What are the symptoms of gout in hand?
Gout is a rheumatic disease that develops in attacks. It causes sudden and intense pain in one or more joints, which often occurs at night. The simple contact of the sheets can become unbearable, for example. The joint appears red and swollen; the pain may be accompanied by fever and chills. The big toe is most frequently affected, but the ankle, wrist, hand, knee or elbow can also be affected.
Chiragra is a form of gout that affects the joints of the hands and results in episodes (attacks) of acute, painful inflammation. The inflammation is caused by excess uric acid forming small crystals in and around the joints. Uric acid increases in the body after consuming alcohol and certain foods (especially seafood, red meat or organ meats such as liver or kidney). The main gout in hands symptoms are swelling, tenderness and redness of the joints of the hands. Gout tends to affect people over the age of 30, more often men than women.
The symptoms of a gout attack can hardly go unnoticed. Typically, the affected person goes to bed feeling perfectly well, then wakes up during the night with intense pain in the affected joint. At first the person feels as if a bucket of cold water has been poured over the joint, but soon a very painful shearing sensation appears, as well as a feeling of pressure and tightness. The area becomes red, hot and very sensitive to touch, and even the presence of a sheet can increase the pain. A mild fever often occurs.
The attack usually goes away on its own after 3 to 10 days, but prompt treatment can speed up relief. After an attack of this kind, called acute gout or acute gouty arthritis, most patients experience another episode within 2 years. The attacks seem to become more frequent, persist for longer periods and affect more joints over time.
In very rare cases, the attacks do not go away and persist, developing into chronic gout. If the inflammation continues, the crystals can permanently damage and deform the affected joint. In addition, uric acid crystals can accumulate in tissues other than the joints, forming deposits called tophi, which appear as whitish or yellowish friable masses under the skin, particularly in the fingers, toes, back of the elbows, behind the heels and around the outer part of the ear. The tophi sometimes break through the skin, causing ulcerations to form.
Gout can cause kidney stones, which can lead to symptoms such as severe pain in the flank or groin and sometimes blood in the urine. It is not clear to what extent gout can damage the kidneys, apart from the effects of kidney stones
These risks can be greatly reduced by following a healthy lifestyle and taking your medication as recommended.