Gout is a common problem in males over the are of 40. Gout is a very painful problem due to the accumulation of uric acid crystals in the joint. It mostly affects the big toe joint of the foot and presents as a hot, red, swollen and painful joint. The cause of out is either due to an overproduction of uric acid or an underexcretion of uric acid by the kidneys. A dietary restriction of the foods that get broken down into uric acid is the mainstay of the treatment. Drugs can be used to block teh formation of uric acid or to help get the kidneys excrete more.