Just saw my husband’s foot and I’m panicking. It’s huge and red and he says it feels like it’s on fire. Emergency care is hours away. What is this?

The symmetry of the swelling is also a clue; gout usually affects one joint, most commonly the big toe, rather than multiple joints. If your husband hasn’t experienced any trauma to the foot and he’s not exhibiting systemic signs of infection, there’s a good chance you’re dealing with a gout attack.

The big toe is often the first joint to be affected by gout because of its lower temperature compared to other parts of the body. Uric acid is less soluble at cooler temperatures, which means crystals are more likely to form in the toe. Additionally, the big toe endures significant pressure and stress from walking and standing, making it more vulnerable to an attack.

Other factors, such as minor trauma or dehydration, can also precipitate a gout attack in the foot. The underlying cause is the same: excess uric acid in the blood leading to the formation of sharp, needle-like crystals in the joint, causing inflammation and pain.

If emergency care is not immediately available, there are steps you can take to help manage the symptoms. First, encourage your husband to rest and elevate the affected foot to reduce swelling. Applying ice wrapped in a cloth for short intervals can also help alleviate pain and inflammation.

It’s crucial to avoid placing any weight on the affected foot and keep it elevated above heart level as much as possible. Ensure he stays well-hydrated by drinking plenty of water, which can help flush out excess uric acid. Avoid alcohol and foods high in purines, which can exacerbate the condition.

Over-the-counter nonsteroidal anti-inflammatory drugs (NSAIDs), such as ibuprofen or naproxen, can be effective in reducing pain and swelling during a gout attack. However, it’s essential to follow the dosage instructions on the packaging and consult a healthcare provider if possible before use.