Causes of Gout

Gout is a health problem found mostly in middle-aged men.  It caused inflamed and extremely painful joints caused by the crystallization of uric acid between joints.  It has been associated with kings who overindulged in rich, fatty foods and wine. Gout is typically found in men who suffer from obesity, high level of lipids in blood, high blood pressure and diabetes. The condition leads to inflammation and redness of the joints. In rare cases it can lead to lumpy deposits under the skin.

What Causes Gout?

Gout is caused by a buildup of monosodium urate crystal deposits in joints.  This is because the body is producing too much uric acid or the kidneys are not able to get rid of enough uric acid.  It is also possible you are eating too many foods high in purines, which turns into uric acid in the body,

Foods High in Purines?

  • All alcoholic beverages
  • Dried beans and peas
  • Seafood, such as shellfish, mackerel and sardines
  • Meats, such as game meats and vital organs

What Triggers Gout?

  • Fatigue
  • Alcohol
  • Minor surgery
  • Eating lots of food high in protein
  • High stress situations

What are the Different Types of Gout?

  1. Asymptomatic hyperuricemia – It is possible for a patient to present with elevated uric acid levels, but show no symptoms on the outside of the body. At this stage, no treatment is required.
  2. Acute gout – Often referred to as a “flare up” happens when urate crystals have been deposited in the joints and causes sudden and extremely intense pain. Flare ups typically last between 3-10 days.
  3. Interval or intercritical gout – This typically happens between flare ups.  More urate crystals get deposited in the tissue.
  4. Chronic tophaceous gout – This type of gout is debilitating. At this point, it is possible permanent damage could have occured in the joints and kidney. The patient could possibly suffer chronic arthritis. Chronic tophaceous gout takes approximately 10 years without treatment to occur.
  5. Pseudogout – One condition typically confused with gout, is pseudogout. The symptoms present similarly to gout, but the flare ups are way less severe. Pseudogout requires a different treatment.

Gout Treatment

Rheumatologists have traditionally been the type of doctor to diagnose gout.  Your general practitioner can sometimes help with the straightforward types of gout, but it is typically best to be seen by a doctor who is trained to deal with gout symptoms.  Arthritis Consultants of Eastern Tennessee are here to help you get moving without pain in no time.


Arthritis Consultants of East Tennessee specializes in rheumatologic care, which is the practice of assessing joints, muscles, and bones for pain, swelling, stiffness, and deformity. Contact us or call 865-503-2001 today to find out how we can help you get your life back on track.

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