I first got gout after spending 5 days in the Carolinas, beer, oysters and lotsa edible crusteaceans. I then had to fly back to the UK for a funeral (Irish Wake) so when I got back to Toronto, I was pretty bad.
Left big toe, right big toe. Got hit last summer in both feet at once! I was so pissed off, couldn't walk.
The doctor originally prescribed Indomethacin which did buggerall.
He then gave me Colchicene which worked in a day.
Stress coupled with, perhaps, overindulging is what does it to me.