I used to get Gout as early as my mid 30's. Seems to run in the family. I used to treat painful initial attacks with Colchicine and Voltaren anti-inflammable meds. The doctor prescribed Allopurinol as a long-term treatment, but I got side effects (nausea, and skin problems) from it.
I basically beat Gout by changing my diet. I stopped eating a lot of the food and drinks high in acidic properties (stuff like organ and processed meats, soda; especially cola, etc). I also use occasional doses of alkaline baking soda and milk of magnesia if I'd had a large meal, or drunk a lot of alcohol, etc. Works an absolute treat. (Please note that baking soda does contain a lot of sodium though).
A lot of info here: I cured my Gout
And comprehensive list of food pH properties: Acid-Alkaline