Always feel big toe pain unbearable, is this a sign of gout? How to test yourself?

Whether big toe pain is gout can be determined by symptoms, physical examination, serum uric acid determination and joint ultrasound. High levels of uric acid in the blood can lead to hyperuricemia. When uric acid exceeds a certain level, uric acid crystals will be precipitated and deposited in the joints. From the moment uric acid crystals are released, the disease develops into gout. When gout attacks, uric acid crystals in joints will make joints inflamed and cause severe pain.

Gout usually occurs at night and in cold weather. Because when the weather is cold, the temperature of hands and feet will decrease, the blood will flow slowly, and uric acid in the blood will crystallize easily. The hot weather and excessive sweating will make the human body short of water, and the uric acid concentration in the blood will naturally rise, and the uric acid value will rise to one liter, which can cause gout attacks. Determination of blood uric acid: Through blood sampling, the blood uric acid level of men is higher than 420μmol/L or that of women is higher than 357μmol/L, suggesting that hyperuricemia may exist. Combined with symptoms and physical examination, gout can be basically diagnosed. Ultrasonic examination of joints: both "snowstorm sign" and "double track sign" suggest urate crystal deposition, which is the most typical ultrasonic manifestation of gout.

In real life, the occurrence of adverse symptoms such as gout has brought serious mental distress to patients, which is not conducive to improving the quality of life, and may even lead to patients' inability to work and live normally. It is important to deal with this matter as soon as possible. So, how to distinguish gout with big toe pain? Look down! Generally speaking, middle-aged and elderly male obese patients are prone to some recurrent pain in the first metatarsophalangeal joint, which is usually intermittent and generally has no obvious adverse symptoms. At the same time, accompanied by some hyperuricemia or colchicine treatment, gout can be diagnosed. In addition, gout needs to be distinguished from other diseases.

First of all, when chronic joint swelling and stiffness, repeated acute attacks, the adverse symptoms of rheumatoid arthritis are easily confused with chronic gouty arthritis. However, the adverse symptoms of rheumatoid arthritis usually occur in young and middle-aged female patients, usually involving facet joints. Secondly, you need to distinguish it from simple cellulitis, traumatic arthritis, suppurative arthritis and so on. Third, we need to distinguish between psoriatic arthritis and psoriatic arthritis. Psoriasis is a disease that can lead to finger arthritis injury and bone resorption. In addition, we should distinguish the bad symptoms of calcaneus tumor. Finally, it should be differentiated from pseudogouty arthritis, but it should also be differentiated from other types of arthritis, including systemic lupus erythematosus-Wright syndrome and hypertrophic arthritis, which can cause big toe pain. It should be reminded that gout is a headache disease, which brings great troubles to patients' work and life. It is necessary to deal with it as soon as possible.