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How to Test for Gout

February 14, 2024 by admin Category: How To

You are viewing the article How to Test for Gout  at Tnhelearning.edu.vn you can quickly access the necessary information in the table of contents of the article below.

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This article was co-written by Siddharth Tambar, MD. Siddharth Tambar is a rheumatologist at Chicago Arthritis and Regenerative Medicine in Chicago, Illinois. With over 19 years of experience, Tambar specializes in rheumatic and regenerative medicine, focusing on the use of platelet-rich plasma and bone marrow stem cells for the treatment of rheumatoid arthritis, tendonitis, and trauma. back pain and pain. Dr. Tambar holds a bachelor’s degree in economics from the State University of New York at Buffalo. He earned his doctorate from the State University of New York at Syracuse. He completed his internship, internal medicine residency, and rheumatology doctorate at Northwestern Memorial Hospital. Tambar is board-certified in both rheumatology and internal medicine. He also has a certificate in interventional techniques, diagnosis by musculoskeletal ultrasound of the American Rheumatology Association and the American Institute of Applied Ultrasound in Medicine.

There are 16 references cited in this article that you can view at the bottom of the page.

This article has been viewed 3,545 times.

You should get tested for Gout if you have severe pain and inflammation in your joints and you don’t have an injury or medical condition that could cause such pain. [1] X Trusted Source Mayo Clinic Go to the Source Gout occurs when too many uric acid crystals form around a joint and cause pain. [2] X Trusted Source Mayo Clinic Go to Source Most patients with Gout experience joint pain in the big toe first, but any joint can be affected. [3] X Research Source To test for Gout, your doctor will do a joint aspiration, blood test, or urine test. [4] X Trusted Source Mayo Clinic Go to Source

Table of Contents

  • Steps
    • Preparing for a doctor’s appointment
    • Tests for Gout
    • Treatment of Gout

Steps

Preparing for a doctor’s appointment

Image titled Test for Gout Step 1

Image titled Test for Gout Step 1

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Prepare medical records. Conditions like diabetes, high blood pressure (if left untreated), and heart and kidney disease can make you more susceptible to gout. [5] X Trusted Source Mayo Clinic Go to Source

  • Similarly, treatment for certain cancers can cause Gout, such as leukemia and lymphoma. [6] X Trusted Source Mayo Clinic Go to Source
  • In addition, you should be aware of any serious illnesses, infections, or injuries you have, especially if they have appeared recently. [7] X Research Sources
Image titled Test for Gout Step 2

Image titled Test for Gout Step 2

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Find out a family history of gout. You can inherit gout if someone in your family has it. Ask your parents if anyone in the family has gout. [8] X Trusted Source Mayo Clinic Go to Source
Image titled Test for Gout Step 3

Image titled Test for Gout Step 3

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Specify the list of drugs for treatment. [9] X Trusted Source National Health Service (UK) Go to Source During your appointment, your doctor will need to know what medications you are taking. Sometimes medications can cause unwanted side effects or can cause disease, such as Gout. In addition, your doctor needs to know if the medication you are about to prescribe will interact with the medication you are taking. [10] X Research Source

  • For example, diuretics or thiazides and low-dose aspirin can increase the risk of gout. [11] X Research Source
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Image titled Test for Gout Step 4

Image titled Test for Gout Step 4

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Record your symptoms. Write down specifically when you feel the pain, for example twice a day or just once in the afternoon. Also, specify the location of the pain, such as the knee or the big toe. Make a note of any symptoms you experience, such as restricted mobility, swelling, redness, or stiffness. [12] X Trusted Source National Health Service (UK) Go to Source
Image titled Test for Gout Step 5

Image titled Test for Gout Step 5

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Keep a food diary. A food diary is a list of the foods you eat during the day and how much you eat. For example, you might record that you ate 180g of steak for dinner, along with 1/2 cup of broccoli, 1/2 cup of mashed potatoes, and 1/2 teaspoon of butter. [13] X Research Source

  • A food diary is essential in diagnosing gout because you may be at increased risk of gout if you consume too much meat, alcohol, or high-fructose foods. [14] X Trusted Source Mayo Clinic Go to Source
Image titled Test for Gout Step 6

Image titled Test for Gout Step 6

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Specify the questions you want to ask. For example, you should ask your doctor if the pain could be due to another type of joint disease; Can medication be the cause of joint pain? Make sure to write these questions down so you don’t forget them when you go to the doctor. [15] X Trusted Source Mayo Clinic Go to Source

Tests for Gout

Image titled Test for Gout Step 7

Image titled Test for Gout Step 7

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Prepare for the doctor’s questions. One of the main ways to diagnose Gout is for your doctor to ask questions. Use your symptom notes to answer your doctor’s questions. [16] X Research Source

  • For example, your doctor will ask you where the pain comes from. From there, your doctor can diagnose you with Gout if initially, you have pain in the big toe joint, which then spreads to other joints. [17] X Research Source
Image titled Test for Gout Step 8

Image titled Test for Gout Step 8

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Prepare for the joint puncture test. This is the most common test. In this test, the doctor will use a needle to remove synovial fluid from the joint. The extract is then looked at with a microscope to see if it contains sodium urate crystals. That is a sign of Gout. [18] X Trusted Source National Health Service (UK) Go to Source
Image titled Test for Gout Step 9

Image titled Test for Gout Step 9

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Prepare for a blood test. A blood sample is also a common test for gout. You will be tested for uric acid levels in your blood. However, there are also cases where uric acid levels are high but you don’t have Gout [19] X Reliable Source Mayo Clinic Go to the source or you have Gout but your blood uric acid levels aren’t high. [20] X Trusted Source National Health Service (UK) Go to Source

  • In fact, your doctor probably won’t do a blood test less than a month after you suspect Gout because at this point, uric acid in your blood may not be high enough. [21] X Trusted Source National Health Service (UK) Go to Source
  • Occasionally, a urinalysis may also be done to test for Gout. Basically, you will be asked to urinate into a clean cup. Then, the specialist will check the uric acid level in the urine. [22] X Research Source
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Image titled Test for Gout Step 10

Image titled Test for Gout Step 10

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Understand why your doctor is performing an ultrasound. Your doctor may do an ultrasound to detect urate crystals in your joints and skin. Ultrasound is done when you have acute intermittent pain and if one or more joints are affected. If you don’t like the needle (for example, the needle used in the arthrocentesis test), you can ask your doctor for an ultrasound instead. [23] X Trusted Source National Health Service (UK) Go to Source
Image titled Test for Gout Step 11

Image titled Test for Gout Step 11

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Ask your doctor to check for other causes. If you think your joint pain isn’t caused by gout, you can ask your doctor to check for other causes. The doctor will take X-rays to check for inflammation in the joint and this is a sign of another problem in the joint. [24] X Trusted Source Mayo Clinic Go to Source

Treatment of Gout

Image titled Test for Gout Step 12

Image titled Test for Gout Step 12

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Try pain relievers. Your doctor will recommend pain medication, such as an over-the-counter medication you are taking or a prescription pain reliever. [25] X Trusted Source Mayo Clinic Go to Source

  • In severe cases of Gout, your doctor may prescribe Pegloticase (Krystexxa). [26] X Research Source
  • Nonsteroidal anti-inflammatory drugs (NSAIDs) are commonly used to treat gout, ranging from the prescription drug Celecoxib to the over-the-counter drug Ibuprofen. [27] X Trusted Source Mayo Clinic Go to Source
  • Your doctor may also prescribe the pain reliever Cpchicine. However, the side effects of the drug can be very serious in some cases, so this is not the best option. [28] X Trusted Source Mayo Clinic Go to Source
Image titled Test for Gout Step 13

Image titled Test for Gout Step 13

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Ask your doctor about corticosteroids. These steroids can help relieve gout pain, especially if you can’t take an NSAID. You may be given an injection into the joint or an oral medication if the pain is widespread. [29] X Research Sources
Image titled Test for Gout Step 14

Image titled Test for Gout Step 14

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Take medication to prevent gout. If Gout often recurs, your doctor may prescribe preventive medication for you. These drugs belong to two groups, one group helps to hinder the production of uric acid and one group helps to remove uric acid from the body. [30] X Trusted Source Mayo Clinic Go to Source Common medications include Allopurip, Febuxostat and Probenecid. [31] X Research Source
Image titled Test for Gout Step 15

Image titled Test for Gout Step 15

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Limit alcoholic beverages and fruit juices. Alcoholic beverages and drinks containing fructose can make gout worse. You should drink water instead of these drinks. [32] X Trusted Source Mayo Clinic Go to Source
Image titled Test for Gout Step 16

Image titled Test for Gout Step 16

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Limit the consumption of meat and certain types of seafood. Certain types of meat can increase uric acid levels in the body. Uric acid is produced when the body processes the chemical purine – found in some meats and seafood. [33] X Trusted Source Mayo Clinic Go to Source

  • In particular, avoid consuming beef, pork and lamb. Besides, you should also avoid seafood such as anchovies, herring, shrimp and shellfish. Organ meats, such as liver, heart and bile are also high in purines. [34] X Research Sources
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Image titled Test for Gout Step 17

Image titled Test for Gout Step 17

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Exercise regularly. Exercise helps you lose weight and improve your overall health. Because obesity is a risk factor for gout, losing weight can help reduce your risk of gout. [35] X Trusted Source Mayo Clinic Go to Source

  • Choose light-intensity exercises because Gout can cause pain during exercise. For example, you can swim or jog. Exercise regularly, at least 30 minutes, 5 times per week. [36] X Research Source
  • Image titled Test for Gout Step 18

    Image titled Test for Gout Step 18

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    Accept surgery if necessary. Tophi are deposits of urate crystals that form in many parts of the body, creating lumps under the skin. They usually form around joints and bones. If gout is left untreated, tophi can grow large and need to be surgically removed because they limit joint movement. Kidney stones are another complication of gout because they block the ureters and lead to water retention in the kidneys. [37] X Research Source
  • X

    This article was co-written by Siddharth Tambar, MD. Siddharth Tambar is a rheumatologist at Chicago Arthritis and Regenerative Medicine in Chicago, Illinois. With over 19 years of experience, Tambar specializes in rheumatic and regenerative medicine, focusing on the use of platelet-rich plasma and bone marrow stem cells for the treatment of rheumatoid arthritis, tendonitis, and trauma. back pain and pain. Dr. Tambar holds a bachelor’s degree in economics from the State University of New York at Buffalo. He earned his doctorate from the State University of New York at Syracuse. He completed his internship, internal medicine residency, and rheumatology doctorate at Northwestern Memorial Hospital. Tambar is board-certified in both rheumatology and internal medicine. He also has a certificate in interventional techniques, diagnosis by musculoskeletal ultrasound of the American Rheumatology Association and the American Institute of Applied Ultrasound in Medicine.

    There are 16 references cited in this article that you can view at the bottom of the page.

    This article has been viewed 3,545 times.

    You should get tested for Gout if you have severe pain and inflammation in your joints and you don’t have an injury or medical condition that could cause such pain. [1] X Trusted Source Mayo Clinic Go to the Source Gout occurs when too many uric acid crystals form around a joint and cause pain. [2] X Trusted Source Mayo Clinic Go to Source Most patients with Gout experience joint pain in the big toe first, but any joint can be affected. [3] X Research Source To test for Gout, your doctor will do a joint aspiration, blood test, or urine test. [4] X Trusted Source Mayo Clinic Go to Source

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