Gout joint swelling can be controlled by oral medication, or you can choose topical creams. Oral medications can be chosen as anti-inflammatory and painkillers, like meloxicam, diclofenac, etoricoxib, etc., which can achieve the effect of reducing swelling in addition to pain relief. Colchicine can also be used. Colchicine is most effective when used within 24 hours of joint swelling, and the effect is slightly worse later on. In addition, you can choose topical medications, such as Furtaline ointment, Qingpeng ointment, capsaicin, etc., can achieve the effect of swelling, cold compresses, ice can also achieve the effect of swelling. All in all, if gout appears swollen joints, consider the possibility of an acute attack of gout, acute attack in addition to drug local treatment, go to the hospital as soon as possible, the doctor to determine whether it is an acute attack of gout, for proper guidance.