Gout

Gout is a disease that affects the joints.  It is caused by and excess of uric acid (a waste product made by the body).  The uric acid forms crystals that collect in the joints, bringing on a gout attack.  If you have many gout attacks, crystals may form large deposits called tophi.  Tophi can damage joints and cause deformity.  The picture to the right is an example of chronic gouty arthritis.

Men are more likely to have gout than women.  But women can also be affected, mostly after menopause.  Some health problems, such as obesity and high cholesterol, make gout more likely.  And some medications, such as diuretics ("water pills"), can trigger a gout attack.  People who drink a lot of alcohol are at high risk for gout.  Certain foods can also trigger a gout attack.

Symptoms
Pain from gout usually begins overnight and has a quick onset.  The big toe joint is commonly affected and will be very painful, red and swollen.

Treatment
Gout attacks are painful and often happens more than once.  Taking medications may reduce pain and prevent attacks in the future.  Sometimes blood work is used to determine which treatment options would be best for you long term to prevent another gout attack.