I’m not sure what to say. This is what Dr. GPT says:

"If you don’t have access to a doctor due to financial constraints, there are still some steps you can take to manage gout:

1. Dietary Changes: Modify your diet to include foods that are low in purines, as high purine intake can contribute to gout. Avoid or limit organ meats, shellfish, and alcohol. Consume plenty of fruits, vegetables, whole grains, and lean proteins.

2. Hydration: Staying hydrated helps to flush out excess uric acid from your body. Drink plenty of water throughout the day.

3. Weight Management: Maintaining a healthy weight can reduce the risk of gout flare-ups. Losing weight if you’re overweight can help manage gout symptoms.

4. Home Remedies: Some natural remedies like cherry juice, ginger, and turmeric have been suggested to have anti-inflammatory properties that might offer relief. However, their effectiveness varies among individuals.

5. Over-the-Counter Medications: Non-prescription pain relievers like ibuprofen or naproxen may help alleviate pain and inflammation. Always follow the recommended dosages and consult the package instructions.

6. Lifestyle Changes: Avoid alcohol and limit consumption of sugary beverages, as they can exacerbate gout symptoms.

7. Rest and Elevation: Resting the affected joint and elevating it can help reduce pain and swelling during a gout flare-up.

Remember, while these steps might provide some relief, they are not a substitute for professional medical advice. If your symptoms worsen or become unbearable, it’s important to find a way to consult a healthcare professional, even if it means seeking out free or low-cost clinics, community health centers, or government health services in your area."

Maybe there are some low cost clinics in town.