21/08/2025
Gout is a painful form of arthritis caused by uric acid crystals that form in and around the joints.
It’s the most common type of inflammatory arthritis. It’s more common in men and you’re more likely to get it as you get older.
Gout occurs in people who have high levels of uric acid, also known as urate, in their blood. Urate is created every day when our bodies break down purines. Purines are chemicals that are naturally created in our body, but they are also present in certain foods.
We all have urate in our blood: this is normal and healthy. But if levels become too high it may cause gout.
People used to think that gout was caused by overeating and drinking too much alcohol. While this can make attacks of gout more likely, it’s not the whole story.
about three-quarters of the urate in our bodies comes from the breakdown of purines produced within our body, while only about a quarter comes from food and drink. As urate levels build up, your body gets rid of any extra through your kidneys and in your wee. But if your body makes too much urate, or your kidneys are unable to get rid of enough of it, then levels start to rise.
If urate levels stay too high, urate crystals can slowly form. They mainly occur in and around firm joint tissues, such as the cartilage. But crystals can also appear under your skin and may even occur in your internal organs, such as the kidneys.
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