If left untreated, a flare-up of gout symptoms can last a few days with proper treatment and up to a few weeks.
Gout is an inflammatory disease that causes flare-ups of symptoms that come and go. The time between flare-ups varies depending on the person and their response to treatment.
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In this article, we look at how long gout flare-ups typically last and explain how to treat and prevent them.
Gout is a form of inflammatory arthritis. The condition involves flare-ups of symptoms, during which the symptoms emerge or worsen. There is no cure for gout, and the condition can worsen over time without proper treatment.
Treatments focus on reducing symptom severity during a flare-up and preventing future flare-ups. Doctors typically aim to reduce the amount of uric acid in the blood, which contributes to gout symptoms.
Gout flare-ups typically peak within 12–24 hours of the initial onset. However, this period will vary depending on the person’s response to treatment and general health.
Treatment should lead the symptoms to return to normal within a few days of the flare-up.
Gout flares typically resolve within
Without treatment, repeated gout flares can cause lasting damage to the joints.
Common symptoms during a gout flare-up include:
- intense joint pain with a sudden onset
- pain in one joint at a time, which may increase as the disease progresses
- painful, discolored, and swollen joints
Treatment can reduce the severity and duration of a flare-up, but people can also take steps at home to manage the symptoms.
A person can manage a flare-up when it occurs and take steps to prevent future flare-ups.
During a flare-up, the American College of Rheumatology suggests treatments that include:
- Colchicine: Doctors commonly prescribe this medication at an early stage of the condition, but it can cause side effects, such as nausea and vomiting.
- Nonsteroidal anti‐inflammatory drugs (NSAIDs): These drugs, which include ibuprofen, reduce inflammation and pain.
- Corticosteroids: Doctors may offer these drugs to people who are unable to take NSAIDs.
- Anakinra (Kineret): Anakinra is a new biologic drug for gout.
A person should work with their doctor to determine the best medications. They should make the doctor aware of how well the medications are working and whether there are any side effects.
The Arthritis Foundation provides several tips for managing a flare-up, including:
- using ice on the joint
- drinking plenty of water
- avoiding alcoholic beverages
- using a cane to take weight off the feet
- reducing stress
- elevating the affected foot or limb
- avoiding high-purine foods, such as red meat, sweetbreads, and shellfish
To avoid flare-ups in the future, the
Diet can affect the symptoms of gout.
- red meat
- certain types of seafood
The DASH diet primarily involves fruits, vegetables, whole grains, and lean meats, while the Mediterranean diet is rich in vegetables, whole grains, fish, and unsaturated fats.
Anyone who experiences an episode of gout symptoms for the first time should speak with a doctor. The doctor can help the person determine the best course of treatment, which is likely to include dietary changes and home remedies.
It is worth contacting a doctor if the recommended treatments are causing side effects or not working. In these cases, doctors can adjust the treatment plan accordingly.
A person with gout should also talk with their doctor if their gout flare-up lasts longer than usual or the symptoms worsen.
Gout flare-ups are painful episodes that can last for 1–2 weeks. Timely treatment can reduce the duration of a flare-up and the severity of the symptoms.
People with gout can take steps to prevent flare-ups, such as avoiding foods that are high in purine. Doctors can work with a person to determine an effective treatment plan that allows them to manage the disease over time with medications and lifestyle adjustments.