What food can gout sufferers eat and have an immediate attack?
What food can gout sufferers eat and have an immediate attack?
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goutIt is a disease caused by impaired purine metabolism and the constant accumulation of uric acid in the body. Redness, swelling, heat and pain appear in the attack area of the joints, and the pain usually occurs in the middle of the night, which can make people wake up with pain, and the performance is exceptionally painful. When you have gout, you should always pay attention to your diet, and if you are not careful, you will break out again. So what foods gout patients eat too much, easy to trigger an acute attack of gout?
Let's take a look at this table:
From the table we can see that dried small fish has the highest purine content, bean sprouts, broth, seafood, animal offal and other purine content is also very high, when we eat more of these foods, gout may suddenly attack. Because these high-purine foods can make the blood uric acid increase rapidly, when the uric acid reaches saturation, it can no longer dissolve, but in the form of sodium salts, form crystals, and accumulate in the joints, cartilage, kidneys, causing tissue redness, swelling and pain. Gout patients must remember these foods by heart, and it is best not to touch them.
Some patients pay close attention to their diet, never touch alcohol, drink a lot of water, high purine food never eat, or suddenly have a seizure, in fact, there is still a reason. I will give you two examples.
A gout patient with a 5-year history and uric acid that had been well controlled liked to drink strong coffee at work for a pick-me-up. After a gathering of friends, drinking a large amount of coffee, resulting in another attack of gout at night. Therefore, like strong tea, strong coffee, after eating a certain amount of high-purine food, drink as little as possible, because they can excite the nerves, in a short period of time, increase the uric acid content of the blood, resulting in an acute attack of gout and aggravation of the condition.
Another patient, who had good uric acid control, bought a bottle of seafood sauce that day and ate a small half bottle at dinner when it felt good. Gout attack in the middle of the night, the pain is unbearable. Usually seafood sauce, mushroom sauce and other condiments, are concentrated, boiled and made, purine content are very high, can quickly increase the uric acid content, so that gout attack.
There are many other high purine foods in our lives, so when you buy them, screen them more, look at the food ingredients, and when you drink them, you can't go for more because they taste delicious.Remember: Keep your "imports" in check, and your gout will be half as bad.
Gout, like high blood pressure and diabetes, is a lifelong disease. Maintaining a healthy mindset, following your doctor's instructions, and practicing good lifestyle habits can reduce the number of gout attacks and actively prevent and treat complications.
I wish gout sufferers a speedy recovery! Have a healthy, happy and prosperous life!
The excruciating pain of a gout attack often leaves the patient with nothing to do and no way to get better, thus most patients opt for medication to alleviate the condition. In addition to the help of medication, diet is also the key in gout disease. Part of the food on the gout has the role of relief, prevention, at the same time part of the food is the gout disease "nemesis", is the gout patients taboo. So, what are these "nemesis" foods? If the patient accidentally ingested whether it will immediately cause gout appear?
What foods can gout sufferers eat and then have a gout attack?
I. Seafood
Lobster, sardines, hairy crabs, etc. are common seafood, although it is delicious, but because of the high purine content, intake will make the body purine content significantly higher, resulting in an increase in uric acid synthesis, the level of uric acid rises sharply, thus triggering acute gout. Therefore, gout patients, regardless of whether there is no morbidity, should not eat seafood.
II. Foods high in sugar
Cakes, ice cream, drinks and other foods rich in sugar, especially those with high fructose content, are highly susceptible to triggering the development of gout. Due to the metabolism of sugar in the body, ATP will be decomposed to generate purine, purine further metabolism into uric acid, uric acid levels significantly higher, thus leading to acute recurrence of gout.
III. High-fat foods
High fat food fat content is extremely high, easy to lead to the accumulation of body fat and cause obesity, obesity will make the body insulin resistance and increase the reabsorption of anions, uric acid levels are prone to a sharp rise. At the same time, obesity will also cause many kidney diseases, seriously affect the excretion of uric acid, resulting in an imbalance in the level of uric acid, gout symptoms immediately appear. Therefore, gout patients on high-fat greasy food, remember to avoid. At the same time in the daytime should pay attention to the management of body shape and weight control, in order to better avoid the recurrence of gout.
IV. Soup food
Some animal soup such as chicken soup, fish soup, pork chop soup, has a good tonic effect, is conducive to the body's nutrient supplementation, but for gout patients, this kind of soup but the role of all lost. Because of the soup in a large number of purine components will lead to purine metabolism to strengthen the function, the level of uric acid imbalance, thus triggering gout.
V. Alcohol
Alcohol is also a very high purine content drink, excessive drinking will increase the level of purine metabolism in the body, promote the production of blood uric acid, which in turn induces gout. Even if the purine content is low in alcohol, after drinking will make gout recurrence rate increased, so patients should not drink too much alcohol, greedy cup will only bring great pain to the body, especially not worth it.
Diet and gout are closely related, so gout sufferers should pay more attention to their diets on weekdays, and should be firm in their beliefs about some of the forbidden foods and resist temptation, so as not to attract diseases for the sake of a moment's deliciousness, leading to unnecessary pain.
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Gout has been a very common metabolic disease, whether it is forty or fifty years old, or twenty or thirty years old young people, suffering from gout more and more likely, and gradually showing a trend of rejuvenation. Gout onset sometimes without warning, it will be in your daytime work, walking, and even at night when you sleep without warning, so that you drill heart and lung pain, and some food, gout patients accidentally eat, there is a great likelihood that the attack on the hair.
What foods do you eat to get an immediate attack of gout?
This is not necessarily true, everyone is different, some people can't eat barbecue with beer, some people can't eat seafood with soybeans, in general, there are two types of food that people with gout do have a high chance of having an attack when they eat them, one is food with a high protein content, and the other is food with a high purine content.
There are many foods that are high in protein, like eggs, beans, fatty meats, nuts, etc., and we need to try to avoid them, or if you're not too sure, get your own food planner.
As for foods with high purine content, the commonly recognized ones are seafood, animal offal, barbecue, and thick soups. For example, seafood, purine content per 100g are more than 150mg, belong to the middle and high purine content, gout people need to avoid.
What else can people with gout eat?
One of gout is to lower uric acid, and the other is to relieve the pain caused by gout, so the common doctor's advice is that they will take drugs to relieve the pain of gout first, like colchicine tablets, etc., and after the pain has been relieved, then they will take drugs to solve the problem of lowering uric acid. This kind of treatment belongs to conservative treatment, although it can have some effect, but these drugs taken too much will easily lead to the loss of kidneys, in the case of gout is not completely cured, but easy to cause the occurrence of kidney disease.
Chicory Gardenia Complex
It is better to use some food or food fermentation liquid which has the effect of lowering uric acid to lower acid, especially chicory, gardenia, or chicory and gardenia compound bacteria. Chicory in lowering uric acid at the same time can also diuretic swelling, promote uric acid excretion, care kidney; And gardenia has relieve gout pain, clearing heat diuretic, dissolve uric acid crystallization effect.
Adhere to the dietary therapy to improve gout, even if the gout symptoms have been no longer attack, also should continue to drink chicory gardenia complex bacteria for conditioning, often some patients with gout symptoms recurring, is because see a little bit of effect on the start to stop taking medicine, lead to gout again attack, symptoms again aggravate, some even affect the normal excretion function of the kidneys.
Hello subject! Your question is "what food can make gout sufferers have an attack immediately after eating it". If there is such a thing as a food that makes gout flare up immediately, how bad does it have to be?"acute poison"Huh? Personally, I don't think there are any foods that will cause a patient to have a gout attack as soon as they eat them, but there are high-risk foods that cause gout attacks and people who are at high risk for gout. Try the reasons below:
1. Primary and secondary gout: A slight distinction between gout isPrimary or secondaryPrimary. Primary is inborn purine metabolism disorder or (and) uric acid excretion disorder, that is to say, most of them are defective problems brought in the mother's womb; secondary is secondary to other diseases, that is, in addition to the symptoms of gout, there are other diseases, such as bone marrow disease, kidney disease. Primary gout refers to "purine" and "uric acid", in the human body purine oxidation into uric acid, which means thatpurine-heavyThe foods are easy to eat for gout. Purine high foods are:Seafood, meat and offal, poultry. Therefore, people who usually love to eat birds and animals, big fish and meat, and go down the drain are at high risk of gout. Secondary gout mentions bone marrow disease, kidney disease, and thereforeMyelopathy, kidney disease, long-term medicationof people are at high risk for gout.
2、Gouty arthritis: Take acute gouty arthritis as an example, this kind of arthritis hurts like hell, mainly due to the diet caused by the body's uric acid is too high, can't be metabolized in time, forming aUrate crystallizationIn the joint space with the synovium. There's a process."Food → body → uric acid → urate crystals → deposition in joint space and synovium"It is not possible to have an "immediate attack" from the time food is eaten by the mouth to the time urate is deposited. Why is it that some people with severe gouty joint pain tell their doctors that they drank a lot of beer last night, thinking that they had a gouty attack right after drinking beer? In fact, when asked about past history, the patient is addicted to alcohol, drinking beer is not a day or two days, has been n days, n months, n years, in essence, is a long time the urate crystals have time to be deposited into the joint space, one day!quantitative change to qualitative changeIt's the arthritis that triggers the severe pain.
To summarize, the questioner asked "what food gout sufferers will have an attack immediately after eating", I personally think that there is no such food, but there areFoods at high risk of causing gout attacks. In particularPeople at high risk for gout with bone marrow disease, kidney disease, and long term medicationsIf you eat high purine foods, you will be very prone to gout attacks.
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Gout patients can be said to be suffering, want to eat not be able to eat, eat an attack and will die of pain. So what foods are gout patients can not eat, a bad thing to eat?
Gout patients should not eat high purine food, after eating high purine food, the purine content inside the body is elevated, it will cause uric acid synthesis becomes more, uric acid is elevated, gout will appear.
High purine food, the most common is seafood and animal liver. The seemingly delicious seafood meal can be a poison for gout patients, whether or not they are in a flare-up state, gout patients are not suitable for eating seafood.
Aside from seafood and liver, foods high in sugar are also poison for gout sufferers. This is because sugar is metabolized to produce purines, which are then converted to uric acid, leading to recurrence or aggravation of gout. There are also alcohol and fatty foods that are not suitable for gout sufferers. In short, if you have gout, you should honestly eat a light diet!
Thanks for the invitation! Gout disease, is a lifelong disease, patients can experience asymptomatic period - acute arthritis period - gout stone, chronic arthritis period - kidney damage period. Especially in the acute and chronic arthritis period, patients are very painful, midnight or early morning, tear-like, bite-like, knife-like pain, tormented patients both physically and mentally!
Like many diseases, except for secondary gout (e.g., impaired renal excretion of uric acid), the etiology and pathogenesis of most gout patients are unclear, and are currently thought to be related to genetics, geography, dietary habits, etc. The physical and chemical examination of gout is characterized by hyperuricemia, and the biochemical basis is purine metabolism disorder. It is worth pointing out that hyperuricemia to gout, often through several years or decades, some patients may not show gout symptoms throughout their lives. When manifested as gouty arthritis, the general treatment is based on non-steroidal anti-inflammatory drugs and hormonal drugs; in remission, it can inhibit the formation of uric acid, promote the excretion of uric acid, alkalinization of urine and so on (such as phenylbrommarone, allopurinol, sodium bicarbonate, etc.). Overall, only symptomatic treatment.
The dietary factors that the owner asks about are important and critical! Although 80% of the body's uric acid from endogenous purine metabolism, 20% from purine-rich or nucleic acid protein food; but this 20% of dietary factors, often hyperuricemia evolved into gout "catalyst", but also gout patients repeated aggravation of the symptoms of the "tumor! The dietary factor is often the "killer" of hyperuricemia and the "tumor" of gout patients' symptoms! Therefore, if the checkup found high uric acid, has been diagnosed as hyperuricemia, gout patients and other people, for what to eat, you have to grow a mind, not until the symptoms, or regret are too late! High purine foods are: animal offal, soy products, fish, seafood, meat, etc., must be able to resist temptation! Grains and cereals, vegetables and fruits, eggs, dairy purine lower, which is your staple food!
Patients with hyperuricemia and gout, must pay attention to their diet, you can go to the nutrition department of the hospital to get a whole list of dietary recommendations. If you are not a little careful, the pain is your own!
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Gout itself is caused by high uric acid deposits in the joints. The uric acid in the body can not be eliminated, food intake and generate new uric acid, so the formation of a vicious circle, then the symptoms of gout will only aggravate, the frequency of attacks will only be accelerated. Purine food is the main culprit of uric acid production. Gout patients body metabolism purine ability to reduce, purine can not be excreted out of the body so the body uric acid increase.
There are a lot of high purine foods in our daily life such as offal, seafood products, meat products, legumes, hot pot soup, high sugar drinks, high fat foods and so on. Alcohol should be prohibited, especially beer. Because alcohol can accelerate the formation of urate crystals leading to joint inflammation, accelerating gout attacks.
What foods can make gout flare up right after consumption? This varies from person to person, everyone has different tolerance and metabolism level in the body. Some of my friends had an attack immediately after eating animal offal; some had an attack after drinking beer; some had an attack after eating hot pot; and the least common one had an attack immediately after eating spinach. (Attach a food purine content table)
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Thanks for the invitation. This is a question that is often asked by patients. To clarify this question I'm going to go along with a little bit of science about gout.
What is gout?
Gout is an associated arthropathy due to deposition of monosodium urate, which is closely related to disturbances in purine metabolism and decreased uric acid metabolism in the body. It mainly includes acute exacerbation arthritis, gout stone formation, gout stone chronic arthritis, urate nephropathy and uric acid urinary stones, and in severe cases, joint disability and renal insufficiency may occur.
Causes of Gout
Many of the causes of gout are currently unknown, and the predominant biochemical basis is hyperuricemia. Any cause of uric acid accumulation in the body can lead to gout. It can be categorized into primary and secondary gout. Primary gout: the etiology is currently unknown, mostly related to heredity, mainly purine metabolism disorders. Secondary gout: mostly secondary to other diseases or drugs, such as myeloproliferative diseases such as leukemia, lymphoma, multiple myeloma, erythrocytosis, hemolytic anemia and cancer can lead to accelerated cell proliferation, so that the nucleic acid conversion increases, resulting in increased production of uric acid.
Stages and clinical manifestations of gout
Gout can be categorized into four phases, i.e., asymptomatic hyperuricemia phase, acute phase, intermittent phase, and chronic phase.
Acute phase: most patients wake up with joint pain late at night, with progressive worsening of pain, redness, swelling, heat, pain and functional limitation of the affected joints and surrounding tissues.
Intermittent period: gout attack lasts for several days to several weeks after the attack can be relieved on its own, generally no obvious sequelae, or left local skin pigmentation, flaking and itching, etc., and then enter the asymptomatic intermittent period, which lasts for months, years or more than a decade after the recurrence of gout, the majority of patients recurring within 1 year, more and more often, more and more joints are involved, and the duration of the symptoms is getting longer and longer.
Chronic phase: subcutaneous gout stone formation is the most characteristic manifestation of the chronic phase, which is mainly the result of a large number of monosodium urate crystals deposited in the subcutaneous, synovial membrane, cartilage, bone and periarticular soft tissues. It can lead to joint deformation or deformity.
Kidney lesion stage: Prolonged deposition of uric acid in the kidneys can lead to renal insufficiency and uric acid kidney stones.
So what foods should gout sufferers watch out for?
High purine foods that are contraindicated include
(1) Legumes and some vegetables: soybeans, fava beans, spinach, mushrooms, etc.
(2) Meat: Animal offal including liver, kidneys, tripe, intestines, and broth, etc.
(3) Aquatic products: fish, shrimp, shellfish, etc.
(4) Liquor: All kinds of liquor, especially beer.
All these four types of food are contraindicated for gout sufferers.
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Patients in the clinic also often ask, "What foods can't I eat? I got gout after eating so-and-so food. Each patient is different and varied. Gout is a disease caused by purine metabolism disorder, hyperuricemia is the root. In general, purine intake during gouty arthritis flare-ups should not exceed 100mg/day, so high-purine foods are not recommended. Alcohol, animal offal, seafood and so on. There is no that food eaten immediately attack, even if it happens to attack, is often "the last straw that breaks the camel's back". Gout patients can also summarize the characteristics of their own attacks, as far as possible to avoid certain triggers. At the same time, once the gout attack as much as possible in a timely manner specialist outpatient consultation. (Original)
I'm a rheumatologist who shares my experience and medical tips to help those in need.
Thank you very much for your question, although it makes me puzzled why I want gout to attack right away, but I'm still very happy to answer it for you. First of all, if you want to know what a gout sufferer will have an attack immediately after eating, you need to know what can cause gout. Gout is a purine biosynthesis due to increased metabolism, uric acid produced too much or due to poor uric acid excretion of uric acid in the blood, urate crystals deposited in the synovial membrane of the joints, bursa, cartilage and other tissues caused by recurrent inflammatory diseases.
So if you want a gout attack, there are two ways to do it, first increase purine intake and second limit uric acid elimination. Of course, if both go hand in hand, the gout attack will be faster.
I believe that alcohol is the first choice. Alcohol tends to make the body lactic acid accumulation, the uric acid discharge has an inhibitory effect, can easily induce gout. The ability of white wine to induce gout is higher than beer! White wine has a high alcohol content, which can induce neutrophil chemotaxis, reduce uric acid elimination, and induce gouty attacks.
Next is seafood, which is one of the foods with the highest purine content, including sardines, anchovies, small shrimps and crustaceans (oysters, shellfish, etc.); the highest content is found in okonomiyaki, which contains 25.9355.4mg of purine per gram.
If you want to have a quick attack right away, then drink white wine and eat okonomiyaki. Finally, it is still necessary to remind, gout is a lifelong disease, no kidney function damage or joint deformity of people with effective treatment can generally maintain normal life and work, not to mention the impact on life expectancy. However, if the treatment is not appropriate, the recurrence of acute arthritis can cause greater pain. The quality of life of those with joint deformity and nephrolithiasis will be affected to a certain extent. The prognosis is worse for those with serious kidney function damage. So I urge you to cherish your body.
I hope the above answer can help you.
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