Some people experience sudden and severe pain, along with swelling and tenderness in the joints, and skin redness in the area. This condition may be gout, a complex type of arthritis. The accumulation of urate crystals in the joint triggers the disease. Many people diagnosed with gout find the pain starts at the base of the big toe. One of the primary symptoms is extreme severity during the first four to twelve hours. The symptoms often subside after a few days, but the joint may continue to feel stiff or uncomfortable for days or weeks after the initial pain subsides. In some cases, the individual never experiences a second gout attack. Others may develop recurrent or advanced gout.

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