Gout Diagnosis and Gout Treatment

Gout Diagnosis and Gout Treatment

The fluid that lubricates the joints is called synovial fluid. Gout daignosis is done by inserting an needle in the affected joint to draw a sample of this fluid. The fluid is then analyzed under a microscope to determine the presence of uric acid crystals. To rule out joint infection, the fluid also is examined for the presence of bacteria. Patients with gout have elevated blood levels of uric acid (hyperuricemia), but this condition may or may not be present during an acute attack.

The gout treatment is to decrease the amount of uric acid in the joints. This helps to reduce gout symptoms and prevent further attacks. In most cases, gout is not treated unless it occurs frequently.

Gout treatment may involve nonsteroidal anti-inflammatories (NSAIDs) such as naproxen (e.g., Anaprox®, Naprosyn®) and indomethacin (e.g., Indocin®). Due to potentially severe gastrointestinal and cardiovascular side effects, NSAIDs should only be used as instructed. Corticosteroids (e.g., prednisone) also may be taken orally or injected into the affected joint. These medications usually resolve symptoms in about a week. These medications are most effective when taken within 12 hours of the onset of symptoms. Side effects include abdominal pain, diarrhea, nausea, and vomiting.

Prevention is the best defense against gout. Medication may prevent accumulation of uric acid in the joints and further attacks. Avoiding alcohol and rich foods that are high in purine also may help to prevent the condition. Drink plenty of fluids (especially water), regular exercise, healthy diet and healthy body weight are some of the preventative measures for gout.