I mean this thread with the greatest of respect to fellow sufferers of this very painful condition, but think that all of you who are slavishly taking Allopurinol or any other medication/over the counter painkiller and just toughing it out are missing an opportunity.
It's like living in a (metaphorical) house with a leaky roof in a place where it rains every day and asking your (metaphorical) doctor if he can prescribe something. He gives you a daily paper maché umbrella (Allopurinol etc) which will keep you dry most of the day as you move around your house but will need replacing in the morning. Ad infinitum for the rest of your life. What he should say is "Why are you even here? Fix the bloody roof."
I had gout a few times over a three year period and each time it got worse and the bouts were longer. During the last one (6 weeks in December 2022 to January 2023) I was unable to walk at all without two crutches, and had to go up and down the stairs on my backside. I was prescribed Allopurinol but it gave me headaches so I stopped. I did a lot of reading on the subject at this time and changed parts of my diet immediately. I have not had even the hint of another attack since. I still have a huge stash of over the counter painkillers from that era that I have not touched for nearly two years.
A few people on here have mentioned purines, and will know that this is the source of the problem. As I understand it, an excess of purines in your body form uric acid in the blood which in turn form sharp needle-like crystals which find their way to the extremities, mostly the big toe and surrounding area. So cut out high purine foods completely - this is what I did.
For me, these were most of the foods that I love, unfortunately, but I have found new foods, and I am happy not to eat the high purine foods if it means a return to those dark weeks of Dec22-Jan23. These are what I gave up completely, and still will not touch:
Marmite, liver (all offal is bad though if you have gout), shellfish, trout, tuna, donner kebab (get shish instead).
All of these are off the scale with purines, or, in the case of donner/kofti meat, god know what cuts of what animal with god knows what additives/preservatives/chemicals. If the smell of the kebab shop is too much to walk by on the way home on a Friday night, I might get a chicken shish, but I normally plan ahead by putting something in the oven on slow cook before I go out.
I am quite fond of ice cold orange Lucozade, but I gave that up as well as it is acidy. I have never drank any other sugary/fizzy/flavoured drinks, so had nothing to give up there.
I initially gave up beef, lamb, sausages and bacon for about 6 months. I now eat them, but no more than once a week, and I get turkey, not pork sausages and organic bacon. As for fish, wild Alaskan salmon (not the Scottish stuff - it is farmed and those fish are not kept in healthy conditions according to what I have read) is great.
Another item mentioned many times in this thread is water. Now, tap water tastes terrible straight from the tap where I live. However, I keep a stock of it in the fridge. I find that the taste of the fluoride and chorine in it dissipates and it tastes much better- such that I gulp it down. Every morning I have a cup of black cafetière coffee or a cup of green tea with fresh ginger and unpasteurised honey. All these are very good in the fight, apparently.
Somebody else on here mentioned cherrys, and there is evidence apparently that somehow, cherry juice aids in keeping gout at bay. I take two Montmorency cherry supplement pills every day (from Amazon). While we are on the subject of supplements, I also take tumeric for my joints, and an over 50's multi-vit. For men, make sure your multi-vit does not have iron - men produce plenty of iron naturally apparently, and an excess of it can be toxic. Also, a high dose daily omega-3 fish oil tablet and vitamin D3 with k2. I noticed a huge uptick in my general health within a month of taking vitamin D; it was incredible. If the cost of these supplements seem high, then just imagine how you might feel when you are contemplating the cost of a mobility scooter or a stairlift and all that they entail. It's too late to buy the supplements by that time.
One of the many positive side-effects of finding new foods is that I am now pretty good at making many Chinese and Indian meals from scratch.
I have pondered for a few days whether to post this as we are all different and the methods by which I achieved my turnaround in health this past year may not work for everybody, but I hope some or all of this is helpful to sufferers of this bloody awful condition.