Thank you for using heathcare magic. One detail which was not mentioned in your question was whether or not during an episode if a physician removed fluid from the joint and had the fluid examined to determine if your symptoms were gout vs some other form of inflammatory arthritis. Assuming then that this is gout, long term management would be medications and lifestyle modification. For long term management you would benefit from being on a medicatioon such as allopurinol however this should be initiated once the acute attack has resolved. Other medications such as probenecid and colchicine can also be used as a preventative however allopurinol or the newer medication Uloric would be first line agents. The goal of preventative treatment would be to acheive a uric acid level Take Care and Be well Lifestyle modification will include reduction in purine intake such as reduction in red meat, cheese, wine etc. I would suggest that you search online for diet in persons with gout and you should find adequate information regarding dietary restrictions that would help prevent recurrence. I would also suggest that you speak with your primary care doctor regarding a prescription for medication to have on hand in the event of a recurrent attack. Early initiation of treatment may reduce the severity of the attack. Medications such as NSAIDS (indomethacin), colchicine and steroids are used in acute attacks. The appropriate agent for you will be determined by your doctor based on your other medical history.