Beating gout pain: satisfaction for individual and doctor Gout could be frustrating and difficult to take care of. Without satisfactory treatment and monitoring, patients might develop more serious disease, including joint destruction and renal harm. Cautious monitoring of treatment, like the use of urate-lowering medicines for long-term disease, makes it possible for patients to have effective and symptom-free lives. Gout is basically heritable but elements that trigger attacks add a diet saturated in meat and additional purine-rich foods, weight problems, increased alcohol usage and diuretic use.