The common cause of pain in the hands and feet after drinking is gouty arthritis. Gout is an abnormality in purine metabolism in the body that causes an increase in serum uric acid, which forms gouty stones in the joints and can cause painful joint symptoms. The causes of gout include an increase in uric acid due to purine metabolism in the body, excessive intake of high purine foods, and reduced ability of the kidneys to remove uric acid. Gouty arthritis often recurs and can involve the joints of the hands and feet. Drinking alcohol can trigger a gouty attack, with clinical manifestations of redness, swelling, heat and pain in the joints of the hands and feet, and increased serum uric acid levels in serum uric acid tests.