5 Common Gout Attack Triggers

5 Common Gout Attack Triggers

Gout is caused by excessive levels of uric acid in the body, which accumulates around a joint in uric crystals resulting in pain, inflammation, and discomfort.


The triggers of a gout attack, also known as a “flare up”, differ from patient to patient in severity and also source. For instance, while stress can trigger a gout attack in some individuals, others may be more susceptible to high uric acid levels after consuming certain types of food or drink. A gout attack (gouty arthritis) typically rears its ugly head due to exposure to certain triggers. Knowing what causes your gout flare ups will help you avoid future gout attacks as well as your specific triggers.

  1. Stress

Anxiety or stress, particularly due to being ill from another sickness (i.e., flu, pneumonia, or even medical surgery) can lead to a spike in uric acid production and gouty arthritis. If you see your doctor about another illness or medical matter, advise them you have gout so they can help manage symptoms and avoid a gout flare up.

  1. Prescription and non-prescribed drugs

Believe it or not, medications you take to treat other conditions (i.e., heart disease, hypertension) can often trigger a gout attack. In fact, medical professionals know that certain types of beta blockers, diuretics, and even mild aspirin can trigger gouty arthritis, which is why it’s important your healthcare team is aware you also have gout.

  1. Sugary drinks

According to arthritis experts, the high fructose corn syrup found in highly processed juices and sodas can trigger a gout attack. So avoid them by swapping soda for water or herbal tea.

  1. Alcohol

Wine, beer and liquor may be a nice accompaniment to dinner, but these alcoholic drinks can also cause uric acid levels to rise. Gouty arthritis due to alcohol is often caused by dehydration, as the kidneys are unable to dispose of excess uric acid in the blood without enough water. Keep in mind that wine is the least linked to gout attacks and can often be enjoyed by gout patients moderately.

  1. High purine foods

Purine is a substance that triggers uric acid production. It makes sense that gout sufferers should avoid foods rich in purine such as seafood (i.e., salmon, anchovies, sardines, mussels) as well as organ meats (i.e., liver) and certain vegetables (i.e., spinach) if they want to avoid a gout flare up.

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