Go through these in order and stop at the first one that applies. If you are reading this for someone else, answer for them.
1
Is any of this happening now?
Call 911
Seek emergency help for trouble breathing, swelling of the face or throat, faintness, or a widespread blistering or peeling rash after taking medicine.
Other emergency signs, for anyone
Someone who is struggling to breathe, gasping, choking, or cannot get words out
Someone who has chest pain, tightness or pressure lasting more than a few minutes
Someone who has sudden weakness or drooping on one side of the face or body, slurred speech, or sudden confusion
Someone who is unconscious, or cannot be woken
Someone who is bleeding heavily and it will not stop with firm pressure
Someone who has had a seizure that will not stop, or does not wake up afterwards
Someone who has lips or skin that look pale, blue, grey or blotchy
Someone who you believe has taken an overdose or swallowed something poisonous
2
Is any of this happening?
Be seen today
Arrange prompt medical assessment for a first episode of sudden, severe joint pain and swelling.
Injury, joint infection and other forms of arthritis can resemble gout.
Seek urgent same-day help if:
A joint is hot and swollen and you also have a fever
You feel generally very unwell during a suspected flare
Redness or swelling is spreading quickly
Symptoms began after joint surgery, an injection or a wound
You have a weakened immune system and develop an acutely swollen joint
These features may indicate a joint infection, which requires urgent testing and treatment.
3
Does any of this apply?
Book an appointment
Arrange follow-up if flares become more frequent, tophi grow, treatment causes possible side effects or urate remains above target.
Severe side or back pain, blood in the urine, or difficulty passing urine also needs assessment because it may indicate a kidney stone.
Every sign above is quoted from the sofidex article on Gout. If you are not sure, err upward — it is always reasonable to be checked.