Why do you have tophi when you have gout and how to treat it?

Gout is a metabolic disease characterized by hyperuricemia and arthritic flare-ups. Tophi is a common complication of gout and is formed by the deposition of urate crystals in joints, soft tissues, and other sites.

The cause of the formation of tophi is associated with high uric acid levels. When the concentration of uric acid in the blood increases, uric acid precipitates in the form of crystals and gradually accumulates in the tissues around the joints. These crystals can cause an inflammatory response and cause symptoms such as pain and swelling.

For the treatment of tophi, hyperuricemia needs to be controlled first. This can be achieved through dietary modification and medication. It is recommended to follow the principle of a low-purine diet and avoid purine-rich foods such as seafood, liver, etc. Alcohol and caffeine intake should also be limited. If dietary modifications aren't effective or symptoms are severe, doctors may consider treatment with uric acid-lowering medications.

In addition to controlling hyperuricemia, other measures can be taken to relieve the symptoms of tophi. For example, warm compresses can reduce joint stiffness and pain. Topical NSAIDs are also effective in relieving inflammation. However, it is important to consult a medical professional before using any treatment.

Tophi is a common complication of gout, but by controlling hyperuricemia and taking appropriate treatment, it is effective in reducing symptoms and preventing further progression. Seeking medical attention early and working closely with your doctor is key.