Symptoms of gouty nephropathy mainly include early decrease of urinary concentration function, symptoms of advanced renal insufficiency and other symptoms of gout. 1. Early decrease of urinary concentrating function: the early renal damage caused by gout is characterized by the decrease of urinary concentrating function, while the glomerular filtration function is still normal. Symptoms are hidden, there may be increased nocturia, intermittent proteinuria, mild hematuria, etc. Urine sediment examination can detect micro-proteinuria, low specific gravity urine, etc. 2. Late renal insufficiency symptoms: it can be manifested as oliguria or even anuria, or it can be manifested as hypertension, edema, anemia, acidosis, electrolyte disorders and other renal insufficiency symptoms. 3. Other symptoms of gout: patients with gouty nephropathy are often accompanied by recurrent joint redness, swelling, heat and pain, gouty stones around the ears and joints and other gout symptoms. It is recommended that the patient should consult the doctor in time, control the intake of purine in the diet and follow the doctor’s instructions for treatment.