It can be used as a sexual or derogatory connotation, and can also be used to describe sincerity, hate, lust, or curses.
Derived from Latin word "Goutumn"; referring to all or anything, and scrotum.
"Could be better, I have a really bad case of the gout."
Also can be used as a verb of a similar meaning. Someone might inflict annoyance and mental pain on someone, thus will gout them, or is gouting.