There are two types of gout symptoms: Acute symptoms come on suddenly and occur for a short period of time, while chronic symptoms are the result of repeated gout attacks over a long period.
Acute Gout Symptoms
Pain, redness, and swelling are the chief symptoms of a gout attack, and these often come on at night and wake the sufferer from sleep. Even a light touch can be excruciating, and the joint can be difficult to move or bend. These symptoms typically occur in only one joint at a time, most commonly in the big toe, but the joints of the feet, hands, knees, wrists, and ankles are frequently affected as well. Symptoms come on suddenly and are most severe for 12 to 24 hours, but they may last as long as 10 days.
Chronic Gout Symptoms
The pain and inflammation associated with gout attacks typically disappear completely between attacks. However, repeated attacks of acute gout can cause more permanent damage.
Nodules Under the Skin
Untreated gout can cause deposits of urate crystals under the skin called tophi. These feel like hard nodules, and they become painful and inflamed during gout attacks. As tophi build up in joints, they can cause deformities and chronic pain, limit mobility, and eventually can destroy the joints entirely. The tophi may also partially erode through the skin and ooze with pus (weeping).