Hello I have studied your case, I will advise to do blood inv like complete blood count ,uric acid level For gout you may need medicine like zyloric, allopurinol and newer febuxostat you can start then according to blood uric acid level consulting his treating doctor. Food to be avoided in diet includes –meat and poultry. Alcohol. Processed Carbohydrates Processed carbohydrates and sugars take the place of healthy carbohydrates, such as fruits and vegetables, in your diet. Although no direct link has been established between sugar intake and gout severity, high sugar intake can contribute to obesity, a risk factor for gout. The fibre in fruits, vegetables and whole grains may also help carry excess uric acid out of your body. If required you may need crystal deposit excision. Hope this answers your query. If you have additional questions or follow up queries then please do not hesitate in writing to us. I will be happy to answer your queries. Wishing you good health. Take care