I've been a gout sufferer since 2003, averaging an attack every 3-4 months.

This week, I suffered 2 attacks in succession. One in the back of my knee. I took my Naproxen and the symptoms disappeared within 2-3 hours, before the pain became disabling. Next day, however, the right side of my knee was being attacked. This time, the attack didn't respond so promptly to Naproxen. In fact, I ended up taking 2 tablets of Naproxen and 3 tablets of Advil Ibuprofen. Most noticeable was the fever, which lasted for 4-6 hours during the day. Thankfully, the attack did subsided eventually and it wasn't terribly disabling. It got as bad as limping with some pain.

Since all my previous attacks went away so quickly, I'm a bit worried whether I'm entering another phase. Has anyone gone through evolving stages of gout, where attacks become more frequent and more than one joint is attacked simultaneously? Could I be entering that phase now?

This was the first time where one attack followed another. I'm not on any gout medication. In my first two years of suffering, I used to take allopurinol and colchine but discontinued; taking those tablets did not stop attacks and I found the attacks occur with same frequency whether I take them or not. I also don't watch my diet that carefully because my attacks, I truly believe, are not food related but probably stress related. I'm 42, perhaps a bit overweight (5-10 / 200) but have a wide frame and have always weighed above the norm.