oklahoma City – A sudden, excruciating pain in a joint – frequently enough the big toe – can signal a gout flare-up, a condition impacting millions and now prompting questions from concerned Oklahomans. A recent surge in inquiries to News 9’s medical hotline has prompted an description from a local expert on the causes, triggers, and available treatments for this painful form of arthritis.
Gout affects an estimated 8.2 million adults in the United States,according to the Centers for Disease Control and Prevention,and is characterized by intense episodes of inflammation caused by uric acid crystal deposits in the joints. Dr. lacy Anderson explained that these flare-ups occur when the body’s uric acid levels are too high, leading to an inflammatory response. “It’s caused by high levels of uric acid in the bloodstream,” Anderson said.
several factors can contribute to elevated uric acid levels and increase the risk of gout flare-ups. Genetics play a role, but lifestyle and underlying medical conditions are also significant. Obesity, diabetes, and kidney disease can all increase susceptibility. Dietary choices are also key; consuming foods high in purines – found in organ meats, seafood, and certain vegetables - can raise uric acid levels. Alcohol consumption is another known trigger.
Certain medications can also contribute to flare-ups.”A vrey common blood pressure medicine called hydrochlorothiazide, or HCTZ,” Anderson noted, “can increase the risk of gout flares.”
treatment for acute gout flares typically involves anti-inflammatory medications and steroids to manage pain and reduce inflammation. However, preventing future flare-ups requires a longer-term approach. Dr. Anderson says medications like allopurinol and Uloric can effectively lower uric acid levels.
“Be sure and talk to your doctor if you are getting recurrent gout flares to see if lifestyle changes and medication can help prevent this from happening again,” Anderson advised. Viewers with questions for Dr. lacy Anderson can reach the News 9 medical hotline at (405) 841-9999 or via email at dailydose@news9.net.