i had first attacks on right bigtoe. ( red, inflamation, un-bearable pain, even a touch of fan air can not be tolerated)
my case it was first mistaken for injury at that time. After an x-ray it was reduced.
thereafter at appeared again and again at a rough frequency of 4/5 months.
in development the frequency reduced and duration increased.
it change places i.e. some time right toe, some time left toe. later either ankles, then knees, elbows, fingers and so.
in general only one joint attacked at once.
only one instance, my both knees were attacked at a time.
any mild injury can activate gout for a gout patient.
many times it activates it self i.e. without any reason.
it can appear within ten minutes also and become severe-unbearable.
it can prolonged for weeks and reduces very slowly.
in general it is said the a person with a lot of weight, eating non-veg food, taking alcohol, doing less excercise, taking less water is prone to this desease. Increase of uric acid crystal in blood is inviting gouty attacks. It is said to be a malfunction of kidneys or a metabolism disorder.
Normally it appears in Men and after 50 years. My case, 1st attack was when i was 30years old. It is heard that even at the age of 20 this can appear.
Prevention in may case was started taking a lot of water and good sweating excercise every day. In case of a severe attack, use pain killer medicines.