My hubby has a swollen foot hot red on allopurinol is this gout now

Your husband’s symptoms of a swollen, hot, and red foot alongside the sharp pain does indeed sound consistent with an acute gout attack. Despite being on allopurinol, which is usually used to lower uric acid levels and prevent gout attacks, it is possible that an attack can still occur if uric acid levels remain higher than they should be or if lifestyle factors like diet haven’t been adjusted. Allopurinol needs consistent adherence and monitoring to ensure it’s working efficiently. It’s essential to have his uric acid levels checked periodically to see if the dose of allopurinol needs to be adjusted or if complementary dietary changes are necessary. Alcohol and high-purine foods like red meat, while not the only factors, can sometimes precipitate gout attacks, especially if intake is significant. Additionally, if your husband is experiencing these symptoms for the first time or they seem more severe, it would be prudent to consult medical care promptly since the inflammation and pain need addressing, and confirmation of a gout diagnosis can help dictate treatment. Temporary relief options might include NSAIDs for pain control, but without proper examination and advice, this should be done cautiously. Visiting an urgent care or your primary physician is typically appropriate for gout, unless his pain becomes unbearable or is accompanied by fever, as that could indicate an infection or require more immediate attention. Meanwhile, maintaining good hydration and avoiding foods known to precipitate gout are practical steps. Your involvement in providing this information to medical personnel will be valuable to treat him swiftly and effectively.