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End of the attack If untreated, these gout symptoms will peak after one to three days, and retreat after five days to a week. These events are telling you that gout is likely. gout diagnosis
The signs and symptoms of gout almost always occur suddenly â often at night â and without warning. They include: 1  Intense joint pain. 2  Gout usually affects the large joint of your big toe, but it can occur in your feet, ankles, knees, hands and wrists.3  The pain is likely to be most severe within the first four to 12 hours after it begins.4  Lingering discomfort. Intense joint pain. 2  Gout usually affects the large joint of your big toe, but it can occur in your feet, ankles, knees, hands and wrists.