Gout can be in one foot or both feet. Gout typically presents with redness, swelling, heat, pain and dysfunction in the first metatarsophalangeal joint, usually in one foot, and in rare cases in both feet at the same time. The basis of gout is hyperuricemia, an inflammation of the joints caused by the deposition of uric acid crystals around the joints. Acute attacks are characterized by joint redness, swelling, heat, pain and dysfunction. Acute attacks of gout can be treated with non-steroidal anti-inflammatory drugs, or colchicine, and if these two drugs are not effective, or if there are contraindications and the patient cannot tolerate them, glucocorticoid therapy can be chosen. Since glucocorticosteroids have more side effects, they should not be applied blindly by themselves, and must be applied only under the guidance of a specialist. It is not recommended to take uric acid-lowering drugs during the acute attack of gout, because if you take uric acid-lowering drugs at this time, it may aggravate the symptoms of joint pain due to the fluctuation of uric acid.