[Answer] 2. Gout is a very painful condition that often strikes the big toe joint. What causes it?

Step 1 : Introduction to the question "2. Gout is a very painful condition that often strikes the big toe joint. What causes it?"

...1. Excess uric acid 2. Old age 3. Ill fitting shoes 4. Drinking too much port In Victorian times it was often thought that drinking too much port caused gout. The pain and swelling arise because uric acid crystals have concentrated around the joint. This is not due to excessive drinking alone, although too much alcohol, especially beer, can be a contributory factor. Certain long term medications can also cause gout. Normally the kidneys filter uric acid and it passes out of the body, but when too much is produced for the natural filter system to work then crystals form around the joints. Gout can hit other joints apart from the big toe. Large joints such as wrists, knees and elbows can all suffer. Treatment can be by diet change, or diet change and medication, but unfortunately repeat attacks are common.

Step 2 : Answer to the question "2. Gout is a very painful condition that often strikes the big toe joint. What causes it?"

Excess uric acid:

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