Gout patients ankle more than 20 days does not reduce the swelling may be due to the attack period is not strict dietary restrictions, do not comply with the instructions to take medication and other factors, may also be due to gout into the chronic phase, need to further clarify the specific causes of targeted to be adjusted to the dietary habits, medication and other treatments. 1. Failure to strictly avoid food: If patients with acute attacks of gout do not avoid food, and still eat animal offal, broth, seafood and other high-purine food or alcohol, it may lead to fluctuations in blood uric acid levels in the body and thus cause prolonged inflammation of the joints, at this time, patients need to promptly adjust their dietary habits, strict dietary taboos, to avoid high-purine diets and avoid drinking alcohol. 2. Failure to comply with the prescribed medication: gout attack patients who do not comply with the doctor’s orders in a timely manner, take the full amount of drugs may also lead to prolonged joint symptoms, this situation patients need to comply with the doctor’s orders to take ibuprofen, etoricoxib and other non-steroidal anti-inflammatory drugs or colchicine and other medications, to be relieved to be allopurinol, febuxostat, and other uric acid-lowering medications to correct the high uric acidemia. 3. Chronic gout: gout into chronic phase will also appear symptoms of prolonged duration, the need for patients with joint swelling, pain symptoms to be colchicine or etoricoxib, diclofenac and other non-steroidal anti-inflammatory drugs to ease the symptoms, and at the same time for the gout stone, gouty nephropathy, urinary tract stones and other complications for drug therapy, surgical treatment or other treatments. It is recommended that gout patients with ankle swelling that does not go down for more than 20 days go to the rheumatology and immunology department of a regular hospital for further clarification of the cause and treatment as prescribed.