other than high purine seafood)
• Oatmeal, wheat bran, and wheat germ

Foods that are safe to eat (low in purines):

• Green vegetables and tomatoes
• Fruits
• Breads and cereals that are not whole-grain
• Butter, buttermilk, cheese, and eggs
• Chocolate and cocoa
• Coffee, tea, and carbonated beverages
• Peanut butter and nuts

Dairy products that may lower your risk of gout:

• Low-fat or nonfat milk
• Low-fat yogurt

If you have experienced a gout attack or have high uric acid in your blood(hyperuricemia), it may help to reduce your intake of meat, seafood, and alcohol.

Changing your diet may help lower your risk of having future attacks of gout. Doctors recommend that overweight people who have gout reach and stay at a healthy body weight by getting moderate exercise daily and regulating their fat and caloric intake.

Dr.Vinod Jogendra Shahoo,
Specialist Orthopedic,
Thumbay Hospital Daycare, Rolla

For appointments contact us through

Phone: +971 6 5440555
Email: thdaycare.shj@thumbayhospital.ae
Online: www.appointments.thumbay.net
Location: Thumbay Hospital Daycare, Sharjah (Rolla), Opposite to Rolla Mall, Sharjah United Arab Emirates