Gout is often described as a condition that doesn’t truly “go away” once it starts. Based on my own experience, each flare-up lasted longer than the one before—what was once a one-week episode eventually turned into a month of continuous pain. Gout is not just painful; it limits your freedom and disrupts your lifestyle. That’s why prevention and daily management are essential—not to live in restriction, but to keep living the life you love, including your favorite food and alcohol.
Over the past six years, I have successfully avoided gout flare-ups while still enjoying beer, spirits, and foods that are often labeled “high in purines.” Below is a summary of what I consistently do in my daily life to manage gout and protect my freedom to enjoy eating and drinking.
Febuxostat (Feburic)
Febuxostat is commonly prescribed to control uric acid levels. In the past, I sometimes skipped doses or stopped going to the doctor once I felt better—this only made my condition worse. Today, I take 30 mg every day without fail, and my uric acid remains stable at 4–5 mg/dL. It’s an essential part of my gout management.
Quenmet
This medication was prescribed by a trusted specialist and has significantly contributed to my flare-free years. It helps make uric acid more soluble and may support kidney health. Some doctors do not recognize its role in gout treatment, so it should be discussed with a medical professional. Personally, I take six tablets every morning as directed.
Colchicine
Colchicine is my emergency tool. At the first sign of discomfort in my foot or ankle, I take one tablet. Ignoring those early signs has led to full flare-ups in the past. I always keep a few tablets with me, although I use them sparingly—usually only 1–3 times a year.
Hydration
Every gout patient is told the same thing: drink plenty of water. I consume 2–3 liters a day, which helps keep my blood less concentrated and supports uric acid elimination.
Exercise
Regular light to moderate exercise is essential—not only for uric acid control, but also for weight management, circulation, and stress relief. I play basketball twice a week and do occasional jogging. Exercise and medication together keep gout under control.
Supplements
I take a daily multivitamin and fish oil. I can’t say for certain if these directly affect gout, but I have continued them since my flare-ups stopped, and I feel overall healthier.
Stress
From my experience, stress is one of the biggest triggers for gout. Major life changes, such as starting a new job, were often followed by flare-ups. Finding ways to reduce stress—through hobbies, movement, or simple routines—may be just as important as medication.
Diet & Alcohol
I do not restrict my diet. I eat sea urchin, liver, sardines, red meat, shellfish, natto, ramen, and even take protein after workouts. I drink beer, shochu, sake, and wine regularly. This lifestyle is only possible because I consistently manage gout with the methods above.
Summary
- Febuxostat 30 mg and Quenmet daily
- Multivitamin and fish oil supplements
- 2–3 liters of water per day
- Regular exercise (1–3 sessions per week)
- Stress management
- Colchicine ready for early signs of flare
With this routine, I have been able to live freely—without dietary restrictions—and still enjoy alcohol almost every day. While each person’s condition is different, I hope my experience provides a helpful reference for those who refuse to give up the life they love because of gout.
Of course, there are many benefits to quitting alcohol. I myself once stopped drinking for about two months, and during that time I felt refreshed and full of clarity every day.
These ideas are not medical treatments, but lifestyle habits that I personally found helpful while managing gout. If you’re already taking your prescribed medication and want to explore additional ways to support your health, you may find some of these worth trying.