Gout is caused by hyperuricemia, which is abnormally high levels of uric acid in the blood. When uric acid concentrations exceed the saturation point, sharp needle-like crystals called monosodium urate crystals form and deposit in joints, triggering sudden, intense inflammation. This excess uric acid results from either overproduction by the body, decreased elimination by the kidneys, or a combination of both factors.

What is the best test for gout?

The Uric Acid Serum Test is the most important test for gout because it directly measures the concentration of uric acid in your blood, with levels above 6.8 mg/dL indicating hyperuricemia that can lead to gout attacks. For comprehensive assessment during acute flare-ups, the Interleukin-1 Beta test measures the inflammatory response driving your joint pain and swelling. The Urinalysis Complete Profile provides additional diagnostic confirmation by detecting uric acid crystals in your urine, helping identify whether your body is overproducing or under-excreting uric acid.

When should I get tested for gout?

You should get tested if you experience sudden, intense joint pain that starts at night or early morning, especially in your big toe, or if you notice swelling, redness, and extreme tenderness in any joint. Testing is also important if you have recurrent episodes of joint inflammation, a family history of gout, kidney stones, or risk factors like high blood pressure, obesity, or frequent alcohol consumption. Early testing helps prevent future attacks and joint damage.

What are the symptoms of gout?

Gout symptoms appear suddenly and intensely, often starting at night. You might experience excruciating pain in the affected joint, most commonly the big toe, along with severe swelling, redness, and warmth in the area. The joint becomes so tender that even the weight of a bedsheet can feel unbearable. Symptoms typically peak within 12-24 hours and may last for days to weeks, with the skin around the joint sometimes peeling as the attack subsides.

Who is at risk for gout?

Men are at higher risk than women, especially after age 40, though women become more susceptible after menopause. Risk increases if you have a family history of gout, are overweight or obese, consume excessive alcohol or high-purine foods like red meat and shellfish, or take certain medications including diuretics and low-dose aspirin. Medical conditions like high blood pressure, diabetes, kidney disease, and metabolic syndrome also significantly increase your gout risk.

What happens if gout is left untreated?

Untreated gout leads to more frequent and severe attacks affecting multiple joints, potentially causing permanent joint damage and deformity. Uric acid crystals can form large deposits called tophi under your skin, creating visible lumps around joints, ears, and fingers. Chronic gout significantly increases your risk of kidney stones, kidney damage, and cardiovascular disease. Early treatment prevents these complications and preserves joint function.

Can gout be diagnosed with a blood test?

Yes, gout can be diagnosed with blood tests that measure uric acid levels and inflammatory markers. The Uric Acid Serum Test is the primary diagnostic tool, showing elevated levels above 6.8 mg/dL that indicate hyperuricemia. During acute attacks, inflammatory markers like Interleukin-1 Beta become elevated, confirming active inflammation. While joint fluid analysis showing uric acid crystals is the gold standard, blood tests combined with urinalysis provide strong diagnostic evidence without invasive procedures.

Gout treatment involves two approaches: managing acute attacks and preventing future episodes. During flare-ups, doctors prescribe anti-inflammatory medications like NSAIDs, colchicine, or corticosteroids to reduce pain and swelling quickly. For long-term management, medications like allopurinol or febuxostat lower uric acid production, while probenecid increases uric acid excretion. Lifestyle changes including weight loss, limiting alcohol and high-purine foods, staying hydrated, and regular exercise are essential for preventing recurrent attacks.

How can I prevent gout?

Prevent gout by maintaining a healthy weight through regular exercise and a balanced diet low in purines. Limit or avoid red meat, organ meats, shellfish, alcohol especially beer, and sugary drinks containing high-fructose corn syrup. Stay well-hydrated by drinking plenty of water throughout the day, which helps flush uric acid from your system. Choose low-fat dairy products, which have been shown to lower gout risk, and consider vitamin C supplementation after consulting your healthcare provider.

What natural remedies help with gout?

Natural remedies that help manage gout include drinking cherry juice or eating fresh cherries, which contain compounds that reduce uric acid levels and inflammation. Applying ice packs to affected joints for 20 minutes several times daily provides immediate pain relief during attacks. Consuming coffee in moderation has been associated with lower gout risk, and taking vitamin C supplements may help reduce uric acid levels. Elevating the affected joint and resting it completely during flare-ups accelerates recovery, though these approaches should complement rather than replace medical treatment.

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Gout Blood Test | Private MD Labs

Gout Blood Test

What is Gout?

Gout is a painful form of arthritis causing sudden, severe attacks of joint pain, swelling, and redness, most commonly in the big toe. It is caused by elevated uric acid levels in the blood that form sharp crystals around joints. The Uric Acid Serum Test is the most important test for diagnosis because it directly measures blood uric acid levels.

Written by Private MD Labs Medical Team

Last updated: December 30, 2025

Getting your blood test with us is easy, private & backed by the power of science.

Long story short:

In the test options, use the filters or search box to narrow your choices and find the test you want.
If you need a hand navigating through options, text our super friendly support team at 754-799-7833, and we'll provide tailored suggestions to help you find the ideal test.
Once your order is placed, we’ll create your doctor’s lab order remotely, without any need for you to make a trip to a doctor in person or to talk to the doctor. Expect to receive your doctor’s lab order right in your inbox. It will also be in your patient portal if you need to find it later. We’ll also include instructions regarding fasting and other requirements for your test. Your patient portal will be auto-created hassle-free during checkout.
If this is your first time ordering, you'll be prompted to create a password for instant login access to your patient portal. It's a quick way to conveniently access your orders and results whenever you want.
When you’re ready, visit one of our 4,000 locations. Just bring your ID – no printing or faxing of your lab order is needed, as your order and details will already be in the lab system.
Note that most lab locations don’t accept walk-ins, so it’s best to book an appointment in advance. Don’t worry – we’ll provide detailed instructions along the way.
You’ll get your results via email & SMS and dive into understanding your body better. Yup, that easy!

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