Gout patient big toe side bulge may be gout stone, joint effusion, tendon sheath cysts and other causes, different causes of the bulge can be self-recovery and recovery time required is different, can not give a specific time. 1. Gout stone: gout patients in the body of urate in the metatarsophalangeal joints and other joints and soft tissues around the deposition, aggregation and formation of crystals that is gout stone, which can lead to patients appear big toe side of the bulge of the situation, gout stone without standardized treatment will not disappear, can be through drugs, surgery and other methods of treatment. 2. Joint effusion: Gout is an inflammation that occurs in the joints and the surrounding soft tissues, under the stimulation of inflammation, inflammatory fluid will be produced in the joints. Joint effusion caused by gout can be treated by medication or surgical puncture extraction, and can usually be recovered after treatment. 3. Tendon sheath cysts: tendon sheath cysts are round or oval cystic swellings occurring under the skin of the joints, small tendon sheath cysts may heal on their own, and large tendon sheath cysts can be treated by surgery. Gout patients big toe side bulge may also be other causes, patients are recommended to regular hospital rheumatology, orthopedics and other related departments for detailed consultation.