Gout self-care: Approved tips for managing a gout flare
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Summary: Managing a gout flare requires rest, elevating the affected area, using cold compresses, staying well-hydrated, and making dietary modifications to reduce pain and inflammation. Following prescribed treatments, maintaining a healthy weight, and monitoring uric acid levels are essential for prevention. With appropriate self-care and medical advice, individuals can successfully manage gout flare-ups and minimise their impact on everyday life.
Gout is a type of inflammatory arthritis that arises when uric acid builds up in the body, forming sharp crystals that deposit in the joints, leading to swelling and intense pain. While it commonly affects the big toe, it can also target other joints, such as knees, ankles, and elbows. In 2022, around 224,000 (0.9%) people in Australia were estimated to be living with gout. Gout flares can be extremely painful, and while medical treatment is essential, self-care is the key to managing and preventing these flare-ups. Let’s explore various self-care techniques for dealing with a gout flare, including adjustments in lifestyle, diet, and natural remedies.
During a gout flare
During a gout flare, it is crucial to rest and elevate the affected joint to ease pain and swelling. Applying cold compresses, drinking plenty of water, and avoiding trigger foods can help manage symptoms. Following prescribed treatments and limiting physical strain on the joint are essential for reducing pain and promoting recovery.To prevent future attacks
Several significant lifestyle changes and habits are necessary to prevent future gout attacks. Maintaining a healthy weight reduces joint stress and lowers uric acid levels. Staying hydrated by drinking enough water promotes uric acid excretion through the kidneys, preventing joint crystal formation. Following a low-purine diet is vital, as foods like red meat, shellfish, and alcohol increase uric acid levels. Regular physical activity, particularly low-impact activities like walking or swimming, improves joint health and supports weight management. Additionally, adhering to prescribed medications, like uric acid-lowering drugs, and regularly monitoring uric acid levels can help ensure that levels remain within a safe range, preventing future flare-ups. By implementing these strategies, individuals can significantly reduce the risk of recurrent gout attacks.Managing a gout flare
Managing a gout flare requires prompt action and a combination of immediate self-care techniques and long-term preventative measures to alleviate pain, inflammation, and prevent future flare-ups.- Start treatment immediately: At the onset of a gout flare, it’s essential to start treatment immediately to reduce pain and swelling. This includes taking over-the-counter medicines to manage flare symptoms. Follow your doctor’s instructions for dosage and frequency.
- Call your doctor: Call your doctor immediately for advice. They may recommend stronger medications or suggest other interventions, such as corticosteroids, to manage inflammation. A doctor may also assist in addressing any underlying health conditions contributing to the flare.
- Apply cold compresses: Applying a cold compress or ice pack to the swollen joint for 20 to 30 minutes may help ease pain and inflammation. This should be done several times a day during a flare.
- Elevate the joint: Lifting the affected joint can help decrease swelling. Use pillows to support the foot or hand, elevating it above heart level to promote proper circulation and reduce fluid accumulation around the joint.
- Stay hydrated: Drinking sufficient water is crucial during a gout flare to help flush excess uric acid out of the body. Proper hydration may help lessen the severity and length of the flare.
- Get a cane or supportive aid: if the affected joint, usually the big toe, makes walking difficult, using a cane or mobility aid can help minimise pressure on the joint and improve mobility. This will prevent further aggravation and allow the joint to rest properly.
- Avoid alcohol: Avoid alcohol, especially beer and spirits, as it may exacerbate gout symptoms by increasing uric acid levels in the body.
- Rest: Rest is vital during a gout flare. Avoid putting weight or stress on the affected joint. If possible, stay off your feet and avoid movement. Keeping the joint stable helps alleviate swelling and inflammation.
- Avoid stress and relax: Stress can worsen inflammation, so stay calm and relax during a flare. Engage in relaxing activities such as listening to music or reading to help manage stress and support healing.
What not to do during a gout flare-up?
Gout flare-ups can be incredibly painful and disruptive, often initiated by diet, lifestyle choices, and certain medications. To manage a flare-up effectively, it's important to avoid specific triggers that may aggravate symptoms and delay recovery.- Avoid high-purine foods: Purines convert into uric acid, which can trigger gout flares. Steer clear of red meats like beef, lamb, and pork; organ meats like liver and kidneys; and seafood options like anchovies, sardines, and shellfish. Additionally, refrain from consuming alcohol, particularly beer and liquor, as well as sugary beverages like soda and high-fructose fruit juices.
- Do not drink alcohol: Alcohol elevates uric acid levels and exacerbates inflammation. Beer and spirits can be especially detrimental during a flare-up.
- Stay hydrated: Insufficient fluid intake can increase the concentration of uric acid. Drink plenty of water and limit diuretics such as coffee and sugary sodas.
- Refrain from overusing the joint and ensure adequate rest: Limit standing, walking excessively, or applying pressure to the affected joint. Resting and elevating the joint can help minimise swelling and discomfort.
- Avoid aspirin: Aspirin can raise uric acid levels and intensify symptoms. Instead, opt for NSAIDs like ibuprofen unless otherwise directed.
- Consistently take your medications: If you are prescribed uric acid-lowering medications, do not abruptly discontinue them, as this could trigger additional attacks.
- Skip processed or junk food: Processed foods typically contain high sodium and unhealthy fats, leading to increased inflammation. Focus on consuming fresh, whole foods to manage symptoms.
- Avoid tight footwear: If flare-up affects your foot, wearing tight shoes can intensify pressure and pain. Choose loose and comfortable shoes to prevent exacerbating symptoms.
What is the fastest way to get rid of gout at home?
The quickest way to alleviate a gout flare-up at home involves a mix of medication, lifestyle modifications, and dietary changes. Although gout attacks usually last several days to a week, following these guidelines can lessen pain and expedite recovery.- Take anti-inflammatory medication: NSAIDs can aid in alleviating swelling and pain. Avoid aspirin, as it could worsen the attack by influencing uric acid levels.
- Use ice packs: Applying an ice pack to the affected joint for 15-20 minutes every hour can help numb pain and diminish inflammation. Always wrap the ice pack in a cloth to avoid skin irritation.
- Rest and elevate the joint: Try not to place pressure on the affected joint and keep it raised above heart level to alleviate swelling. Maximise your rest to promote faster recovery.
- Ensure hydration: Proper hydration assists in flushing excess uric acid from the body. Aim for a daily intake of at least 8-12 cups of water, but avoid alcohol and sugary drinks, as they can aggravate symptoms.
- Consider using baking soda (optional remedy): Mixing ½ teaspoons of baking soda in a glass of water and consuming it 2-3 times daily may help neutralise uric acid. However, it's advisable to consult a GP first, particularly if you have elevated blood pressure.
- Include gout-friendly foods in your diet: Cherries or cherry juice may aid in lowering uric acid levels and reducing inflammation. Low-fat dairy products, vegetables, and whole grains can support kidney health and potentially relieve symptoms.
- Explore herbal remedies: Drinking ginger or turmeric tea might help alleviate inflammation. Apple cider vinegar mixed with water is sometimes utilised to help balance pH levels, although evidence supporting this is limited.
- Consider an Epsom salt soak: Soaking the affected joint in warm water with Epsom salt may relax muscles and potentially reduce swelling.
- Focus on stress management and quality sleep: Stress can aggravate inflammation, so engaging in deep breathing, meditation, or gentle stretching can be beneficial. Ensuring adequate rest allows your body to recover more effectively.
What can a person drink to flush out gout?
Drinking ample fluids can assist in flushing out uric acid and managing gout. Optimal options include water, which supports kidney function, and lemon water, which may help neutralise uric acid. Tart cherry juice and green tea possess anti-inflammatory properties that can lower uric acid levels. Low-fat milk encourages uric acid elimination, while apple cider vinegar and herbal teas like ginger or turmeric might help mitigate inflammation. Coconut water and juices from cucumber or celery are also beneficial for regulating uric acid levels. Refrain from consuming alcohol, sugary sodas, and high-fructose juices, as they can exacerbate gout symptoms.Is there a target uric acid level that I should aim for?
Yes, there is a specific uric acid level you should target to minimise gout flare-ups and avoid long-term issues.- The recommended serum uric acid level for most individuals with gout is under 6.0 mg/dL (360 µmol/L).
- For those with severe or chronic gout, including patients with tophi (deposits of uric acid crystals), the goal is to maintain a level below 5.0 mg/dL (300 µmol/L) to help dissolve existing crystals and avert further joint damage.
When to call a doctor?
You should reach out to a doctor if your gout symptoms worsen or fail to improve within 48 hours or if flare-ups occur frequently. Seek medical help if you experience intense pain, swelling, or redness that extends beyond the affected joint, as this could be a sign of an infection. If you develop fever, chills, or feel unwell, it may indicate septic arthritis, which needs prompt attention. Chronic gout with tophi (solid uric acid deposits) or changes in joint structure also require medical review. Should your uric acid levels remain consistently elevated despite lifestyle modifications, discuss long-term management options with a doctor. Timely treatment can prevent complications such as kidney stones and irreversible joint damage.Reach out to an online doctor near you
If you are dealing with a gout flare-up and require prompt medical advice, consider contacting an online doctor nearby for quick assistance. Virtual consultations enable you to talk about your symptoms, receive treatment suggestions, online doctor certificate and obtain prescriptions for pain relief or medications that lower uric acid levels from the comfort of your own home. This is particularly beneficial if your pain intensifies, swelling increases, or you experience frequent flare-ups. Some services provide 24/7 virtual care to ensure you receive timely support. If you observe symptoms of infection, like fever or significant redness, seek immediate medical attention. Look for a telehealth provider or an online urgent care service to get expert help today. Managing a gout flare involves rest, hydration, dietary changes, and medication adherence. Keeping a healthy weight and tracking uric acid levels can help prevent future flare-ups. With proper self-care and medical guidance, individuals can efficiently control gout and reduce its impact on daily life.See a GP online within just 15 minutes.
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Disclaimer
This blog is for general informational purposes only and does not indicate that Hola Health provides all treatments or preventive measures mentioned. It is not intended to be a substitute for professional medical advice. Always seek the guidance of your doctor or other qualified health professional with any questions you may have regarding your health or a medical condition. For emergencies please immediately contact 000. Any medical topics discussed are intended to educate, not to imply availability through Hola Health.