Gout

Gout is a common and highly treatable form of inflammatory arthritis caused by the buildup of uric acid crystals in the joints. It leads to sudden, severe attacks of pain and swelling — and with the right long-term treatment, future flares can be prevented.

Overview

A gout attack often strikes suddenly, frequently at night, and commonly affects the big toe, though it can involve the ankles, knees, and other joints. Attacks can be triggered by certain foods, alcohol, dehydration, and some medications.

Without treatment, gout can become more frequent and lead to joint damage and deposits of uric acid crystals (tophi). Lowering uric acid levels over time is the key to preventing future attacks.

Common Symptoms

• Sudden, intense joint pain, often in the big toe
• Redness, warmth, and swelling of the affected joint
• Extreme tenderness — even the weight of a sheet can hurt
• Attacks that peak within hours and gradually subside over days
• Firm lumps of crystals (tophi) with long-standing disease

Diagnosis

Gout is diagnosed through your symptoms, blood tests for uric acid levels, and — when needed — examination of joint fluid for uric acid crystals. We also look for underlying causes that can be addressed.

Treatment at B N Rheumatology Associates

Treatment has two goals: relieving acute attacks with anti-inflammatory medications, and lowering uric acid over the long term with medications such as allopurinol or febuxostat to prevent future flares. We also review diet, medications, and other factors that can contribute to gout.

When to See a Rheumatologist

If you are experiencing persistent joint pain, swelling, stiffness, or related symptoms, an evaluation by a rheumatologist can lead to an accurate diagnosis and an effective treatment plan. Dr. Saurav Suman provides personalized, evidence-based care for gout and other rheumatologic conditions for patients throughout Camp Hill, Mechanicsburg, Harrisburg, and Central Pennsylvania.