Average length of time for a gout attack

How Long Does a Gout Attack Last?

If you are a new gout sufferer and just landed on this page, you probably are searching to find out how long does a gout attack last whereas we veteran gout sufferers know all too well that gout attacks and gout pain can last from days to weeks depending how serious it is. The answer isn’t so simple.

Gout attacks tend to be intensely painful within the first 12 to 24 hours and afterwards you have the prolonged daily incremental improvement until the pain subsides completely. That’s if you don’t jump to treat right away with colchicine or some other home remedy of your choice that you probably read in this website. The average gout attack ranges from three days to a week but for some a gout attack can be quite stubborn and last for weeks, heck I’ve heard of one fellow who suffered for about 2 months being stuck in bed for most of the time! If gout is left untreated then expect frequent gout attacks for various lengths of time.

One of my readers has chronic gout stage 3 and his normal uric acid levels are usually between 3 mg/dl to 6 mg/dl. During a gout attack, his uric acid jumps anywhere from 11 mg/dl to 18 mg/dl! You don’t want to end up like him cause he now can no longer walk and is stuck in a wheelchair due to all the joint inflammation. If you suffer from frequent gout attacks you must do something about it, don’t think that it might not come back, chances are it will.

Tart Cherry Extract for Gout

Since gout is a progressive disease and if you don’t control your uric acid levels to below 5 mg/dl then you can expect more gout attacks. If you take allopurinol, febuxostat or other uric acid lowering prescription drugs and you get gout attacks, then you must check with your doctor and reassess your uric acid lowering therapy. Remember that gout pain can occur when uric acid crystallizes and when it uric acid dissolves. So if you just got your first gout attack and your doctor prescribes you allopurinol, he’ll most likely also prescribe you colchicine to prevent another gout attack, for the first two weeks to avoid triggering gout flares as the uric acid crystals begin to dissolve.

Keeping uric acid levels in the safe range of under 5 mg/dl should keep the gout away and why not follow my diet plan and lifestyle change in my ebook and take the minimum allopurinol dose possible to treat your gout? Keeping uric acid levels low the healthy way is always a better alternative than prescription drugs. The truth is if you don’t control your uric acid levels eventually you will be in permanent pain since those nasty crystals will chip away at the bone and cause permanent joint damage. You don’t want go there, believe me!

In conclusion, a gout attack can last anywhere from a day to several weeks depending what stage you are in, diet, lifestyle and treatments all come into play. To learn more on how to stop a gout attack, make sure to read this post.

Posted by Spiro Koulouris

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  • Doug Brady

    Reply Reply January 15, 2017

    Hi Spiro, I have spent the better part of the day looking and studying your site, buying your book, and wishing I had a chop saw to cut my foot off–That pain would subside! I am now on my 6th gout attack in 2 years. I was diagnosed with IGAN and my Nephrologist said I would continue to get attacks. They are worried about prescribing Colchicine because of the damage to Kidneys, but I found a Doctor who would prescribe it. It worked wonders until this attack. It is going on day 9 and my foot is twice the size as normal and I literally would do anything to stop this pain. I am so open to suggestions and input and advice. As a former collegiate football player, I have never dealt with this type of pain and I am very worried about my future prospects if this is what it holds. Any wisdom or insight would be so much appreciated! I would gladly fly to wherever you are and am willing to do anything to stop this from continuing to happen to me and to others as well!!! Thanks for your time. Doug

    • Spiro Koulouris

      Reply Reply January 18, 2017

      Sounds rough Doug.

      All I can tell you is follow the dietary and lifestyle steps that I have outlined in the book and website. You must follow a disciplined gout diet and you know what that entails. It’s hard but you must stick to it. Problem is if kidneys are badly damaged there isn’t much you can do unless it comes from your doctor in the way of some type of drug that will allow to keep your uric acid levels in check.

      Hang in there!

      • Tania

        Reply Reply February 20, 2017

        I’m in so much pain and it took me like 3-5 min to walk 30′ to the bathroom. My ankle both inside and out plus my Achilles hurts like hell, I can’t barely walk and I’ve got tons more health problems like I have only half my colon left cause I have diverticulitis, and no gal bladder. I can’t even sleep cause of this pain. I have tried elevation but it hurts even more then when I go to move my foot I wanna scream in pain. The ibuprofen is not helping either. I don’t know what to do

        • Spiro Koulouris

          Reply Reply February 22, 2017

          Hi Tania!

          I am really sorry to hear that. Have you seeked medical advice? You need to see a doctor, also make sure to see a podiatrist, just to get some different opinions.

  • Paul

    Reply Reply December 3, 2016

    is it possible to take allopurinol during a gout gout attack as I have missed taking mine due to losing them and having to wait for a new prescription

    • Spiro Koulouris

      Reply Reply December 3, 2016

      Hi Paul!

      You need to speak to your doctor ASAP but generally it is not advised to take allopurinol while on a gout attack, only after it subsides to manage uric acid levels.

  • Raju Satla

    Reply Reply November 27, 2016

    I’m male ,an Indian,39 years,suffering gout from 4 years,now it became chronic,im using Febuxostat 80mg per day,I become vegetarian,but still I’m suffering a lot,now uric acid crystals formed on my both feet and toes, my doctor has been advised me to take steroid injections on toe,is it suggestible? How can we remove already formed uric acid crystals??

    • Spiro Koulouris

      Reply Reply November 28, 2016

      Hi Raju!

      I presume you are also not drinking alcohol, sugary beverages and eating vegetarian does not mean that you are eating healthy. If you are eating lots of fried vegetarian food and lots of sugar in your diet, it could be the cause of your gout as well. I am not a doctor so I can’t recommend any procedure for you. Maybe seek a second opinion just to make sure.

      • Jackson

        Reply Reply April 20, 2017

        Wear socks all the time even in the house (with indoor shoes). Keep you foot always warm so wear it even when sleeping. Since I started I noticed no more gout attacks. Other than drugs only temperature will keep gout away. Your foot is the coldest part as its the furthermost point from your heart. Uric acid only crystallizes below a certain temperature.

    • Lyle Jones

      Reply Reply March 1, 2017

      I use to take Sulindac but have found lately it is more of a case of consuming too much sugar. Sulindac acts very quickly FYI

  • Richard

    Reply Reply November 24, 2016

    I have had gout attacks in the past but this time it has lasted 6 plus weeks. They started years ago, but last year I suffered an infection which has triggered the worst attacks ever. I was told by my doctor to reduce water intake as my kidneys are not the best. Years of kidney stones has taken their toll. I had parathyroid disease. With that said my question to you is, should I drink more water? Or not?

    I am trying to find a gout specialist in my area. I would also like to know if the dash diet is the right way to go. I don’t eat a lot of red meat but I do like my fish. I have not had a drink since 1985 so I am uncertain as to what always triggers me. Thanks!

    • Spiro Koulouris

      Reply Reply November 24, 2016

      Hi Richard!

      Unfortunately I do not know enough about your health and health metrics to provide you with any advice. If someone suffers from kidney disease a doctor may recommend less fluid intake since it may cause swelling and increase blood pressure, which makes the heart work harder. As well too much fluid can also build up in the lungs making it difficult to breathe properly. Best you take your doctor’s advice and as for the dash diet, again speak with your doctor, your health situation may be unique to you.

  • Eduardo Lara

    Reply Reply October 28, 2016

    You should also be checking your kidney GFR because this could be an underlying root cause of gout.

  • shahbaz

    Reply Reply October 5, 2016

    I am suffering from gout, uric acid level is 8.13, trying to fix it with diet , I also do running but it is very painful as my toe hurts.


    Reply Reply September 27, 2016

    Hi, Iam 56 year old Asian male, had my first gout attack in the 30s, so am pretty familiar with the behavior. Unfortunately, this gout attack has been on and off for about 4 weeks now. It got better and reverse course like a volley between good and evil. Gonna try to juice up pineapple stems today. If it works, you will see me back here tomorrow, thanks

  • khuram

    Reply Reply September 16, 2016

    I am undergoing my first gout attack.
    It has been 36 hours since i first felt pain in my toe. My uric acid level is 8.2.trying to take as much water as possible.( at least 20 glasses in 24 hrs. Taking ponstan and nuberol for pain. Worried to start normal life as this is immensly painful.

  • John Stevens

    Reply Reply August 13, 2016

    Hi there,
    32 year old male. Think I have suffered from gout for a few years. First I thought it was clutch foot from bad driving position. Then I thought it was my foot ware. Checked bloods came back normal.
    Attacks as I now know them, last for 2-4 days.
    This last one is in my right ankle and we are on day 6. Starting to get me down. Still able to walk, ish, and not sure if this is making it worse.
    Started my new diet, no red meats, no alcohol, no processed foods. More veg etc. Nettle tea, coffee, lots and lots of water.
    Not really got a question or comment. Just needed to write things so it became real to me.
    Don’t ever want a gout attack again. So not fun. And the worse is I miss time playing with my daughter.

  • Mike Cole

    Reply Reply August 10, 2016

    Is not allopurinol the cause of heart attacks??? As I’m about to take these and am concerened.

  • Barbara

    Reply Reply August 8, 2016

    My doctor diagnosed gout for my right toe and foot. My uric acid levels came back normal. After a week of taking meds, I’m still suffering. Please advise.

  • Yoli

    Reply Reply July 20, 2016

    March 2 2016 I broke a bone in my foot. May 24 2016 I was told I have gout and given colchicine to take daily. Now I experience burning tingling pain in both feet (top, bottom, sides) both ankles knees elbows fingertips, and back. I reviewed my blood work for the last 8-9 years. The uric acid levels were high 7.5 except for 8 one year, 9 one year and 6 one year. So I guess I had gout for years with no symptoms until I fell and broke a bone in my foot. Now I’m depressed, extremely embarrassed and scared to sleep without colchicine or naproxen at night for fear I will experience the pain discussed on this site and others. I wonder if I Should I have been prescribed allpurinol? Is my situation considered chronic? Do I have joint damage?

    • Spiro Koulouris

      Reply Reply July 20, 2016

      Hi Yoli!

      This is not a question I can answer for you unfortunately. You have to your doctor assess this. If you have gout generally your doctor should put you on allopurinol to keep uric acid levels in check. Colchicine is usually prescribed to fight off the inflammation from a gout attack and then allopurinol is introduced usually for life. Talk to your doctor and maybe seek a 2nd opinion.

  • Jim tomeo

    Reply Reply April 16, 2016

    Hi I have suffered from gout for 10 years typically lasts 2-7 days this time its 24 days and although it has gotten better it is still very sore and I am still walking with a limp us it normal for this to be going on almost a month or could it be something else?

    • Spiro Koulouris

      Reply Reply April 17, 2016

      Hi Jim!

      Anything is possible! Did you see your doctor yet? 24 days…I wouldn’t take any chances, go to your doctor and check it out!

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