What are the Symptoms of Gout in Foot?
What are the symptoms of gout in foot? We explain here.
Gout on foot symptoms are strong. Gout can cause sudden and intense pain in one or more joints. Note that most often, these pains occur at night. For example, the simple contact of the sheets can become unbearable. The joint appears red and swollen, and the pain may be accompanied by fever and chills. In many of the first attacks of gout, it is the big toe that is affected. However, the ankle, wrist, hand, knee or elbow can also be affected.
A gout attack also manifests itself by swelling or redness in the affected area. A great sensation of cold on the affected joint is felt by the subject. Rarely, generalized joint pain accompanied by general malaise may appear. Fevers up to 39°C and chills may also occur.
Gout attacks, which last several days, recur every few weeks to several years. They tend to increase in frequency and duration as the disease progresses, as do the number of areas affected. After a few years, during an attack, severe pain usually occurs suddenly in one or more joints, often at night. The night-time pain may be due to the fact that fluid accumulated in the joint during the day leaves the joint more quickly than uric acid when the person is lying down, which increases the concentration of uric acid and makes it more likely to form crystals. The pain gets progressively worse and is often unbearable, especially on mobilisation and palpation of the joint.
The joint becomes inflamed (swollen and hot), while the skin over the joint appears red or purple, tight and shiny.
Other symptoms of an attack may include:
- Increased heart rate (tachycardia)
- Feeling generally unwell
- Chills (very rarely)
The symptoms gradually subside. The joint regains its function and there are no symptoms until the next attack. However, if the disease progresses, untreated attacks last longer, are more frequent and affect several joints. If an attack is not treated, subsequent attacks can last up to 3 weeks. A person having an attack who has a fever of over 38.3°C with chills or other severe symptoms (e.g. weakness, vomiting, rash or shortness of breath), especially if they have not had these symptoms in previous attacks or have never had an attack, should seek medical advice or go to the emergency room, as these symptoms may also be due to a joint infection or a completely different problem.
After repeated attacks, gout can worsen, become chronic and can lead to joint deformity.
Over time, joint movement is progressively reduced by the damage caused by deposits of uric acid crystals in the joints and tendons.