Are you experiencing pain in your joints and swelling? Do you have a family history of gout?

The uric acid tests help diagnose gout, find the cause of frequent kidney stones, identify a diet that includes too many purine-rich foods and kidney disease.

If you’re experiencing any of the following symptoms, it may be time to test your uric acid levels. 

  • Frequent or intense pain in joints like knees, feet, wrists, and ankles. 
  • Swelling in one or more joints that lasts for days at a time. 
  • Redness and warmth over affected joint(s). 
  • Joint stiffness that lasts for hours after waking up in the morning. 

If these sound familiar to you, it could indicate gout disease!

If you have high uric acid levels in your blood, it’s important to know what could be causing it. Gout is a type of arthritis that causes sudden and severe attacks of pain, tenderness, redness, and swelling in the joints. It can also affect other body parts like the kidneys or eyes. It’s also important to rule out any other conditions that cause high uric acid levels to obtain a diagnosis of gout.

If you want to learn more about gout and the lab tests that can help you, click on the title of the articles below.

The uric acid tests help diagnose gout by measuring how much uric acid is present in your blood at any given time. This will give you an idea about whether or not you might need treatment for this condition. So don’t wait until another attack strikes! Order your test today so you can get started on finding out what’s going on inside your body today! 

Ulta Lab Tests offers discounted prices, 24/7 ordering, and nationwide locations to help you stay on top of your health. Our lab tests are completely confidential, and results are usually ready within 24 to 48 hours for most tests. We make it simple for you to take control of your health with 2,000 lab tests to select from and friendly customer support!

Order your blood tests for gout from the selection below today and take charge of your health!


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Serum uric acid measurements are useful in the diagnosis and treatment of numerous renal and metabolic disorders, including renal failure, gout, leukemia, psoriasis, starvation or other wasting conditions, and in patients receiving cytotoxic drugs.

Clinical Significance

Rheumatoid Arthritis Diagnostic IdentRA® Panel 2 - Early diagnosis of rheumatoid arthritis (RA), ie, diagnosis before significant joint erosion occurs, is difficult. Psoriatic arthritis can also be difficult to diagnose clinically early in the disease process, and there are no specific biomarkers. The 14-3-3η (eta) protein is an emerging biomarker for RA and erosive psoriatic arthritis diagnosis. It may play a biologic role in the joint erosive process. Blood levels appear to be elevated in patients with RA, but not in other diseases including psoriasis, osteoporosis, gout, ulcerative colitis, type 1 diabetes, systemic lupus erythematosus, Crohn disease, primary Sjögren syndrome, scleroderma, and multiple sclerosis. The 14-3-3η protein, used in conjunction with rheumatoid factor (RF) and cyclic citrullinated peptide (CCP) antibody, may improve diagnostic sensitivity in the early diagnosis of RA. It may also help differentiate those with psoriatic arthritis joint damage from those without joint damage.

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Elevated RF is found in collagen vascular diseases such as SLE, rheumatoid arthritis, scleroderma, Sjögren's Syndrome, and in other conditions such as leprosy, tuberculosis, syphilis, malignancy, thyroid disease and in a significant percentage of otherwise normal elderly patients.

Antinuclear antibodies are associated with rheumatic diseases including Systemic Lupus Erythematous (SLE), mixed connective tissue disease, Sjogren's syndrome, scleroderma, polymyositis, CREST syndrome, and neurologic SLE. 

Reflex Information: If ANA Screen, IFA is positive, then ANA Titer and Pattern will be performed at an additional charge.

A Complete Blood Count (CBC) Panel is used as a screening test for various disease states including anemia, leukemia, and inflammatory processes.

A CBC blood test includes the following biomarkers: WBC, RBC, Hemoglobin, Hematocrit, MCV, MCH, MCHC, RDW, Platelet count, Neutrophils, Lymphs, Monocytes, Eos, Basos, Neutrophils (Absolute), Lymphs (Absolute), Monocytes(Absolute), Eos (Absolute), Basos (Absolute), Immature Granulocytes, Immature Grans (Abs)

NOTE: Only measurable biomarkers will be reported.

Reflex Parameters for Manual Slide Review
  Less than  Greater Than 
WBC  1.5 x 10^3  30.0 x 10^3 
Hemoglobin  7.0 g/dL  19.0 g/dL 
Hematocrit  None  75%
Platelet  100 x 10^3  800 x 10^3 
MCV  70 fL  115 fL 
MCH  22 pg  37 pg 
MCHC  29 g/dL  36.5 g/dL 
RBC  None  8.00 x 10^6 
RDW  None  21.5
Relative Neutrophil %  1% or ABNC <500  None 
Relative Lymphocyte %  1% 70%
Relative Monocyte %  None  25%
Eosinophil  None  35%
Basophil  None  3.50%
Platelet  <75 with no flags,
>100 and <130 with platelet clump flag present,
Instrument Flags Variant lymphs, blasts,
immature neutrophils,  nRBC’s, abnormal platelets,
giant platelets, potential interference
The automated differential averages 6000+ cells. If none of the above parameters are met, the results are released without manual review.
CBC Reflex Pathway

Step 1 - The slide review is performed by qualified Laboratory staff and includes:

  • Confirmation of differential percentages
  • WBC and platelet estimates, when needed
  • Full review of RBC morphology
  • Comments for toxic changes, RBC inclusions, abnormal lymphs, and other
  • significant findings
  • If the differential percentages agree with the automated counts and no abnormal cells are seen, the automated differential is reported with appropriate comments

Step 2 - The slide review is performed by qualified Laboratory staff and includes: If any of the following are seen on the slide review, Laboratory staff will perform a manual differential:

  • Immature, abnormal, or toxic cells
  • nRBC’s
  • Disagreement with automated differential
  • Atypical/abnormal RBC morphology
  • Any RBC inclusions

Step 3 If any of the following are seen on the manual differential, a Pathologist will review the slide:

  • WBC<1,500 with abnormal cells noted
  • Blasts/immature cells, hairy cell lymphs, or megakaryocytes
  • New abnormal lymphocytes or monocytes
  • Variant or atypical lymphs >15%
  • Blood parasites
  • RBC morphology with 3+ spherocytes, RBC inclusions, suspect Hgb-C,
  • crystals, Pappenheimer bodies or bizarre morphology
  • nRBC’s

Comprehensive Metabolic Panel

A synthetic circular peptide containing citrulline called CCP IgG (cyclic citrullinated peptide) has been found to be better at discriminating Rheumatoid Arthritis patients from other patients than either the perinuclear autoantibody test or the test for rheumatoid factor. Approximately 70% of patients with Rheumatoid Arthritis are positive for Anti-CCP IgG, while only about 2% of random blood donors and disease controls subjects are positive.

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Increased IgG is associated with acute and chronic inflammations, monoclonal IgG myeloma, autoimmune diseases; decreased IgG is found in selective IgG deficiency, Bruton's Disease, and acquired immune deficiency.

The IgG class of immunoglobulins is itself composed of four different subtypes of IgG molecules called the IgG subclasses. Patients who lack, or have very low levels of, one or two IgG subclasses, but whose other immunoglobulin levels are normal, are said to have a selective IgG subclass deficiency.

Useful in differentiating inflammatory and neoplastic diseases and as an index of disease severity. CRP is also useful in monitoring inflammatory disease states.

Gout is on the rise, and now over 8 million adults in the US suffer from this painful condition. Gout isn't something you take a pill for and forget about.

Gout can cause joint damage and long-term health complications, and a uric acid test can give you the answers you need.

It's time to take control of your health and feel better today. Gout symptoms don't have to control your life.

If you're wondering if you have gout, then keep reading this guide to learn all about gout and the reasons and benefits of a uric acid test.

What is Gout

Gout is as common as it is complex. Gout is a type of arthritis that causes excruciating pain, stiffness, tenderness, and swelling in your joints. Gout typically affects the base of the joint of your big toe.

Gout attacks come on quickly, often waking you up in the middle of the night making you think your big toe is up in flames. Gout comes and goes, and the leading cause is high levels of uric acid, which forms crystals.

High uric acid levels are usually due to issues with the kidneys and your body producing too much uric acid. Typically uric acid dissolves and passes through your kidneys. But with gout, the balance is disrupted, and uric acid builds up, forming sharp urate crystals in your joints.

Often gout starts silently, only with high uric acid levels. If you catch it in this stage, it's possible to reduce your uric acid to avoid painful attacks.

Risk factors for Gout

The higher your uric acid levels are, the more likely you'll develop gout. Things that increase your uric acid level include:

Your diet can play a massive role in causing gout. Eating a diet full of red meat and beer will dramatically increase your chances of getting gout.

Your weight can also play a part in uric acid production. When you're overweight, your body makes more uric acid, and your kidneys can't keep up with eliminating the excess.

Medical conditions like obesity, untreated high blood pressure, diabetes, and heart and kidney disease increase your risk of developing gout. But also certain medications you take for high blood pressure like beta-blockers do.

Men tend to have higher uric acid levels than women, so you're more at risk if you're a man. Men also typically develop gout earlier than women, between the ages of 30 and 50.

If you have family members with gout, then you're more likely to develop it too. Also, having surgery or a traumatic accident can sometimes cause a gout attack.

Causes of Gout

When too many urate crystals accumulate in your joints, you get inflammation and severe pain, known as a gout attack. Uric acid crystals cause gout. When uric acid levels become too high in your blood, it leads to urate crystals.

Your body also produces uric acid when it breaks down foods that contain purines. Purines are found in foods like organ meats, red meat, mussels, scallops, and trout. Purine is also in alcohol, especially beer and drinks flavored with fructose. 

Signs and Symptoms of Gout

The signs of gout symptoms come on suddenly and most often in the middle of the night. Symptoms you'll notice include:

  • Intense and crippling joint pain, usually in your big toe
  • Pain is most severe for the first 4 to 12 hours
  • Redness and inflammation
  • The inability to move your joint normally

While gout usually affects your big toe, it can affect your elbows, fingers, wrists, and knees. 

If you experience sudden and excruciating pain in your joints, then contact your doctor as soon as possible. Untreated gout leads to joint damage and more pain in your future.

Complications of Gout

Gout can lead to more severe conditions like recurrent gout attacks, which eventually cause significant destruction of your joints. If gout is left untreated, it can turn into advanced gout.

In this case, deposits form under your skin and create nodules that become swollen during gout attacks.

Kidney stones are also a complication of gout. Urate crystals collect in your urinary tract when you have gout. This collection of crystals can cause large stones and kidney damage if left untreated.

Diagnosis of Gout

Your doctor can typically diagnose gout based on how your joint looks and the symptoms you have. To confirm the diagnosis, they will usually order different uric acid tests.

X-rays of the joint are helpful to make sure nothing else is causing your inflammation. Ultrasound imaging can also detect urate crystals in your joints.

Sometimes doctors will also do a joint fluid test. A needle draws out fluid from your joint for microscopic examination.

And finally, your doctor will want you to have bloodwork to check your uric acid levels.

Lab Tests for Gout

To diagnose gout, your doctor will order a uric acid lab test. Higher than normal uric acid levels are a great indicator of gout, but other health conditions need to be ruled out.

High uric acid levels require further investigation, as there could be other causes like leukemia, cancers, chronic kidney disease, and pregnancy complications. 

You'll see low uric acid levels with kidney disease, long-term alcohol use, and lead poisoning.

Your doctor may also check a comprehensive metabolic panel (CMP) and a complete blood count (CBC) to assess your overall health and rule out other conditions.

Other tests, such as ANA, or antinuclear antibody, and RF, or rheumatoid factor, can be done to rule out various other potential sources for arthritis symptoms. A synovial fluid or blood culture might be necessary if there is suspicion of septic arthritis. 

Treatment for Gout

Treatment for gout focuses on reducing your uric acid levels and reducing inflammation. 

Medications for gout include over-the-counter medications like Advil or Aleve. Doctors will often prescribe you a more potent anti-inflammatory for the beginning stages of a gout attack.

Steroid medications and Colchicine can effectively reduce your gout pain along with drugs like Aloprim, which reduces the amount of uric acid your body makes.

You'll also need to make lifestyle changes like limiting alcohol, eating less red meat, and exercising daily.


Did you know gout is among the earliest recognized diseases? The Egyptians first identified gout around 2000 BC, as did Hippocrates in the fifth century BC. 

Hippocrates called gout the "un-walkable disease" and associated it with affluent lifestyles where people could afford fine red meats and alcohol. Throughout history, people also called gout the disease of kings. And having gout was thought to signify wealth and class.

Uric Acid Test

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Order your uric acid lab test today, and your results will be provided to you securely and confidentially online in 24 to 48 hours for most tests.

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