There are two main types of gout:

• Primary gout: this form of gout occurs when the body has difficulty properly processing and excreting uric acid due to genetic factors or other unknown reasons.
   
• Secondary gout: This form of gout is more commonly associated with other conditions or medications that can lead to an increase in uric acid, such as kidney failure, certain cancers, high blood pressure medications or diuretics.

The symptoms of a gout attack can occur suddenly and often include:

• Acute joint pain: sudden, intense pain in the joints, especially common in the big toes, ankles, knees or ankles. The pain can be so severe that even light touch is unbearable.
   
• Joint swelling and redness: The affected joints swell, become red and feel overheated. This inflammatory reaction is a result of the deposition of uric acid crystals in the joint.
   
• Joint stiffness: Gout attacks are often accompanied by joint stiffness, especially after periods of rest or in the early hours of the morning. The mobility of the affected joint is restricted.
   
• Kidney stones (in advanced cases): With prolonged and untreated gout, uric acid crystals can also be deposited in the kidneys and form kidney stones. This can lead to additional symptoms such as severe back pain, blood in the urine and increased urination.

These symptoms occur suddenly during a gout attack and can have a significant impact on quality of life. Treatment is therefore complex and depends on the individual indication by a doctor. However, accompanying lifestyle changes, from a change in diet to naturopathic therapies, can also alleviate the symptoms.