For caregivers

Recognizing a flare

NIAMS describes a gout flare as sudden pain in a joint, often starting at night, with the joint swollen, red, and warm. It often starts in the big toe or another joint in the lower limb. You cannot tell a gout flare from a joint infection by looking. Neither can the person who has it.

Getting them to care

Get urgent care for a hot, swollen joint with fever, a joint they cannot bear weight on, or a flare unlike their usual ones. Otherwise, help them call the clinician who knows them. Offer to drive, make the call, or sit with them.

Helping at home

NIAMS names rest, ice, and elevation as things that can ease a flare. Help with ice wrapped in a cloth, a pillow to raise the limb, and keeping pressure off the joint. Bring water and meals so they can stay put. These are comfort measures, not a cure. More is on Home measures.

Shoes and getting around

During a flare even a sock or bedsheet can hurt. Loose, soft footwear and a clear path to the bathroom help. Between flares, ordinary comfortable shoes are fine. Ideas are on Living with gout and Gear.

Appointments

If they want you there, go. Bring the questions list and the flare tracker, and write down the answers. Bring the names of every medicine they take.

Not sharing medicine

Looking after yourself

Caring for someone in pain is tiring. Take breaks, accept help, and keep your own appointments. You are helping by being there, not by solving it.