The foot swelling caused by gout first needs anti-inflammatory and analgesic treatment, as follows: 1, the foot swelling caused by gout is due to inflammatory reaction, if the foot swelling is caused by the acute inflammatory reaction of gout, you can choose anti-inflammatory and analgesic drugs, there are colchicine, non-steroidal anti-inflammatory and analgesic drugs and glucocorticoids, you can choose suitable anti-inflammatory and analgesic drugs according to the specific condition of gout patients and comorbidities, contraindications, etc. 2, gout if the disease gradually prolonged, the performance of gouty nephropathy, chronic renal insufficiency, renal failure, uremia, etc., will also cause foot swelling, if the chronic renal failure, uremia caused by foot swelling, the key to its treatment is the treatment of kidney disease, serious cases to dialysis treatment.