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Gout occurs when urate crystals accumulate in your joint, causing the inflammation and intense pain of a gout attack. Urate crystals can form when you have high levels of uric acid in your blood. Your body produces uric acid when it breaks down purines â substances that are found naturally in your body, as well as in certain foods, such as steak, organ meats and seafood.
1 Kidney problems: Uric acid is normally eliminated by the kidneys. 2  Kidney disease can cause uric acid build-up and gout. 3  But excess uric acid can also damage kidneys. 4  Kidney problems associated with chronic gout -- and signs that chronic gout is getting worse -- include gouty kidney, kidney stones, and kidney failure. Kidney problems associated with chronic gout -- and signs that chronic gout is getting worse -- include gouty kidney, kidney stones, and kidney failure.