--- title: Gout | Push Doctor description: Gout can cause severe pain and discomfort. Read more about what it is, its symptoms, how it’s diagnosed, and how it’s treated. image: https://www.pushdoctor.co.uk/hubfs/PDR_Global_6_logo_images/PD%20Logo.png --- ![Providing NHS services logo](https://www.pushdoctor.co.uk/hubfs/Providing-NHS-Services.png) ** A1 /what-we-treat/joint-pains-and-aches/gout PP /what-we-treat/joint-pains-and-aches/gout PP /what-we-treat/joint-pains-and-aches/gout PP /what-we-treat/joint-pains-and-aches/gout PP /what-we-treat/joint-pains-and-aches/gout PP /what-we-treat/joint-pains-and-aches/gout PP /what-we-treat/joint-pains-and-aches/gout PP /what-we-treat/joint-pains-and-aches/gout PP /what-we-treat/joint-pains-and-aches/gout PP /what-we-treat/joint-pains-and-aches/gout PP /what-we-treat/joint-pains-and-aches/gout PP /what-we-treat/joint-pains-and-aches/gout PP /what-we-treat/joint-pains-and-aches/gout PP /what-we-treat/joint-pains-and-aches/gout PP /what-we-treat/joint-pains-and-aches/gout PP /what-we-treat/joint-pains-and-aches/gout PP 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/what-we-treat/joint-pains-and-aches/gout CCC what-we-treat CCC joint-pains-and-aches CCC gout BBB /what-we-treat/joint-pains-and-aches/gout CCC what-we-treat CCC joint-pains-and-aches CCC gout BBB /what-we-treat/joint-pains-and-aches/gout CCC what-we-treat CCC joint-pains-and-aches CCC gout BBB /what-we-treat/joint-pains-and-aches/gout CCC what-we-treat CCC joint-pains-and-aches CCC gout BBB /what-we-treat/joint-pains-and-aches/gout CCC what-we-treat CCC joint-pains-and-aches CCC gout BBB /what-we-treat/joint-pains-and-aches/gout CCC what-we-treat CCC joint-pains-and-aches CCC gout ![Dr Sarah Marshall](https://www.pushdoctor.co.uk/hubfs/Dr-Sarah-Big.jpg) Medically reviewed by: ### Dr Sarah Marshall - Medical Officer ** Updated: **Aug 18, 2021** ** Next review: **Aug 18, 2022** BBB /what-we-treat/joint-pains-and-aches/gout CCC what-we-treat CCC joint-pains-and-aches CCC gout BBB /what-we-treat/joint-pains-and-aches/gout CCC what-we-treat CCC joint-pains-and-aches CCC gout BBB 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/what-we-treat/joint-pains-and-aches/gout CCC what-we-treat CCC joint-pains-and-aches CCC gout BBB /what-we-treat/joint-pains-and-aches/gout CCC what-we-treat CCC joint-pains-and-aches CCC gout BBB /what-we-treat/joint-pains-and-aches/gout CCC what-we-treat CCC joint-pains-and-aches CCC gout BBB /what-we-treat/joint-pains-and-aches/gout CCC what-we-treat CCC joint-pains-and-aches CCC gout BBB /what-we-treat/joint-pains-and-aches/gout CCC what-we-treat CCC joint-pains-and-aches CCC gout BBB /what-we-treat/joint-pains-and-aches/gout CCC what-we-treat CCC joint-pains-and-aches CCC gout BBB /what-we-treat/joint-pains-and-aches/gout CCC what-we-treat CCC joint-pains-and-aches CCC gout BBB /what-we-treat/joint-pains-and-aches/gout CCC what-we-treat CCC joint-pains-and-aches CCC gout BBB /what-we-treat/joint-pains-and-aches/gout CCC what-we-treat CCC joint-pains-and-aches CCC gout BBB /what-we-treat/joint-pains-and-aches/gout CCC what-we-treat CCC joint-pains-and-aches CCC gout BBB /what-we-treat/joint-pains-and-aches/gout CCC what-we-treat CCC joint-pains-and-aches CCC gout BBB /what-we-treat/joint-pains-and-aches/gout CCC what-we-treat CCC joint-pains-and-aches CCC gout BBB /what-we-treat/joint-pains-and-aches/gout CCC what-we-treat CCC joint-pains-and-aches CCC gout BBB /what-we-treat/joint-pains-and-aches/gout CCC what-we-treat CCC joint-pains-and-aches CCC gout BBB /what-we-treat/joint-pains-and-aches/gout CCC what-we-treat CCC joint-pains-and-aches CCC gout BBB /what-we-treat/joint-pains-and-aches/gout CCC what-we-treat CCC joint-pains-and-aches CCC gout BBB /what-we-treat/joint-pains-and-aches/gout CCC what-we-treat CCC joint-pains-and-aches CCC gout BBB /what-we-treat/joint-pains-and-aches/gout CCC what-we-treat CCC joint-pains-and-aches CCC gout BBB /what-we-treat/joint-pains-and-aches/gout CCC what-we-treat CCC joint-pains-and-aches CCC gout BBB /what-we-treat/joint-pains-and-aches/gout CCC what-we-treat CCC joint-pains-and-aches CCC gout BBB /what-we-treat/joint-pains-and-aches/gout CCC what-we-treat CCC joint-pains-and-aches CCC gout BBB /what-we-treat/joint-pains-and-aches/gout CCC what-we-treat CCC joint-pains-and-aches CCC gout BBB /what-we-treat/joint-pains-and-aches/gout CCC what-we-treat CCC joint-pains-and-aches CCC gout ** ** ## What is gout? Gout is a type of [arthritis](https://www.pushdoctor.co.uk/what-we-treat/joint-pains-and-aches/arthritis) that causes sudden and very severe pain, swelling and inflammation, usually just in one joint (although more than one may be affected). This is often your big toe, but it can affect other joints, including other areas of your feet, ankles, knees, wrists and hands. ** ** ## Symptoms The pain usually starts at night when you’re asleep, and gradually gets worse over a couple of hours. Symptoms include: - Severe joint pain - the joint will be very sensitive to anything touching it - Swelling and inflammation - Redness of the skin around the joint - Shiny skin around the joint - Pain when walking or moving the joint - You may also have a mild fever, and generally feel unwell For more information on [gout symptoms](https://www.pushdoctor.co.uk/what-we-treat/joint-pains-and-aches/gout/symptoms). ** ** ## Diagnosis If you have severe pain in one of your joints (most commonly it happens in the big toe, knees, elbows, fingers or wrists) and it comes on suddenly, you should see a GP. If you have severe pain and a fever, call 111, or see a GP urgently, as this could be a sign of infection. During an online video consultation, our doctors will need as much information as you can give them about your symptoms. They will also want to take a look at the area that you think is affected by gout in order to provide you with an accurate diagnosis. They’ll ask about your lifestyle and diet, medical history and also whether you’ve experienced gout attacks in the past, or if it runs in your family, amongst other things. For more detailed information about what will happen during your consultation, [click here](https://www.pushdoctor.co.uk/what-we-treat/joint-pains-and-aches/gout/diagnosis). ** ** ## Causes The symptoms of gout are caused by a build-up of uric acid in the blood, which can lead to the formation of uric acid crystals in your joints. These crystals cause your joint to become inflamed and swollen and will cause a lot of pain and swelling. There are things that can contribute to an attack happening too, and certain people are more prone to the condition than others. To read more about [causes of gout](https://www.pushdoctor.co.uk/what-we-treat/joint-pains-and-aches/gout/causes). ** ** ## Treatment Gout usually needs to be treated in a number of ways. Firstly, medication can be taken to alleviate the initial pain and secondly, lifestyle and dietary changes can be made to try and help prevent it returning, as well as potential long-term medication. There are self-care methods to help you recover from an attack, which includes rest, applying ice and drinking plenty of fluid. The medications for treating the initial pain of a gout attack include: - NSAIDs - Steroids - Colchicine In order for your treatment to be effective, this will be tailored to you, your symptoms and how you respond to it. This is why it helps our doctors to have as much information as possible before giving you a diagnosis. Once you have recovered from an attack, there are things you can do to help prevent another attack in the future. Find out more about [how gout can be treated and prevented](https://www.pushdoctor.co.uk/what-we-treat/joint-pains-and-aches/gout/treatment). ### **NHS - trained and registered doctors Every one of our doctors is registered with the General Medical Council and can be found on the NHS National Performers List, so you know you are only ever receiving the best possible care and advice. They are experienced in treating a wide range of conditions, and can help with almost everything your regular GP could in a physical surgery. You can meet some of our doctors [here](https://www.pushdoctor.co.uk/meet-our-doctors). Push Doctor also has an in-house Medical team, who support our doctors day in, day out, and enable our doctors to do what they do best. They are also responsible for the ongoing training and development of doctors on our platform. ![close button](https://www.pushdoctor.co.uk/hubfs/SVGs/close-black.svg) ### **CQC regulated The [Care Quality Commission (CQC)](https://www.cqc.org.uk/) is the independent regulator of health and social care in England. They are the foremost authority in our industry, assessing health providers' ability to provide people with safe, effective, compassionate and high-quality care – be they offline or online doctors. Push Doctor is registered with the CQC under the name 'Push Dr Limited', with the registration number [1-5345986073](https://www.cqc.org.uk/location/1-5345986073). Our most recent inspection took place in May 2019, concluding that the service we provide is safe, effective, caring, responsive and well-led – gaining a 'Good' rating overall. You can read the report in full on [our CQC profile](https://www.cqc.org.uk/location/1-5345986073). ![close button](https://www.pushdoctor.co.uk/hubfs/SVGs/close-black.svg) ### **Same day prescriptions Our NHS-trained GPs can, if appropriate, issue prescriptions online following a consultation. Once your consultation is complete, our team will search for the closest pharmacy to you which has your medication available. We'll then send you a text when your prescription is ready to collect. To collect your medication, simply hear to the nominated pharmacy to collect and pay for your prescription. You will need to take a valid form of ID to show the pharmacist when you arrive. This process is almost always done within the same day of your consultation. ![close button](https://www.pushdoctor.co.uk/hubfs/SVGs/close-black.svg) ### **Instant fit (sick) notes Our GPs can send a sick/fit note directly to you if necessary following an online consultation. These can be sent directly by email or first-class post. Fit notes include recommendations about how and when you'll be able to return to work or education, or whether you're able to return to work with amended duties (e.g no heavy lifting or reduced hours). They can also contain detailed advice about managing your medical issue in the workplace. ![close button](https://www.pushdoctor.co.uk/hubfs/SVGs/close-black.svg) ```json { "@context" : "http://schema.org", "@type" : "MedicalCondition", "alternateName" : "Gout", "associatedAnatomy" : { "@type" : "AnatomicalStructure", "name" : "joints" }, "cause" : [ { "@type" : "MedicalCause", "name" : "build-up of uric acid in the blood" } ], "code" : { "@type" : "MedicalCode", "code" : "FA25", "codingSystem" : "ICD-11" }, "differentialDiagnosis" : { "@type" : "DDxElement", "diagnosis" : { "@type" : "MedicalCondition", "name" : "Gout" }, "distinguishingSign" : [ { "@type" : "MedicalSymptom", "name" : "Sudden and severe pain usually in a joint such as toe, knee, elbow or wrist" } ] }, "name" : "Gout", "possibleTreatment" : [ { "@type" : "Drug", "name" : "NSAIDS" }, { "@type" : "Drug", "name" : "Colchicine" }, { "@type" : "Drug", "name" : "Corticosteroids" } ], "riskFactor" : [ { "@type" : "MedicalRiskFactor", "name" : "Genetic" }, { "@type" : "MedicalRiskFactor", "name" : "Overweight or Obesity" }, { "@type" : "MedicalRiskFactor", "name" : "Diet" }, { "@type" : "MedicalRiskFactor", "name" : "Age" }, { "@type" : "MedicalRiskFactor", "name" : "Other conditions, such as kidney disease, psoriasis and diabetes" }, { "@type" : "MedicalRiskFactor", "name" : "Certain medications, such as diuretics (water tablets), beta-blockers, ACE inhibitors and aspirin." }, { "@type" : "MedicalRiskFactor", "name" : "Vitamin C deficiency" } ], "signOrSymptom" : [ { "@type" : "MedicalSymptom", "name" : "Severe pain, often in big toe (though other joints may be affected)" }, { "@type" : "MedicalSymptom", "name" : "inflammation or swelling of joint" }, { "@type" : "MedicalSymptom", "name" : "Redness and peeling skin around the joint" } ] } ``` ```json { "@context" : "http://schema.org", "@type" : "WebPage", "description" : "Gout can cause severe pain and discomfort. Read more about what it is, its symptoms, how it’s diagnosed, and how it’s treated.", "name" : "Gout | Push Doctor", "publisher" : { "@type" : "Corporation", "name" : "Push Doctor" } } ```