The lifestyle habits of gout patients are very important to the control of the disease. Correct lifestyle habits are not only conducive to the long-term and stable control of gout, but will also reduce the number of acute attacks and the emergence of complications. Alcohol intake is positively correlated with the occurrence of gout, we do not recommend gout patients to drink alcohol, especially in acute attacks of gout patients need to strictly abstain from alcohol. However, if the condition is stabilized, alcohol can be consumed in moderation, but wine is preferred.The quality of daily life of gout patients is definitely reduced compared to the normal population, but it's not that you can't eat anything, you just have to pay attention to the amount and frequency. Alcohol (mainly white wine, beer and yellow wine) will stimulate the body to increase the synthesis of lactic acid, and inhibit the kidneys to uric acid discharge, but also directly increase the rate of purine synthesis in the body, causing an increase in purine, at the same time, beer and yellow wine in the process of fermentation will also produce a large number of purine, all these factors under the combination of factors will lead to an increase in the synthesis of uric acid, which will lead to an increase in the risk of acute attacks of gout.Wine also contains alcohol, and drinking a large amount of it is also not conducive to gout control. However, it is still controversial as to whether moderate consumption will increase the risk of gout attacks, and some researchers believe that moderate amounts of red wine do not increase the risk of gout. Therefore, from a comprehensive point of view, it is best for gout patients not to consume alcohol, and if they do, they should consume wine appropriately under the premise of satisfactory control of their condition, with a daily alcohol intake of no more than 25g for men and no more than 15g for women (equivalent to 145ml of 12-degree wine).I hope you pay attention to the diagnosis and treatment of gout, active formal treatment is the premise of controlling the condition, we have to start from our daily life, reasonable diet, regular exercise, quit smoking and limiting alcohol, controlling body weight, maintaining the mind and so on. Gout remission period should be actively lowering uric acid treatment, acute phase rapid anti-inflammatory pain relief is the main, should not lower uric acid treatment. Regular treatment can achieve long-term stable control of the condition after.

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First of all, I'd better answer the question of whether you can drink alcohol with gout.

The affirmative answer is: alcohol itself will lead to elevated blood uric acid, especially beer and yellow wine. Because beer and yellow wine itself is high purine food: the purine content of beer is around 80mg/100g, and the purine content of yellow wine is around 100mg/100g; all beer and yellow wine lead to elevated uric acid is understandable.

But white wine has a very low purine content of only 1-2mg/100g.And why does that lead to elevated uric acid?

Many previous studies have shown that the cause of alcohol-induced hyperuricemia is mainly related to two factors: 1. Reduced excretion of uric acid; alcohol metabolism in the body can become lactic acid, lactic acid can competitively inhibit uric acid excretion in the kidneys, which leads to a decrease in the excretion of uric acid from the urine, and an increase in the level of blood uric acid. 2. Alcohol can lead to an increase in the production of uric acid by increasing adenosine triphosphate degradation, which then ultimately lead to increased uric acid production.

All, white wine, beer and yellow wine (including home-brewed rice wine) are known to cause hyperuricemia.

So here's the question? Where's the red wine?

There are currently conflicting statements, with the 2016 Chinese Journal of Rheumatology's gout guidelines and the 2017 Chinese Journal of Internal Medicine's Multidisciplinary Expert Consensus on the Diagnosis and Treatment of Diseases Associated with Hyperuricemia in China. Neither gives an accurate answer to whether red wine can be drunk, but only tells that there is controversy.

As for Dr. Tien, he also collected a large amount of information and read some foreign literature. Organized a bit. Introduces 2 main literature.

Literature published in Lancet in 2004; Lancet, a journal, can be said to be the top of the top of the clinical medicine, like the Rolls-Royce of cars, whoever posts an article on it, can be blown for a lifetime. This article took 12 years to observe more than 40,000 people (note: at the time of enrollment and observation, more than 40,000 people had not yet had an attack of gout). The final conclusion was that the higher the alcohol intake, the higher the risk of gout. Both beer and spirits intake lead to a higher risk of gout, but not red wine.

What about 2014, published in AM J Med, which is also a good journal, equivalent to the level of the Passat and the Maiden in cars, I guess: the article looked at more than 700 patients with gout. It found that both white wine, beer and red wine increased the risk of gout flare-ups. Note that the article looked at people with gout.

There are a number of other articles that won't go into all of this. But the conclusion is actually relatively simple: for people who have not yet had an attack of gout, beer, liquor (wine) will certainly increase the risk of hyperuricemia and gout, but moderate amounts of red wine will not increase the risk of gout and hyperuricemia; for patients who have had an attack of gout, beer, liquor (wine), and red wine will increase the risk of an acute attack of gout.

So, for healthy people who drink some red wine, they certainly won't get gout; for those who already have gout, theIt's not a good idea to drink anything; of course, if you really need to drink socially, I personally recommend a wine bar.

Dr. Clove is here to answer that question.

First the answer: no.

Alcohol, as long as it's alcohol, whether it's beer, liquor or red wine, the main ingredient is alcohol, or ethanol.And ethanol slows down uric acid excretion, leading to a buildup of uric acid and inducing gout.

Simply put, drinking alcohol causes more uric acid to come in and less to go out, which can trigger or aggravate gout attacks. Therefore, patients with gout must stop drinking.

So what are the dietary principles for people with gout or hyperuricemia?

1. During the acute attack of gout, it is advisable to choose foods containing less purine, mainly milk and its products, eggs, vegetables, fruits and fine grains. In remission, moderate amount of purine-containing foods can be chosen, such as meat consumption of no more than 120 grams per day (about two and a half), especially do not eat too much in one meal. Foods high in purines, such as animal offal, sardines, and broths, should be avoided in both the acute and remission phases.

2, try to avoid eating some stimulating food, spices stimulating food can excite the vegetative nerve, can induce gout, such as strong alcohol, curry, mustard, ginger and other spicy stimulating food.

3, pay attention to food cooking methods choose reasonable cooking methods, can reduce the amount of purine in the food, reduce the incidence of gout disease, such as meat will be boiled first, discard the soup before cooking.

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Gout occurs on the basis of hyperuricemia, which is a disorder of uric acid metabolism, where too much is produced or too little is excreted, or both.

Uric acid is metabolized by the kidneys, and long-term high uric acid leads to accumulation of urate in joint tissues, gradual gout, and severe kidney function damage.

There are gout sufferers who most often have gout attacks of varying degrees the next day after drinking alcohol, so why can alcohol lead to increased uric acid levels?

Alcohol has the effect of promoting endogenous uric acid production, and it leads to the accumulation of lactate and ketone bodies, which competitively inhibit uric acid excretion. Therefore, heavy drinking often leads to a sudden rise in blood uric acid and induces an acute attack of gout.

Gout drinking! As if your blood sugar is already very high, you also keep eating sugar, in fact, uric acid in addition to cause gout, but also and hypertension, coronary heart disease can also cause stones, serious and also renal insufficiency, and the emergence of these diseases based on the state of persistent high uric acid.

The higher the uric acid level, then the greater the likelihood of complications, so it's better to love your body and not drink when you have a gout attack!

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Chinese people have a high consumption of alcohol, especially during the New Year festivals. For gout patients, most people understand that they cannot drink beer. Red wine in more people's understanding has some health benefits, for gout patients can drink red wine?

Red wine has been given various health benefits by the public because of its anthocyanins and resveratrol, but the relatively small amount of these nutrients can hardly change the presence of alcohol in red wine, which is, after all, not low in alcohol content.

In fact, gout patients are not suitable for drinking alcoholic beverages. The guanine nucleosides contained in liquor and beer are more easily absorbed by the body than other nucleosides and nucleotides, which makes it easier to cause gout attacks. What's more important is the alcohol contained in liquor, beer and red wine. Alcohol not only increases the formation of uric acid, but also can make the blood lactate concentration rise, inhibit the secretion of uric acid by the renal tubules, resulting in a decrease in the excretion of urine by the kidneys, causing gout patients to aggravate their condition.

For gout patients, quitting alcohol is imperative, even a small amount of alcohol can increase the amount of uric acid in the body, the best way is to quit drinking. At the same time, gout patients should also reduce the intake of purines in the diet to increase the amount of uric acid discharged.

Adults need to drink 1,700 milliliters of water per day, while according to the recommendations of the 2016 China Gout Diagnosis and Treatment Guidelines, gout patients only need to drink 2,000 milliliters of water per day, and only by consuming enough water can they increase the amount of uric acid excreted.

When it comes to choosing drinking water, plain water and light tea are both suitable for gout sufferers. Soda is also a very good choice for gout sufferers. This is because soda can alkalize the urine and increase the amount of uric acid excreted. Soda contains sodium bicarbonate, which is alkaline due to the presence of free bicarbonate ions in the water, which helps gout sufferers alkalize the urine and excrete uric acid.

If you have a good suggestion for this issue, you are welcome to leave a comment below!

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Many people believe that drinking some red wine in moderation is good for your health. In fact, for gout sufferers, not drinking alcohol is what is good for their health. There are many studies that have found that any type of alcohol, including red wine, increases the risk of gout; even in small amounts.

There are multiple reasons why drinking alcohol increases the risk of gout:

1, alcohol metabolism in the body will quickly consume energy, increase the generation of uric acid in the body, and uric acid crystallization in the joints, kidneys, is the culprit of arthritis, gout stones.

2, alcohol metabolism in the body will also generate lactic acid, lactic acid will inhibit the kidneys to excrete uric acid, resulting in the accumulation of uric acid.

3, alcoholic beverages contain a certain amount of purine, purine will be metabolized in the body to generate uric acid.

Therefore, gout patients should strictly limit their alcohol consumption. Gout patients who have the habit of drinking alcohol should gradually stop drinking under the supervision of their family members and friends. For gout patients, the best drink is water. Drinking sufficient amount of water can promote the elimination of uric acid.

According to the 2016 China Gout Diagnosis and Treatment Guidelines, gout patients drink more than 2,000 milliliters of water a day to help uric acid excretion.

Dr. Ma's Health Mission Master Student Choi Ho

For gout patients, in the confirmation of gout, the doctor's advice must be so, that is, not to drink alcohol, because on the alcohol itself will make the blood uric acid rise. But the nature of red wine is alkaline, gout patients, although it is not recommended to eat

Acidic food, but alkaline food can be eaten, red wine, gout patients can be appropriate to drink, but still to the doctor's advice is based on the physical quality of each patient is different, for can drink red wine or to check the body before making a decision more appropriate, to prevent after drinking red wine leads to an attack of gout, gout pain only the patient will feel the power of it.

In addition, the amount of red wine can not be more, after all, red wine is also wine, also contains alcohol, alcohol in the wine in the body of the metabolite is lactic acid, lactic acid will inhibit the discharge of uric acid, resulting in elevated uric acid, uric acid is easy to lead to an attack of gout, gout itself is because of the body of the metabolic disorders of uric acid triggered by the gout.

Gout patients are not allowed to drink, the advice is to stop drinking, in the alcohol, beer can be said to be the highest purine content of wine, followed by white wine, yellow wine, and other wines, where alcohol, are not recommended to patients to drink. And most of the gout patients are middle-aged men, so to restrain themselves, do not take a chance, now there will be a lot of gout patients were not attacked during the drinking, immediately after going to the hospital to stop the pain.

In addition to not drinking alcohol, but also pay attention to the intake of purine, avoid eating high purine food in daily life, you can drink more water, pay attention to exercise, do not over fatigue.

Instructor: Jingjing Ren, Attending Physician, Department of Rheumatology and Nephrology, Rizhao Hospital of Traditional Chinese Medicine.

She specializes in the diagnosis and treatment of rheumatoid arthritis, gout, systemic lupus erythematosus, spondyloarthropathies, dry syndrome, and systemic sclerosis.

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My answer: it's best not to drink it.

Gout is monosodium urate deposition in the bones and joints, kidneys and subcutaneous and other parts of the body, triggered by acute and chronic inflammation and tissue damage, and purine metabolism disorders and uric acid excretion due to the reduction of hyperuricemia is directly related. Therefore, the formation of gout is only the two reasons of increased uric acid production and decreased uric acid excretion.

So why can't you drink red wine?

In fact, gout patients are best not to drink any alcohol, which of course includes red wine. The reason is that alcohol can lead to an increase in uric acid production, the main principle is that alcohol can increase the degradation of adenosine triphosphate, which in turn leads to an increase in uric acid production. Secondly, alcohol metabolism in the body can become lactic acid, and lactic acid can competitively inhibit the excretion of uric acid in the kidneys, resulting in a decrease in the excretion of uric acid from the urine, the blood uric acid level increases. In this way, the principle of alcohol metabolism just promote the deposition of uric acid in the body and reduce the excretion of uric acid, so for gout patients, or do not drink. Several kinds of alcohol, especially beer, because beer metabolism after the production of purine is higher, the content of about 80mg/100g. White wine is around 1-2mg/100g.

As for red wine, the claims are not quite uniform, and the 2016 gout guidelines don't even give a precise answer as to whether or not red wine can be consumed, only telling that there is controversy. The guidelines point to studies showing that any type of alcohol, including red wine, is associated with an increased risk of acute gout attacks, but also point to studies reporting that moderate amounts of red wine do not increase blood uric acid levels. In view of the fact that there is no definitive research results to tell us that gout can definitely drink red wine, I still advise the majority of gout patients, or do not drink alcohol, including red wine, after all, the body is their own, although alcohol can solve the momentary pleasure, but after drinking gout flare-ups when the pain and suffering is estimated to make you carved in your bones, right?

Finally, it is important to emphasize that for people with high uric acid or gout should remember to adopt a low purine diet. Animal offal, seafood, broth, and some beans are high in purines and should be avoided. All kinds of cereals, most vegetables, fruits, milk, eggs, etc. contain the least purine, should eat more. Usually, we should quit smoking and drinking, drink more water, pay attention to rest, avoid overwork, appropriate exercise.

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

Alcohol is not recommended for gout sufferers, so red wine is not recommended for gout sufferers either.

Alcohol consumption increases the activity of PRPP synthase (ribulose-5-phosphate-1-pyrophosphate synthase) in our body and increases the production of uric acid. Alcohol can also cause the accumulation of lactic acid in the body, which has a competitive inhibitory effect on the excretion of uric acid by the renal tubules, which can increase the blood uric acid drastically and induce an acute attack of gout.

Moreover, epidemiological studies have concluded that serum uric acid values are highly positively correlated with alcohol consumption, probably due to the rapid consumption of energy ATP during metabolism of ethanol, which increases uric acid production; lactic acid produced by the metabolism of ethanol inhibits renal excretion of uric acid; in addition, alcoholic beverages also contain purines, which are metabolized in the body to produce uric acid, and so on.

Therefore, it is better for gout patients to quit drinking alcohol as soon as possible for the sake of their health. Even if you do not have an attack of gout now, but try not to drink alcohol. Some studies have shown that although most patients in the hyperuricemia population are in an asymptomatic state, a large number of studies in recent years have shown thatAsymptomatic hyperuricemia not only contributes to the development of kidney disease, but can exacerbate pre-existing kidney damage and increase the risk of developing kidney failure by 3-10 times.

If you have any questions, you can leave them in the comments section and I'll respond when I see them.

The above answer is provided by Ms. Song Mingyue, a registered dietitian of MicroSugar

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People with gout can not drink beer, beer not only contains high purine, increase uric acid formation, but also inhibit uric acid excretion. Therefore, people with gout or high uric acid can not drink beer. And drinking on an empty stomach may lead to gout at one time.

However, people with gout can drink some red wine in small amounts. Red wine is rich in antioxidants and is an alkaline food that neutralizes uric acid and reduces gout. So you can drink red wine in small amounts.

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