--- title: Causes of Gout | Push Doctor description: Learn about the cause of gout. Our online doctors can work with and help you deal with your gout triggers. 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) ** PP /what-we-treat/joint-pains-and-aches/gout/causes PP /what-we-treat/joint-pains-and-aches/gout/causes PP /what-we-treat/joint-pains-and-aches/gout/causes PP /what-we-treat/joint-pains-and-aches/gout/causes PP /what-we-treat/joint-pains-and-aches/gout/causes PP /what-we-treat/joint-pains-and-aches/gout/causes PP /what-we-treat/joint-pains-and-aches/gout/causes PP /what-we-treat/joint-pains-and-aches/gout/causes PP /what-we-treat/joint-pains-and-aches/gout/causes PP /what-we-treat/joint-pains-and-aches/gout/causes PP /what-we-treat/joint-pains-and-aches/gout/causes PP /what-we-treat/joint-pains-and-aches/gout/causes PP /what-we-treat/joint-pains-and-aches/gout/causes PP /what-we-treat/joint-pains-and-aches/gout/causes PP 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what-we-treat CCC joint-pains-and-aches CCC gout CCC causes BBB /what-we-treat/joint-pains-and-aches/gout/causes CCC what-we-treat CCC joint-pains-and-aches CCC gout CCC causes BBB /what-we-treat/joint-pains-and-aches/gout/causes CCC what-we-treat CCC joint-pains-and-aches CCC gout CCC causes BBB /what-we-treat/joint-pains-and-aches/gout/causes CCC what-we-treat CCC joint-pains-and-aches CCC gout CCC causes BBB /what-we-treat/joint-pains-and-aches/gout/causes CCC what-we-treat CCC joint-pains-and-aches CCC gout CCC causes BBB /what-we-treat/joint-pains-and-aches/gout/causes CCC what-we-treat CCC joint-pains-and-aches CCC gout CCC causes BBB /what-we-treat/joint-pains-and-aches/gout/causes CCC what-we-treat CCC joint-pains-and-aches CCC gout CCC causes BBB /what-we-treat/joint-pains-and-aches/gout/causes CCC what-we-treat CCC joint-pains-and-aches CCC gout CCC causes BBB /what-we-treat/joint-pains-and-aches/gout/causes CCC what-we-treat CCC joint-pains-and-aches CCC gout CCC causes BBB /what-we-treat/joint-pains-and-aches/gout/causes CCC what-we-treat CCC joint-pains-and-aches CCC gout CCC causes BBB /what-we-treat/joint-pains-and-aches/gout/causes CCC what-we-treat CCC joint-pains-and-aches CCC gout CCC causes BBB /what-we-treat/joint-pains-and-aches/gout/causes CCC what-we-treat CCC joint-pains-and-aches CCC gout CCC causes BBB /what-we-treat/joint-pains-and-aches/gout/causes CCC what-we-treat CCC joint-pains-and-aches CCC gout CCC causes BBB /what-we-treat/joint-pains-and-aches/gout/causes CCC what-we-treat CCC joint-pains-and-aches CCC gout CCC causes BBB /what-we-treat/joint-pains-and-aches/gout/causes CCC what-we-treat CCC joint-pains-and-aches CCC gout CCC causes BBB /what-we-treat/joint-pains-and-aches/gout/causes CCC what-we-treat CCC joint-pains-and-aches CCC gout CCC causes BBB /what-we-treat/joint-pains-and-aches/gout/causes CCC what-we-treat CCC joint-pains-and-aches CCC gout CCC causes BBB /what-we-treat/joint-pains-and-aches/gout/causes CCC what-we-treat CCC joint-pains-and-aches CCC gout CCC causes BBB /what-we-treat/joint-pains-and-aches/gout/causes CCC what-we-treat CCC joint-pains-and-aches CCC gout CCC causes BBB /what-we-treat/joint-pains-and-aches/gout/causes CCC what-we-treat CCC joint-pains-and-aches CCC gout CCC causes BBB /what-we-treat/joint-pains-and-aches/gout/causes CCC what-we-treat CCC joint-pains-and-aches CCC gout CCC causes BBB /what-we-treat/joint-pains-and-aches/gout/causes 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** CCC causes BBB /what-we-treat/joint-pains-and-aches/gout/causes CCC what-we-treat CCC joint-pains-and-aches CCC gout CCC causes BBB /what-we-treat/joint-pains-and-aches/gout/causes CCC what-we-treat CCC joint-pains-and-aches CCC gout CCC causes BBB /what-we-treat/joint-pains-and-aches/gout/causes CCC what-we-treat CCC joint-pains-and-aches CCC gout CCC causes BBB /what-we-treat/joint-pains-and-aches/gout/causes CCC what-we-treat CCC joint-pains-and-aches CCC gout CCC causes BBB /what-we-treat/joint-pains-and-aches/gout/causes CCC what-we-treat CCC joint-pains-and-aches CCC gout CCC causes BBB /what-we-treat/joint-pains-and-aches/gout/causes CCC what-we-treat CCC joint-pains-and-aches CCC gout CCC causes BBB /what-we-treat/joint-pains-and-aches/gout/causes CCC what-we-treat CCC joint-pains-and-aches CCC gout CCC causes BBB /what-we-treat/joint-pains-and-aches/gout/causes CCC what-we-treat CCC joint-pains-and-aches CCC gout CCC causes BBB /what-we-treat/joint-pains-and-aches/gout/causes CCC what-we-treat CCC joint-pains-and-aches CCC gout CCC causes BBB /what-we-treat/joint-pains-and-aches/gout/causes CCC what-we-treat CCC joint-pains-and-aches CCC gout CCC causes BBB /what-we-treat/joint-pains-and-aches/gout/causes CCC 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/what-we-treat/joint-pains-and-aches/gout/causes CCC what-we-treat CCC joint-pains-and-aches CCC gout CCC causes BBB /what-we-treat/joint-pains-and-aches/gout/causes CCC what-we-treat CCC joint-pains-and-aches CCC gout CCC causes BBB /what-we-treat/joint-pains-and-aches/gout/causes CCC what-we-treat CCC joint-pains-and-aches CCC gout CCC causes BBB /what-we-treat/joint-pains-and-aches/gout/causes CCC what-we-treat CCC joint-pains-and-aches CCC gout CCC causes BBB /what-we-treat/joint-pains-and-aches/gout/causes CCC what-we-treat CCC joint-pains-and-aches CCC gout CCC causes BBB /what-we-treat/joint-pains-and-aches/gout/causes CCC what-we-treat CCC joint-pains-and-aches CCC gout CCC causes BBB /what-we-treat/joint-pains-and-aches/gout/causes CCC what-we-treat CCC joint-pains-and-aches CCC gout CCC causes BBB /what-we-treat/joint-pains-and-aches/gout/causes CCC what-we-treat CCC joint-pains-and-aches CCC gout CCC causes BBB /what-we-treat/joint-pains-and-aches/gout/causes CCC 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what-we-treat CCC joint-pains-and-aches CCC gout CCC causes BBB /what-we-treat/joint-pains-and-aches/gout/causes CCC what-we-treat CCC joint-pains-and-aches CCC gout CCC causes BBB /what-we-treat/joint-pains-and-aches/gout/causes CCC what-we-treat CCC joint-pains-and-aches CCC gout CCC causes BBB /what-we-treat/joint-pains-and-aches/gout/causes CCC what-we-treat CCC joint-pains-and-aches CCC gout CCC causes BBB /what-we-treat/joint-pains-and-aches/gout/causes CCC what-we-treat CCC joint-pains-and-aches CCC gout CCC causes BBB /what-we-treat/joint-pains-and-aches/gout/causes CCC what-we-treat CCC joint-pains-and-aches CCC gout CCC causes BBB /what-we-treat/joint-pains-and-aches/gout/causes CCC what-we-treat CCC joint-pains-and-aches CCC gout CCC causes BBB /what-we-treat/joint-pains-and-aches/gout/causes CCC what-we-treat CCC joint-pains-and-aches CCC gout CCC causes BBB /what-we-treat/joint-pains-and-aches/gout/causes CCC what-we-treat CCC joint-pains-and-aches CCC gout CCC causes BBB /what-we-treat/joint-pains-and-aches/gout/causes CCC what-we-treat CCC joint-pains-and-aches CCC gout CCC causes BBB /what-we-treat/joint-pains-and-aches/gout/causes CCC what-we-treat CCC joint-pains-and-aches CCC gout CCC causes BBB /what-we-treat/joint-pains-and-aches/gout/causes CCC what-we-treat CCC joint-pains-and-aches CCC gout CCC causes BBB /what-we-treat/joint-pains-and-aches/gout/causes CCC what-we-treat CCC joint-pains-and-aches CCC gout CCC causes BBB /what-we-treat/joint-pains-and-aches/gout/causes CCC what-we-treat CCC joint-pains-and-aches CCC gout CCC causes BBB /what-we-treat/joint-pains-and-aches/gout/causes CCC what-we-treat CCC joint-pains-and-aches CCC gout CCC causes BBB /what-we-treat/joint-pains-and-aches/gout/causes CCC what-we-treat CCC joint-pains-and-aches CCC gout CCC causes BBB /what-we-treat/joint-pains-and-aches/gout/causes CCC what-we-treat CCC joint-pains-and-aches CCC gout CCC causes BBB /what-we-treat/joint-pains-and-aches/gout/causes CCC what-we-treat CCC joint-pains-and-aches CCC gout CCC causes BBB /what-we-treat/joint-pains-and-aches/gout/causes CCC what-we-treat CCC joint-pains-and-aches CCC gout CCC causes BBB /what-we-treat/joint-pains-and-aches/gout/causes CCC what-we-treat CCC joint-pains-and-aches CCC gout CCC causes BBB /what-we-treat/joint-pains-and-aches/gout/causes CCC what-we-treat CCC joint-pains-and-aches CCC gout CCC causes BBB /what-we-treat/joint-pains-and-aches/gout/causes CCC what-we-treat CCC joint-pains-and-aches CCC gout CCC causes BBB /what-we-treat/joint-pains-and-aches/gout/causes CCC what-we-treat CCC joint-pains-and-aches CCC gout CCC causes BBB /what-we-treat/joint-pains-and-aches/gout/causes CCC what-we-treat CCC joint-pains-and-aches CCC gout CCC causes BBB /what-we-treat/joint-pains-and-aches/gout/causes CCC what-we-treat CCC joint-pains-and-aches CCC gout CCC causes BBB /what-we-treat/joint-pains-and-aches/gout/causes CCC what-we-treat CCC joint-pains-and-aches CCC gout CCC causes BBB /what-we-treat/joint-pains-and-aches/gout/causes CCC what-we-treat CCC joint-pains-and-aches CCC gout CCC causes BBB /what-we-treat/joint-pains-and-aches/gout/causes CCC what-we-treat CCC joint-pains-and-aches CCC gout CCC causes BBB /what-we-treat/joint-pains-and-aches/gout/causes CCC what-we-treat CCC joint-pains-and-aches CCC gout CCC causes BBB /what-we-treat/joint-pains-and-aches/gout/causes CCC what-we-treat CCC joint-pains-and-aches CCC gout CCC causes BBB /what-we-treat/joint-pains-and-aches/gout/causes CCC what-we-treat CCC joint-pains-and-aches CCC gout CCC causes ** ** ## What causes gout? The symptoms of gout are caused by a build-up of uric acid in the blood, which can sometimes lead to the formation of uric acid crystals in your joints. These crystals cause your joint to become inflamed and swollen and can cause quite a lot of pain. It is a type of arthritis. Having uric acid in your blood is completely normal. Excess levels are normally filtered out by your kidneys, so you get rid of it in your urine, but sometimes they can’t get rid of it quickly enough, which can result in a gout attack. It’s often referred to as a gout attack because the condition develops quite suddenly (acutely), and often happen whilst you are asleep. Gout used to be put down to eating too much rich food and drinking too much alcohol, but it is more more complex than that - we’ll cover that later on. If you have severe pain in one of your joints (most commonly it happens in the big toe, knee, elbow, finger or wrist) and it comes on suddenly, you should see a GP. The skin covering the joint may also be swollen, red or hot to touch. If you have severe pain and a [fever](https://www.pushdoctor.co.uk/what-we-treat/fever), call 111, or see a GP urgently, as this is a sign of infection. Gout does need to be treated to prevent complications in the future. ** ** ## What triggers gout The main cause of gout is, as we’ve mentioned above, a build up of uric acid in the blood. Having this doesn’t always necessarily mean you’ll get the condition and sometimes there’s no particular reason why this build-up happens, but other times there are things that can contribute to it: - Your genes - your kidneys may not be as effective as other people's when it comes to flushing out uric acid and this problem can run in families. - Being overweight means you’re more at risk of developing gout. - Being deficient in vitamin C can also mean you’re more at risk of gout. - If you drink a lot of drinks that have a high level of fructose, it can increase your chances. - Drinking a lot of alcohol (beer and spirits in particular) can cause high levels of uric acid in your blood. - Eating a diet rich in red meat, offal (hearts, lungs etc.) and seafood (herring, sardines etc.) can also increase the levels of uric acid. - Some medications can increase your risk, such as diuretics (water tablets), beta-blockers, ACE inhibitors, aspirin and some medications used to treat [high cholesterol](https://www.pushdoctor.co.uk/what-we-treat/heart-and-lung/high-cholesterol/treatment). - If you have another condition, such as kidney disease, high blood pressure, [psoriasis](https://www.pushdoctor.co.uk/what-we-treat/skin-conditions/psoriasis), diabetes, your body may not be able to process the uric acid as it should. - A knock or injury to a joint can also trigger the condition, as it can cause crystals of uric acid to become loose in your joint. ** ** ## Who gets gout? Gout is more common in men and typically affects those aged between 40 and 50. Women who have been through the menopause are also more likely to develop the condition. It can affect both younger and older people though. ** ** ## How Push Doctor can help? You can contact a Push Doctor GP at a time that suits you about gout seven days a week. You can use any device and have an online consultation at any location, be that your home, at work or while you are on the go. ### **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. ** ### **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). ** ### **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. ** ### **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. ** ```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" : "Learn about the cause of gout. Our online doctors can work with and help you deal with your gout triggers.", "name" : "Causes of Gout | Push Doctor", "publisher" : { "@type" : "Corporation", "name" : "Push Doctor" } } ```