Gout is a lifelong condition that can be managed through a low-purine diet. While flare-ups can occur at any time, many people report that symptoms are more likely to strike at night.

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The European Alliance of Associations for Rheumatology - recommends that serum urate should be maintained at <6 mg/dL (360 µmol/L) and <5 mg/dL (300 µmol/L) in those with severe gout.

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“The gout symptoms such as acute swelling/pain and erythema [redness] are typically much more severe,” says Dr. Seligman. “This is much different than chronic weakness or swelling.” ...

Acute attacks are the most frequent features of gout, and are usually managed by the administration of oral colchicine, NSAIDs or a combination of both, 3, 4 which should be started immediately ...

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Uric acid is a chemical compound produced when the body breaks down purines, substances found in certain foods and drinks.