A gout attack usually lasts 5 to 7 days and then gets better. It may not cause lasting damage to your joints if you get treatment right away. An acute gout attack usually peaks between 12 and 24 hours after onset, and then begins to resolve slowly even without treatment. It takes approximately 7 to 14 days to fully recover from a gout attack (without treatment).
A gout attack usually occurs when something triggers an increase in uric acid levels or a change in the joint's crystals. Acute gout pain is worse for the first 8 to 12 hours. If left untreated, gout can cause symptoms that last 10 to 14 days on average. Complications of untreated gout include chronic pain and permanent joint damage.
If you have repeated gout attacks, see a doctor to prevent chronic gout. After a first gout outbreak, 75 percent of people will have a second one within a year; but some people may go years before another attack, Dr. The intermediate stage is “when a person has already had a gout outbreak but doesn't currently have any joint pain or swelling,” he says. The pain and discomfort that accompany a gout outbreak usually last between 5 and 10 days.
The first 2 or 3 days are usually the worst, so it's important to have information to help you avoid pain before it becomes debilitating. Over time, gout can start to affect more joints throughout the body and cause problems such as gout, tophus, and permanent bone damage. While most patients will have high levels of uric acid in their blood for many years before having their first gout attack, treatment is currently not recommended during this period due to the absence of clinical signs or symptoms of gout. Serum uric acid concentrations may support the diagnosis of gout, but the presence of hyperuricemia or normal uric acid concentrations alone do not confirm or rule out the diagnosis of gout, since uric acid levels can often be normal during an acute gout attack.
While eating foods high in purines can contribute to high levels of uric acid, many experts believe that the role of diet in the development of gout is overemphasized. As you become familiar with the symptoms of gout, you may feel that a gout attack is coming. Gout is a type of arthritis that causes sudden and intense bouts of pain, but thankfully, a proper diet can alleviate your symptoms. It is important to note that gout and infection can coexist in the same joint (they are not mutually exclusive) and the possibility of sending joint fluid for culture should be considered even in patients with an established history of gout if they are at risk of infection.
The big toe is a known site of gout attacks, but gout can affect many different joints throughout the body. In a recent study, for example, only 37 percent of people with gout were taking allopurinol, a medication to lower uric acid; among gout patients with frequent outbreaks, only half took it. However, the progression of gout is certainly not inevitable, which is close to the best news any patient with gout can hear. If you have more than one gout outbreak per year, it's very important that you take a gout medication regularly, says Dr.