Sorry for your plight. I’ve had several attacks over the past decade, and they get worse the more you have.
For me, fasting helps reduce the pain significantly. Ony last attacks, the pain would noticably increase after I ate a meal. Which makes me wonder why I kept eating over and over again.
But, one time, fasting also triggered a gout attack. But that was only once, when I started fasting - and it hasn’t happened since despite numerous fasts.
Taking tumeric pills helps a lot. As good as ibuprofen, but without being hard on your stomach.
Aspercreme (lidocaine) has also been a big help. It’s a lotion that offers pain relief. Be careful though, because even though you don’t feel the pain as much, the gout crystals are still in your joints; and any movement of that joint will do further tissue damage to the joint, because the crystals are acting like knives inside your body.
Fasting is a well known gout trigger. I imagine dry fasting would be even worse, as dehydration raises uric acid concentration as well.
A very easy over the counter treatment for gout is citrates. Sodium citrate, potassium citrate, and citric acid all let your kidneys easily filter out urate. I’ve found citrate to be MUCH more effective than allopurinol. On many occasions I have stopped a gout flare dead in its tracks.
Just remember not to overdose on potassium. I use mostly sodium citrate with a just little potassium citrate to balance it out. Overdosing on potassium can be lethal.
One more thing. Citrates also help.your kidneys remove oxalates, so if you have oxalate or urate kidney stones, citrates will help with that as well. They’re even sold as a prescription drug for kidney stones called Urocit.