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How can one choose the best treatment for gout pain?

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Gout pain is treated with prescribed or over-the-counter drugs nonsteroidal anti-inflammatory drugs; eased with cold applications; mitigated with rest; and managed with diet, according to WebMD. Flare-up symptoms usually dissipate on their own within seven to ten days.

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Gouty arthritis flare-up pain is sometimes so severe that the patient can barely tolerate anything, including bed sheets, that touches the affected body part, explains WebMD. Generally, the flare-up occurs in one joint, especially the big toe, but it can also inflame the elbow, knee, wrist, ankle or instep. Often, the patient experiences physical warning indicators prior to a flare-up, such as burning, itching or a tingling sensation. However, some patients do not sense symptoms prior to gout flare-ups.

Nonsteroidal anti-inflammatory drugs, known as NSAIDS, are typically prescribed for gout pain, notes WebMD. Since the body may require a few months to adjust to the NSAIDS, preventative medication is given to avoid flare-ups during the initial treatment period. It is important for the patient to continue taking the medication as prescribed, even if at first the symptoms persist.

Non-medicinal remedies can also help alleviate gout pain. Cold packs or compresses applied directly to the inflamed joint for 20 to 30 minutes several times per day can help, as can resting the swollen body part on an elevated pillow.

It is imperative to lower the uric acid level in the bloodstream, stresses WebMD. Drinking water lowers uric acid, as does avoiding foods and liquids that are high in purines, such as seafood, liver, other organ meats, certain vegetables and fructose sweetened drinks. Beer and other alcoholic beverages are probematic as well. Patients should seek professional medical attention if symptoms do not improve after 48 hours, or when a high fever is present.

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