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That sudden, unbearable pain in your big toe at 4 a.m. may be more than an ordinary ache.
Imagine waking up in the middle of the night with a joint so painful that even a bedsheet touching it feels unbearable. The area is swollen, red, hot, and walking suddenly becomes difficult.
For some people, this can be a gout attack—a painful form of inflammatory arthritis associated with urate crystals forming in and around joints.
And here's the important part: high uric acid doesn't always cause symptoms. Some people have elevated uric acid without gout, while others develop painful attacks when crystals accumulate.
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