Acute gout is one of the most painful conditions known. Treatment aims to reduce pain, swelling and inflammation quickly. The most commonly used drugs are non-steroidal anti-inflammatory drugs (NSAIDs) such as ibuprofen or diclofenac, although they cannot be used in patients with a history of stomach ulcers or kidney problems. Another commonly used drug is colchicine, which is a naturally occurring compound derived from the autumn crocus. Colchicine is very effective but can cause diarrhoea when used in high doses. The most effective treatment for acute gout is the insertion of a needle into the affected joint to withdraw some fluid and to inject a steroid into the joint although this is not often performed by GPs. Applying an ice-pack (or a packet of frozen peas wrapped in a towel!) to the joint can also relieve pain, swelling and inflammation.Acute gout is one of the most painful conditions known. Treatment aims to reduce pain, swelling and inflammation quickly. The most commonly used drugs are non-steroidal anti-inflammatory drugs (NSAIDs) such as ibuprofen or diclofenac, although they cannot be used in patients with a history of stomach ulcers or kidney problems. Another commonly used drug is colchicine, which is a naturally occurring compound derived from the autumn crocus. Colchicine is very effective but can cause diarrhoea when used in high doses. The most effective treatment for acute gout is the insertion of a needle into the affected joint to withdraw some fluid and to inject a steroid into the joint although this is not often performed by GPs. Applying an ice-pack (or a packet of frozen peas wrapped in a towel!) to the joint can also relieve pain, swelling and inflammation.
Changing adverse life-style factors is an important part of treatment. Losing weight and reducing consumption of alcoholic drinks (particularly beer) and purine-rich foods (such as red meat, offal and dark fish) can all help to reduce uric acid levels. Various foods have been suggested to specifically reduce uric acid levels. A small amount of research evidence supports the consumption of dairy products such as low-fat yogurts and skimmed milk, or cherries.