Warmth, pain, swelling, and extreme tenderness in a joint, usually a big toe joint. This symptom is called podagra. The pain often starts during the night. It may get worse quickly, last for hours, and be so intense that even light pressure from a sheet is intolerable.
Very red or purplish skin around the affected joint. The joint may appear to be infected.
Limited movement in the affected joint.
Peeling and itching of the skin around the affected joint as the gout gets better.
How symptoms vary
How, where, and when the symptoms of gout appear vary.
Some people may not experience gout as many painful attacks. Instead they have gout nearly all the time (chronic gout). Chronic gout in older adults may be less painful and can be confused with other forms of arthritis.