What Is Gout
It is one of the most painful forms of arthritis. It occurs when too much uric acid builds up in the body. The buildup of uric acid can lead to:
- Sharp uric acid crystal deposits in joints, often in the big toe
- Deposits of uric acid (called tophi) that look like lumps under the skin
- Kidney stones from uric acid crystals in the kidneys.
The first attack of gout occurs in the big toe for many people. Often, the attack wakes a person from sleep. The toe is very sore, red, warm, and swollen.
Gout can cause:
- Pain
- Swelling
- Redness
- Heat
- Stiffness in joints.
In addition to the big toe, this condition can affect the:
- Insteps
- Ankles
- Heels
- Knees
- Wrists
- Fingers
- Elbows.
A gout attack can be brought on by stressful events, alcohol or drugs, or another illness. Early attacks usually get better within 3 to 10 days, even without treatment. The next attack may not occur for months or even years.


