Over time the uric acid crystals will accumulate and cause gritty chalky deposits called tophi. These are sometimes visible under the skin. You will notice them around joints and in the edges of the ears. They can also form inside bone near the joints, in the kidneys, and in other organs and tissues. This can result in permanent damage.
Chronic gout is rare with treatments that are now available.
Treatment is aimed at weight control. However, this should be with professional guidance. Fasting or severe dieting can increase uric acid levels. Limiting alcohol use and avoiding binge drinking will also reduce the likelihood of acute attacks. Drinking 6-8 glasses of water dilutes uric acid and helps the kidneys rid the body of uric acid.