Hello, I'm Dr. Qiao Fang from the Rheumatology and Immunology Department, formerly a general practitioner at the Sichuan Provincial People's Hospital. Let me answer this question.

Yesterday, Dr. Qiao, the first day of work after the Spring Festival, received six gout patients. Lao Zhang is one of the representative patients, he lives in Chengdu Wenjiang, 3 days ago in the online appointment number, early yesterday morning will take a taxi to the hall queuing up.

54-year-old Zhang 170 or so tall at least 170 pounds, waiting area to my clinic about 10 meters away, one-legged jumped into the clinic after the head covered with beads of sweat: "Doctors, you quickly give a look, look, my legs are swollen into what kind of. It's killing me!"

"How did you spend New Year's Eve, what did you eat, what did you do?" I asked him about his condition while taking notes.

"Years ago and friends get together to drink beer drunk once, the next few days at home, New Year's Day are drinking white wine, others brought back Maotai wine does drink up comfort, of course, chicken, duck, fish and meat those are not abstaining from; and, I played mahjong side on the side of the unconscious eat a lot of sweets, melon seeds, nuts, thirsty to drink beverages. By the morning of the fifth day of the foot on the severe pain up ......"

"Gout", it's not an unfamiliar word, modern people have heard of it. Compared to the past, the incidence of gout is also rising and getting younger. On the one hand, it is related to the increased awareness of doctors and patients, and on the other hand, it is really related to the improvement of people's living standard and the abundance of material food.

After the holidays, the number of gout patients seen in major hospitals will increase significantly.

The relationship between food and uric acid, gout attacks

Long-term "high" uric acid in the blood is a prerequisite for a gout attack, not a necessary cause and effect.The higher the level of uric acid, the higher the likelihood of gout; but there are also people who have had hyperuricemia all their lives, but did not have a gouty attack, so it is said that high uric acid is a prerequisite for a gouty attack, rather than saying that high uric acid will definitely have a gouty attack, inevitably a gouty attack.

The main sources of uric acid in the body come from these two sources:

1. Synthesized from amino acids, nucleotides and other small molecule compounds in the body and metabolized by nucleic acid catabolism are endogenous, accounting for about 80% of total uric acid in the body.
2. Those from foods rich in purines or nucleoproteins are exogenous and account for about 20% of the uric acid in the body;

Although exogenous purine metabolism (food) accounts for only 20% of the total uric acid pool, and the occurrence of hyperuricemia is indeed endogenous purine metabolism disorders are more important than exogenous, but exogenous purine metabolism (food) on the rise of uric acid, gout incidence enhancement role can not be ignored. Long-term high-purine, high-fat, high-sugar, high-protein diet structure, "quantitative changes cause qualitative changes", dietary reasons become the main triggering factors of gout attacks in a few patients.

Foods low in purines, fat and sugar - best foods to lower uric acid

In terms of importance, you can even consider diet control as a therapy.

Gout patients who are able to reduce the intake of purines contained in food can play a role in the relief of gout. Dietary control is one of the most basic therapeutic measures for gout patients but should not be used as the mainstay of gout treatment. Endogenous uric acid is left to drug therapy to intervene, while exogenous uric acid is regulated by dietary control. Diet control is the first step in gout treatment, the foundation of other treatments, and a lifestyle that needs to be implemented for the rest of the gout patient's life.

• In dietary control, the primary focus is on the purine content of foods; lower purine content reduces daily exogenous uric acid supplementation.
• Secondly, pay attention to the fat content of food, fat has the role of restricting uric acid discharge, gout patients should minimize the consumption of fried and pan-fried food as well as fatty meat, and try to do without. Intake of fat is also best to plant-based fat oils, like soybean oil, peanut oil, corn oil, etc. can be appropriate to consume, it is best not to consume animal-based fat oils.
• Finally, focus on the sugar content, sugar decomposition after the formation of fructose will promote the synthesis of uric acid in the body, should try to eat less or do not eat, this point in the selection of fruits should be taken into account.

By focusing on the three elements of low purine, low fat, and low sugar, Dr. Joe selected 3 best choices for lowering uric acid in each of meat, vegetables, staple foods, and fruits.

I. Meat and fish - pig's blood, cinnamon fish, pig skin

Pig blood: 11.8mg/100g;

Guppy: 24mg/100g;

Pork skin: 29.8mg/100g;

Usually eat more pig's blood, pig skin purine content is very low, and cheap and easy to get, but eat pig skin, pay attention to the connection of the fat meat removed clean. And cinnamon fish, can be a good supplement to the human body necessary high-quality protein.

II. Vegetables - winter melon, tomato, radish

Winter melon: 2.8mg/100g;

Tomato: 4.2mg/100g;

Radish: 7.5mg/100g;

Winter melon, radish is not only very low purine content, and high water content, can be in the process of eating a portion of water, is conducive to the elimination of uric acid; tomatoes are rich in vitamin C, the latest research says: supplementation of adequate amounts of vitamin C can reduce the number of gout attacks, but also can improve immunity.

In addition to these three, a variety of common vegetables such as pumpkin, onion, gourd, cucumber, amaranth and others are good choices for lowering uric acid.However, the following types of vegetables are high in purine content and must be watched out for:

1 Pea tips (bean sprouts): 500mg/100g;

2 Asparagus: 500mg/100g;

3 Soybean sprouts: 500mg/100g;

4 Nori: 274mg/100g;

5 Shiitake mushroom: 214mg/100g;

6 Mung bean sprouts: 166mg/100g;

7 Kelp: 96.6mg/100g;

III. Staple foods - milk, eggs, potatoes

Milk: 1.4mg/100g;

Eggs (eggs): about 3mg/100g;

Potato: 3.6mg/100g;

Milk, eggs purine content is very low, but can supplement the body's daily necessary high-quality protein, calcium and other minerals and vitamins; and potatoes contain carbohydrates, can be very good to provide energy, in layman's terms is full.

IV. Fruits - apricot, pomegranate, pineapple

Apricot: 0.1mg/100g;

Pomegranate: 0.8mg/100g;

Pineapple: 0.9mg/100g;

In addition, common apples, pears, watermelons, peaches, loquats, oranges, tangerines, plums, small tomatoes, and large cherries (Chelsea) are relatively low in purines and can be safely consumed. However, sugar cane is extremely high in sugar content and is not suitable for gout sufferers. Some improved varieties of fruits with much elevated sugar content and good taste are not recommended for excessive consumption by gout sufferers.

V. Water

To get a low concentration of uric acid in the blood, either you have to get less uric acid into the bloodstream each day (low purine diet) or you have to maintain a high rate of uric acid excretion. To achieve the latter, it is essential to drink a sufficient amount of water every day. It is recommended that gout patients (except those with severe cardiac insufficiency, severe renal insufficiency, and obvious edema) drink up to 3,000 ml of water per day, plain water, light tea, and coffee in moderation are all acceptable, and alkaline ionized water such as soda water is even better. When the urine pH in 6.5 ~ 7, uric acid can become soluble urate, solubility increased by 10 times, able to take away more amounts of uric acid in urination.

There's something to be said for drinking water:

1. Develop the habit of drinking water on your own initiative. Don't wait for thirst to drink water, don't drink without thirst, and binge drink when drinking, which is unfavorable to the control of the disease. Because thirst is the brain's information feedback on the state of water shortage in the body, thirst before drinking water, the main solution is to replenish the body's water shortage, and thus less effective in promoting the excretion of uric acid.
2. The best time to drink water is during breakfast, midday meal, and 45 minutes after dinner until bedtime. Do not drink water within half an hour before a meal, or immediately after a meal, as this will dilute gastric juices and affect the digestion and absorption of food. You can usually drink 500 milliliters of water in the morning right after waking up and brushing your teeth. Pay attention to drinking the right amount of water every 2 to 3 hours during the day.

Low purine diet can not "do too much", it is recommended that according to the blood uric acid level of the time to suit the adjustment

Diet control is considered the biggest problem faced by many gout patients, because of this, many gout patients are cautious about eating, this also dare not eat, that also dare not eat, the result is not only weaker and weaker, gout symptoms have not seen any improvement, the root of the problem is that the diet control is too harsh.

Because some patients emphasize dietary control, only dare to eat every day according to the table of food purine content of the lowest several kinds of food over and over again, resulting in insufficient supply of nutrients, protein intake imbalance, and promote protein catabolism and metabolism accelerated, resulting in a large number of endogenous uric acid production, but instead of serum uric acid level increases and aggravate the condition.

The right thing to do is to test your blood uric acid value regularly and always adjust your diet according to the level of uric acid value.In the acute attack of gout should be strictly restricted diet, eat foods containing less purine, the daily intake of purine content should not exceed 100 to 150 mg; in the gout remission period can be appropriately relaxed some (but never unrestrained), which is the key to the success of dietary treatment.

Dietary control has limited effect in lowering uric acid, and these five conditions should be treated directly

A low purine diet can reduce blood uric acid concentration by an average of 60umol/L. Together with a healthy lifestyle of low fat, low sugar, low salt, low calories, drinking plenty of water, restricting alcohol, reasonable exercise, and controlling body weight, blood uric acid levels can be lowered by an average of 60-120umol/L. However, a healthy lifestyle represented by a low purine diet is not a substitute for uric acid-lowering therapy.

Pharmacologic uric acid-lowering therapy is needed when the following conditions are present:

1. History of acute gout attacks. An acute attack of gout is evidence of the presence of urate crystal deposits in the joints and surrounding tissues, and the presence of urate crystal deposits is evidence of slowly progressive bone erosion. Bone erosion is slow but irreversible and uric acid levels must be lowered immediately to dissolve it. In addition, the longer the time of deposition of urate crystals, the more dead cells are encapsulated, the more fibrous connective tissue covers them, and the more layers of encapsulation, the more difficult it is to dissolve them at a later stage.

2. Family history of gout or urinary tract stones. Don't hesitate, you are the susceptible, high-risk group.

3. 24-hour urinary uric acid excretion > 6.55 mmol (1100.0 mg). This indicator needs to be judged after professional testing.

4. After non-pharmacological treatments including diet control for 3-6 months, discontinuation of medications affecting blood uric acid, and drinking plenty of water, blood uric acid is still higher than 540umol/L, which is much higher than the maximal solubility of blood uric acid of 420umol/L. Urate will continue to be deposited, and there is a high risk of gouty attacks.

5. Blood uric acid level >480umol/L with cardiovascular risk factors (hypertension, diabetes mellitus and other cardiovascular diseases). Hyperuricemia and hypertension, diabetes mellitus and hyperlipidemia are all metabolic syndromes that can easily affect each other, exacerbate the progression of the disease, and increase the risk of cardiovascular and cerebrovascular disease.

summarize

To summarize diet and lowering uric acid in the shortest possible terms it is:

• Eating right can lower uric acid, and low purine foods are preferred;
• Adjusting the diet to lower uric acid is important, is a prerequisite for all other treatments, and must be implemented long term and strictly;
• Adjustment of diet structure to lower uric acid effect is limited, if necessary, must be drug lowering uric acid treatment.

It is not easy to organize and publish! If you agree with my point of view, please help point a concern or point a praise; if you have a different point of view, you are also welcome to leave a message below, we can discuss together; you can also forward to your side of the need of friends; thank you!

I'm Dr. Liu Liangyun from the Gout Department of Chengdu Western Gout and Rheumatism Hospital, and I'll give you a detailed answer to this question. Before answering the question, we can first look at the experience of a patient who did not pay attention to the daily diet led to the growth of gout stone.

Over the past two years, I've looked at the feet of thousands of gout sufferers; after all, 70% of gout sufferers have their first attack in the first metatarsophalangeal joint, which is the big toe area of the foot. To be honest, I can't remember those feet, but what I can remember is what they had a gout attack for and the gout stones on some of the patients' feet.

There is a middle-aged gout patient surnamed Hu from Leshan, I can't forget the gout stones on his body: his elbows, feet and knees are full of "stones", and his arms and legs can't be flexed normally. Nevertheless, he still adhere to their own eating habits: three meals a day are drinking alcohol, drinking white wine every day at least a catty, under the wine dishes are brined pork intestines, brined pig heart; meet with friends together, often from the evening to drink late at night, under the wine dishes into the hot pot and barbecue.

Mr. Hu, 53, proudly told me, "Our locals used to call me 'Hu Sanjin', but now they call me 'Stone Man'." But gout, or gout stones, are not known as something to be proud of for most people.

Diet is often a trigger for acute attacks of gout and a cause of elevated uric acid, but gout isn't always from eating. After all, only 20% of the body's daily uric acid production comes from dietary purines, or exogenous purines. ButOnce hyperuricemia or gouty arthritis develops, every extra bit of purine may keep uric acid high or gout symptoms delayed.

Like Mr. Hu, uncontrolled overeating of purine-rich foods, especially drinking a lot of alcohol, will definitely make the blood uric acid level continue to rise significantly. So decades down, not long gout stone is strange! So for gout patients, dietary modification as the basis of uric acid lowering treatment is particularly important. Today I'm going to organize a reference guide to uric acid-lowering foods to help people with high uric acid and gout eat healthy.

These five diets are not conducive to lowering uric acid, and gout sufferers should eat them sparingly

Clinically, we often see episodes of redness, swelling, heat and pain in the joints after festivals and parties with good food and wine. This is usually influenced by diet. Diet can cause changes in blood uric acid levels by affecting uric acid production and renal excretion of uric acid.

Therefore, patients with hyperuricemia and gout often need to avoid high purine diets that can increase the concentration of uric acid in the body; however, some foods, although low in purine content, will still affect uric acid metabolism, and need to pay more attention to daily. In particular, gouty arthritis, the following five diets should try to avoid:

• Visceral:Animal offal belongs to ultra-high purine food, a large amount of food can lead to a sudden increase in the patient's blood uric acid water, and the concentration of uric acid is higher than that of the joint fluid; animal offal contains a large amount of cholesterol and fat at the same time, and regular consumption can lead to cardiovascular disease. The main ultra-high purine animal offal includes chicken liver, chicken intestines, duck liver, duck intestines, pig intestines, pig spleen, pig liver, tripe, cow kidney and so on.

• Seafood:Seafood, especially shellfish and some marine fish are ultra-high purine foods, eating these ultra-high purine seafood can raise blood uric acid levels, leading to an increase in the incidence of gout in the population. The main ultra-high purine seafood include white scallop, white pomfret, lice, kissing fish, shark, sardines, moray eel, oysters, clams, dried scallops, oysters, scallops and so on.

• Gumbo type:Thick meat soup, thick fish soup because purine for water-soluble substances, more soluble in water at high temperatures, so the purine content of these soups is generally higher. Generally speaking, ultra-high purine soup is mainly thick meat soup, bone soup, pig's trotters soup, thick fish soup, seafood soup, hot pot soup, old fire soup, etc., part of the mushroom soup and other purine content is also high.

• Alcohol:This diet is low in purines, but ethanol is an important dietary risk factor for gout, and the effect of ethanol on gout is related to the type of alcohol. Beer and yellow wine, which contain ethanol and purines, have the strongest correlation with the development of gout; spirits such as white wine and foreign wine can also increase the incidence of gout. Ethanol promotes uric acid production and decreases uric acid excretion.
• Sugary dietary categories:These diets are low in purines, but high fructose syrups are primarily nutritive sweeteners, and fructose is capable of consuming adenosine triphosphate by hepatic phosphorylation, leading to increased uric acid synthesis; it is also capable of indirectly increasing blood uric acid by increasing cyclic insulin levels. The main sugar-containing diets include carbonated beverages, juice drinks, sports drinks, artificial teas, snacks, syrups, honey, jellies, and cookies.

Usually, it is not very likely that a bite of the above diets will actually induce an acute attack of gout. HoweverClinical advice is still to limit intake as much as possible, and gout patients should not exceed a total daily purine intake of 300mg.These five diets need to be avoided during acute gouty arthritis flare-ups to avoid elevated uric acid levels and enhanced joint inflammation.

These six diets are good for uric acid control and can be eaten by gout sufferers

An ultra-high purine diet is usually defined as foods with purine content >150mg/100g, which are still mainly animal-based foods. After learning which foods contain high purine, I also summarize which foods are the foods that are okay to eat.

And among these foods that you can eat, some of them also play a positive role in lowering uric acid in gout patients. They are among the foods that are encouraged to be consumed in various guidelines. Especially when the uric acid value is soaring high and acute gout flare-ups occur, you can choose the 6 diets listed below, which can also allow protein, vitamins, fats and other nutrients to be properly replenished.

• Dairy:Dairy products, especially low-fat dairy products, can reduce blood uric acid levels and the incidence of gout. The uric acid-lowering effect of dairy products may be related to the micronutrients they contain, casein, etc. Increasing the intake of dairy products also prevents osteoporosis and reduces the risk of cardiovascular disease. It is recommended to drink more than 240ml of low-fat or skimmed milk daily, but yogurt with high sugar content is not recommended.
• Staple food group:Staple foods include coarse grains and fine grains, and a combination of coarse and fine grains can allow for the intake of the right amount of micronutrients and vitamins, as well as more protein intake. You can make a reasonable combination of staple foods such as rice, wheat, flour, cereal, corn, potatoes, rice noodles, taro, etc. However, noodles such as thick bone soup noodles, bread, dunked soup buns and soup dumplings are not recommended to eat more.

• Eggs:Eggs do not have high purine content and belong to low purine, high protein and rich in a variety of nutrients, but it is recommended not to eat egg yolk. Gout patients can eat 1 cooked egg a day, and the eggs that can be consumed include eggs, duck eggs, and leather eggs. Salted eggs are not recommended to be eaten more often due to their high sodium content.
• Vegetables:Previous concepts recommend that gout sufferers should not eat high purine foods including vegetables such as bedrooms, spinach, mushrooms, string beans, cauliflower, etc. However, in recent years, studies have shown that plant-based purine foods do not have a significant impact on gout sufferers. Vegetables that can be safely consumed by gout sufferers include cabbage, kale, carrots, daikon radish, eggplant, onions, tomatoes, pea tips, tofu and other soy products.

• Fruits:Fruits are rich in a variety of minerals, vitamin C, purine is also low, it is recommended that gout patients can eat in moderation. Generally speaking, apples, pears, watermelons, lemons, apricots, plums and other fruits with low sugar content can be eaten in moderation; lychee, longan, oranges, pineapple, grapes, peaches, bananas, fresh dates and dried fruits and other fruits with high sugar content should be eaten sparingly; sour dates, blackcurrant, guava, cherries, cherries, carrots and kiwi fruit containing vitamin C can be eaten more often, and these fruits have protective effects on gout disease control and uric acid reduction. There is a protective effect.

• Meat:Many people think that gout patients can not eat meat, because meat is high in purine content and rich in cholesterol; however, it is basically difficult for gout patients not to eat meat. It is recommended that gout patients can moderate intake of meat, such as chicken thighs, chicken breast, pork lean meat, part of the beef and mutton, as well as pig blood, duck blood and so on can be ingested; but pork hind legs, pork shoulder with skin, beef tongue, goose and other meats with high purine content, it is recommended to avoid the intake of deep-fried meats, hot pot hot meat and other meats because of the high purine content, you also need to avoid intake.

For gout sufferers, these above foods are not completely safe. For example, during an acute attack of gout, you need to avoid cherry juice, salicylic acid-rich willow bark extract, ginger, flaxseed, strawberries, blackcurrants, celery root, and sour cheese. In the intervals when you don't have an attack of gout, these foods can still be safely eaten to ensure a balanced nutritional profile.

How to arrange three meals a day for lowering uric acid? Here's the gout diet menu

Although it is difficult to refuse the food, but the thought of gout attacks when the pain, it makes people shy away, in fact, to maintain a moderate diet can still allow people to relieve the appetite, it is more important to maintain a dietary policy to control purine dietary foods, in order to effectively reduce the chance of a spike in uric acid value.

How should gout patients arrange three meals a day? Dr. Liu suggests arranging according to these principles: according to purine grade, different stages of gout, different nutrient intake, different calorie intake, and so on. The issue of purine grade has been mentioned earlier, and I will briefly introduce the remaining aspects:

• Principles of intake of different nutrients:Carbohydrates account for 50%~55% of the total calories per day; proteins are mainly plant proteins, supplemented by animal proteins; total fat intake is about 50g per day; cholesterol intake is not more than 200mg per day, purine intake is not more than 300mg per day; dietary fiber is about 20~30g per day; sodium is not more than 6g per day; and water intake is not less than 2500ml.

• Principles of total intake of different diets:Balanced calculation of daily calorie intake, daily energy supply standard at about 20~35 kcal/kg; cereals and potatoes, fruits and vegetables, meat, eggs and dairy products, soy products, nuts and fats and oils as the main source of calorie supply; balanced intake of carbohydrates, dietary fiber, minerals, vitamins, proteins and fats; daily intake of staple food control at about 200~400g, about 500g of vegetables, lean meat 50~75g, 1 egg, 75g of beans and bean products, 240~300g of milk and milk products, 200g of fruits, 25g of fats and oils; the ratio of calorie intake in the morning, noon and night is 3:4:3.

• Dietary principles for different stages of gout:Acute episodes to choose low purine content of food, protein as the main source of carbohydrates to supplement the calorie needs, to limit the fat intake of vegetable oil-based cooking, intake of fruits and vegetables to promote uric acid excretion, three meals a day to eight minutes full. Interval can be restored to normal balanced diet, eggs and milk, fruits, staple foods and the same as the normal diet, meat to the skin without relatively low purine meat and fish-based, to develop the habit of drinking more water, control the intake of ultra-high purine food, eat less fried, barbecue and broth.

Dr. Liu's requirements for gout patients areNutrition is balanced, three meals a day should be regular and quantitative, avoid hunger and fullness, learn to chew slowly, maintain normal metabolism and improve metabolism.Here is a list of uric acid lowering foods for three meals a day:

• Breakfast is full of nutrients and easy to absorb:A perfect breakfast includes steamed buns, noodles, bread, rice, corn and other rice and noodles, lettuce, greens, cucumber, celery and other fruits and vegetables, hard-boiled eggs, steamed eggs, omelettes and other eggs, milk, soy milk and other milk and dairy; the main collocation includes vegetables and fruits, clear porridge with small dishes, whole grain bread with milk, sandwiches with fresh fruit juice and so on.

• Lunch is calorie dense and versatile:Lunch needs to allow the body to absorb sufficient vitamins, minerals and dietary fiber, mainly including winter melon, cucumber, tomato and green leafy vegetables, pork, beef, chicken, duck, fish, shrimp, lamb, rabbit and other lean meats, fresh mushrooms, fungus and other side dishes, as well as egg foods.

• Dinner should be light and eight-percent full:Dinner in order to avoid too high cholesterol and too greasy, it is recommended that the main light, the ratio of vegetables and meat dishes for dinner is 7:3, low-calorie, low-fat and multi-carbohydrate-based, dinner to avoid fish soup, meat soup, seafood soup and sweet soup, etc., patients with high blood uric acid should not eat too much dinner.

The best food to reduce uric acid there are many (this point I will focus on the following article), but certainly not Laoshan white flower snake grass water, which is really the hardest drink I've ever had, when I first contact with this drink, or my university a high uric acid Shandong students recommended, he said at the time that this water is alkaline, and Chinese medicine books on white flower snake tongue grass, also known as snake tongue grass, scattered grass, a fierce grass, sweet and cool, return to the liver, stomach and intestinal meridians, eliminating heat and detoxification, aiding digestion, and having diuretic effect. I also checked the relevant literature, and found that there are really some literature reports on the lowering of uric acid by the white-flowered snakeweed.

But I tell you after drinking it, it means the same thing as drinking more plain water can improve the excretion of uric acid, the key is that it's even worse than drinking plain water, and it totally matches the TOP 5 toughest drinks!

So, what are some of the best foods to lower uric acid we're talking about?

I'm going to give you a list of recommended diets!

First, low purine foods are preferred.Especially in your acute gout attack, you should choose a low purine diet; in remission, we say that the appropriate choice of medium purine food, but the amount of meat intake in a day should not be more than 120g, especially not in a day to focus on a meal; no matter what period of time to avoid high-purine food.

Purine food differentiation method: 100g of food containing purine less than 50mg is low; containing 50-150mg is medium; more than 150mg is high.

Low purine foods include: vegetables, fruits, dairy, eggs, nuts, taro, potatoes, millet, and white potatoes;

Moderate purine foods include: red beans, green beans, peas, soy products, pork, beef and lamb, ham, beef jerky, grass carp, carp, eel, eel, halibut, cod, fishballs, lobster, crab, and kelp;

High purine foods include: chicken breast, animal offal, scallops, catfish, sardines, chubs, dried small fish, kippers, scallops, oysters, gumbo, hot pot soup, and more;

Second, drink lots of water, 2000 ML or more.Especially if you exercise, get up in the morning, before going to bed, etc., do not have to drink so complicated water, plain water is good, there are conditions of course, you can drink some sugar-free soda, Laoshan White Snake Grass water, even if it is expensive and difficult to drink, but also not much of a big role1

Third, try to avoid alcoholFor those who really can't control it, alcohol intake should not exceed 25g per day for men and 15g per day for women, which translates to pretty much no more than 50ml of white wine, 200ml of red wine, 500ml of beer for men, and even less for women!

Fourth, a low-salt and low-sugar diet is recommended.The so-called low-salt requirements a day shall not exceed 6g, probably a beer bottle cap full so much, but note: this is in addition to your intake of other salt-containing processed foods such as salted vegetables, oil, soy sauce, etc.; low-sugar diets should pay attention to less intake of high-fructose foods, fructose high food is easy to trigger gouty attacks, but it is recommended that you eat a lot of vegetables as well as fruits every day!

The standard of living is getting better and better, good food everything, rich and expensive diseases more and more, gout is considered one, no pain in the people, gout pain, you do not understand.

To lower uric acid as well as to lower hypertension, diabetes, and hyperlipidemia all require dietary control plus a healthy lifestyle, and failing that, pharmacological intervention.

In fact, there is no such thing as a dish that directly reduces uric acid, of course, the reduced intake of high-purine foods will help to reduce uric acid, and low-purine diets are certainly also conducive to the reduction of uric acid, but none of them can do so directly.

Hyperuricemia belongs to the basic metabolic diseases, poor uric acid metabolism and excessive purine intake are the two main underlying causes of high uric acid. In the human body, 80% of the uric acid is produced by the metabolism of autologous nucleic acids, only 20% of the uric acid is converted from purines ingested in external food, but dietary control is always the first task to improve the high uric acid value.

Let's start with what to eat more of.

1,Drink lots of water. Drink lots of plain water.Patients with hyperuricemia can drink at least 2,500ml~3,000ml of water every day. Drinking more water can promote urination and dilute the uric acid in the blood. Drinking a glass of water before going to bed can also reduce the chances of acute gout attacks at night. Sometimes I will suggest patients to drink some soda to neutralize the uric acid, which is also very helpful!

2,low-purine dietIt is recommended to eat more low purine and diuretic vegetables, such as winter melon, bitter melon, white radish, etc., in addition to "barley, watermelon, corn" and so on are also a good choice. Vegetables such as dietary fiber-rich sweet potatoes, celery, squash, etc., as well as cold lettuce, bitter melon, bitter chrysanthemum, etc., fruits such as grapefruit, dragon fruit, kiwi, bananas, etc., have a good laxative effect, to ensure that the normal defecation every day, but also ensure that in addition to the urine of the other excess uric acid discharge. There are also many low purine vegetables.

Again, control and reduction.

1,Reduce intake of high-purine foodsShellfish seafood, animal offal, hot pot soup and other high-purine food should be prohibited as much as possible; some acute gout patients, indeed, because often eat soy products triggered, therefore, for such food in the end should not control, but also need to be further discussed, if it is a high uric acid for the time being to control the intake.

2,give up smoking and drinkingAfter alcohol enters the body, the process of metabolism will take up a lot of water in the blood, so that the concentration of uric acid in the blood is greatly increased, so that the value of blood uric acid becomes high, so that after a large amount of alcohol consumption, it is often induced acute gout. And smoking is the first factor in the occurrence of metabolic syndrome, so smokers, too, are more likely to have poor metabolism of uric acid.

3,Weight control Controlling the intake of high-sugar foods: Although sugar metabolism does not produce uric acid, but high sugar foods and drinks contain high calories, will promote the human body to gain weight, obese people occur in high uric acid is much higher than the chance of normal weight people. Down not to mention that you can't control uric acid just by eating the natural enemy of high uric acid!

It's summer, the season of seafood and beer, so make sure you keep it under control, don't let hyperuricemia get to you, and get plenty of exercise and water. Eat less of the good stuff and eat more grass! So as not to damage the kidney function. It's not worth it. Disease enters by the mouth.

Edited by Dr. Cardiovascular Wang on 2.8.2018.

Uric acid, these days, is also one of the more common items on a physical exam. High uric acid is common to both hyperuricemia and gout, and people suffering from hyperuricemia and gout often have to make lowering uric acid a treatment priority. Can food lower uric acid and what should your diet be on top of the medications you take?

If you want to reduce uric acid you need to understand how uric acid is produced, only understand the pathway of the source of uric acid in order to prescribe the right medicine. The production of uric acid is divided into endogenous and exogenous sources, endogenous sources are our body's own metabolism of uric acid, while exogenous sources are from purine-containing food into the body in the liver metabolism of uric acid. Although exogenous uric acid only accounts for 20% of the amount of uric acid sources, it is the last straw that breaks the camel's back, and many people tend to experience binge drinking with prior to a gout attack.

For friends with high uric acid, it is important to pay attention to the purine content of food in the diet. Abstain from high purine content of food, medium purine content of food can be, but also pay attention to the amount of intake, low purine content of food is the high uric acid friends focus on eating food. In pay attention to purine intake at the same time also pay attention to one thing, that is to increase the uric acid discharge, lower blood uric acid value.

The excretion of uric acid is mainly dependent on renal excretion, which requires drinking more water, drinking more water urine is also more, and consequently the amount of uric acid excreted will also increase. For people with high uric acid, it is important to achieve a daily water intake of 2,000 milliliters of water and more than six times of urination in 24 hours. In terms of drinking water options, you can drink soda to alkalize the urine and increase the amount of uric acid excreted.

Food does not have the function of directly reducing uric acid, people with high uric acid should pay more attention to the diet, abstain from high purine food, drink more water is a good way to regulate. In the exercise should pay attention to avoid a sweaty situation, exercise should also drink water in a timely manner, to avoid the uric acid value rises.

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

I am Wang Guizhen, today's headline Wukong Q&A signed author, welcome to pay attention to [Wang Guizhen nutritionist] headline number, together to talk about health, so that we eat healthy, eat at ease!

I am Duan Yun, a senior dietitian at Arden Healthy Living. I have worked for a long time in nutritional meal preparation and physical therapy for mothers and babies. Now I am engaged in TCM health care, so let's pay attention to health and nutrition together.

Uric acid is a metabolite of purine, about 80% of uric acid from endogenous purine metabolism, 20% uric acid from dietary purine-rich foods. Then, if you want to lower uric acid fast, you need to control it from two aspects: reduce the source of exogenous uric acid and promote the excretion of uric acid in the body.

First, eat a light diet and less oil. Cooking oil control in 20-25g / d, avoid using fat fat food, peanuts, walnuts, sunflower seeds and other nuts contain more fat, should not be used more than 15g per day. animal food to choose less fat, cooking oil selection of vegetable oil rather than animal oil, and the use of less oil cooking methods such as boiling, stewing, mixing, brining road to reduce the amount of oil. In addition, we should also pay attention to remove the skin and fat layer when eating poultry and meat, and use less or no salted meat, sausage, salami and other cooked food made of ground meat and animal offal. The amount of salt should not exceed 6g per day.

Second, meat, eggs, milk and beans should be in moderation. Eggs and milk containing low purine is the best source of protein for gout patients, should be prioritized. Meat, fish, poultry should be limited consumption, because purine is easily dissolved in the soup, you can meat, poultry, a small amount of boiled, discard the soup after consumption. Dry legumes to limit the intake of food, such as soybeans, peas, lentils, etc., can occasionally eat a small amount of tofu, soy milk and other soy products.

Thirdly, rice and noodles should be sufficient. Staple food is the main source of energy consumption, and should be sufficient and rice and noodles, mainly fine grains.

Fourth, less high purine food, such as animal offal, thick meat soup, fish roe, brain, sardines, anchovies, etc., containing high purine, should be avoided; spinach, mushrooms, beans should also be used sparingly.

Fifth, eat more fresh vegetables and fruits, eat at least 500g of vegetables and 200g of fruits every day. But be careful to avoid purine-rich vegetables, such as spinach, cauliflower, mushrooms and so on.

Sixthly, drinking sufficient amount of water can promote the discharge of uric acid, you can drink appropriate fruit juices, drinks and other changes in taste, should be more than 2000ml per day, also can drink soda water appropriately.

Seventh, abstain from alcohol (especially beer) Avoid stimulating seasonings such as chili, curry, pepper, peppercorns, mustard, and ginger.

The choice of food prohibits the first group of foods, prohibits smoking and alcohol and limited choice of the second and third groups of foods, and arbitrary choice of the fourth group of foods. ↓

These are my answers, if you have any questions or find problems, you can point them out in the comments!

Finally, welcome to follow us, a whole team of dietitians for you to ask questions oh ~ ~

Hello, I'm Dietitian Sugar and I'm happy to answer your questions.

High uric acid has a close relationship with diet, but diet is a slow conditioning process, want to quickly reduce uric acid levels through diet is not very practical, the fastest way to lower uric acid is still medication. Uric acid control should follow a "low purine diet", reasonable dietary control is an important way to prevent and treat high uric acid. The general pattern of purine content in food is: animal offal > fish, meat > nuts > vegetables > cereals > fruits and starch. According to the amount of purine content, food can be divided into four categories.

1. Purine-free foods: such as corn, cucumber, eggplant, radish, potatoes, milk, eggs, fruits and dried fruits;

2. Low purine food: such as mushrooms, spinach, peas, chicken, lamb, peanuts and so on;

3. In purine food: such as carp, pork, beef, duck, goose and so on;

4. High purine food: such as animal liver, kidney, brain, fish roe, shrimp, crab, hot pot soup, beer, chicken soup, broth and so on.

Purine is a hydrophilic substance, as long as the water cooking can make the purine dissolved. Such as meat and other acidic foods can be used in the soup method, which most of the purine substances dissolved in the soup, you can only eat meat without soup, so as to ensure nutrition and avoid excessive purine intake. Of course, we should also pay attention to low-salt diet, prohibit alcohol and drink a lot of water, which will be conducive to the excretion of uric acid, and further prevention and treatment of high uric acid.

In Chinese medicine, the classic food therapy for gout includes Poria Coix Seed Soup, Mulberry Branches and Job's Tears Pumpkin Soup, Poria Zao Poria Poria Congee, and Papaya and Chen Pi Congee, all of which are beneficial to the prevention and treatment of high uric acid. In addition, alkaline kidneys, i.e., alkaline urine can also help uric acid excretion, daily life can be more alkaline food and drinking water to alkalize the urine, accelerate the excretion of uric acid, so as to control the level of uric acid in the blood.

Sugar man health network, a temperature control of sugar platform, welcome to pay attention to the questions and answers!

For patients with hyperuricemia, a good diet can help control blood uric acid levels and reduce the occurrence of gout and other complications, which is a very important part of hyperuricemia treatment. Of course, hyperuricemia, as a metabolic disease, also requires comprehensive interventions, including lifestyle and uric acid-lowering medications when necessary, as well as attention to monitoring, follow-up and review.

Patients with hyperuricemia should eat more fresh vegetables (500g per day), low fructose fruits, coarse grains and other low purine foods in their daily diet, and are encouraged to choose low-fat or skimmed milk and its products, about 300ml per day, and one egg per day as well. At the same time to drink more water, help dilute and discharge uric acid, daily water consumption should be greater than 2000ml, to white water is appropriate, can also be appropriate to drink soda, light tea and coffee, but should avoid drinking fruit juice, cola and other fructose-rich beverages.

In the daily diet should pay attention to strictly limit the intake of high-purine food, do not eat liver, kidney and other animal offal, do not eat oysters, shells, lobsters and other shelled seafood, do not drink broth (especially should avoid boiling time too long thick broth). To eat less rather than no animal meat, fish, beans and their products, etc., can be blanched before eating before cooking. It is better not to drink alcohol, especially avoid beer and yellow wine. Those who have difficulty in giving up alcohol can drink wine/red wine when their condition is stabilized.

Patients with hyperuricemia also need to pay attention to appropriate exercise, keep warm, weight control, regular work and rest and maintain a good state of mind in their daily life. For patients with ineffective lifestyle intervention or blood uric acid level exceeding 540umol/L or with underlying diseases such as hypertension, diabetes mellitus, coronary heart disease, stroke and other underlying diseases, blood uric acid level exceeding 480umol/L or the emergence of gout and its complications, it is recommended to use uric acid-lowering drugs, in order to stabilize the control of blood uric acid level and reduce the occurrence of complications. to stabilize and control the blood uric acid level and reduce complications.

Thanks for reading, this article was originally written by @General Practice Sweeper, welcome to like, comment, reprint, follow the author, get more health knowledge. Please correct any deficiencies. Images are from the internet and are for reference only.

Hello, everyone! I'm Blessed Dad, a clinical dietitian. I hope my answer is useful to you.

It is true that through a proper diet you can help to reduce the level of uric acid in the blood, but there is really no such thing as the best food to reduce uric acid!

In Chinese dietary culture, there is a tradition that illnesses enter through the mouth and that medicine and food come from the same source. Therefore, the first reaction of many people after knowing that their uric acid is increased is that they can not find a kind of food that can effectively reduce uric acid, I just need to eat this kind of food, will be able to reduce uric acid. However, uric acid is definitely not something that can be lowered by eating a certain food alone.

Why is uric acid high?

High uric acid is the main culprit of gout. Uric acid is a metabolite of purines, and elevated uric acid is due to abnormal purine metabolism resulting in increased uric acid production and/or decreased uric acid excretion.

There are very many causes of abnormal purine metabolism, genetics, high calorie, high fat, high sugar diets, high purine diets, lack of exercise, obesity, diabetes, and prolonged heavy drinking.

Causes of decreased uric acid excretion include drinking less water and acidic urine. Acidic urine is related to genetics and diet, and can be caused by a high-fat, high-sugar, high-protein diet and eating few vegetables.

By the causes of elevated uric acid, high uric acid is neither caused by eating more of a particular food nor can it be brought down by eating a particular food alone.

How can I lower my uric acid?

1. Drink plenty of water. The solubility of uric acid is very low, and it takes a lot of urine to lower as much uric acid out of the body as possible. Drinking 2,000 to 3,000 milliliters of drinking water a day, any more than that is not effective, and frequent trips to the bathroom can be a nuisance.
   
   
2. Alkalize the urine. Uric acid is acidic, and the substance will be more soluble in an alkaline environment, so the excretion of uric acid can be increased by alkalizing the urine. Alkalizing the urine is usually achieved by taking sodium bicarbonate orally. Commercially available sodas are generally ineffective and contain too little sodium bicarbonate.
3. Low Purine Diet. Avoid high-purine foods such as animal offal, most seafood, thick broths, and beer. Eat moderate purine foods in moderation. Eat more low purine foods. There is plenty of evidence that most vegetables are low purine foods. Eating more of these fresh vegetables can help improve purine metabolism disorders, reduce uric acid production, and also promote uric acid excretion. Eggs and milk are very good low purine proteins.
   
   
4. Moderate exercise. Exercise helps to improve purine metabolism disorders. Half an hour of moderate-intensity aerobic exercise five times a week.
5. Lose weight and be sure to control your blood sugar if you have diabetes.
6. If your uric acid is really high, you still need to take medication! Taking medication has side effects, but the health benefits gained by taking medication to lower uric acid far outweigh its side effects.

I'm FooDaddy, a clinical dietitian, so if you think I'm making sense, give me a like 😜 Follow my headline for more nutrition and health information.

What can I eat if I have high uric acid?

Patients with high uric acid should pay more attention to their daily diet, because once the diet is not appropriate, it may lead to uric acid continues to rise, causing gout, which will be very harmful to the body. The question asked by the subject "what is the best food to lower uric acid" is very interesting, in fact, the vast majority of food does not lower the role of uric acid, but if we eat a reasonable diet, through a reasonable choice of food, can reduce the generation of uric acid in their own bodies.

So, what specifically can you eat with high uric acid? Come with me and find out!

First, you can eat alkaline food. This is because alkaline food can be neutralized, and high uric acid is caused by impaired purine metabolism in the body, so you can control your diet and eat some alkaline food.

Second, you can eat foods with high water content (such as winter melon, cherries, cucumbers, etc.). Because water intake is high, naturally uric acid can be excreted.

Third, low purine foods (the vast majority of fruits and vegetables) are recommended. Regardless of the time period, people with high uric acid should avoid high purine foods.

In addition to this, there are several foods that are strictly prohibited for people with high uric acid:

First, for certain high purine food, patients can not eat. Common high-purine foods are hot pot, shrimp shellfish in seafood, etc., broth and so on. These are high purine diet, of course, also include animal offal, underwater, etc., are not recommended for patients with high uric acid.

Secondly, medium purine foods, such as beef, lamb, chicken, carp and grass carp, should be eaten with caution by patients with high uric acid.

In short, you can't actually achieve uric acid reduction by eating certain foods at all, only by saying what foods you can eat to help yourself better control your uric acid levels. In addition, patients with high uric acid should drink more water, exercise more, and try taking uric acid-lowering drugs to reduce uric acid levels if necessary.

Healthy Beginnings, Health Science Specialized Media, Better Life from Healthy Beginnings