Gout Program


Nephrology & Internal Medicine located in Houston, TX serving the greater Katy, Channelview, Pearland, Montrose, and Spring areas

Gout pain is often an intense experience that may go on for many hours or even days. At Kidney360 in Houston, Texas, Uday Khosla, MD, and the team are dedicated to providing exceptional patient care. They treat gout with the latest techniques and focus on lifestyle modifications you can make in your daily life to prevent gout flare-ups and improve your overall health. To learn more about treatments for gout, call the office or book online today.

What is gout?

Gout is a condition that develops most commonly in the big toe joint when high levels of uric acid are present in your blood. Uric acid derives from a natural substance found in your body and in certain kinds of food — purine. 

Your kidneys normally filter out the uric acid from your body when you urinate, but when you have gout, your body may be naturally generating too much uric acid or your kidneys might not be extracting enough  —  resulting in high uric acid levels that could develop into gout. 

When you have gout, uric acid forms needle-like crystals inside your joints, which then causes pain and inflammation. Along with your big toe joint, you may experience pain in your wrist, elbows, knees, and ankles. 

If gout is left untreated, it can lead to damage to your kidneys, which may cause further complications like kidney disease or even kidney failure.  


What signs and symptoms that I might have gout?

If you have gout, you might experience an onset of severe pain in your big toe, wrists, elbows, knees, or ankles. Other signs and symptoms include: 

  • Heat, swelling, and tenderness in your big toe 
  • Pain that tends to strike suddenly in the middle of the night
  • Flare-ups of pain that tends to quickly worsen and ease up 
  • Fatigue 
  • Abnormal bumps around your joints
  • Kidney stones

The pain you might experience with a condition like gout may be so severe that it causes pain even with a slight touch. Since the pain tends to occur at random, it can be hard to predict and manage a condition like gout without a skilled healthcare professional. 


How is gout diagnosed?

To diagnose the cause of your gout, your Kidney360 specialist reviews your symptoms and medical history. They complete a physical exam and may order urine tests to determine if you have gout.

If they suspect gout, they may also take a sample of blood from the affected joint. By analyzing the blood sample closely under a microscope, it’s possible to see the uric acid crystals and confirm you have gout. If they can’t detect any crystals, they might also check for signs of pain and inflammation that might indicate the risk of gout.


What treatments are available for gout?

There are many types of treatments available to relieve the symptoms of gout. During an acute attack, your Kidney360 specialist may recommend anti-inflammatory medication to relieve your gout pain. 

If you have kidney stones, Kidney360 offers the latest treatment options, including minimally invasive surgery to remove stones too large to pass. Noninvasive shock wave therapy is also available, which can break stones apart to pass them easily through urination.

Your specialist can also recommend lifestyle and dietary changes and prescribe medications that reduce the high levels of uric acid in your blood or the buildup of uric acid crystals in your joints. 

If you have pain in your joints and suspect you have gout, schedule an appointment with Kidney360 by phone or book online today.