I would recommend some research, and start on the easy things. Definitely see a doctor, but take a good look at your diet. Mine started at age 27, and by quitting carbonated drinks, fast food and alcohol, cutting back on red meat and really watching what purines I consume. If you are not active, get that way even if all you do is walk. For me, Vitamin C seems to be the thing that knocked it out, when cherry juice and allopurinol didn't.