Gout is a form of arthritis that is caused by a buildup of uric acid. This can occur if the body processes too much or is unable to properly process the gout that is present in the blood. This excess of uric acid can build up in the lining of the joints and become crystallized. A high level of uric acid does not always cause gout. When gout is treated properly it can be resolved. Gout left untreated can become a chronic problem. The earlier your treatment is started the better your chances of recovery. The first step is to recognize the common signs and symptoms.
Initial Symptoms
Uric acid can build up in the body and remain elevated for years without causing symptoms. According to the National Institutes of Health one of the first signs that you are developing gout is severe pain that occurs at night and it is commonly described as throbbing, crushing or excruciating pain. The pain associated with gout usually occurs in the big toe but can also affect the feet, ankles, knees, hands and wrists. Your affected joint may be red, swollen and painful to touch. You may not be able to even tolerate the weight of a sheet on your toe. The John Hopkins Arthritis Center states that you might not be able to bear weight on the affected area or put on a shoe. In an initial attack these symptoms last for few days and then resolve.
Progressive Symptoms
You may develop a fever and chills if your gout attack lasts longer or is not treated appropriately. You may experience stiffness, lose flexibility in the affected area and the joint may become deformed. Unlike an initial attack, in the chronic stage your symptoms may be present most of the time or you may go through periods of remissions and flares.
Long-Term Symptoms
Those who have had gout for many years may notice lumps below the skin called tophi. There may be severe bone and cartilage destruction in the affected joint. In addition, the excess uric acid crystals can build up in the kidneys and cause kidney stones.
