How long does an acute gout attack typically last?

January 17, 2025

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How long does an acute gout attack typically last?

An acute gout attack typically lasts 3 to 10 days if untreated. However, the duration may vary depending on factors such as the severity of the attack, how quickly treatment is started, and individual differences in response to therapy.

Key Phases of an Acute Gout Attack:

  1. Onset: Symptoms often develop suddenly, usually at night, with severe pain, redness, warmth, and swelling in the affected joint (commonly the big toe).
  2. Peak: The pain and inflammation are most intense within the first 12 to 24 hours.
  3. Resolution: Without treatment, symptoms gradually subside over the next several days, although lingering discomfort may persist for up to 2 weeks in severe cases.

Treatment to Shorten Duration:

  • Anti-inflammatory Medications: NSAIDs (e.g., ibuprofen, naproxen) or colchicine can reduce inflammation and shorten the attack’s duration.
  • Steroids: Oral or injected corticosteroids are effective for reducing severe inflammation.
  • Lifestyle Measures: Resting the affected joint, applying ice, and staying hydrated may help alleviate symptoms more quickly.

With prompt treatment, the attack often resolves more rapidly, sometimes within a few days.

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