Gout is caused initially by an more than acid within the blood, or hyperuricemia. acid is produced within the body during the breakdown of purines – chemical compounds that are found in high amounts in certain foods like meat, poultry, and seafood. Symptoms of gout include severe pain, redness and swelling in joints, often the large toe. Attacks can come suddenly, often in the dark. During an acute attack, anti-inflammatory medication (NSAIDs) can help to alleviate pain and shorten the duration of the attack. Patients with chronic gout can use behavioural modification like diet, exercise and decreased intake of alcohol to assist minimise the frequency of attacks. Additionally, patients with chronic gout are often placed on medication to scale back acid levels.