Medical Articles

Have you ever experienced a sudden gout attack?

16.08.2026

Men in their 30s and older are particularly prone to this condition, which can cause severe swelling in the joints of the feet and intense pain sharp enough to make walking completely impossible. In most cases, it occurs at the base of the big toe, but it can also affect the top of the foot, the ankle, or the knee joint. While gout attacks are temporary and the pain gradually subsides, if you do not pay close attention to your daily lifestyle habits or seek proper medical treatment, the attacks will inevitably recur and eventually become chronic.

It is also well-documented that repeated gout attacks can lead to permanent joint deformities and significantly increase the risk of serious complications, such as high blood pressure and diabetes.

Gout occurs when uric acid levels in the body remain consistently elevated. Excess uric acid accumulates within the joints and crystallizes into sharp forms; the immune system then reacts to these crystals, triggering severe inflammation (an attack). High uric acid levels are primarily caused by lifestyle factors such as overeating, regular alcohol consumption, high stress, and obesity; in particular, substances called “purines” are widely known to actively raise uric acid levels.

Purines are found in exceptionally high concentrations in red meat, liver, dried fish, seafood delicacies (such as milt or fish liver), and beer. Because they are so frequently found in delicious foods and indulgent meals, gout was historically referred to as the “disease of luxury.”

While acute gout attacks are much more likely to occur after consuming large amounts of these specific foods, gout itself does not develop overnight; rather, it is triggered by a long-term, persistent state of high uric acid levels in the body. Therefore, individuals who have been flagged during a health checkup for elevated uric acid levels, or who have experienced gout in the past, need to be highly mindful of their daily habits. Additionally, those who frequently overeat, engage in binge drinking, or have a family history of hyperuricemia should also exercise strict caution.

To effectively control and manage your uric acid levels, it is crucial to avoid overeating and overdrinking while limiting your intake of foods high in purines. When exercising, it is highly recommended to avoid intense anaerobic activities—such as heavy strength training—which can paradoxically raise uric acid levels. Instead, focus on engaging in regular, light aerobic exercises, such as walking, maintained at a comfortable and sustainable pace.


Author Bio

島田栄治医師/Dr. Eiji Shimada

Dr. Eiji Shimada

Oriental Wellcare Group Founder

Board-certified radiologist. He manages one of Japan’s largest independent teleradiology service companies, receiving more than 10,000 imaging interpretation requests per month from over 250 hospitals nationwide. He also has a track record as a pioneer of home healthcare in Japan, having founded and managed one of the country’s largest medical corporations specializing in home-based medical care.

In November 2014, he founded Oriental Wellcare Group. Today, the group operates a broad network of medical institutions across three countries: the Philippines, Malaysia, and the United States. He is dedicated to creating healthcare environments where Japanese residents overseas, including those living in the Philippines, can receive advanced medical care with peace of mind.