Gout is a type of arthritis that affects joints, including the joint at the base of the big toe. Gout is often very painful, and can be described as feeling as if the toe is "on fire." Usually occurring suddenly, often at night, gout usually manifests as inflammation, acute pain, redness, and feeling of heat in the joint. Gout occurs when deposits of uric acid crystals build up in the joint causing the painful inflammation. Uric acid usually leaves the body through urine as a waste product, and high levels can cause gout, kidney stones, or permanent kidney damage. Risk factors for developing gout include consumption of alcohol, consumption of foods high in purine (meat, some seafood), lead exposure, being male or over 30, and certain medications. Gout is easily treated by your doctor through medication and lifestyle changes to lower uric acid levels, decrease pain, and prevent future flare-ups.