Specificgouttriggers may increase the risk of a flare-up and symptoms, such aspainful, inflamed joints.

Some people notice that certain factors directly impact their lives, while other factors increase the risk of flare-ups.

At high levels, uric acid is more likely tocrystalize in the jointand cause pain.

Grilled ribeye served with bone marrow and red wine.

Marianna Massey / Getty Images

Some factors that may trigger a gout flare also increase uric acid levels.

Alcohol and Dehydration

Alcohol is one of the most common gout triggers.

They had a 51% increased risk if they had greater than two servings.

However, the evidence is inconclusive.

Alcohol is also a problem because it increases the risk ofdehydration.

Purine-Rich Foods

Eating foods high inpurinesmay increase the risk of gout flares.

Fructose is found naturally in honey, agave, and many fruits.

High-fructose corn syrup, used in many processed foods and sugary drinks, is particularly high in fructose.

Stress

Bodily stress can trigger gout.

Crash dieting, which also stresses the body, is another potential trigger.

Medications

Some medications might trigger a gout flare, especially when you first start to use them.

Called comorbidities, with gout these includehigh blood pressure(hypertension), cardiovascular disease, andchronic kidney disease.

Risk Factors

Other factors also increase the risk of gout.

Having variants of specific genes also seems to increase risk.

How to Identify Your Gout Triggers

Identifying your triggers can be tricky.

Researchers dont fully understand why different factors might trigger a gout flare.

Some factors may increase your risk of flare, but not immediately, so its harder to identify.

Something might also increase your risk, but not in a way you’re able to easily notice.

However, not everyone with gout experiences a flare immediately after consuming purine-rich foods or alcohol.

Also note any unusual circumstances, like illness, added stress, or medication changes.

Comparing this information to when you have flares might help you identify gout trigger patterns.

Summary

Not everyone notices the same gout triggers.

Keeping a symptom diary might help you identify yours.

Limiting alcohol, making dietary changes, and staying physically active may all help you prevent flares.

It can also help to talk to a healthcare provider about medication.

MacFarlane LA, Kim SC.Gout: a review of nonmodifiable and modifiable risk factors.Rheum Dis Clin North Am.

a primary care based cross-sectional study.PLoS One.

2017;12(10):e0186096.

2014;90(12):831-836.

2016;6(10):e013191.

2022;14:265-273. doi:10.2147/CLEP.S346128=.