A study in The Journal of The American Osteopathic Association examines a clinicâs approach to addressing the costly problem of patients missing appointments. READ MORE
Signs and Symptoms of Gout. 1  hyperuricemia. 2  presence of uric acid crystals in joint fluid. 3  more than one attack of acute arthritis. 4  arthritis that develops in a day, producing a swollen, red, and warm joint. 5  attack of arthritis in only one joint, often the toe, ankle, or knee.out can progress through four stages: 1  Asymptomatic (without symptoms) hyperuricemia. 2  In this stage, a person has elevated levels of uric acid in the blood (hyperuricemia), but no other symptoms. 3  Treatment is usually not required. 4  Acute gout or acute gouty arthritis.
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.