What triggers an acute gout attack?

January 17, 2025

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What triggers an acute gout attack?

An acute gout attack occurs when uric acid crystals accumulate in a joint, triggering intense inflammation and pain. These crystals form due to high levels of uric acid in the blood (hyperuricemia). Several factors can trigger or exacerbate an acute gout attack:

1. Dietary Factors:

  • High-purine foods: Consuming foods rich in purines increases uric acid levels. Common culprits include:
    • Red meats (e.g., beef, lamb, pork)
    • Organ meats (e.g., liver, kidneys)
    • Shellfish (e.g., shrimp, lobster, scallops)
    • Fatty fish (e.g., sardines, mackerel, anchovies)
  • Alcohol: Particularly beer and spirits, as they increase uric acid production and reduce its excretion.
  • Sugary beverages: Drinks with high-fructose corn syrup, like soft drinks, promote uric acid production.

2. Dehydration:

  • Insufficient fluid intake or excessive fluid loss can concentrate uric acid in the blood, making crystal formation more likely.

3. Sudden Changes in Uric Acid Levels:

  • Rapid increases or decreases in uric acid levels, often caused by:
    • Starting or stopping uric acid-lowering medications (e.g., allopurinol, febuxostat).
    • Use of diuretics (e.g., hydrochlorothiazide, furosemide), which decrease uric acid excretion.
    • Crash diets, fasting, or rapid weight loss.

4. Physical or Emotional Stress:

  • Illness, surgery, trauma, or significant emotional stress can trigger an attack.

5. Joint Injury or Pressure:

  • Trauma to a joint or wearing tight shoes can precipitate an attack, especially in weight-bearing joints like the big toe.

6. Medications:

  • Drugs that increase uric acid levels, including:
    • Diuretics (as mentioned earlier)
    • Low-dose aspirin
    • Immunosuppressants like cyclosporine or tacrolimus

7. Other Medical Conditions:

  • Certain health issues increase the risk of gout or trigger attacks, including:
    • Obesity
    • High blood pressure (hypertension)
    • Chronic kidney disease
    • Diabetes or metabolic syndrome
    • Cardiovascular disease

Prevention Tips:

  • Maintain a healthy, low-purine diet.
  • Stay well-hydrated.
  • Avoid excessive alcohol and sugary drinks.
  • Manage body weight and avoid rapid weight loss.
  • Take prescribed uric acid-lowering medications as directed.

By addressing triggers and risk factors, the frequency and severity of gout attacks can often be minimized.

End Of GOUT Program™ By Shelly Manning The End of Gout Program is an intensive lifestyle guide and diet therapy to treat gout. It aids in minimizing and treating the uncomfortable and painful signs of gout naturally and safely. It will teach the impacted everything regarding the condition. This natural program eliminates triggers and factors that give rise to symptoms. The recommendations are honest, effective, safe, and science-based. The program treats you inside out with gout by attacking the cause. By just signing in, you get to access all the valuable information and make your life gout-free. The program has a 60-day money-back too for risk-free use. Several users have expressed their 100 percent satisfaction and results. Give it a try, and you are sure to be surprised by the fantastic results.