What can I do about my Gout?

by | Ask The Intern

What you can do about your Gout.

If you have a swollen red inflamed toe or joint you may have gout or an acute gouty attack.  Telemedicine is a good place to start if you are having a gouty attack. Gout is a common form of inflammatory arthritis that is very painful. It usually affects one joint at a time (often the big toe joint). There are times when symptoms get worse, known as flares, and times when there are no symptoms, known as remission. Repeated bouts of gout can lead to gouty arthritis, a worsening form of arthritis.

What are the symptoms of a gouty attack?

Symptoms in the affected joint(s) may include:

  • Pain, usually intense
  • Swelling
  • Redness
  • Heat
  • swollen joint most often big toe, foot/ankle (can be hand/wrist or any joint)
  • repeat bouts or flares 
  • repeat bouts or flare typically in the same locations

What can I do to get treated or for prevention of Gout?

Gout occurs in repeated bouts and this is a hallmark of the condition. Many patients report that it feels the same as it did the last time that it occurred. Repeated bouts of gout can lead to gouty arthritis, a worsening form of arthritis. These flare up over time cause damage that adds up, for this reason you will want to get your gout treated over time and not just when it is flared up. There is no cure for gout, but you can effectively treat and manage the condition with medication and self-management strategies.

ou can be seen remotely or by telemedicine when you’ve had a recent tick bite within 72 hours or less than 3 days of tick removal.  This would be before you have developed symptoms of a tick bite disease. Also, you have confirmation that you had a tick bite. This is when the tick was found attached and not just found walking on your skin.

How should I treat my gouty attack?

Doctors agree that the treatment for flares consists of nonsteroidal anti-inflammatory drugs (NSAIDs) like ibuprofen, steroids, and the anti-inflammatory drug colchicine. Often this can be initiated by a telemedicine visit.  Treatment with medications, diet, lifestyle change are as important and is recommended to reduce the number of flares or attacks. If all you do is treat the flare ups, then you are likely to end up with more joint damage over a lifetime of gout.

References

https://www.cdc.gov/arthritis/basics/gout.html

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