Gout attacks or flare-ups typically last from about 3 to 14 days depending on whether they are treated. With treatment, symptoms usually improve within 3 days, while untreated attacks can last up to two weeks or longer
. Some sources note that gout episodes generally last about a week or two, with symptoms peaking within 12–24 hours of onset and then gradually subsiding
. If untreated, gout attacks may persist for several weeks or even months and can lead to chronic gout with permanent joint damage
. Between attacks, symptoms often disappear completely, but repeated untreated flare-ups increase the risk of joint and tissue damage over time
. In summary:
- With treatment: gout attacks usually last about 3 days
- Without treatment: attacks can last up to 14 days or longer
- Untreated gout can cause recurrent episodes and chronic joint damage
Early and effective treatment reduces the duration and severity of attacks and helps prevent long-term complications