This is just the explanation and reassurance that we need, at the moment. My husband has suffered from gout over the last 12 years and has been on progout and indocid as well as colchocine at some stage to combat it. Of course he hasn't been overly careful with his diet and usually when he has an attack he can quickly nail it down to a particular food or meal that he has indulged in. He has had it in his knee, ankle, elbow, big toe..the list goes on. He even had an arthroscope two years ago for cartlidge damage in which they found crystalised gout growing on the tendons which they scraped off! Often when he begins to experience a bout he says I must have banged my arm or twisted my ankle but most times it ends up as gout. This all leads us to our current situation...he was put into hospital last friday with chest pains and now awaits a quadruple bypass tomorrow at the tender age of 47. As you can imagine he has been on a strictly controlled diet for the last week and has been very conscious of any foods connected with a gouty episode...and what do you know, once again our old enemy has turned up first in his elbow(I must have banged it in the night!) and now in his foot.very bad timing indeed!also upsetting when he has been so 'stressed' about the ensuing surgery and further 'stressed' about what he could possibly have eaten to trigger it! Finding this article has been a godsend as it has given an answer to this current problem and will now reduce one area of unneeded stress with an answer. Now on reflection we can think about many gouty episodes which have been around'stressful' times in our lives...so thankyou!!