Approximately one million people in the United States suffer from attacks of gout. Gout is nine times more common in men than in women. It predominantly attacks males after puberty, with a peak age of 75. In women, gout attacks usually occur after menopause.

Cause of Gout
An excess of uric acid in the body causes gout. This excess can be caused by an increase in the production of uric acid by the body, by an under-elimination of uric acid by the kidneys, or by an increased intake of food containing purines, which are metabolized onto uric acid in the body, Certain means, seafood, dried peas an beans are particularly high in purines. Alcoholic beverages also significantly increase uric acid levels and precipitate gout attacks.

With time, elevated levels of uric acid and the blood may lead to deposits of the uric acid around joints. Eventually, the uric acid may form needle-like crystals in the joints, leading to acute gout attacks. Uric acid may also collect under the skin as tophi or in the urinary tract as kidney stones.

Symptoms of Gout
The small joint at the base of the big toe is the most common site of acute gout. Other joints affected include the ankles, knees, wrists, fingers and elbows. Acute gout attacks are characterized by a rapid onset of pain in the affected joints followed by warmth, swelling, reddish discoloration, and marked tenderness. These painful attacks usually subside within hours to days, with or without medication. Most patients with gout will experience repeated attacks of arthritis over years.

Treatment for gout falls into two categories:
Acute gout attack for which the focus is to eliminate the pain and inflammation. Chronic gout for which the focus is to inhibit the production of uric acid and/or enhance the urinary excretion of uric acid.

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