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Diagnosis

Tests to help diagnose gout may include:

  • Joint fluid test. Your doctor may use a needle to draw fluid from your affected joint. Urate crystals may be visible when the fluid is examined under a microscope.
  • Blood test. Your doctor may recommend a blood test to measure the levels of uric acid and creatinine in your blood. Blood test results can be misleading, though. Some people have high uric acid levels, but never experience gout. And some people have signs and symptoms of gout, but don''s effectiveness may be offset, however, by side effects such as nausea, vomiting and diarrhea, especially if taken in large doses.

    After an acute gout attack resolves, your doctor may prescribe a low daily dose of colchicine to prevent future attacks.

  • Corticosteroids. Corticosteroid medications, such as the drug prednisone, may control gout inflammation and pain. Corticosteroids may be in pill form, or they can be injected into your joint.

    Corticosteroids are generally used only in people with gout who can''s level of uric acid may be recommended. Options include:

    • Medications that block uric acid production. Drugs called xanthine oxidase inhibitors (XOIs), including allopurinol (Aloprim, Lopurin, Zyloprim) and febuxostat (Uloric), limit the amount of uric acid your body makes. This may lower your blood'' ability to remove uric acid from your body. This may lower your uric acid levels and reduce your risk of gout, but the 1 last update 2020/05/25 the level of uric acid in your urine is increased. Side effects include a rash, stomach pain and kidney stones. Lesinurad can be taken only along with an XOI.Medications that block uric acid production. Drugs called xanthine oxidase inhibitors (XOIs), including allopurinol (Aloprim, Lopurin, Zyloprim) and febuxostat (Uloric), limit the amount of uric acid your body makes. This may lower your blood'' ability to remove uric acid from your body. This may lower your uric acid levels and reduce your risk of gout, but the level of uric acid in your urine is increased. Side effects include a rash, stomach pain and kidney stones. Lesinurad can be taken only along with an XOI.

    Lifestyle and home remedies

    Medications are often the most effective way to treat acute gout and can prevent recurrent attacks of gout. However, making certain lifestyle changes also are important, such as:

    • Limiting alcoholic beverages and drinks sweetened with fruit sugar (fructose). Instead, drink plenty of nonalcoholic beverages, especially water.
    • Limiting intake of foods high in purines, such as red meat, organ meats and seafood.
    • Exercising regularly and losing weight. Keeping your body at a healthy weight reduces your risk of gout.

    Alternative medicine

    Arthritis Curehow to Arthritis Cure for If gout treatments aren''d hoped, you may be interested in trying an alternative approach. Before trying such a treatment on your own, talk with your doctor — to weigh the benefits and risks and learn whether the treatment might interfere with your gout medication.

    Because there isn''t known.

    Certain foods have been studied for their potential to lower uric acid levels, including:

    • Coffee. Studies have found an association between coffee drinking — both regular and decaffeinated coffee — and lower uric acid levels, though no study has demonstrated how or why coffee may have such an effect.

      Arthritis Curehow to Arthritis Cure for The available evidence the 1 last update 2020/05/25 isn''t forget that you can increase your vitamin C intake by eating more vegetables and fruits, especially oranges.The available evidence isn''t forget that you can increase your vitamin C intake by eating more vegetables and fruits, especially oranges.

    • Cherries. Cherries have been reported to lower levels of uric acid, as well as reduce the number of gout attacks. However, more research needs to be done to confirm this. Eating more cherries and drinking cherry extract may be a safe way to supplement your gout treatment, but discuss it with your doctor first.

    Other complementary and alternative medicine treatments may help you cope until your gout pain subsides or your medications take effect. For instance, relaxation techniques, such as deep-breathing exercises and meditation, may help take your mind off your pain.

    Preparing for your appointment

    Make an appointment with your doctor if you have symptoms that are common to gout. After an initial examination, your doctor may refer you to a specialist in the diagnosis and treatment of arthritis and other inflammatory joint conditions (rheumatologist).

    Here''re being treated and the names of any medications, vitamins or supplements you''re referred to a rheumatologist include:

    • What are the possible side effects of the drugs you''d recommend for me to learn more about my condition?

    If any additional questions occur to you during your medical appointments, don''s Clinical Advisor 2018. Philadelphia, Pa.: Elsevier; 2018. https://www.clinicalkey.com. Accessed Sept. 22, 2017.

  • Gout. American College of Rheumatology. http://www.rheumatology.org/Practice/Clinical/Patients/Diseases_And_Conditions/Gout/ . Accessed Sept. 22, 2017.
  • Questions and answers about gout. National Institute of Arthritis and Musculoskeletal and Skin Diseases. http://www.niams.nih.gov/Health_Info/Gout/default.asp. Accessed Sept. 22, 2017.
  • Becker MA. Prevention of recurrent gout: Pharmacologic urate-lowering therapy and treatment of tophi. https://uptodate.com/contents/search. Accessed Sept. 28, 2017.
  • Relaxation techniques for health. National Center for Complementary and Integrative Health. https://nccih.nih.gov/health/stress/relaxation.htm. Accessed Sept. 28, 2017.
  • Becker MA. Treatment of acute gout. https://www.uptodate.com/contents/search. Accessed Sept. 22, 2017.
  • Becker MA. Prevention of recurrent gout: Lifestyle modification and other strategies for risk reduction. https://www.uptodate.com/contents/search. Accessed Sept. 22, 2017.
  • Coffee. Natural Medicines. https://naturalmedicines.therapeuticresearch.com. Accessed Sept. 29, 2017.
  • Kolasinski SL. Food, drink and herbs: Alternative therapies and gout. Current Rheumatology Reports. 2014;16:409.
  • Khanna D, et al. 2012 American College of Rheumatology guidelines for management of gout. Part 1: Systematic nonpharmacologic and pharmacologic therapeutic approaches to hyperuricemia. Arthritis Care and Research. 2012;64:1431.
  • AskMayoExpert. Gout. Rochester, Minn.: Mayo Foundation for Medical Education and Research; 2017.
  • Chang-Miller A (expert opinion). Mayo Clinic, Scottsdale, Ariz.. Oct. 8, 2017.
  • Qaseem A, et al. Management of acute and recurrent gout: A practice guideline from the American College of Physicians. 2017;166:58.

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