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How to Prevent Severe Gout Pain

Jul 02, 2025
How to Prevent Severe Gout Pain
Gout pain can hit hard, but you can prevent severe flare-ups. Learn how hydration, dietary changes, and proactive treatment can help keep painful gout episodes at bay.

Gout can strike suddenly and painfully. One moment you're walking comfortably, and the next, your big toe feels like it's on fire. If you've experienced a gout flare, you already know how debilitating it can be. 

The good news is that the right steps can reduce your risk of severe attacks and manage the condition more effectively. Dr. Eric Gilbertson, DPM, FACFAS, at Renew Foot & Ankle in Minnesota, can help you find relief from gout with the proper treatment.

What causes gout?

To prevent gout, it helps to understand what triggers it in the first place.

Gout is a form of arthritis caused by a buildup of uric acid in the blood. When uric acid levels get too high, sharp crystals can form in the joints. These crystals cause sudden pain, swelling, and inflammation.

Several factors contribute to high uric acid levels, including genetics, diet, obesity, certain medications, and certain medical conditions like kidney disease.

Stay hydrated every day

Drinking water might seem simple, but it plays a powerful role in preventing gout. When you stay hydrated, your kidneys can flush out excess uric acid more efficiently. Hydration helps keep your levels in check and reduces the chance of crystal formation in your joints.

Aim for at least eight glasses of water per day. You may need more if you’re active or live in a warm climate.

Limit high-purine foods

Your diet directly affects your uric acid levels. Foods high in purines, such as red meat, organ meats like liver, and certain seafood like sardines and anchovies, can cause your body to produce more uric acid during digestion.

You don’t have to avoid these foods entirely. However, reducing the frequency and amount of your consumption can make a real difference in preventing flare-ups.

Watch your weight

Carrying extra weight puts added stress on your joints and increases your risk of gout.

Fat cells produce more uric acid than muscle cells, which means being overweight can contribute to higher levels in the blood. Obesity is also linked to other health issues that can complicate gout, including diabetes and high blood pressure.

Even small weight losses can lower uric acid levels and ease joint strain. Focus on gradual, sustainable changes rather than crash diets.

Avoid sugary drinks and alcohol

Certain drinks can silently raise your risk of gout. Sugary sodas and fruit juices contain high levels of fructose, which the body breaks down into uric acid. Alcohol also interferes with your body’s ability to eliminate uric acid.

Instead, opt for water, coffee, or low-fat dairy options. These beverages can support hydration and may even help lower uric acid levels.

Take medications as prescribed

If you have been prescribed gout medication, stick with it.

Preventive medications, such as allopurinol or febuxostat, help reduce uric acid production and are most effective when taken consistently. During a flare-up, your healthcare provider may also recommend anti-inflammatory medications or colchicine to help manage pain and swelling.

Never adjust your dosage without medical guidance. Effective communication with our team is crucial for achieving long-term success.

Monitor your uric acid levels

Regular blood tests can help you stay ahead of severe flare-ups.

Dr. Gilbertson may recommend periodic monitoring to ensure your uric acid levels remain within a safe range. Tracking your levels can help you understand how your lifestyle, medications, and habits affect your condition.

Ask Dr. Gilbertson your target level and how often you should test. Call the office or schedule an appointment online to take control of your health.