Gout Diagnosis
Due to the similarity of gout’s symptoms to those of other medical conditions, it can be difficult to make an accurate diagnosis of the condition. However, hyperuricemia develops in the preponderance of gout patients, though it may not be present during an attack or flare-up. In addition, the majority of individuals with hyperuricemia do not necessarily develop gout. The joint fluid test is, according to physicians, a very promising diagnostic test. In the joint fluid test, the doctor extracts fluid from the joint exhibiting gout symptoms using a catheter. The physicians then examine the fluid to determine whether or not it contains urate crystals.
As certain joint infections can also result in gout-like symptoms, a doctor may test joint fluid for bacteria to rule out a bacterial cause of the symptoms. The doctors ship the fluid to a laboratory for additional testing, which can take several days. Doctors may also perform a blood test to detect uric acid levels in a patient’s blood, but elevated uric acid levels do not necessarily indicate that a patient is experiencing gout. Additionally, some individuals can develop gout symptoms without having elevated uric acid levels in their blood.
In addition, doctors may use ultrasound scans to check for uric acid crystals within a tophus or around the joints. X-rays cannot detect gout, but they may be useful in ruling out other causes of symptoms such as joint swelling, tenderness, and rigidity. Doctors typically diagnose gout by observing the patient’s symptoms and the affected joint’s appearance. The following investigations assist in the diagnosis of gout:
Blood work
The doctor may recommend a blood test to determine the patient’s uric acid levels. Blood examinations can be extremely misleading when attempting to diagnose gout accurately. Some individuals may exhibit gout-like signs and symptoms but never have abnormally high levels of uric acid in their blood. On the other hand, some individuals with high uric acid levels in their blood never experience gout.