Gout is a common type of inflammatory arthritis that causes inflammation of joints due to excess uric acid. This buildup of uric acid usually affects the feet. A kidney or thyroid problem, or an inherited disorder, can make it harder for the body to remove excess uric acid. With gout, there is swelling and pain in the joints of the foot, particularly the big toe. Along with the big toe, joints that are commonly affected are the lesser toe joints, the ankle, and the knee. Symptoms in the affected joint(s) may include pain (usually intense), swelling, redness, and/or heat.

In some, gout can be caused by a diet high in purines. Purines are natural chemical components of DNA and RNA. When the body breaks them down, they turn into uric acid. Some purines are found naturally in the body. Some foods that are especially high in purines and can raise uric acid levels in the blood are organ meats, such as kidneys, liver, and sweetbreads; red meat; oily fish, such as sardines, anchovies, and herring; certain vegetables, including asparagus and cauliflower; beans; and mushrooms. A doctor can diagnose gout based on a review of one’s medical history, a physical exam, and symptoms. The doctor may also order a test to check for a buildup of uric acid in the affected joint(s). A sample of fluid taken from the joint can show whether it contains uric acid. The doctor may also want to take an X-ray of the joint. If you would like to find out more and receive a second opinion regarding your diagnosis and treatment, please contact us at secondopinions.com, for your peace of mind.