My situation is very similar to Carolyn’s. My gall bladder was removed in 1983, and I too was 31 years old. I had my first gout attack in 2016 – 33 years later – but I did not know it was gout because, like Carolyn, it started in my heals. When I was finally diagnosed last year with gout, I was told to cut out meat and alcohol, (I don’t use either), so it’s been very confusing.
Now, of course, I better understand the nature of purines and uric acid. From the very beginning though, I felt it was connected to not having a gall bladder. I still believe that to be the case. I have an almost permanent discomfort/soreness in my heals, and I’ve had two gout flareups just recently. I hope more study can go into this – and other effects of gall bladder removal.