Gout is a common and painful type of arthritis caused by the buildup of uric acid crystals in the joints. While it often affects the big toe, gout can also occur in the ankles, knees, wrists, elbows, and fingers. Flare-ups may come on suddenly, causing intense pain, swelling, redness, and warmth in the affected joint.

At Carolina Nephrology, PA, our team of experienced nephrologists specializes in diagnosing and managing gout, particularly when it is related to underlying kidney disease or kidney function problems. Because the kidneys play a major role in filtering uric acid from the body, many patients with gout also require kidney care to prevent complications.

Causes of Gout

Gout develops when uric acid builds up in the bloodstream, leading to the formation of sharp crystals in the joints. This may happen due to:

  • Reduced kidney function (the kidneys cannot properly filter uric acid)
  • Diets high in red meat, seafood, or sugary beverages
  • Excessive alcohol use, especially beer
  • Certain medications (such as diuretics or water pills)
  • Obesity or metabolic syndrome
  • Family history of gout

Symptoms of Gout

Gout symptoms can vary in severity but often include:

  • Sudden and severe joint pain, often at night
  • Swelling and tenderness in the affected joint
  • Redness and warmth over the joint
  • Limited range of motion during flare-ups
  • Recurring attacks that may affect multiple joints over time

If untreated, gout can lead to chronic joint damage and the formation of tophi (hard uric acid deposits under the skin).

Diagnosis and Treatment at Carolina Nephrology, PA

At Carolina Nephrology, PA, we use a combination of medical history, physical exams, lab testing, and imaging when necessary to confirm a diagnosis of gout. Our approach focuses on both immediate relief and long-term prevention of flare-ups.

Treatment may include:

  • Medications to reduce pain and inflammation during an acute attack
  • Uric acid–lowering therapy to prevent future flare-ups
  • Lifestyle and dietary guidance to help manage uric acid levels naturally
  • Kidney health monitoring for patients with chronic kidney disease, ensuring treatment plans are safe and effective

Our nephrologists work closely with each patient to create a personalized care plan that not only relieves gout symptoms but also addresses the underlying causes, particularly when kidney function plays a role.

Why Choose Carolina Nephrology, PA for Gout Care?

  • Expertise in both gout management and kidney-related conditions
  • Personalized treatment plans tailored to each patient’s health and lifestyle
  • Collaboration with primary care physicians and rheumatologists when needed
  • Focus on long-term kidney health to prevent complications from uric acid buildup

At Carolina Nephrology, PA, our goal is to help patients living with gout find relief from painful flare-ups, reduce the risk of future attacks, and protect overall kidney health. If you are experiencing symptoms of gout or have recurrent flare-ups, our team is here to provide expert care and support.