Gout

Soha Dolatabadi, MD -  - Internist

Soha Dolatabadi, MD

Internist & Rheumatologist located in Downtown, Los Angeles, CA

Gout Specialist
Gout affects more than 8 million men and women in the U.S., causing debilitating pain and inflammation. Dr. Dolatabadi has extensive experience helping men and women in Westlake and throughout Downtown Los Angeles, CA, treat the painful symptoms of gout and prevent its recurrence with medication and dietary and lifestyle guidance customized for each patient.

Gout Q&A

by Soha Dolatabadi, MD

What is gout?

Gout is a condition that causes pain and inflammation in the joints. It occurs when sharp crystals of uric acid build up in the blood and are deposited in soft tissues, including the tissues of the joints. Uric acid is a naturally-occurring substance that's usually eliminated through urine. But sometimes, uric acid can't be efficiently eliminated, leaving it to build up in the soft tissues where it causes painful symptoms. Gout attacks are often preceded by chronic stress, illness or alcohol or drug use.

What are the symptoms of gout?

Gout occurs in four stages. In the first stage, uric acid levels are elevated in the blood, but there are no noticeable symptoms. In the second stage, joint pain and swelling develop, often very quickly. Most commonly, joint symptoms occur in the big toe or elsewhere in the foot or ankle, but they may also occur in the knees, wrists, fingers and elbows. Kidney stones may also develop. In the third stage, gout symptoms may subside and you may experience a decrease in pain and inflammation. The fourth stage is called chronic tophaceous gout, and this is the time when gout causes permanent damage to the joints and often, the kidneys.

What are the risk factors for gout?

Gout occurs more commonly in people who:

  • are obese or overweight

  • have a family history of gout

  • consume a diet high in purines (the precursor of uric acid) or drink too much alcohol

  • take certain types of medications, including diuretics

  • have health problems like high blood pressure, diabetes, thyroid disease, renal insufficiency or psoriasis

How is gout treated?

In most cases, gout can be treated very successfully with non-steroidal anti-inflammatory drugs (NSAIDs) or corticosteroids to help relieve pain and inflammation. Dietary and lifestyle changes may also help reduce the amount of uric acid that's produced.

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Soha Dolatabadi, MD
1127 Wilshire Boulevard
Suite 708
Los Angeles, CA 90017