How strictly do I need to control my diet?

Is there any advice outside of what the doctors say?

Thanks

I (47M) was diagnosed with Gout 2 1/2 months ago and I'm wondering if anyone else has a similar experience to mine. Onset was extremely quick. I felt some pain on a Thursday in my right foot and didn't think much about it. Friday morning my foot was horribly swollen, stiff and painful. Over the course of the weekend it eased up and then got worse again. I went to a podiatrist on monday and he gave me a shot to get the inflammation down and told me to strictly follow the diet. Went back a few times for additional shots and stuck with that plan. Had to go back last week because it once again got incredibly painful. By the time I got to the Dr., it had subsided significantly but he gave me another shot and put me on Allopurinol. Since then, It's been a roller coaster of ups and downs. This morning I was limping into work and by 1PM it had become just background pain and I'm walking normally again. Does anyone else experience these quick ups and downs on the inflammation? My concern is that it has been misdiagnosed even though my symptoms completely track what I've read about Gout. It doesn't seem to be linked to my activity levels.

I'm 29m and have had gout for over 12-14 years, I typically get swelling across my toes, heels, fingers, and even knees sometimes. I used to get it around once a month (recent past) and I take an ibuprofen and the pain goes 2-3 days most times.

I started Febuxostat 80 and a statin nearly 2 weeks ago and my pain has been insane. I've been getting swellings everyday, I'm popping an ibuprofen almost everyday. The pain is constant, the flare up occurs at another place before the previous one has gone. The doctor had prescribed emflav 6mg (anti inflammatory steroid) alongside this, but it wasn't available at the pharmacy I went to so I hadn't picked it up and didn't try another.

I just want to know is this normal? Does the suffering indicate that things are working and will get better? Is it normal to take an anti inflammatory steroid alongside?

I went to hospital thinking it was my tendon. But no i could barely walk and with a glance the doctor said it was gout. Prescribed me colchicine and some anti inflammation pills.
- I have annual bloodtest and for the last 5 years, the results came back with 450-480 AU (a little higher than usual), with a little high of triglycerid and cholesterol, normal glucose and ultrasound result came back with fatty liver grade 2-.
- Last week with my first attack, they didnt get me a bloodtest but send me away for ultrasound and the ultrasound guy said I dont have fatty liver?
- for about a month before my first attack, I had been skipping meal as intermitten fasting. Tried to eat complex carb to lose weight and I did lose some 3-4 kilos
My question is:
- should I take alluporinol or other lowering AU pills at this young? any long-term side effects?
- can I undo this if I take supplements to enhance liver and kidney function, especially liver function? BEcause I read that most of the AU is released from liver.
- should i get my bloodtest check for other things like A1C, insulin resistant, hormone (test and estrogen), thyroid
Thanks for your attention!
I'm a bit down to hear I got gout because i have quite an active lifestyle and pretty sure my fatty liver is not Alcoholic.

I’m a bit worried here.
Since a week I use Diltiazem 120 for my heart along with 0.5 colchicine for gout. The pharmacy refused to give me the Diltiazem at first, but the doctor said I need it so the finally gave it to me. I felt good during the week. But now I’m out of breath a little and feel pins and needles in my hands. Could this be an interactionproblem? Should I go to the first aid?

I went to my first appointment yesterday. He didn’t seem convinced I had gout. The rheumatologist ordered tons of blood and x-rays.

Mentioned a few types of arthritis. This makes me not at all happy. lol. I was hoping for a quick fix.

My Utica acid was 4.6 mg/dl