The relationship between gout and blood uric acid Gout attacks may not be high when blood uric acid is high, and attacks may not be ventilated when blood uric acid is high; the two are not parallel. When there is joint, especially foot and thumb pain, excluding other factors=, it can be considered to be due to gout. Why do patients need to lower uric acid? Although gout may not strike when high uric acid is present, high uric acid can cause arthritis and increase the risk of kidney failure, chronic kidney disease, and cardiovascular disease, so it is important to treat hyperuricemia. Do all gout patients need uric acid-lowering treatment? The official guidelines in China recommend uric acid-lowering therapy for patients with frequent episodes of acute gouty arthritis (>2 episodes/year), chronic gouty arthritis or gout stones. However, the prerequisite is lifestyle interventions, including low purine diet, weight loss, and smoking and alcohol cessation. What drugs can be used to lower uric acid? Commonly used are benzbromarone, febuxostat, and allopurinol. They each have their own characteristics and need to be used with care. What should I do when I have an acute attack of gouty arthritis? First, drink more water, ensure that you drink at least 2000 ml of water daily. Second, take oral baking soda to alkalize the urine to avoid the formation of urinary tract stones. Three, symptomatic pain relief, you can use non-steroidal anti-inflammatory drugs Four, choose drugs that promote uric acid excretion or inhibit the formation of uric acid Five, avoid drugs that affect the metabolism of uric acid. Six, low purine diet.