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Onset of Pain Gout: Sudden and severe, often overnight Bunion: Gradual, worsening over months or years Pain Intensity Gout: Sharp, intense, sometimes unbearable Bunion: Aching or pressure-related pain Visible Changes Gout: Swelling without structural deformity Bunion: Noticeable bony bump Recurrence Gout: Flare-ups that come and go Bunion: Persistent structural change Still, in some cases, its not obvious

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