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Gout

Overview

Ankylosing spondylitis (AS) is a form of axial spondyloarthritis (axSpA)—a chronic inflammatory disease that primarily affects the spine and sacroiliac joints.
It can lead to persistent back pain, stiffness, and reduced mobility if not treated early.

Symptoms of Gout

  • Sudden, intense joint pain (often at night)
  • Swelling, redness, and warmth in the affected joints
  • Most commonly affects the big toe, but may involve ankles, knees, and wrists
  • Limited joint movement during flare-ups

Causes & Risk Factors

  • High uric acid levels (hyperuricemia)
  • Diet rich in red meat, seafood, and sugary drinks
  • Alcohol consumption
  • Obesity
  • Certain medications and medical conditions

Diagnosis

  • Clinical evaluation
  • Blood tests (uric acid levels)
  • Joint fluid analysis (to detect urate crystals)
  • Imaging in some cases

Treatment Options

During Acute Attacks

  • Anti-inflammatory medications (NSAIDs, colchicine, corticosteroids)

Long-Term Management

  • Uric acid–lowering therapy
  • Dietary and lifestyle changes
  • Weight management

When to Seek Medical Advice

Seek medical attention if you experience sudden, severe joint pain with swelling and redness, especially in the big toe.