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The first gout attack I had was the worst. I had been limping for two weeks thinking it would just go away, but it got steadily worse until it became unbearable and I went to the doctor. The diagnosis was almost instantaneous. She looked at my foot and went "Yep, gout". It got worse for another couple of days until it slowly started ebbing away. I was basically a cripple for at least two weeks though.
I have it better under control now, but it still plays up sometimes. Gout sucks, but also there are worse things I suppose.
Doc thought I had gout. Try some drugs and get an x-ray. Not gout, the X-ray shows, just arthritis from walking on my feet in combat boots so much.
Repeat that every time I move and go to the doc to get more of the painkillers I need when it gets really bad.
On the bright side, it's not gout. ;-)