Skip to content

    Arthritis Health Center

    Font Size
    A
    A
    A

    Managing Gout Between Flares

    By
    WebMD Feature
    Reviewed by Jennifer Robinson, MD

    An attack of gout can be so painful that most people would do anything to avoid another. Unfortunately, flare-ups often occur. Studies show that people who have suffered a first attack of gout have a 62% chance of suffering another within a year. The odds climb to almost 80% within two years. "Over time, repeated attacks can eat into bone and cartilage, causing permanent damage to affected joints," says rheumatologist Herbert Baraf, MD, clinical professor of medicine at George Washington University.

    Gout occurs when uric acid levels rise too high in the bloodstream. Excess uric acid is deposited as crystals around cartilage and bone. Acute attacks, sometimes called gouty arthritis, occur when these deposits become inflamed and intensely painful.

    Recommended Related to Arthritis

    Understanding Gout -- Basics

    Without warning and, for some reason, in the middle of the night, gout strikes -- an intense pain in a joint, most often the big toe, but sometimes other joints, including knees, ankles, elbows, thumbs, or fingers. Attacks of gout can be unexpected and excruciatingly painful. With prompt treatment, the pain and inflammation usually disappear after a few days, but they may recur at any time. More than 2 million Americans suffer from gout. Gout occurs more often in men than in women. Men usually...

    Read the Understanding Gout -- Basics article > >

    For most people, gout attacks can be largely prevented with proper treatment, experts say. "The biggest problem we see is undertreatment," Lianne Gensler, MD, assistant clinical professor of medicine at the University of California, San Francisco, told WebMD. "Patients aren't given appropriate medications to prevent flare-ups and complications, or they don't get adequate doses to control their gout."

    After a first gout attack

    The first step in avoiding repeated attacks of gout is eliminating factors that can trigger gout. Certain medications can raise uric acid levels too high. These include some commonly used blood pressure pills, chemotherapy for cancer, niacin (vitamin B supplements), and aspirin. In many cases, doctors can prescribe alternative medications that don't increase the risk of gout.

    Lifestyle factors can also contribute to gout. To avoid problems, experts recommend:

    • Drinking plenty of fluids to remain well-hydrated.
    • Avoiding excessive alcohol consumption, especially beer. However, moderate wine drinking does not appear to increase your risk of gout.
    • Limiting the amount of organ meats, sardines, anchovies, and red meats you eat. These foods are high in purines.
    • Avoiding sweetened beverages, especially those containing fructose, which have been linked to higher risk of gout.
    • Losing weight if you are overweight or obese.

    For some people, eliminating triggers and making lifestyle changes are enough to avoid flare-ups of gouty arthritis. But many people will also need to take a medication to lower uric acid levels.

    1 | 2 | 3

    Today on WebMD

    Mature woman exercise at home
    Hint: Warming up first is crucial.
    feet with gout
    Quiz yourself.
     
    woman in pain
    One idea? Eat fish to curb inflammation.
    senior couple walking
    Can you keep your RA from progressing?
     
    xray of knees with osteoarthritis
    Slideshow
    close up of man wearing dress shoes
    Slideshow
     
    feet with gout
    Quiz
    close up of red shoe in shoebox
    Slideshow
     
    salad
    Video
    two male hands
    ARTICLE
     
    Woman massaging her neck
    Quiz
    5 Lupus Risk Factors
    Article