During acute attacks, take an anti-inflammatory medication as soon as possible and ice and elevate the joint.
Drink lots of fluids (3-4 liter per day) if no contraindication. Avoid alcohol or sweet beverages.
Avoid foods rich in purines, such as organ meats, fatty fish, shellfish, asparagus, spinach, peas, cauliflower, mushrooms or fermented food. Eat more vegetables, whole grains, plant proteins such as nuts and legumes, and low-fat dairy. Refined carbohydrates and processed foods should be kept to a minimum.
Avoid strenuous activity and maintain a healthy weight. Relax; stress can aggravate gout.
Take medicine as prescribed and follow up in the out-patient department as scheduled.
Return to the hospital if there is persistent fever or poor response to medications.