Gout with swollen feet need to consider acute gouty arthritis attack, can use colchicine, non-steroidal anti-inflammatory drugs, glucocorticoids, etc. for anti-inflammatory, swelling treatment. 1. Colchicine: It is a commonly used drug in the treatment of acute gouty arthritis, which can control the local inflammatory reaction of joints by inhibiting the adhesion and phagocytosis of neutrophils, and inhibiting the production of inflammatory factors by local cells to reduce the pain and swelling of joints. Adverse reactions include abdominal pain and diarrhea. Hepatic and renal insufficiency is prohibited. 2. Non-steroidal anti-inflammatory drugs (NSAIDs): they are the first-line drugs for the treatment of acute gout, including indomethacin and diclofenac, etc. They can reduce local inflammation by inhibiting the synthesis of prostaglandins and alleviate local pain and swelling. Adverse reactions include gastrointestinal reactions, gastrointestinal bleeding, etc. It is contraindicated for those with peptic ulcers. 3. Glucocorticosteroids: generally used when colchicine and NSAIDs are ineffective, such as prednisone acetate, which has strong anti-inflammatory and swelling effects. Adverse effects include elevated blood glucose and centripetal obesity. It is not suitable for people with peptic ulcers and glaucoma. The appearance of gout with swollen feet is recommended to consult a doctor in a timely manner, the drug needs to be used under the guidance of a professional doctor, avoid self-medication, so as to avoid delaying treatment or adverse reactions.