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Carol Eustice

Gout Attack Explained

By , About.com GuideSeptember 4, 2009

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Gout is considered one of the most painful types of arthritis. If not yourself, you likely know someone who has had a gout attack. The word attack suggests this is no laughing matter. What exactly goes on during a gout attack -- do you know?

The first gout attack typically follows years of asymptomatic hyperuricemia (high blood uric acid level). Usually a single joint is involved in a gout attack but it is possible that more joints are involved.

In 50% of patients, the big toe is affected initially but the midfoot, ankles, heels, and knees can also be involved early on. Less commonly, wrists, fingers, and elbows are involved in a gout attack. Learn more in Gout Attack Explained.

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Photo by Don Bayley (iStockphoto)

Comments
September 5, 2009 at 1:33 pm
(1) Cortaflex :

I suffer terribly with arthritis in my hands but as soon as I stopped eating red meat it made a huge difference. I still eat fish and I can’t resist bacon (who can!) but I’m sure it is because I’m no longer eating the fats in the meat that has helped me.

November 1, 2009 at 2:40 am
(2) John Paolo :

I’ve had gout for around 10 years now. In my experience the pain moves from one joint to another. Although most of the readings I see say that it’s the big toe that is predominantly affected, that has not been my case. I usually get attacks in my knees or ankles. And they move from one attack to another. Very recently though, I had a dual joint attack (imagine that!). I felt it in both my right knee and right ankle. I had to use two canes just to get anywhere. It’s an awful, awful feeling.

June 2, 2010 at 2:52 am
(3) Daniel Chan :

Avoid asparagus, mochi, sticky / glutenous rice, and mushrooms.
The worst gout attacks I’ve had were after eating asparagus and certain types of mushrooms.

August 4, 2010 at 7:27 pm
(4) Greg W :

Haven’t read too much on gout attacking the shoulder. What a horrible experience. Had an ankle attack two weeks ago and now a shoulder. Giving up alcohol for a while and hope that stops triggering it.

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