What should gout sufferers look for in their diet?
What should gout sufferers look for in their diet?
Gout patients are allowed to consume tomatoes, the
Tomatoes are a low purine food, and they are rich in their own alkaline content, which can greatly neutralize the acidity in the body of gout sufferers.
Gout:
Gout patients diet is mainly to avoid eating high purine food, so as not to aggravate the symptoms of uric acid, tomatoes do not increase the production of uric acid, gout treatment has no effect.
Taboo:
Gout patients should mainly avoid eating animal offal such as brain, liver, kidney, heart, belly, and dark-colored meats, Western-style thick meat soup, beef veggies, chicken essence, etc., as well as seafood.
Caution:
Gout sufferers must get enough rest and not overwork, especially not staying up all night;
You must have a regular schedule and rest at night on time.
Avoid catching cold and flu, gout patients should pay attention to keep warm, shoes should be comfortable, and pay attention to add or subtract clothes when the weather changes, which can induce gout attacks.
Gout Complications
1. Uric acid nephrolithiasis
Uric acid nephrolithiasis can occur in 10% to 25% of gout patients. Those with concurrent urinary tract infections may have symptoms of urinary tract irritation such as urinary frequency, urgency and pain, or low back pain.
2. Gouty nephropathy
Early stage often presents with intermittent proteinuria. The disease usually progresses more slowly. With the development of the disease, proteinuria gradually changes to persistent, the renal concentration function is impaired, and nocturia increases, isotonic urine and so on. In the late stage, chronic renal insufficiency may occur, manifested by edema, hypertension, elevated blood urea nitrogen and creatinine, and eventually the patient may die due to renal failure.
3. Acute renal failure
A large number of urate crystals blocked in the renal tubules, renal pelvis and ureter, causing urinary tract obstruction, leading to the sudden appearance of oliguria or even anuria in patients, if not treated in time can rapidly develop into acute renal failure, and even cause death.
4. Hypertriglyceridemia
About 75% of gout patients have hypertriglyceridemia, mainly hyperlipoproteinemia type IV, where apoB very low-density lipoproteins are elevated while cholesterol levels are normal. In addition to diet, obesity, and alcohol consumption affecting hypertriglyceridemia in gout patients, a number of other factors do.
5. Gout and cardiovascular disease
Hypertension is present in 25% to 50% of patients with gout; in untreated and treated hypertensive patients, hyperuricemia is present in 1/3 and 2/3 respectively. hyperlipidemia, atherosclerosis and coronary artery disease can exacerbate hyperuricemia and gout. Restriction of diet, alcohol consumption, weight loss and proper treatment of pre-existing diseases can lead to better control.
6. Gout and diabetes
Gout with type 2 diabetes. It may be due to the fact that obesity, diet and alcohol consumption are their common causative factors, rather than a direct causal relationship. However, there is a close relationship in preventive treatment and prognosis.
Gout Food Remedy
1. 250 grams of cabbage, add 20 grams of vegetable oil and fry. It is advisable to take it regularly. Suitable for gout in remission.
2. 250 grams of eggplant washed and steamed, cut into strips, slightly added soy sauce, sesame oil, salt, garlic, monosodium glutamate mixing after eating, every other day service, for gout authors.
3. 250 grams of potatoes, 30 grams of vegetable oil first stir-fried, followed by 30 grams of soy sauce, a small amount of salt to cooked food, applicable to gout authors.
4. 250 grams of radish washed and cut into pieces, 50 grams of vegetable oil with stir-frying, followed by 30 grams of cypress, 500 ml of water, with cooking until cooked, add a small amount of salt, eat radish and soup.
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tomatoes
Tomatoes in the "lycopene", the role of bacterial inhibition; containing malic acid, citric acid and sugar, tomatoes are rich in carotene, vitamin C, vitamin B1, vitamin B2, as well as carotene and a variety of micronutrients needed by the human body to provide the body with adequate nutrition.
For gout patients, eat less animal offal (liver, kidneys, bone marrow) and sardines, crabs, shrimp, spinach, large intestine, and absolutely abstain from alcohol.
Tomato Benefits
1、Stomach-stimulating and food elimination, laxative
Contains organic acids such as malic acid and citric acid, which promote the secretion of gastric juice and the digestion of fat and protein. Increase the concentration of gastric acid, adjust the gastrointestinal function, help the recovery of gastrointestinal diseases. Containing fruit acids and cellulose, it helps digestion, laxative effect, can prevent and control constipation.
2、Clearing heat and removing toxins, generating fluids and quenching thirst
Tomato cool taste sweet and sour, have clear heat and promote the efficacy of the yin cool blood, fever and thirst, dry mouth, bleeding gums, stomach heat and bitter mouth, false fire rise has a good therapeutic effect.
3、Lowering fat and blood pressure, diuretic sodium discharge
Contains vitamin C, rutin, lycopene and fruit acids, can reduce blood cholesterol, prevent atherosclerosis and coronary heart disease. Another contains a large amount of potassium and alkaline minerals, can promote the discharge of sodium salt in the blood, there are antihypertensive, diuretic, decongestive effect on hypertension, kidney disease has a good adjuvant therapeutic effect. Lowering blood pressure often occurs in patients with bleeding gums or subcutaneous bleeding, eat tomatoes to help improve the symptoms.
4、Anti-blood coagulation, preventing cerebral thrombosis
The yellow jelly-like juice around the tomato seeds contains P3 substances, which have the effect of anti-platelet coagulation and can prevent the occurrence of cerebral thrombosis. Patients suffering from coronary heart disease and stroke daily moderate drinking tomato juice is beneficial to the recovery of the disease.
5、Prevent cataract, macular degeneration
Containing vitamins A and C, can prevent cataracts, but also on the night blindness has a certain effect on the prevention and treatment; lycopene has the role of inhibiting lipid peroxidation, can prevent the destruction of free radicals, inhibit retinal macular degeneration, maintenance of vision.
6、Beauty and skin care, cure skin disease
Tomato contains carotene and vitamins A and C, freckle, beauty, anti-aging, skin care and other effects, treatment of fungi, infectious skin diseases. Niacin can maintain the normal secretion of gastric juice, promote the formation of red blood cells, is conducive to maintaining the elasticity of the blood vessel wall and protect the skin.
7. Maintenance of sexual function
Lycopene is absorbed and gathered in the prostate, adrenal glands, etc., prompting the prostate fluid secretion, can maintain ejaculatory function; tomato juice, can be diuretic, nephritis patients are also suitable for consumption. Women eat more tomatoes can stimulate sexual desire and passion.
8. Sun protection
On hot summer days, tomatoes are a better sunscreen than sunscreen. Because tomatoes are rich in the antioxidant lycopene, a daily intake of 15 milligrams of lycopene can reduce the risk factor for sunburn by 40 percent.
9、Anti-cancer
Lycopene has a unique antioxidant ability to scavenge free radicals, protect cells from the destruction of deoxyribonucleic acid and genes, and can stop the process of cancer. In addition to its preventive effect on prostate cancer, tomato can also effectively reduce the risk of pancreatic cancer, rectal cancer, laryngeal cancer, oral cancer, lung cancer, breast cancer and other cancers.
10、Anti-aging
Vitamin C in tomato, has the effect of generating fluids and quenching thirst, strengthening the stomach and eliminating food, cooling the blood and calming the liver, clearing away heat and removing toxins, and lowering blood pressure, which is a good adjuvant therapy for people with hypertension and kidney disease. Eat more tomatoes have anti-aging effect, so that the skin to keep white.
11. Improvement of gums
Bleeding Patients who frequently experience bleeding gums or subcutaneous bleeding can eat tomatoes to help improve their symptoms.
12. Promote digestion
The malic or citric acid contained in tomatoes helps the gastric juices to digest fats and proteins.
consumption taboos
1, should not be eaten raw
Especially for women with cold spleen and stomach and during menstruation. Tomatoes contain a large number of soluble astringents and other components, and stomach acid reacts, coagulation into insoluble lumps, easy to cause gastrointestinal distension, pain and other uncomfortable symptoms. If you only eat tomatoes as fruit to supplement vitamin C, or summer heat, it is better to eat raw.
2, should not be eaten on an empty stomach
Increased secretion of stomach acid on an empty stomach, because tomatoes contain some kind of chemical substances and stomach acid combined with tomatoes (14) easy to form insoluble lumps, eaten often cause abdominal pain, resulting in gastric discomfort, gastric distension.
3, not ripe should not be eaten
Due to the presence of toxic lobelia alkaloids. Consumption of unripe green tomatoes, will feel bitter, eat more, serious can lead to poisoning, dizziness, nausea, peripheral discomfort, vomiting and general fatigue and other symptoms, serious and life-threatening. In general, the redder the color of the tomato, the higher the lycopene content, unripe and half ripe green tomatoes lycopene content is relatively low.
4, should not be long time high temperature heating
Because lycopene is easily decomposed by light, heat and oxygen, losing its health effects. Therefore, avoid prolonged high-temperature heating when cooking.
5, should not be eaten with cucumber
Cucumber contains a vitamin C decomposition enzyme, which will destroy the vitamin C in other vegetables, tomatoes are rich in vitamin C, if the two are consumed together, not to achieve the effect of supplementation.
6、Anti-coagulant drugs should not be eaten
Tomatoes are high in vitamin K. Vitamin K mainly catalyzes the synthesis of plasminogen as well as thromboplastin in the liver. Insufficient vitamin K prolongs the clotting time causing subcutaneous and muscle bleeding.
7, tomatoes and white wine can not eat together
Adverse biochemical reactions can occur with the same food, resulting in chest tightness and shortness of breath.
8, tomatoes and sweet potatoes can not eat together
Eating the two together will cause adverse biochemical reactions, and long-term accumulation will cause people to get stone disease, vomiting, abdominal pain, diarrhea.
9, tomatoes and carrots can not eat together
Carrots eaten in pairs with vitamin C-rich foods destroy the vitamin C.
10, tomatoes and pig liver can not be eaten together
Tomatoes are rich in vitamin C. Pig liver oxidizes and deoxidizes vitamin C, causing it to lose its original function.
11, tomatoes and salted fish can not eat together
Eating together is likely to produce carcinogens.
Author: Chen Binlin (Dietitian, Department of Nutrition, Guangxi Zhuang Autonomous Region Maternal and Child Health Hospital, Master of Nutrition, Sun Yat-sen University. Registered dietitian. Licensed Public Health Physician)
Figure 1 James Gillray's 1799 cartoon "Gout".
What is gout?
Gout is a heterogeneous group of chronic metabolic diseases caused by purine metabolism disorders, which are clinically characterized by hyperuricemia, recurrent gouty acute arthritis, interstitial nephritis, and gouty stone formation; in severe cases, it is accompanied by joint deformities or uric acid urinary tract stones. The disease is often associated with obesity, type 2 diabetes mellitus, hyperlipidemia, hypertension, atherosclerosis and coronary artery disease, clinically known as metabolic syndrome. Hyperuricemia and gout are only one of the manifestations of this syndrome.
Symptoms of Gout
Acute gouty arthritis is the most common first symptom of gout, typically with an abrupt onset of symptoms, usually with the first attack occurring at night, and about 85%-90% are uniarticular in nature, with the first metatarsal toe being the most commonly invaded site (Figure 1).
Affected joints swell, become red, hot and painful. Acute gouty attacks last an average of 3 to 10 days. A few patients do not have typical attack symptoms, which are mild and disappear in 1 to 2 days.
Dietary advice for gout sufferers
Here are a few ways you can help reduce your risk of developing gout and may prevent gout attacks.
1. Limit or avoid purine-rich foods, such as animal offal, sardines, anchovies, dried small fish, oysters, thick gravy, thick chicken and fish soups, and hot pot soup.
2. Choose to eat foods that are low in salt and fat.
3. Maintain appropriate weight. Obesity is one of the common factors of hyperlipidemia, hypertension, hyperuricemia and gout.
4. Prohibit alcohol. Beer itself contains a large number of purines, which can increase the concentration of blood uric acid.
5. Adequate water intake. Adequate fluid intake to increase the dissolution of uric acid, conducive to uric acid discharge, prevention of uric acid kidney stones, delay the progressive damage to the kidneys, should drink more than 2000 ml of water per day, about 8-10 cups, accompanied by renal stones, it is best to reach 3000 ml, in order to prevent the concentration of urine, the night should be supplemented with water.
Other Improvements for Gout
1. Early detection, early diagnosis and early treatment.
2. Appropriately reduce the use of damaged joints.
3. Keep clothing loose to avoid irritation of the joints.
4. Take medications to reduce swelling and pain. Over-the-counter medications include ibuprofen and naproxen. Your doctor can prescribe medications, such as glucocorticoids (e.g., prednisone) or colchicine, depending on your condition.
References:
1. Lu Zaiying, Zhong Nanshan. Internal Medicine. 7th edition [M]. People's Health Press, 2008.
2. Ge Kewoo. Training materials for Chinese dietitians [M]. People's Health Publishing House, 2005.
3. Gout - familydoctor.orghttps://familydoctor.org/condition/gout/
First, according to the purine level, food intake should be strictly controlled
1. Fasting category
Foods that contain between 150 and 1,000 milligrams of purines per 100 grams, such as animal liver, fish roe, and thick meat broths;
2. Limited consumption category
Foods that contain between 75 and 150 milligrams of purines per 100 grams, such as freshwater fish like crucian carp, poultry meat like chicken, and legumes like soybeans, are recommended to consume no more than 75 grams;
3. Can be consumed in small quantities
Foods that contain between 30 and 75 milligrams of purines per 100 grams include asparagus, spinach, oatmeal, and peanuts;
4. Eating a random class
If the purine content of less than 30 mg per 100 grams of food, you can safely eat, including: milk, eggs, taro, fruit and so on. But one of the exceptions is tofu, soy milk, a class of soy products, need to be limited;
Second, alcohol, sweets and seafood, it's best to stay away
Third, vegetables should be eaten in sufficient quantities, especially in the acute attack of gout period, eat enough more than 750 grams of vegetables per day to be able to
Fourth, the staple food is recommended to use taro, yam, etc. to replace the fine white rice and noodles, which can help us intake of more potassium, which in turn promotes the discharge of uric acid to relieve the symptoms of gout.
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It's not.
Gout patients can eat tomatoes and are advised and encouraged to do so.
1, tomatoes belong to low purine food: according to statistics, tomatoes for low purine food, purine content <50mg/100g;
2, the body's absorption rate of purines in plants is very low, not only tomatoes, other plants, vegetables in the purines are very difficult to absorb;
3. The Chinese Multidisciplinary Expert Consensus on the Diagnosis and Treatment of Diseases Associated with Hyperuricemia clearly states that patients with hyperuricemia should advocate a balanced diet, limit the total daily calorie intake and control the purine content of the diet. The specific requirements are:
Avoid animal offal such as liver and kidney, alcohol and fructose-based beverages;
Limit your intake of beef, lamb, pork, seafood, and condiments;
Encourage the intake of vegetables, dairy products, and eggs.
Purine-rich vegetables (lettuce, spinach, mushrooms, cauliflower, etc., including tomatoes), beans and soy products are not significantly associated with hyperuricemia and gouty attacks.Therefore, gout patients are not only not contraindicated to vegetables and soy products, but also encouraged to consume more fresh vegetables, moderate consumption of beans and soy products and so on.
So, gout patients can eat tomatoes and are encouraged to do so.
Thank you to "Little Secretary Goku" for the invitation.
Gout is one of the diseases that seriously affects our quality of life, not only is the pain severe and unbearable when it strikes, but also when it recurs over a long period of time, it can also lead to complications such as gout stones, and in serious cases, it can even lead to physical disability. We must pay attention to gout, active formal diagnosis and treatment is very critical, to start from the daily diet and other habits, and actively improve the lifestyle, and at the same time with the necessary medication, in order to stabilize and control the disease in the long term and reduce the occurrence of complications.
A good diet is essential for the control of gout. Many times acute attacks of gout are often caused by our incorrect eating habits. Gout patients should strictly limit the intake of high purine (see table below) and high fructose foods (such as fruit juice, cola, etc.) in their diet. We have four categories according to the purine content of food: high purine food (>150mg/100g), medium-high purine food (75-150mg/100g), low purine food (30-75mg/100g), very low purine food (<30mg/100g) . Gout patients should avoid eating high-purine foods, eat less medium-purine foods, and encourage the choice of low-purine or very low-purine foods.
Gout patients in the dietary intervention at the same time, but also need to pay attention to other lifestyle improvements, should drink more water, more than 2000 ml per day, to white water is appropriate, but also can be appropriate to drink soda, light tea and coffee; to actively quit smoking, limit the consumption of alcohol, acute period can not drink alcohol, remission can be appropriate to drink red wine; to appropriate exercise, pay attention to warmth, to avoid strenuous exercise and sudden exposure to cold; to maintain a good state of mind and a regular To maintain a good state of mind and regular work and rest, to avoid anxiety, anger, late night, tired; but also to control the weight, pay attention to weight loss.
Drugs are also an essential part of gout treatment, and we should carry out regular drug treatment under the guidance of doctors. It is recommended to choose non-steroidal anti-inflammatory drugs, colchicine or glucocorticosteroids in the acute stage to rapidly relieve pain and symptoms; for gout patients in the remission stage, they should be actively lowering uric acid treatment, and can choose allopurinol, febuxostat, which inhibits the production of uric acid, or phenylbromalone, which promotes the excretion of uric acid, and control the level of blood uric acid lower than 360umol/L or 300umol/L (gouty stone or chronic gouty arthritis). frequent acute flare-ups) is appropriate. While we are actively treating the disease, we should also pay attention to monitoring blood uric acid changes and regular review.
Thanks for reading and good health to all. This article was originally written by Your Family Doctor - General Practice Sweeper on Today's Headlines & Wukong Q&A, Copyright © All Rights Reserved.
Hi, people with gout need to keep their mouths shut and their legs open. The diet mainly consists of eating low purine foods, as specified in the dietary guidelines. Eat less seafood, drink less old-fashioned soup and alcoholic beverages. Exercise more and lose weight.
Answered this aspect before! Can eat, very much so!
Read more of my answers about treating gout, I've always sung the opposite of people, but the cure rate is over ninety percent with no recurrence! No contraindications!
No relapses, no contraindications! No contraindications! No taboos!!!
Thank you all!
Gout is a kind of purine metabolism disorder arthritis. Blood and other tissues in the concentration of uric acid increases, uric acid saturation, the formation of urate crystals, constantly deposited on the surface of various tissues, when the accumulation of joints around, like the "wind", immediately triggered by the joints appear red, swollen, hot, pain, pain occurs in the middle of the night, like something torn as pain, let a person! The pain is unbearable and extremely painful.
Got gout, in addition to drug treatment, but also always pay attention to diet, not careful, will again "outbreak". So gout patients in the usual diet, need to pay attention to what?
Gout sufferers can refer to this table for the following foods that are a definite no-no:
With better pain control, you can consume the following foods in small amounts:
Also do the following 3 things.
1.Be sure not to drink alcohol, especially beer. The risk of gout rises as the amount of uric acid in the blood increases with the amount of beer, theThe purines contained in beer are easily absorbed into the bloodstream, and alcohol also reduces uric acid excretion and promotes the production of uric acid.
2.Make sure to drink plenty of water, at least 2000 milliliters or more per day. You can drink baking soda water properly, by drinking waterPromotes excretion of uric acid。
3.Be sure to step up your exercise, and as soon as you can walk off the floor in your painful joints, develop a training program based on your condition and keep exercising to reduce urate deposition around your joints and prevent gout stones.
The key to a scientific diet for gout patients is a "low purine diet", so what is a low purine diet? Of course is to low purine food (per 100 grams of purine less than 25mg) based on the way of eating. (Also: medium purine food means that the purine content per 100 grams of food is 25~150mg; high purine food means that the purine content per 100 grams of food is more than 150mg). For patients with high uric acid and gout, low purine foods can be enjoyed without worry; medium purine foods are recommended to be eaten lightly, especially when gout is in acute flare-ups; and high purine foods should be avoided!
Doctors usually tell patients not to eat meat and seafood because the average purine content of meat and seafood is high. Another way to put it is that not all meat and seafood are high purine foods, but there are also low purine meats and low purine seafood, as shown in the table below:
Reference table for meats with low and medium purine content
Medium and low purine content seafood reference table
For livestock and seafood foods that don't appear in the table above are basically high purine foods, such as most animal offal, so please eat with caution. It has to be reminded that even the foods in the above table should be consumed in the right amounts. As you can see, most meat and seafood are medium purine foods, which is one of the reasons why most doctors advise their patients to try not to eat meat and seafood.
Thanks for the invite!
The questioner mentions two issues: first, lifestyle precautions and second, dietary precautions;
I. Dietary considerations for gout patients:
1. Foods you can't eat:
Seafood, small shrimps, dried beans, old soup, hot pot soup, animal offal, spinach, pickled food, marinated food, fried food, and food with lots of salt;
2. Food you can eat:
Leafy greens (excluding spinach), root vegetables, rice, pasta, meat foods need to be eaten sparingly (especially chicken) or not eaten at all, fruits, mushroom dishes (but fresh mushrooms are eaten sparingly), peanuts are eaten sparingly, and so on; pay attention to the need for less salt;
3. Drinks you can't drink:
All alcohol, fruit juices, multi-sweetened beverages and strong teas;
4. Drinks that need to be consumed more often:
Ensure that you drink no less than 2,000ml of plain water (or packaged drinking water) and light tea (note that it is light tea not strong tea) every day; it helps excrete uric acid;
II. Notes on life:
1. Proper exercise:
But note that you can not exercise too much; the most appropriate way to exercise is: walk slowly for no more than 30 minutes a day; pay attention to the "slow walk", not easy to rush walking;
2. Avoid staying up late:
Take care to get enough sleep and not stay up late for long periods of time; even if work requires it, adjustments need to be made;
3. Avoid exertion:
Pay attention to the combination of work and rest, can not be engaged in long-term physical work; especially the disease should not be strenuous;
4. Avoid overeating:
Even for those without gout eating hard when hungry and drinking hard when thirsty is not a good habit;
5. Avoid getting cold:
The diseased area should not be cooled; in summer, it is important not to be cooled by fans or air conditioners; driving also requires attention, and it is recommended not to drive while tired;
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