gout, acute
"I experience gout in my big toe (right usually I believe).  I had a flare at night while on vacation (for hiking, walking) and walked quite bit the following day (with a good deal of pain).  Three days later it was as bad as it's ever been. Red, hot, swollen and inflamed.  I was in Maui with my wife.  What caused it was 2 meals with healthy servings of Ahi, a 10 hour plane ride with little water and alcohol - wine, a beer, martinis.  I overflowed the purine bucket.  I called my Dr. Daughter and she wrote me a script.  I took the entire first row as soon as I got it (per her directions).  Within 2-3 hours, the gnawing pain subsided, I was able to sleep all night and walk (hobble) in the AM.  I'm 75% better after 24 hours, but can't go on walk."