Gout attacks

How Long Does a Gout Attack Last?

Gout Attacks

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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  • Kevin

    Reply Reply February 15, 2018

    Had my first attack in over 5 years after taking medication for sinus issues that caused dehydration. Taking advil and lots of water and has improved some but not fully in 3 days. Is Uricel OTC a good medication to help short and long term?

  • Bill

    Reply Reply February 14, 2018

    Ive been suffering gout attacks for 5 years. Can go months drinking beer and other alcohol, seafood, meats etc without problem. Finally figures out that for me gout attack is triggered by dehydration – overtime. Drink clean water every day, and lots of it. Also if you start feeling an attack coming on, immediately start taking action and do not use the joint!!! Inflammation will increase walking on a bad foot or knee. The attack will get much worse.

  • Paul Monk

    Reply Reply January 10, 2018

    Hi I have had the worst attack ever, been for a blood test and came back ok. I had a attack in both my wrists, so at this moment in time, I cannot feel my wrists 100%.
    I have maybe 50% at most,
    Can you help me ?

    • Spiro Koulouris

      Reply Reply January 11, 2018

      Hi Paul!

      That is something I can’t help you with, you need to go visit your doctor as soon as possible. It could be dangerous.

  • Karan

    Reply Reply December 27, 2017

    I am software engineer… I was going gym since 2 months, last week I had pain started on my left toe.. 1st I thought I had this due to more pressure I had while I was running on treadmill and jumping on stepper. But It was due to I boozed beer and eaten eggs and other high purines foods with beer.

    I also had doubt about gout because my mom had 2 attacks last year… and when my left side toe got swollen I visited orthopedic dr he said you are having gout.

    He prescribed me allopurinol as suggested every where. Next day Pain was released. I am on medication for 5 days to take 2 tabs a day.

    On second day I eat lots of Dairy products, Pain started again… So I tried with water lots of water 3500 ml per day.. Pain gets reduced magically.

    So I stopped Tea, milk , Indian Lentils (Daal, Rajma, Chole, Moong),

    And taken low purine foods like Oranges, Grapes, Papaya, Green Tea, Cabbage, Cucumber, Carots and most important Lots of water. Pain got reduced again.

    Again on 4th day I had full milk tea cup in the morning, Moong Daal (Lentils) in the dinner and small cup of turmeric milk. In the morning pain gets . started again 🙁 🙁

    So next morning again I started drinking lots of water and till noon pain gets reduced…

    So my question is when can I eat all those food again. I know my liver is not able to control uric acid properly. Like my mom can drink tea and eat lentils now and she is no more having gout attacks.

    I want to make my liver healthy again. and why I have pain at alternate day or like eating style.

    I know I have to drink lots of water and I will… But when can I eat other things. and today is last day of my medication…

    • Spiro Koulouris

      Reply Reply December 27, 2017

      Hi Karan!

      You need to do a blood test and see what your uric acid number is so doctor can properly prescribe you the proper medication. Taking medication for 5 days only doesn’t sound right. As for diet you need to eat mostly complex carbohydrates like fresh vegetables, legumes, beans for protein instead of meat, whole grain breads, whole grain pastas and whole grain rices. Nothing processed and no white flour. Avoid sugary foods, sugary beverages and no alcohol.

      • Karan

        Reply Reply December 29, 2017

        Hi Spiro,

        Yes I already had scheduled appointment with Dr. He asked to continue tablets for more 20 days and to have a good diet. I would like to tell you guys I am feeling better now… Drinking lots of water.

        • Spiro Koulouris

          Reply Reply December 29, 2017

          Good stuff Karan!

          • Karan

            January 30, 2018

            Hi Sipro and Guys,

            I have completed 20 days medication… Now I am without medication, and I tell you I am at my normal result… no pain, low uric acid level..

            Also I found in my case Booze was culprit… either Beer or Vodka.. So from now onwards I quit drinking… because second time I found it starts after 2-3 days after alcohol consumption….

            Even Eggs were safe to eat in my case….

            Guys either don’t drink or don’t take more than 2 pegs of any alcohol. Some websites says Vodka is not bad for Gout… but all alcohol black or white colored are not good for your liver. I am not daily boozer… I was boozing occasionally like in a month or some times 3-4 months…. but still I lead with Gout.

            Also if you want to booze…. try to drink lots of water to make your liver healthy so that excess Uric Acid gets rid off from body through urine because your liver was not able to metabolize.

            Guys this is the final result proving that alcohol makes effect on you liver… because uric acid is waste product not metabolized by your liver… So please stop drinking…

            Happy life to all….

  • Keith

    Reply Reply December 24, 2017

    My last attack was a year ago in October but this October it started again and it still going on it’s moved from one foot to the other first in my right foot and then in my left foot. Never both feet at once.

    It’s been really painful and I can’t hardly walk for this time. My uric acid level is 8.8. I’ve been prescribed allopurinol but I haven’t taken it yet because I’m waiting for the attack to stop.

    I also wonder if it really is gout or could it be something else. Mine never seems to affect the toe joints, it’s always the top of the foot swells becomes puffy and it’s the swollen top of the foot that hurts as I walk.

    My doctor and a rheumatologist say it’s gout based on my uric acid level but I wonder if it could be something else since it doesn’t seem to fit the normal pattern for gout attacks that I’ve read about.

    I’d love to hear any feedback.

  • zain

    Reply Reply October 10, 2017


    I am having a gout since two months. Now I have to go out of town where it will be much colder than here ,, Suggest me what to do?

    • Spiro Koulouris

      Reply Reply October 10, 2017

      Hi Zain!

      Wear warm clothing and thick socks so the cold doesn’t affect your joints.

  • Banshan K

    Reply Reply October 9, 2017

    Hi there!

    I have had gout many times in the past so I changed my lifestyle completely. No smoking or drinking alcohol, zero red meats, cut down on purine heavy items, drink lots of water and I am happy to say that for the past 7 years I have not had a problem. Till now…

    For the past few months I have been on tour and have not been able to control my diet or even drink water properly. Usually my gout attacks take 3 days. But this time round, the right ankle took 4 days and the left ankle is still swollen and painful running 7 days now.

    So, I can say from personal experience that it can take any time, from 3 days to over a week to heal.

    My personal advice is to drink water like a fish! It worked for me for the last 7 years. Just saying…

  • Ripal patel

    Reply Reply October 2, 2017

    Hello sir, my age is 20 my gout attack unexpected to starting last 6 month my doctor provide some medicine but my pain not less plz some tips for me, and which doctor to show this attack.

    • Spiro Koulouris

      Reply Reply October 2, 2017

      Hi Patel!

      Seek a rheumatologist to check you out, all the tips you need are in this website and in my book!

      Good luck!

  • Adrian

    Reply Reply September 14, 2017

    I just had my first episode of Gout, it started with a slight ache in my foot in the morning, by the evening I could no longer walk and was in so much pain, in fact it was the worst pain I have ever felt.

    Following day was still in loads of pain and took a trip to my doctor who confirmed it looked like gout (2 years ago I had a higher than normal Uric acid level, but not action was taken back then). 2 days later and it’s pretty much gone with only a slight ache and a little bit of pain and can walk normally again. I don’t drink, don’t smoke, exercise regularly and eat a well balanced diet. Hope I never have another attack, told I need to wait 4 weeks for a blood test.

    • Adrian

      Reply Reply September 16, 2017

      So, it seemed it hadn’t cleared up after 2 days, it settled down a bit, but then returned albeit not as painful as before. I guess I was expecting too much for it to go away so soon 🙁

  • Duke Garraway

    Reply Reply September 8, 2017

    I am 59 and have just had my first bout of gout. I hope it is my last. It has lasted two weeks. The strange thing is I do not know of any relative (or mom or dad) ever having it. I am pretty careful about what I eat and exercise for one intense hour three times a week. I have been drinking tart cherry juice and stopped drinking tea. I do not drink alcohol but do drink coffee which I have cut back on.

    My question is about the length of time it has lasted. Today is two weeks. It is much, much better but still scared to work out due to some minor soreness still on the top of my foot. Is two weeks a long time for it to affect me or is that quite normal? I am sure it is different for everyone but I have never had health problems of any kind prior which is a true blessing. Please reply whether two weeks is too long. Should I be concerned that it has not gone away by now? Thanks in advance for your reply. Duke Garraway

    • Spiro Koulouris

      Reply Reply September 9, 2017

      Hi Duke!

      Yes a gout attack can lost anywhere from a few days up to a month without any treatment, natural or medical. 2 weeks I would say is average. You should visit your doctor so you can do blood tests and see what your uric acid number is and take it from there.

  • Petro

    Reply Reply September 8, 2017

    Ok I am a 31 year old and I think I have gout. I have had two small attacks in the past 4 months that healed up in 3 days and I think it’s due to drinking too much beer because on my birthday. 7th September, I got really stuck into the beer and that same day I got massive pain in the joint of my big toe just like the other two attacks but wayyy worse.

    I am a carer and the person I care for likes too have a sense of authority so he buys all out food, the issue is the food is all shit and he mainly buys stuff like pies and quick dinners which is all high protein crap. I think the fact that the type of food I eat and the beer is causing this. I am going too the doctor tomorrow. I don’t want it spreading and I am going too take control of the food that is bought and quit drinking beer. I will probably just stick too a few (3 or 4) bourbon and colas instead. I am quite worried that this might be permanent.

    • Petro

      Reply Reply September 10, 2017

      yep it’s gout. I sure hope it’s curable 🙁

  • Dawn

    Reply Reply August 31, 2017


    I think I have gout this is the first time for me, my big toe is so painful and has been for about 8 weeks now, had my bloods done all normal but doctor says to go see her so she can look at it. It’s not swollen but it’s hot to touch. HELP

    • Spiro Koulouris

      Reply Reply August 31, 2017

      Hi Dawn!

      All you can do in the meanwhile is soak your feet in warm water with some Epsom salt to relax the inflammation, maybe take some ibuprofen to remove the edge. You can also try my Therapeutic Gout Pain Relief Cream that sells on our site to help with he inflammation.

  • Elizabeth

    Reply Reply August 31, 2017

    I’m 26 and was diagnosed with gout in both ankles 2 weeks ago. The pain was so intense, I had to call the fire department to carry me out of my houe to go to the doctor, then back into my house after I was done. I couldn’t walk. The gout has come back in one foot now overnight. I’m in a lot of pain. I have stage 4 kidney disease and cannot take any type of NSAID or Colchicine. I take allopurinol. My uric acid level is 11. My nephrology doctor said I will have to have a steroid shot and see a rheumatologist. But my appointment isn’t until November! I don’t know what to do. I am in a great deal of pain.

    • Spiro Koulouris

      Reply Reply August 31, 2017

      Hi Elizabeth!

      Are you sure you can’t visit another doctor? I’d be calling all the rheumatologists in the city and try to find one that can see you ASAP! All you can do is watch what you eat, drink only water for now. Soak your feet in warm water with Epsom salt, try and pain relief cream, we sell a good one on our site and on Amazon but you can find one at your local pharmacy as well.

      Good luck!

  • mary coleman

    Reply Reply August 27, 2017

    My sister has been diagnosed with gout for the first time. It started with pain and inflammation in her big toe 10 days ago. She went to the doctor and received treatment.

    My question is this: Is it normal for gout to spread to other toes, fingers and wrists? Could neck pain be a symptom?

    • Spiro Koulouris

      Reply Reply August 28, 2017

      Hi Mary!

      Yes gout can spread to other toes and even your other foot even in fingers and wrists but also make sure to check your sister for arthritis cause she may have both gout and rheumatoid arthritis.

      As for neck pain, I don’t know for sure, best to visit your doctor and let them tell you.

  • Ken

    Reply Reply August 15, 2017

    I had my first gout attack on May28, 2017. Since then I have had 9 different attacks. The doctors always give me a steriod shot, then a steriod dose pack to take for the next 6 days. I am taking colchicine and 200 milligrams of allopurinol daily. I also have a stage 3 kidney problem, and I only eat chicken and vegetables.

    My uric acid level was 7.5 when I had my first attack, and now it has dropped to 6.6, after taking allopurinol for about 2 months. My attacks are strange. First in the left foot on the side, then the next attack was the right foot on the side. Then the left big toe, then the right big toe, and it has kept going back from one foot to the other. Today is my 9th episode, and I had 3 good days between my last episode and today, and that has been the norm since May 28.

    I have read that when you are taking the allopurinol it can take several months for the medication to reduce the uric acid crystals, and you can have gout attacks during that time. Headed back to the doctor today for another steriod shot, and I will be 75% better tomorrow. Over two months of these attacks. Have no idea why my uric acid levels are high, as I do not eat the meats, and I do not drink Beer, and very little wine.

    • Spiro Koulouris

      Reply Reply August 15, 2017

      Hi Ken!

      Yes it can take up to a year of taking allopurinol to get rid of all the crystals in your body. Your uric acid is high you are still eating animal protein and drinking alcohol when you have stage 3 kidney problem like you say. Your kidneys are not working optimally so diet in this case will be less effective for you but still very important so you don’t continue to deteriorate even further. You have to visit your doctor and see if he/she can increase your dosage or put you on other medication.

      Good luck!

    • Innes

      Reply Reply November 6, 2017

      This reply is specially for Ken. Your gout attack is the first I’ve read with similar symtoms to mine. My first attack was on the out side of my left foot,about 3 and a half years ago, then similar attacks about once a year all in the same place and lasting about two days. Then about a month I got a major attack in the left foot toe joint. It’s been about a month now and still swelled up though not too painful and I can still walk. I never had any of these attacks until I gave up smoking for vaping, so I stopped vaping to see if there is any improvement. Will let this forum know if this helps.

  • Jazzy

    Reply Reply August 11, 2017

    What a great website. I’m 48, 190lbs (5′ 11″). I typically exercise twice a week. Never had a gout attack until now. I have been unusually busy with work so have not exercised past two months, we are having unusually hot weather for this area (Seattle – 90’s) and the two dinners I had leading up to the attack involved red wine, scallops, and game meat. LOL. I guess it was as if I was TRYING to get it.

    Being new to this I’m quite concerned. The first day it hurt but I could walk by taking just 220mg Naproxen (Aleve) every 6-8 hours. Also started drinking Tart Cherry juice. The second day it subsided in the morning/afternoon then came back in the evening. The third day, same thing, subsided in the overnight into the morning but then came back with a VENGANCE in the late afternoon and inflammation was a lot worse and I couldn’t walk. OUCH! So I am on morning of day 4 and it subsided again but not as much.

    – Been trying to stay hydrated drinking water and tart cherry juice
    – I at fish dinner of day 1, and a very small amount of red meat dinner day 2. Lunch was chicken salad. Dinner day 3 was pizza and now I’m avoiding anything high in purine like the plague. It just hurts too bad.
    – I made celery seed tea afternoon of Day 3 and have been drinking 1/2 cup every 3-4 hours an eating the leftover seeds.
    – I upped my Aleve dosage after reading that my initial dosage was 1/3 what was recommended, so I boosted and took three 220mg over the course of 4 hours and back to one every 6-8 hours.

    I currently don’t have health isurance so I’d like to fix this naturally but if I have another couple evenings like last night I’m going to have to give in and go see the doctor (in the morning when I can walk LOL)

    What I’m of couse wondering is am I taking a big risk by not seeing the doctor even though I’m only 4 days in and this is my first attack ever or am okay trying to wait it out, using the natural remedies for a few more days if I can stand the pain.

    I think what confused me is that I expected the symptoms to go down, not up, but after further reading it seems what I experienced the first day or two was the forming of the crystals and now I’m experiencing the dissolving and the dissolving for whatever reason is more painful causing more inflammation.

    Sorry for the long post.

    • Spiro Koulouris

      Reply Reply August 11, 2017

      Hi Jazzy!

      It’s your body and you have the right to do whatever you like but I would at least go visit your doctor and do a blood test just to see your uric acid number. If it’s high and uncontrollable you may need medication, if it’s borderline and your doctor advises otherwise then be open to working with him/her.

  • Ignacio

    Reply Reply July 15, 2017

    Hi Spiro,

    Just came across your website about 3 1/2 weeks ago when I was diagnosed with a gout attack. I’m 36 never drank alcohol or smoked, but have definitely indulged in fast food and a heavy animal protein diet during my years. I weigh 243lbs but was nearly 289lbs in January of 2016.

    In the past 4 years I recall having similar symptoms but to a more milder effect and just wrote it off as, “I my have stepped wrong or hurt my toe when I was playing basketball”.

    This most recent one happened on June 20th, 2017 went to doctor and blood test done and found my UA @ 9.5mg. My father was also diagnosed with gout about 2 years ago but I figured it couldn’t be gout for me.

    I just bought your ebook its been great information and my diet has changed the past couple of weeks. What are the top 5 basic steps you would recommend for beginning to address gout for somebody in this situation, just having been recently diagnosed?

    I have both my podiatrist doctor and my primary care physician working together to help me address this, I was given Allopurinol to take but I’m coming up to my 1- month follow up as neither doctor wants me to take this medication long term.

    I’ve realized that I can make changes to improve my lifestyle and health, it has been challenging these past 3 weeks but willing to do it.

    • Spiro Koulouris

      Reply Reply July 16, 2017

      Hi Ignacio!

      Thank you for your comment!

      9.5 is definitely a high number. Step 1 for you would be to lose the weight and go back to your ideal weight. This can only be done through following a good diet, change of lifestyle and exercise. So following a gout diet as outlined in my book where you eat 80% of your daily calories as complex carbohydrates like fresh vegetables, legumes, beans, whole grain breads, whole grain pastas, whole grain rices, nuts and some fruit. 10% of your daily calories should be meat as in lean chicken breast, lean beef, fish (no seafood), lean veal…Finally 10% of your daily calories should be fat as in milk, cheeses, yogurt, butter, eggs…No alcohol, no processed foods, no fried foods, no sugary beverages and limit sugar to max 25 grams a day.

      Step 2 drink only water, tea and coffee.

      Step 3 should be exercise, do whatever you enjoy the most, if that means playing more basketball, then play more of it. Point is to stay active.

      Step 4 follow your doctor’s advice on medication, remember any experimentation is your responsibility and best if you tell your doctor about it and have you follow your progress with more frequent blood tests. You don’t want to be getting gout attacks.

      Step 5 is having the discipline to stay the course with all these changes, it may be a shock to you and your body and you might fail from time to time but it’s very important that you think long term and remain on this plan if you want to have healthy uric acid levels and more importantly avoid gout complications down the road. Supplementation is also very important, since our liver and kidneys don’t function to full capacity, you want to take supplements that help cleanse those organs.

      • Ignacio

        Reply Reply July 16, 2017


        Thank you very much for responding, I have ordered the supplement here on your website. Also, I have thrown everything out of my fridge and starting with a fresh stock of natural foods vegetables, fruits and whole grains and items listed in your e-book.

        Awesome website thank you for all your hard work in helping us gout sufferers battle this.

  • Tracy E Mills

    Reply Reply July 10, 2017

    Dear Spiro.

    I’m 60 years old female w COPD and I’ve been trying to stop losing weight. I thought I’d induced my gout by eating all the fatty foods gout sufferers shouldn’t eat.

    Does this sound like gout symptoms?

    1. On one day my left knee sharp, sharp pain while walking and felt sort of crickety
    2.Few days later same thing in right knee.
    3.Think I do have arthritis in both thumbs.
    4.Three months ago I had a Kidney Stone.
    5.My brother has had gout.
    6. My toe doesn’t show any symptoms–neither toe cares much about what’s going on upstairs.

    What do you think?

    P.S. I do have an appointment to see a urologist (following Kidney stone) later this week. Any specific questions to ask?

    • Spiro Koulouris

      Reply Reply July 11, 2017

      Hi Tracy!

      Unfortunately I am not a doctor and cannot diagnose you, it could be gout though but it will be confirmed when you visit your doctor. Nothing helps arthritis and gout with eating right and being at your ideal weight with some exercise. Question I’d ask is what is your urid acid level if you haven’t done any blood tests already to find out.

      Good luck!

  • mary

    Reply Reply June 28, 2017

    I am new to gout, and have been given Colchine for 3 weeks. Are you saying that one needs a ongoing/daily treatment to keep levels of uric acid down?

    • Spiro Koulouris

      Reply Reply June 28, 2017

      Hi Mary!

      It depends on what your blood tests say. Your doctor will know best. If uric acid is over the healthy range your doctor may prescribe you allopurinol or Uloric to help keep uric acid in check.

  • Neil Harris

    Reply Reply June 11, 2017

    Hi, I had my first attack just over two weeks ago. It was a very unpleasant experience and one I’m keen to avoid repeating. The main flare up lasted about 5 days and I was given colchicine on day 2. Things are way better but I still have soreness and sudden shooting pains from time to time. Is this normal or should I go back and see the doctor? My blood test showed urate at 5.7. This was ten days after the attack had subsided. Thanks ever so much for your articles, its been really helpful understanding what may be developing.

    • Spiro Koulouris

      Reply Reply June 11, 2017

      Hi Neil!

      Yes keep at it, colchicine will get rid of all your pain and inflammation very shortly. It works fast anywhere from 2 to 10 days for most people.

  • Bauro Ukitoori

    Reply Reply May 18, 2017

    Hi, I still have this kind of sickness called gout for more than 10 years now. I am still worrying about it and need assistance for how to get rid of it.

    Most of the time when I get it I use used pain killers but don’t work.

    So any other alternatives? Help on that please.

  • 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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