I had gout back when I was doing Atkins. Serioously painful. In that case, I wasn't drinking enough water and there was a ton of uric acid being cleaned out of my system. I started drinking more and it went away.
Fast forward about 10 years and I fully expected the same thing when I started eating Primal. Never happened, and I hadn't upped my water intake..
It's my understanding that eating Primal doesn't cause gout. Eating protein, especially meat, gets blamed for a world of hurt that has nothing to do with it. Google "gout" and "paleo" together and you'll see what I mean. Scroll past the militant vegan sites and you'll find actual research saying it's just not true.