You shouldn't assume you have gout because you are having big toe pain and other possible gout symptoms of the big toe. I was having toe pain and swelling in my foot and everybody told me it was gout, but it turned out to be bunions. The doctor said the bursa sac in my foot was inflamed and causing the problem. I was happy it was not gout.
I had to wear special foot supports and I started wearing wider shoes. Sometimes bunions have to be treated with surgery. I was glad I didn't need surgery. There are also other foot conditions that can look like and feel like gout.