Gout occurs when uric acid crystals build up in the joints. This causes the joints to be inflamed, causing pain.

Gout typically occurs if you have high levels of uric acid in your blood. A high level of uric acid in the blood is identified by the term hyperuricemia. However, you could also have normal uric levels and still have gout.

The uric acid can then form crystals in the joints causing the pain and inflammation.

The liver metabolizes uric acid, and the kidneys get rid of it through the urine. Levels of uric acid build up when:

  • Too much uric acid is produced
  • Not enough uric acid is eliminated

If you have gout and hyperuricemia, your body doesn't eliminate enough uric acid.