Gout and Swollen Feet: Uric Acid Test for Elderly Women
Experiencing sudden joint pain or swollen feet? It may be gout—not arthritis. Learn why a uric acid test is important for elderly women and how it helps detect and manage high uric acid levels effectively.

Written by Dr. J T Hema Pratima
Reviewed by Dr. D Bhanu Prakash MBBS, AFIH, Advanced certificate in critical care medicine, Fellowship in critical care medicine
Last updated on 10th Sep, 2025

As women age, especially after menopause, new health challenges can emerge, including unexpected causes of joint pain and swelling. While arthritis is a common concern, another possibility is gout, a form of inflammatory arthritis caused by excess uric acid in the blood. Though often associated with men or dietary habits, gout is increasingly recognised in older women due to hormonal changes and age-related shifts in kidney function.
If you're an elderly woman experiencing swollen feet, sudden joint pain, or tenderness, particularly in the toes or ankles, a simple uric acid test for seniors can be a crucial step in understanding these symptoms and getting the right help. This article will explain the link between uric acid and common foot and joint issues in older women.
What is Uric Acid and Why Does it Matter?
Uric acid is a natural waste product in your body. It forms when your body breaks down purines, which are found in all your cells and in many foods. Normally, your kidneys remove most of the uric acid from your blood, and it leaves your body through urine.
Problems happen when your body either makes too much uric acid or your kidneys don't get rid of enough of it. When uric acid builds up in your blood, it's called hyperuricemia.
When uric acid levels get too high, these tiny crystals can form and settle in your joints. This leads to gout, a very painful type of arthritis. Gout attacks often cause sudden, severe pain, swelling, redness, and tenderness, most commonly in the big toe, but it can also affect other joints like ankles, knees, wrists, and fingers.
For elderly women, high uric acid levels are also linked to other health concerns like kidney stones and can sometimes affect kidney function over time.
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Why Gout and Uric Acid Issues Are Important for Elderly Women
While gout is more common in men, it becomes more frequent in women after menopause. This is because estrogen, a hormone that decreases after menopause, helps the kidneys remove uric acid. With lower estrogen levels, older women can be at a higher risk of having high uric acid.
Symptoms of gout or high uric acid in elderly women can sometimes be mistaken for other common conditions like:
- Osteoarthritis: The general wear-and-tear arthritis that affects many older adults.
- Cellulitis: A bacterial skin infection that causes redness, swelling, and pain, often in the legs and feet.
- Bursitis: Inflammation of small fluid-filled sacs that cushion bones, tendons, and muscles near joints.
Because the symptoms can be similar to other conditions, a uric acid test is essential to get an accurate diagnosis and ensure you receive the correct treatment.
When Should a Uric Acid Test Be Considered?
If you are an elderly woman experiencing any of the following symptoms, especially if they are sudden or severe, it's important to talk to your doctor about a uric acid test for seniors:
- Sudden, Severe Joint Pain: Especially in your big toe, ankle, knee, or other joints. The pain can be so intense that even the weight of a bedsheet is unbearable.
- Swelling and Redness: The affected joint looks swollen, feels warm, and appears red.
- Tenderness: The joint is extremely sensitive to touch.
- Difficulty Moving the Joint: You might find it hard to put weight on the affected foot or move the joint.
- Kidney Stone Symptoms: Severe pain in your lower back or side, nausea, vomiting, frequent
urination,cloudy urine, or blood in your urine. These need immediate medical attention.
Uric Acid Test for Elderly Women
A uric acid test or gout test for old women is a simple blood test that measures the amount of uric acid in the bloodstream. For elderly women, this test is especially helpful when experiencing symptoms like swollen feet, joint pain, or sudden gout attacks. The test involves drawing a small blood sample from a vein in the arm and is quick and generally painless.
Interpreting the Results
Uric acid levels are reported in milligrams per deciliter (mg/dL). For women over 40, normal levels typically range from about 2.0 to 6.5 mg/dL. Some laboratories may consider levels up to 8.0 mg/dL normal due to hormonal changes after menopause.
- High Uric Acid Levels (Hyperuricemia): If your levels are higher than what's considered normal, it suggests hyperuricemia. Your doctor will then investigate the cause and discuss how to manage it. This might involve changes to your diet, medication, or further tests to check kidney function.
- Normal Uric Acid Levels: If your levels are within the normal range, it helps rule out high uric acid as the primary cause of your joint pain, leading your doctor to explore other possibilities.
How a Uric Acid Test Helps Guide Treatment
Getting an accurate diagnosis through a uric acid test is crucial for effective treatment.
- Targeted Treatment for Gout: If high uric acid is causing gout, your doctor can prescribe specific medications to reduce uric acid levels and prevent future attacks. This can significantly reduce pain and prevent joint damage.
- Addressing Underlying Causes: The test can help uncover other health issues that might be contributing to high uric acid, such as kidney problems or certain metabolic conditions. Treating these underlying causes is key to long-term health.
- Improved Quality of Life: By identifying and managing high uric acid, you can reduce joint pain, swelling, and discomfort, allowing for better mobility and an improved quality of life in your senior years.
Reliable Uric Acid Testing for Elderly Women via Apollo 24|7
Apollo 24|7 provides accessible and reliable testing options, including the uric acid test
, that can be beneficial for elderly women experiencing unexplained joint pains or swelling.
Here are some popular options available:
- Uric Acid - Serum Test: This is the direct test to measure the uric acid levels in your blood. It's a fundamental step in diagnosing hyperuricemia.
Uric acid testing is also often included as part of broader health check-up packages that can provide a comprehensive overview of your health. Several general full body check-ups offered by Apollo 24|7 include this test:
- Apollo Full Body Check - Advance I: This comprehensive package includes a wide range of tests, typically featuring the Uric Acid Test along with assessments for kidney function, liver function, blood sugar, cholesterol, and complete blood count. This can be a good option for a thorough health review.
Schedule an Apollo Full Body Check - Advance I
- Apollo Full Body Checkup - Essential: This package also offers a broad spectrum of tests, generally including the Uric Acid Test, to screen various organ systems like the heart, liver, thyroid, and kidneys. It's designed to provide a good overall health assessment.
Book an Apollo Full Body Checkup - Essential
It's always best to consult with your doctor or a healthcare provider to determine the most appropriate test or package based on your symptoms, medical history, and specific needs.
Conclusion
Swollen feet and joint pains can significantly impact the quality of life for elderly women. While these symptoms are often attributed to common age-related conditions, it's crucial not to overlook the role of uric acid. Gout is not just an adult male disease; it can affect older women, too, especially after menopause. By being aware of the symptoms and considering a uric acid test for seniors, you can take a proactive step in understanding the cause of your discomfort. Early diagnosis and appropriate management can make a significant difference in alleviating pain, preventing complications, and helping you maintain your mobility and independence in your golden years. If you're experiencing persistent joint pain or swollen feet, talk to your doctor about whether a gout test for old women (the uric acid test) is right for you.