I’m often asked, “What can bring on a gout attack?” The following are the classic triggers for gout attacks:
Medical illnesses such as congestive heart failure, blood clots in the legs, and pneumonia. Patients who eat too much or, conversely, go on a fast are also at risk. Alcohol consumption, particularly beer, is a common trigger.
Dehydration, which is common in the summer, can bring on an attack.
Trauma or surgery are two important triggers. This is often seen in a hospital setting.
The treatment of gout to lower serum uric acid can also trigger an attack. This is probably due to shifts of uric acid within body tissues during the process of uric acid elimination.
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