Understanding a painful but treatable form of arthritis
Gout is a type of arthritis that causes sudden, intense pain in the joints—most commonly the big toe. It’s caused by a buildup of uric acid in the blood. When uric acid levels get too high, sharp crystals can form in the joints, triggering inflammation, swelling, and severe discomfort
What Does a Gout Attack Feel Like?
Sudden, stabbing joint pain—often at night
Swelling, redness, and warmth in the affected area
The joint may feel so tender that even a bedsheet hurts
Attacks usually last a few days to a week, but can return if untreated
What Causes It?
Uric acid is a natural waste product from breaking down purines—found in certain foods and drinks. Normally, the kidneys flush it out. But if your body makes too much or can’t get rid of it fast enough, uric acid builds up and forms crystals.
Common triggers include:
Red meat, seafood, and organ meats
Alcohol (especially beer)
Sugary drinks with high fructose corn syrup
Dehydration, stress, or certain medications
Who’s at Risk for Gout?
Gout is more common in men, people over 40, and those with conditions like:
High blood pressure
Diabetes
Kidney disease
Obesity
Family history of gout
Can It Be Treated?
Yes. Doctors often prescribe medications to reduce pain and inflammation during attacks, and long-term treatments to lower uric acid levels. Lifestyle changes—like adjusting diet, staying hydrated, and managing weight—can also help prevent future flares. There are even over the counter medications you can take if you feel a flare coming on.
How is Gout Different than Rheumatoid Arthritis?
Gout and rheumatoid arthritis (RA) are both forms of arthritis, but they have very different causes and patterns.
Gout is triggered by a buildup of uric acid, which forms sharp crystals in the joints and causes sudden, intense pain—often in the big toe.
RA, on the other hand, is an autoimmune condition where the body’s immune system mistakenly attacks the joints, leading to chronic inflammation, stiffness, and joint damage over time.
While gout tends to come in painful flare-ups, RA usually develops gradually and affects joints symmetrically, like both hands or wrists.
Can you have Gout and Rheumatoid Arthritis?
It’s absolutely possible to have both gout and rheumatoid arthritis (RA)—though it was once thought to be rare. Newer research shows that around 4% to 6% of people with RA also experience gout, and some studies suggest even higher rates
Gout causes sudden, sharp pain due to uric acid crystals in the joints.
RA causes chronic, symmetrical joint inflammation due to an autoimmune response.
Because both conditions involve joint pain and swelling, they can sometimes be confused with each other. But they require very different treatments, so accurate diagnosis is key. If someone with RA starts having sudden, intense flares—especially in one joint like the big toe—it’s worth checking for gout as well.