It's a cliché that both TCM and Western medicine require abstinence from food in the treatment of gout.

Gout is caused by increased uric acid in our body, which in turn is related to the purines contained in the food we consume. Therefore, dietary control can have a positive impact on both uric acid control and gout treatment.

So which foods to avoid? Let's send you three pictures

The first picture is high purine content food, these foods contain a lot of purine, which will increase the level of uric acid in the patient's body, gout patients are trying not to eat.

For example, gravy (that is, stewed meat soup), animal offal, seafood, bean sprouts can not eat these, high purine content

The food in the following chart is a medium purine content food, gout sufferers can eat, but not more, try to eat as little as possible

Soy products and meat make up the majority of this table, so eat them sparingly (not off limits, yes, but sparingly)

The food in the last table contains only a very small amount of purines, so you can eat it safely and boldly!

In addition, must remember to drink a lot of water, oh, drink more water in order to get rid of uric acid in the body!

With the abundance of diet, Chinese people's "gout" began to high incidence. Data show that "high uric acid" has become "three high" (high blood pressure, high blood fat, diabetes) in addition to the "fourth high"! High protein food in the high purine, will lead to abnormal elevation of uric acid in the blood or even cause gout, so gout patients should pay attention to the following types of food.

I. Alcohol

Alcohol is the biggest risk factor for gout. Studies have found that the risk of developing gout is two to three times higher with regular alcohol consumption. And drinking beer is the worst because it causes an increase in the body's breakdown of adenine triphosphate nucleotides (ATP), the products of which include purines. In second place are spirits, such as liquor. Wine, on the other hand, is consumed in moderation with little to no risk.

II. Meat

Studies have shown that consuming too much meat per day increases the risk of gout by 21% and seafood by 7%.

III. Animal offal

Animal offal is known as "waste" and is the food that contains the most purines in the daily diet. On average, every 100g (two taels) of animal offal contains 240-530mg of purines.

IV. Juice drinks

It contains a high amount of fructose, which accelerates the breakdown of purine nucleotides in the body, which in turn drastically increases uric acid levels. Therefore, excessive consumption of fruit juice drinks should be avoided to reduce the risk of gout.

V. Selected common drugs

. Aspirin has a dual effect on uric acid levels: taking a high dose of aspirin over 300 mg induces excretion of uric acid, but a low dose prevents uric acid excretion. Aspirin is taken at a dose of 75-325 mg/day in the prevention of heart disease, a dose that increases the risk of gout twofold. If you temporarily need pain medication, choose acetaminophen or ibuprofen and avoid aspirin.

Another medication that can trigger gout are diuretics, which are used to treat high blood pressure and edema, but increase the reabsorption of uric acid by the kidneys.

VI. Coffee and strong tea

Strong tea water, coffee and other beverages itself will not increase the purine content, but they have the effect of excitation of the autonomic nerve, aggravate gout, may also induce an acute attack of gout, gout patients should try to avoid drinking.

purine-rich foods

The authoritative interpretation of Pharmaceutical Affairs, unauthorized reproduction, plagiarism will be punished.

Let's give you a brief list of the top 10 contraindications for gout -

Contraindication 1: Avoid eating animal offal, seafood, aged yellow wine, beer, fish roe, overeating meat, meat soup.

Contraindication 2: drinks with high fructose content, desserts. Because fructose will interfere with uric acid metabolism and excretion, both metabolic and excretory processes. Including a variety of drinks, honey, very sweet fruit, thick corn juice, sweet milk tea, desserts.

Taboo three: avoid a large number of sports, especially a large number of anaerobic muscle training. For example, training for a marathon, playing ball at high intensity for many days in a row, such as excessive fitness muscle building. Excessive exercise not only damages muscle cells and produces endogenous purine substances, but also causes a large accumulation of lactic acid that affects uric acid metabolism. Ventilation recommended exercise is low to medium intensity, regular, aerobic exercise.

Taboo #4: Overexertion.

Taboo 5: habitual water shortage. There is no habit of drinking water, drink very little water every day, and when you do, you drink drinks. Very little urine, how to excrete uric acid?

Taboo #6: Not losing weight. Gout attacks and obesity are highly correlated.

Contraindication 7: Long-term application of diuretics to control hypertension. For example, hydrochlorothiazide, indapamide, furosemide and so on. These drugs will interfere with the excretion of uric acid. Antihypertensive drugs species more prominent in affecting uric acid is nifedipine.

Taboo 8: Indiscriminate use of drugs. The long-term use of acid-reducing drugs do not use; the control of gout drugs as uric acid-lowering drugs; that gout is only an attack to stop the pain can be; in the gout attack, the use of uric acid-lowering drugs; control of the symptoms of the drug, the use of dosage is not right; did not have a gout attack at the first time on the drug; the use of bicarbonate of soda instead of uric acid-lowering drugs; do not use the regular medication, the so-called hearsay secret recipes, indigenous methods, ancestral remedies, diet, health, etc.; worship foreigners, indiscriminately foreign control of gout symptoms of drugs as a uric acid-lowering drugs; because worry about foreign countries, as a result of the drug as a lowering of uric acid. The most important thing to remember is to use the so-called secret recipes, local remedies, ancestral traditions, dietary therapy, health care, etc.; to revere foreign countries and pander to foreign countries, and indiscriminately use foreign drugs to control gout symptoms as uric acid-lowering medications; to refuse to use the medication for a long time because of the fear of possible side effects...etc. etc. etc. etc., all kinds of misunderstandings, all kinds of pits.

Taboo 9: Use hot compresses, foot soaks, and blood-activating drugs after an attack. These will only cause you more pain.

Taboo 10: half-knowledge of hyperuricemia and gout-related disease knowledge, drug application, complications prevention and treatment and various details, various precautions, step on a variety of pits, with a variety of so-called listening to friends say the method to take their own experiments.

These are the top ten taboos, and I believe that if you are a gout sufferer, then ninety percent of you hit at least one of them.

Follow me to learn more about lowering uric acid scientifically and controlling gout complications. If you want to learn the relevant details systematically, you can subscribe to my paid column "Sniper Gout - How to Lower Uric Acid Scientifically". I will keep updating the column in August to teach you scientific gout prevention and acid control by hand.

With the improvement of people's living standards, gout has become a common and frequent disease in recent years. Gout is a common disease caused by purine metabolism disorder and elevated blood uric acid.

Uric acid is a product of metabolism in the body and is produced by the breakdown of purines in the cell nucleus. 2/3 of the uric acid in the body is excreted by the kidneys and 1/3 is excreted by the colon. If the body produces too much uric acid, not completely eliminated, it will accumulate into stones, called gout disease.

Gout is a "product" of over-abundance of nutrients, and the patients are mostly obese. On the one hand, they eat too much high purine and high cholesterol food, and at the same time, the kidney function is also deviated, which affects the urination function. From the perspective of traditional Chinese medicine, "the kidney is the main bone", a deficiency of kidney qi will also cause joint pain.

Lifestyle and dietary adjustments are the foundation of long-term gout treatment, and here are 10 pointers for you:

1. Maintain a relaxed and happy mood, strategically defy the disease, and tactically emphasize the disease.

2. Follow the doctor's instructions, regular review and follow-up, and reduce and stop the medication under the doctor's guidance.

3. Avoid triggering factors such as obesity, exertion, wet and cold and mental tension.

4. Dietary control: avoid high purine diet: eat less animal offal, seafood and thick meat soup; beef instead of chicken; eat more fruits, vegetables; vitamin C, coffee and dairy products have preventive effect, it is recommended to take in moderation.

5. Strict abstinence from all kinds of alcohol, especially beer.

6. Drink large amounts of water: >2000 ml per day.

7. Lifestyle: Maintain ideal weight and exercise properly (swimming, walking, etc.).

8. It is not advisable to use drugs that inhibit uric acid excretion, such as dihydroclonidine, tachycardia, and so on.

9. Monitor uric acid, blood sedimentation, C-reactive protein, renal function and other indicators.

10. Pay attention to the prevention and control of hypertension, hyperlipidemia, diabetes mellitus, atherosclerosis, coronary heart disease and stroke and other common comorbidities of gout.

In short, the principle of dietary control should pay attention to the "three lows and one high":

(1) A low or no purine diet, which reduces uric acid production;

(2) Low calorie intake to eliminate overweight or obesity;

(3) Low-salt diet;

(4) Drinking more water is conducive to the excretion of uric acid and prevents the deposition of urate in the kidneys.

Since the onset of gout is closely related to diet, gout patients should eat less or no food with high purine content. Drinking water should be guaranteed 2,000 ml to 3,000 ml per day to promote uric acid discharge, and more fresh fruits and vegetables are advocated. Finally, I hope that through this article, you can better understand gout and strict dietary control to prevent the occurrence of gout.

It is a blessing for us to eat whatever we want. But not for gout patients, who are more strict in their dietary requirements. As we all know, gout attack will not only bring unbearable pain, but also may damage the kidney function and induce kidney failure. Therefore, gout patients must pay attention to this disease and control their diet in their life.

When you have gout, the following foods should be eaten sparingly or not at all:

1. Alcohol

Our family and friends like to drink at parties, and when we are having a good time, all kinds of beer, white wine, red wine, champagne, etc. will have a round, but gout patients are advised to stay away from alcohol.

The main component in alcohol is ethanol, ethanol will make the body of purine metabolism accelerate, uric acid will rise rapidly, inducing gout. At the same time, ethanol will prevent the excretion of lactic acid, a large amount of lactic acid accumulation, will affect the metabolism of uric acid, is not conducive to the discharge of uric acid.

Among them, the purine content of beer is relatively high, drink too much beer, uric acid is very easy to exceed the standard, inducing acute attacks of gout. Therefore, gout friends for the sake of health, or do not drink.

2、Fructose food

Gout sufferers see this is not very desperate, can not drink alcohol is already miserable, even sweet food can not eat, this day is still not over?

Gout patients first don't get excited, don't eat drinks and pastries with high fructose content can be, usually we often drink Sprite, Coke, all kinds of fruit juice drinks, so be careful when you drink. Do not drink more than two hundred milliliters per day, ordinary cup of water half a cup is good.

3. Animal offal

Meat is a delicacy that we consume every day, it is both nutritious and tasty, and can replenish one's energy. But for gout patients, some meat can not eat, such as animal offal: chicken heart, chicken liver, minced beef, pig liver, pig lungs, etc., these meats are very high purine content, basically every hundred grams of purine content are more than one hundred milligrams, for example, we often eat pig liver every hundred grams of purine content of up to more than two hundred milligrams.

4. Seafood

Now is the time to eat seafood, but gout patients should also be cautious about seafood food. There are quite a few seafood with high purine content, for example, there are sardines, shellfish, white ribbon fish, oysters, shrimp, anchovies and so on, which are forbidden for gout patients.

If you really want to eat seafood, gout patients can choose to eat seafood with less purine content, such as crab.

5, a variety of animal meat stock

We usually like to make soup to drink, but gout patients drink less old duck soup, hot pot in the soup, pork chop soup, chicken soup, etc., these are high purine content of food, general soup will also contain high fat, high cholesterol, is not recommended for gout patients to eat.

The onset of gout is closely related to blood uric acid levels, and uric acid is produced by purine metabolism, so any food with a high purine content or food that inhibits uric acid excretion should be avoided by gout patients.

(i) Alcohol: Both beer, white wine and red wine affect the metabolism of blood uric acid. The main component of alcohol is ethanol, ethanol mainly through the promotion of uric acid generation and reduce uric acid excretion to affect the level of blood uric acid. Beer, in particular, contains a large number of purines, and ethanol into the human body will promote purine decomposition, so that blood uric acid rise. Secondly, ethanol can make the body lactic acid increase, lactic acid can inhibit the excretion of uric acid by the kidneys, so drinking alcohol not only can make uric acid generate too much, but also can make uric acid excretion decrease. Therefore, gout patients should limit alcohol. Of course, the more alcohol intake, the higher the incidence of gout.

(ii) High purine food: many foods, especially seafood, meat, animal offal, beans, thick broth and so on, contain a large amount of purine, so gout patients should be appropriate to avoid the following foods.

(1) seafood: such as scallops, white scallops, small dried fish, salmon, squid, oysters, oysters, etc., the purine content is very high, part of the seafood 100mg purine content to reach or even more than 1000mg.

(2) Meat: Beef, lamb, duck, chicken, pork, etc;

(3) Animal offal: duck liver, chicken liver, fat intestines, duck intestines, tripe, pig heart, etc;

(4) Legumes: black beans, soybeans, green beans, etc;

(5) Accompaniments: gravy, chicken essence, chicken broth, etc;

(6) Vegetables: asparagus, soybean sprouts, seaweed, shiitake mushrooms, etc.

(c) Fructose-rich beverages: Studies have found that long-term intake of fructose-rich beverages increases the incidence of gout. The juice of tropical fruits such as apples, pears and mangoes has a high content of fructose, and refreshing beverages such as carbonated beverages also have a high content of fructose.

(d) No smoking: Studies have shown that the risk of gout attacks is significantly higher in smokers compared to non-smokers, so it is best for gout patients to quit smoking.

It should be noted that, in addition to food affecting blood uric acid level, some medications also affect its metabolism, such as hydrochlorothiazide, small-dose aspirin (<325mg/day), etc., which need to be taken seriously. Of course, in addition to avoiding food, gout patients should also drink more water, and try to maintain a daily water intake of 2000ml or more, to promote uric acid excretion and reduce the incidence of gout.

Poor diet is one of the causes of gout. If you consume foods with high purine content for a long period of time, it can lead to a rise in uric acid levels, which can lead to gout.

Patients with gout need to limit their intake of high-purine foods to predominantly low-purine foods, and their purine intake should be limited to 150 milligrams during treatment.

Foods with a purine content of 150-1,000 milligrams are very high purine foods, such as liver, kidneys, and other animal offal, sardines, fish roe, crab roe, gumbo, and hot pot soup.

Foods with a purine content of 75-150 mg are high-purine foods, such as dried beans, shellfish, beef, duck, pork, etc.

Foods with a purine content of 30-75 mg are considered moderate purine foods, such as asparagus, string beans, kidney beans, cauliflower, spinach, peanuts, and other foods.

Foods that contain less than 30 mg of purines are low-purine foods, such as cheese, dairy, tofu, refined rice and noodles, corn, cabbage, carrots, eggplant, tomatoes and other foods.

But we should also note that although diet is one of the causes of gout attacks, but in order to prevent gout, you should not be too restrictive diet, gout is a disorder of purine metabolism in the body, so that the uric acid increase caused by primary gout occurs for unknown reasons or related to genetic factors. Secondary gout is related to certain metabolic diseases, tumors and the use of drugs, diet is only one of the triggers, in addition to diet, alcoholism, fatigue, irregular life and so on are also triggers, therefore, purely control the diet and ignore the other triggers can not prevent gout to occur or develop.

Usually we should pay attention to a reasonable diet, do not long-term large intake of high purine content of food, need to do a balanced diet, eat more vegetables and fruits, strengthen physical exercise, quit smoking and alcohol, regular sleep and so on.

Gout is caused by a disorder of protein metabolism and crystallization of uric acid, which is derived from purine-like substances.

So gout patients should reduce purine intake, purine-rich foods are: all kinds of animal offal, meat broth, bone marrow, fish, chicken, duck and goose, pigs, cows and sheep, in short, all kinds of meat, soy products and so on. Can not drink alcohol.

That's too much or let's talk about what you can eat, such as grains (rice, millet, barley, wheat, etc.), vegetables, and fruits.

If you want to get well soon from gout, go vegetarian. Eating meat will exacerbate the condition.

Keep your mouth shut and your legs open. Control your mouth 1. to prohibit seafood (especially shellfish) 2. animal offal (heart, liver, spleen, lungs and kidneys) this kind of meat purine content is particularly high. 3. Guangdong's unique old-flame soup (long time stewing soup will aggravate the precipitation of purine) 4. carbonated beverages (contains a large number of fructose, which can block uric acid in the urine excretion)

The most known and talked about contraindications for gout are the dietary contraindications, which I'm going to talk about as well, talking about not only eating, but involving drinking as well.

In addition to dietary contraindications, it is actually the contraindications of medications used to treat gout or other diseases that gout sufferers have to be concerned about, and that is the point of my answer to this question.

What are the dietary contraindications for people with high uric acid or gout?

Gout is a urate-depositing inflammatory disease caused by hereditary and/or acquired causes of decreased uric acid excretion and/or impaired purine metabolism.

Asymptomatic hyperuricemia means that the concentration of uric acid in the blood is higher than the normal range, which is a disorder of purine metabolism and a precursor manifestation of gout.

However, only 10% of people with hyperuricemia usually evolve into gout.

Previously it was believed that the intake of high purine foods was closely related to hyperuricemia and yongfeng. So limiting high-purine foods is a joint of dietary regulation for gout patients.

So what are the dietary contraindications for hyperuricemia patients and gout patients?

1. High purine food:

This question, cliché, simply put, is to control the intake of food containing high purine, do not understand can look up the answer of other teachers. Common high purine foods include seafood, broth, and animal offal. Not only is the intake of these foods associated with elevated blood uric acid levels, but studies have confirmed that they are also associated with triggers for recurrent gout attacks.

2. Alcoholic beverages:

I have always advocated that people with hyperuricemia and gout should not drink any alcohol. Not only beer, but also white wine, yellow wine, and even wine, which is partly considered to be good for the body, I do not recommend. Beer has the best risk of causing gout, and spirits are associated with gout.

Gout is not only related to the type of alcohol consumed, but also the amount of alcohol consumed. The higher the amount of alcohol consumed, the higher the risk, and it is also believed that alcohol is the leading cause of gout. In conclusion, both people with hyperuricemia and those with gout should avoid alcohol.

3. Drinks containing fructose or fructose syrup:

Fructose and fructose syrup, even though they are not purines, have uric acid as a product of their metabolism in the body, so they can lead to elevated uric acid levels.

Fructose accelerates purine nucleotide degradation and purine synthesis, thereby increasing blood uric acid levels.

Studies have confirmed that fructose intake greater than 200 grams per day, that fasting blood uric acid levels can be elevated by 6% to 24%.

That's why gout sufferers and people with high uric acid should stay away from beverages and instead drink more water (preferably active mineral water).

What are the drug contraindications for people with hyperuricemia and gout?

Most of the medications that cause hyperuricemia can cause gout attacks.

Therefore, gout medication, pay attention to the following drugs: beta-blockers. This type of drug, especially when used in combination with diuretics, decreases the blood flow of the kernels and the filtration rate of the glomeruli, thus reducing the excretion of uric acid and causing hyperuricemia.

Anti-tuberculosis drugs:

Anti-tuberculosis drugs, such as pyrazinamide and ethambutol, can cause hyperuricemia, due to the fact that these drugs and their metabolism compete with uric acid for the excretion pathway, reducing uric acid excretion and causing hyperuricemia.

Tumor chemotherapy drugs:

Tumor chemotherapeutic agents such as 6-mercaptopurine and azathioprine and their metabolites can be deposited in the renal tubules and affect uric acid excretion.

Immunosuppressants:

Immunosuppressants such as cyclosporine can cause hyperuricemia by causing disturbances in renal hemodynamics and affecting renal excretory function.

Niacin:

Niacin is a B vitamin and is used as an adjunctive treatment for dyslipidemia. This year's study concluded that elevated uric acid can occur when niacin is used in high doses.

Aspirin:

The effect of aspirin on uric acid metabolism is bidirectional.

It can cause uric acid retention when used in small doses and increase uric acid excretion when used in large doses.

Allopurinol:

The effect of allopurinol on uric acid is also bidirectional.

Used in small doses it can compete with uric acid for excretion channels, resulting in a decrease in blood uric acid excretion. And when used in high doses, it can reduce the production of uric acid.

Vitamin C:

Vitamin C is an acid, and when used in high doses, it can increase the amount of oxalate in the urine, which can cause hyperuricemia.

Pancreatic enzyme preparations:

Pancreatic enzyme preparations are extracted from animal livers. It contains a large number of purine components. People can develop hyperuricemia when consumed in large doses.

Glucose-lowering drugs:

Sulfonylurea hypoglycemic drugs such as glibenclamide, glimepiride, and gliclazide can affect the function of the kidneys and reduce the excretion of uric acid, thus elevating uric acid.

Biguanide glucose-lowering drugs cause lactic acid to accumulate in the body, which is a competition between lactic acid and uric acid for excretion pathways.

Insulin increases the reabsorption of uric acid by the kidneys, thereby increasing uric acid levels.

So people using the above glucose-lowering drugs for a long time can cause hyperuricemia inosine. Inosine is an intermediate product of purine, which can break down a large amount of uric acid after entering the body, thus causing hyperuricemia.

As you can see from the above analysis, many uric acid-lowering medications or medications for the treatment of other diseases, when used incorrectly, can also cause uric acid levels to rise, leading to hyperuricemia, which may trigger a gout attack.

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