1. Gout is caused by excessive uric acid in the blood, leading to the formation of crystals that cause gout attacks. 

2. Causes of gout: Excess uric acid accumulation in soft tissues and joints stimulate gout attacks. 

3. Recurrent gout and unhealthy lifestyle: An unhealthy lifestyle is the main reason for recurring gout.

4. Factors affecting uric acid excretion: Some individuals may have poor uric acid excretion, requiring medication for elimination. 

5.The joint pain caused by gout is caused by the deposition of urate crystals in the muscles, bones and joints.