THE FINAL SOLUTION!
I suffered a lot without taking the issue seriously. Four years ago it attacked my right knee and hip. THAT WAS REAL HELL! I had kidney stones two times before, and that pain was not near the pain in my hip and knee!!! I spent 11 days on my left side (and a total of three weeks in bed). I could not even turn to my back during this time! At this time I understood that I had to take my long time gout problem seriously… The final solution that I found, after many hours of research on the Internet and in books, can be described in 4 points, and has also rescued many of my friends:
1) Drink lots of water every day; a total of 2 liters of liquids is recommended. 2) Take Allupuriniol, 300mg every day (it gives no relief if you have an attack, but do not discontinue). Check acid level and go down to 100mg if possible. Treatment is life-long. 3) Never drink so much alcohol that the kidneys and liver will be so busy with the alcohol that it does not have capacity to control your uric acid level (drinking cheap booze in huge quantities is just about the worse you can do). Beer contains purines and should be taken moderately (but there is a Japanese beer that is purine free). 4) Avoid foodstuff that contains lots of purine, like liver, kidneys (organ meats are purine bombs!), beans, peas, collie flower, lentils, shellfish, prawns, gizzards. (P.S. You can always sin...a little!)
Kidney stones, gout and vascular decease are connected and I also had a triple bypass heart surgery 18 months ago… After that I reduced my weight by exercising and changing my diet. Now I finally feel 100% and just turned 54, expecting still many good years! I wish you good luck too!