My hsuband also suffers from gout it is in his bir toe and his wrist. He had a blood test and if it is gout usually there is too much uric acid. Gout is very very painful usually he gets an injection of steroids and he has been taking allopurinol every day and his attacks have been under control. Good luck and get him to the doctors or er it is not worth suffering with that much pain. Take care and stay safe geifer