Initial symptoms of gout can be manifested as asymptomatic or joint swelling and pain and other symptoms. 1. Asymptomatic: the patient from the abnormal blood uric acid index to the emergence of symptoms, the time can be very long, up to several years. During this period, there may be only fluctuating or persistent hyperuricemia. Some patients may remain asymptomatic for life. 2. Swelling and pain in joints: severe pain in joints may occur during the attack, and redness, swelling, heat, pain and dysfunction may appear in the affected joints within a few hours. The attack is often self-limiting and can be relieved in about 2 weeks. Therefore, the initial symptoms of gout patients can be manifested as joint swelling and pain. Gout patients are advised to go to the rheumatology and immunology departments of regular hospitals for detailed consultation and follow the doctor’s instructions.