It is easiest to diagnose gout if the doctor can see the attack in progress. Treatment is also most effective when started within 12 hours, if at all possible. In the meantime focus on managing pain and helping the body eliminate excess uric acid. Aspirin and acetaminophen may help with pain but do not reduce swelling, so ibuprofen is preferred. Drinking large amounts of water may help the body to flush out excess uric acid.
Some patients claim cold packs make a gout attack more painful so use heat packs instead.
Keep pressure off the affected joint, for example don't constrict the area with tight clothing or try to wrap it. Minimize use of the joint and try to rest. Expectation of Recovery With proper treatment a gout attack will begin to subside within a few hours and go away within a few days. Untreated attacks may last days or weeks. With preventative treatment you may be able to prevent further attacks or lessen their severity.