@bluedolphin-- Yes, gout is very painful and uncomfortable. My dad has it and I know what he goes through when a gout attack occurs. It's definitely not something that can be ignored or misread. It makes itself obvious.
Actually, my dad only has a gout attack when he eats things he shouldn't be eating. Some foods cause a lot of uric acid in the body which causes the uric acid crystals that make toes look swollen and puffy. When he follows his diet closely, he doesn't get a gout attack.