Three different Stages of Gout
Gout usually develops after a number of years of buildup of uric acid crystals in the joints and surrounding tissues. A gout attack usually starts during the night with moderate pain that grows worse. A gout attack typically causes pain, swelling, redness, and warmth (inflammation) in a single joint, most often the big toe. Then symptoms gradually go away.
- Most gout attacks stop after about a week.
- Mild attacks may stop after several hours or last for 1 to 2 days. These attacks are often misdiagnosed as tendinitis or a sprain.
- Severe attacks may last up to several weeks, with soreness lasting for up to 1 month.
- Many people have a second attack of gout within 6 months to 2 years after their first attack. But there may be intervals of many years between attacks. If gout is untreated, the frequency of attacks usually increases with time.
There are three stages of gout. Many people never experience the third stage.
- In the first stage, you have high uric acid levels in your blood, but no symptoms. The uric acid levels may stay the same, and you may never have symptoms. Some people may have kidney stones before having their first attack of gout.
- In the second stage, uric acid crystals begin to form, usually in the big toe. You begin to have gout attacks. After an attack, the affected joint feels normal. The time between attacks may grow shorter. Your later attacks may be more severe, last longer, and involve more than one joint.
- In the third stage, symptoms may never go away. They may affect more than one joint. Gritty nodules called tophi may form under your skin.
- Without treatment, the tophi may form in the cartilage of the external ear or the tissues around the joint (bursae, ligaments, and tendons). This can cause pain, swelling, redness, and warmth (inflammation). Progressive crippling and destruction of cartilage and bone is possible.
- This stage of gout is uncommon because of advances in the early treatment of gout.
To treat gout successfully, you need to know what causes gout.
Gout is caused by too much uric acid in the blood (hyperuricemia). The exact cause of hyperuricemia sometimes isn’t known, although inherited factors (genes) seem to play a role.
Uric acid may form crystals that build up in the joints. This causes the pain and other symptoms.
- Certain conditions related to diet and body weight, such as being overweight, eating a diet rich in meat and seafood (high-purine foods), and drinking too much alcohol.
- Medicines that may increase uric acid concentration, such as regular use of aspirin or niacin or using medicines that reduce the amount of salt and water in the body (diuretics).
- Major illness or certain medical conditions, such as rapid weight loss or high blood pressure.
- Having been born with a rare condition that causes high blood uric acid levels. People with Kelley-Seegmiller syndrome or Lesch-Nyhan syndrome have a partial or complete deficiency in an enzyme that helps to control uric acid levels.
We recommend that, if you suffer with severe gout attacks, to change your diet and lifestyle to the Manna Diet. Try to eliminate the gout causing food from your diet and drink plenty of fresh water each day. Take the Manna pH Balance supplement, as this supplement was formulated with specific ingredients which can help to excrete excess uric acid from the body.