Understanding Gout: A Guide to its 12 Symptoms

Gout is a painful type of arthritis that usually starts in the big toe but can affect other joints too. It happens when too much uric acid builds up in the body and forms crystals in the joints. This buildup often comes from eating foods high in purines—like red meat and alcohol—or from kidney issues that slow down waste removal. Gout can come on suddenly and feel like a sharp, intense flare. Knowing the symptoms can help you spot an attack early and take steps to manage it.

1. Intense Joint Pain

The first sign of gout is usually sudden, sharp pain—often in the big toe. It can also hit the ankles, knees, elbows, wrists, or fingers. The pain comes from tiny uric acid crystals building up in the joint. It tends to be worst during the first day or two but may take a week or more to fade.