Gout patients with swollen feet may be caused by gout itself joint inflammation, but may also be gouty kidney disease, varicose veins of the lower extremities and other reasons. 1. Gout itself: gout patients due to urate in the joints and soft tissues of adhesion, deposition, irritation caused by joint inflammation of the feet, when the patient appears foot swelling or accompanied by pain is a common symptom. 2. Gouty nephropathy: the continuous deposition of urate crystals in the kidneys of patients will cause necrosis of renal tubular cells and further lead to hypoproteinemia, proteinuria and other symptoms, at this time, the patient will also be due to renal disease and the symptoms of swollen feet. 3. Varicose veins of the lower limbs: When gout patients combined with varicose veins of the lower limbs, the superficial veins of the lower limbs will be tortuous and dilated, resulting in heaviness and swelling of the lower limbs. There may be other reasons for gout patients to have swollen feet, it is recommended that gout patients with swollen feet go to the rheumatology and immunology department of regular hospitals for detailed consultation.