Good day. for the past few years i've had the odd acute gout attack, 1-2 per year. since late last year it has been consistent and i can't exercise. coltracine only helps symptoms and doesn't cure it. my diet has seen positive changes

Diet is hard: To treat gout. There are medications like allopurinol or uloric for example. Your doc might want to do a 24 hr urine to see if you are an overproducer or underexcretor of Uris acid and recommend treatment based on result.

Need to find out why: You are either producing too much uric acid or your kidneys are not excreting it fast enough. This results in high uric acid with often precipitates in a joint causing an attack of gout. Your family doctor can test to find out if and why the uric acid is high Colchicine is a for an acute attack but other medications such as Allopurinol may be more appropriate to prevent future attacks.

Gout treatment: You may need to get with your primary care physician and have your uric acid levels checked. If it is staying high, you may need to be treated with medication to control uric acid long term. If you have a bunion or other structural problem that is present in the area of the gout flares, the structural deformity may need to be surgically repaired.