Gout cold compress gel applied on the hot and spicy may be cold compress gel quality, drug reaction and allergies and other reasons. 1. Cold compress gel quality: cold compress gel product quality is uneven, cold compress gel if you add too many poor quality substances, will produce skin irritation, the skin will appear abnormal redness, swelling and pain or hot symptoms. 2. Drug reaction: cold compress gel coated with a burning sensation is generally a common drug reaction, mainly related to the properties of the drug. 3. Allergy: allergic people in the application of cold compress gel, may lead to skin allergic reaction, there will be a spicy feeling. When patients appear gout cold compress gel coated with hot and spicy, it is recommended to go to the hospital in a timely manner, and under the guidance of the doctor the correct use of medication.