What happens if gout is not treated?

Short answer
If gout is not treated, attacks may recur and inflammation can damage joints, while urate deposits may form around joints and under the skin.
This answers one question. It is not a diagnosis and does not replace an assessment by a licensed doctor.
At a glance
- What may recur
- Sudden attacks of painful, swollen joint inflammation
- Possible longer-term change
- Urate deposits and reduced joint movement
- Urgent warning
- Fever with a hot, red, swollen joint
How untreated gout can progress
Gout is an inflammatory arthritis caused by urate crystals collecting in and around a joint. An attack may cause sudden severe pain, swelling, warmth, and redness, often in a toe or another joint. Symptoms can ease between attacks even though the underlying tendency remains.
Without a treatment plan, further attacks may become more disruptive and the joint may stay stiff or tender. Deposits called tophi can develop near joints, fingers, toes, or the ear; they may press on nearby tissues and affect movement. Read about [Gout](/conditions/gout/), [Toe Pain](/symptoms/toe-pain/), [Joint Swelling](/symptoms/joint-swelling/), and a [Hot, Red, Swollen Joint](/symptoms/joint-redness-and-warmth/).
Steps that can help
Arrange a [GP Consultation](/treatments/consultations-and-assessment/gp-consultation/) if you have a first attack, repeated episodes, or unexplained joint swelling. Diagnosis may involve an examination, a [Blood Test](/treatments/diagnostics-and-screening/blood-test/), and sometimes testing fluid from the joint; a blood result alone does not explain every painful joint.
Treatment may address the current inflammation and reduce future crystal build-up. Your clinician may discuss [Anti-Inflammatory Medication](/treatments/non-surgical-orthopedics/anti-inflammatory-medication/), longer-term urate-lowering treatment, and follow-up. [Nutrition Counselling](/treatments/lifestyle-and-wellness/nutrition-counselling/) can help tailor food, drink, weight, and hydration advice to your health.
When to seek care quickly
Seek urgent medical assessment for a hot, red, swollen joint with fever, chills, feeling very unwell, or rapidly worsening pain. Infection can look similar to gout and needs prompt treatment. Seek help promptly if you cannot move or bear weight through the affected joint.
Questions for your doctor
How will we confirm that this is gout rather than an infection or another arthritis? What should I take during an attack? Do I need a plan to prevent further attacks, and how will we monitor it? Which medicines, foods, or health conditions could affect my urate level?
Find care
General Clinics & Polyclinics in Abu Dhabi
That answer is general. If you want it applied to your own case, these are licensed general clinics & polyclinics listed in Abu Dhabi.
27 Ar Ruwwad St - Shakhbout City - MSH4 - Abu Dhabi - United Arab Emirates
Accepts: Daman, Thiqa, Cigna, MetLife +20 more
Al Ruwais, Al Dhafrah
Accepts: Daman, Thiqa, AXA, Cigna +16 more
Al Bahyah - Al Bahyah Old - Abu Dhabi - United Arab Emirates
Accepts: Daman, Thiqa, Cigna, Allianz Care +18 more
Abu Dhabi
Accepts: Daman, Thiqa, AXA, Cigna +27 more
Ordered by verification status and how complete each clinic's public record is, then alphabetically. This is a directory listing, not a ranking — Zavis does not rate or recommend providers.
A factual listing drawn from the DHA, DOH and MOHAP licence registers. It is not a referral, an endorsement, or advice that any of these providers is right for you.
Questions people ask
Can gout damage a joint if attacks stop for a while?
Yes. A quiet interval does not necessarily mean the crystal problem has gone. Ongoing urate deposits can continue to affect a joint without constant severe pain.
Is a blood test enough to diagnose gout?
Not always. The result must be interpreted with your symptoms and examination, and a clinician may recommend additional testing when the diagnosis is uncertain.
Related
Related reading
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Medical disclaimer. This page is general health information, not medical advice, and it cannot diagnose you. Always consult a licensed healthcare provider about your own symptoms and treatment. In an emergency in the UAE, call 998 for an ambulance.