Gout is caused by high levels of urate or uric acid in the blood. Gout causes pain and swelling of the joints including toes, ankles, heels, knees, wrists, fingers and elbows. Gout can cause kidney stones and kidney problems.

Gout attacks begin with

• severe pain


• redness and swelling in the big toe or knees and sometimes the fingers.

Gout is treated with medicines that:

• relieve the pain


• decrease the swelling of the joints


• decrease the level of uric acid in the blood.

To prevent a gout attack:

• Take your medicine regularly.


• Drink plenty of water and fluids.


• Exercise.


• Avoid eating red meats and shellfish.


• Limit the amount of alcohol you drink.

During a gout attack, try to reduce the pain by:

• Resting and elevating your swollen joint.


• Applying an ice pack to the swollen joint.

Ask your doctor:

• If your joint pain is due to gout.


• What medicines you can take to treat gout.


• About your diet and what foods not to eat.


• About exercise.