Gouty arthritis is the consequence of an inflammatory reaction accumulated against trait crystals in joints. And it results that joints which are affected become red, swollen, and painful. The joints most often influenced by gouty arthritis. They are the primary metacarpal phalangeal joint or thumb joint, metatarsal phalangeal joint, or joint of the big toe. It can also affect other joints such as shoulder joints knee joints, the hip joints (rarely). Now you may think how you recognize the gouty arthritis. Primary symptoms comprise sudden and quick swelling of a single joint, commonly big toe, raising the pain, red and swollen big toe.