Hello dear I understand your concern When uric acid level 7 mg/dl (in male) and 6 mg/dl (in female) called gout. Treatment of accute attack: Tablet diclofenac or ibuprofen Drugs like colchicine and steroid can be useful. Apply ice-pack to the joint can also relieve pain, swelling and inflammation. Long term treatment: There are two strategies in this management. Change in life style: - Lose weight - Reduce alcoholic drink and purine rich foods (re meat, fish mainly) - Take low fat diet, more yogurt and butter milk - Drug: Allopurinol or febuxostat: reduce uric acid Target is to reduce You can start diclofenac and apply cold ice pack and then start long term prescription drug according to doctor advise. Hope this may help you Contact further if follow up needed Best regards Dr. Sagar