05/09/2026
Gout Myth #3: It's My Fault I Have Gout βπ§¬
There are many myths about gout, but this one might be the most harmful - because it causes unnecessary guilt, shame, and self-blame. Board Certified Rheumatologist Dr. Tom Rennie wants to set the record straight!
MYTH: It's your fault you have gout - you brought this on yourself through poor diet and lifestyle choices.
THE TRUTH: This is absolutely NOT true!
Gout Is Primarily a GENETIC Condition
Let's get this straight right from the start: Gout runs in families!
If you have gout, there's a very high likelihood that someone else in your family - whether it's a parent, grandparent, aunt, uncle, cousin, or sibling - also has gout or elevated uric acid levels.
What Your Genes Control:
Your genetics determine:
How much uric acid your body produces - Some people's bodies naturally produce more uric acid (genetic overproduction)
How efficiently your kidneys eliminate uric acid - Some people's kidneys don't clear uric acid as effectively (genetic underexcretion)
Your overall susceptibility to developing gout - The genetic tendency to develop uric acid crystals in joints
This is NOT something you caused through bad choices or poor willpower!
But What About Diet and Lifestyle?
Now, you might be thinking: "Wait, I've always heard that diet matters for gout - rich foods, alcohol, red meat, seafood..."
You're absolutely right that diet and lifestyle factors CAN play a role in gout - but here's the critical distinction:
Your GENETICS = The underlying reason you HAVE gout (the root cause)
Diet and lifestyle = Things that can TRIGGER a gout attack (the precipitating factors)
Think of it this way:
Your genes load the gun
Diet and lifestyle factors might pull the trigger
But without the genetic predisposition, you probably wouldn't get gout at all - no matter what you ate!
Why Some People Get Gout and Others Don't:
Have you ever noticed this frustrating reality?
Some people can eat steak and lobster, drink beer every weekend, and never get a single gout attack in their entire lives. Meanwhile, you have ONE rich meal or ONE beer and boom - you're dealing with excruciating gout pain.
Why is this so unfair?
It's all about genetics!
The person who doesn't get gout:
Their body naturally produces less uric acid (genetic advantage)
Their kidneys efficiently eliminate uric acid (genetic advantage)
They simply don't have the genetic predisposition to develop gout
You, on the other hand:
Your body may produce too much uric acid (genetic overproduction)
OR your kidneys don't eliminate uric acid efficiently (genetic underexcretion)
OR you have both problems working against you!
And this is NOT your fault!
You didn't choose your genes any more than you chose your eye color or your height.
Other Factors Beyond Your Control:
Beyond genetics, there are several other major factors that contribute to gout that you absolutely cannot control:
1. Kidney Disease:
If you have kidney disease (chronic kidney disease, kidney failure, etc.), your kidneys cannot eliminate uric acid properly. This leads to uric acid buildup in your blood and eventually gout.
You didn't choose to have kidney disease - this is NOT your fault!
2. Natural Decline in Kidney Function:
As people age, kidney function naturally declines. This is a normal part of aging that happens to everyone to varying degrees. When your kidneys don't work as efficiently, they can't eliminate uric acid as effectively, leading to higher uric acid levels.
Aging is not your fault!
3. Medications Prescribed by Your Doctor:
Several common medications can increase uric acid levels and contribute to gout, including:
Diuretics (water pills like Lasix, hydrochlorothiazide) - Often prescribed for high blood pressure, heart failure, or fluid retention
Low-dose aspirin - Prescribed for heart protection and stroke prevention
Other medications prescribed by your healthcare providers for legitimate health reasons
If your doctor prescribed these medications, you're taking them for IMPORTANT health reasons - to protect your heart, manage your blood pressure, or address other serious health conditions.
You didn't give yourself gout by following your doctor's orders!
The Science Behind Gout Causes:
Research consistently shows that gout is:
70-80% determined by genetics and other uncontrollable factors
Only 20-30% influenced by diet and lifestyle factors
So even if you made every "perfect" dietary choice - avoided all red meat, never drank alcohol, eliminated all high-purine foods - if you have the genetic predisposition, you could STILL develop gout!
Stop the Guilt and Shame:
Too many people with gout carry around unnecessary guilt and shame. They feel like they somehow brought this painful condition on themselves through poor choices or lack of self-discipline.
This guilt is:
Undeserved - You didn't cause your genetic makeup
Not based on science - Research shows gout is primarily genetic
Harmful to your mental health - Chronic guilt and shame take a toll
Not helping you manage your condition - Self-blame doesn't lower uric acid
You absolutely did NOT cause your gout!
What You CAN Control:
While you can't control your genetics, kidney function, aging, or medications you need for other health conditions, you CAN control how you manage your gout:
Taking your prescribed medication (allopurinol, febuxostat, etc.) consistently
β Making dietary modifications to avoid triggering attacks (while understanding this won't cure the underlying condition)
β Staying well-hydrated to help your kidneys eliminate uric acid
β Working closely with your doctor to get your uric acid levels below 6.0
β Avoiding known triggers when possible
Focus your energy on effective management, not self-blame!
The Bottom Line:
Gout is primarily a GENETIC condition - it runs in families and you inherited this predisposition
Kidney disease and declining kidney function play major roles you can't control
Some necessary medications can contribute (but you need those meds for other important health issues!)
Diet can trigger attacks but it doesn't cause the underlying metabolic condition
You did NOT do this to yourself - stop the guilt and shame
Focus on proper treatment - getting uric acid below 6.0 with medication plus diet modifications
Gout is a medical condition, just like diabetes or high blood pressure - not a moral failing or personal weakness!
Stop blaming yourself and start focusing on evidence-based treatment that actually works!
Do you have a family history of gout? Did you know it was primarily genetic? Share in the comments - your story might help others stop blaming themselves! π¬
Check out our other videos on how to properly treat gout!
Visit rheumthera.com to see how we might help with your gout pain. Your relief starts now!