Gout attack symptoms often develop rapidly overnight and worsen over the next 24-48 hours.
They can be triggered by many things including:
Joint injury or other trauma
Surgery or sudden, severe illness
Certain medications, such as chemotherapy,
diuretics, or intravenous contrast media
Crash diets and fasting
Drinking too much alcohol
Eating large portions of certain foods high in purines
Dehydration (not getting enough fluids)
Fructose sweetened drinks
They can happen one time, several times, or chronically.
A single gout attack usually only affects only one joint, but recurrent attacks may affect more than one joint. The big toe is the most common site of gout. Other sites include the ankle, heel, foot instep, wrist, elbow, or fingers.
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