<s>[INST] Hi,I had a gout that lasted for two months. took alluprinol and NSAID as needed. Got acid reflux. Given PPI. Now acid reflux has gone,but have diturbed sleep and swollen gut. 5 weeks have gone by. Taking all the precautions with diet. No improvement. please advise. Thanks [/INST] Gout is the disorder of purine metabolism. It will lead to high uric acid level in the blood. Later on its crystals are deposited in the joint and produce pain. So allopurinol is the perfect Chat Doctor.  it's will increase the excretion of uric acid. Take NSAIDs as and when required only if plan and inflammation is there. And take low protein containing diet. It will help you to decrease uric acid level. And regularly check uric acid level. And change the dose of allopurinol accordingly. But it's the perfect medicine that you are taking. </s>